Zoekresultaat: 11 artikelen

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Duwtjes of druk?

De percepties van zorgprofessionals aangaande ‘nudging’ in ziekenhuizen

Tijdschrift Bestuurskunde, Aflevering 4 2020
Trefwoorden nudging, ethics, autonomy, healthcare, professionals
Auteurs Nienke Maria Huis in ’t Veld MSc, Rosanna Nagtegaal MSc en Prof. dr. Mirko Noordegraaf
SamenvattingAuteursinformatie

    ‘Nudging’ has been introduced as a policy and management tool as a way to influence behaviour without limiting choice. Nudging is mainly used to influence citizens’ behaviour but can also be used to influence the behavior of healthcare professionals. Examples include posters used to improve hand-hygiene compliance, or ‘default’ options in systems to reduce excessive prescriptions of specific medication. However, using nudges raises major worries and ethical issues, also in relation to the independence of healthcare professionals. While the scientific discussion about the desirability of nudges is extensive, the voices of healthcare professionals, who are the subjects of nudges, remain unheard. In this qualitative research we explore the perceptions of nudging held by various healthcare professionals. The interviews reveal that healthcare professionals are generally unfamiliar with the concept of nudging, but they do recognize nudges in their own field of practice. Furthermore, while they are predominantly positive about nudging, they also express concerns about the pressure on their autonomy. These concerns are related to changing professionalism and regulatory pressures in healthcare.


Nienke Maria Huis in ’t Veld MSc
N.M. Huis in ’t Veld, MSc is alumna aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.

Rosanna Nagtegaal MSc
R. Nagtegaal, MSc is promovenda aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.

Prof. dr. Mirko Noordegraaf
Prof. dr. M. Noordegraaf is hoogleraar Publiek Management aan de Universiteit Utrecht, departement Bestuurs- en Organisatiewetenschap.
Article

Access_open Opening the Opaque Blank Box

An Exploration into Blank and Null Votes in the 2018 Walloon Local Elections

Tijdschrift Politics of the Low Countries, Aflevering 3 2019
Trefwoorden voting, elections, blank vote, invalid vote, abstention
Auteurs Jean-Benoit Pilet, Maria Jimena Sanhuza, David Talukder e.a.
SamenvattingAuteursinformatie

    In this article, we propose an in-depth exploration of blank and null ballots in the recent 2018 local elections in Wallonia (Belgium). In the official results, both blank and null ballots are merged together and are classified as invalid votes. After obtaining the authorization to access genuine electoral ballots, we study the votes which were not considered for the composition of local councils in detail. The dataset is a representative sample of 13,243 invalidated ballots from 49 Walloon municipalities. We first describe how many of these invalidated ballots are blank and how many are null votes, as well as the nature of the nulled votes (unintended errors or intentionally spoiled ballots). Second, we dig deeper into the differences between ballots that have been intentionally invalidated by voters (blank votes and intentional null votes) and ballots non-intentionally invalidated. Our results show that most of the ballots (two-thirds) are null ballots and that among them, half are unintentional null ballots. Finally, we show that contextual (socio-demographic and political) factors explain the variations in intentional and unintentional null votes across municipalities.


Jean-Benoit Pilet
Jean-Benoit Pilet is professor of political science at Université libre de Bruxelles (ULB). He works on elections, political parties, and democratic reforms. He has recently co-authored Faces on the Ballot. The Personalization of Electoral Systems in Europe (OUP, 2016, with Alan Renwick) and The Politics of Party Leadership (OUP, 2016, with William Cross).

Maria Jimena Sanhuza
Maria Jimena Sanhueza is PhD Researcher in Political Science at Universite Libre de Bruxelles where she is associated to three projects studying Belgian politics. Her research focuses on citizenship, representation and democracy. Before starting her PhD, Maria Jimena worked as assistant researcher for EU HORIZON 2020 projects Pathways to Power and Solidarity in Times on Crisis, and co-authored a few publications on European democracies and representation.

David Talukder
David Talukder is PhD candidate at the Université libre de Bruxelles (ULB). He is conducting a thesis on the reform of representative democracy, looking at disadvantaged groups’ evaluation of representative democracy and demands for procedural democratic reforms. His main research interests are related to procedural democratic reforms, participatory democracy and democratic innovations.

Jérémy Dodeigne
Jérémy Dodeigne is associate professor in political science at the Université de Namur. His research areas cover the study of political representation in multilevel systems, local politics, comparative politics and mixed methods research designs. His work appears in journals such as Party Politics, American Behavioral Scientist, Local Government Studies, Regional & Federal Studies, Government & Opposition, and Representation.

Audrey E. Brennan
Audrey E. Brennan is completing a joint doctorate in political science at Université libre de Bruxelles (ULB) and Université Laval. Her research interests are political parties, elections, and political participation. Her dissertation studies the effect of leadership change mechanisms on the long-term behaviour of political party members.
Reflectie & debat

Access_open Van wreed naar werkbaar optimisme: bestuurskunde in transitie

Tijdschrift Beleid en Maatschappij, Aflevering 1 2019
Trefwoorden Public administration, (Young) scholars, Performance pressures, Managers, executives, Agency
Auteurs Prof. dr. Mirko Noordegraaf
SamenvattingAuteursinformatie

    Reflection and debate initiates academically inspired discussions on issues that are on the current policy agenda.


Prof. dr. Mirko Noordegraaf
Prof. dr. Mirko Noordegraaf is hoogleraar publiek management, departement Bestuurs- & Organisatiewetenschap (USBO), vicedecaan maatschappelijke impact, faculteit Recht, Economie en Bestuur & Organisatie (REBO), Universiteit Utrecht, en voorzitter van de Vereniging voor Bestuurskunde (VB).
Article

Consensus Democracy and Bureaucracy in the Low Countries

Tijdschrift Politics of the Low Countries, Aflevering 1 2019
Trefwoorden consensus democracy, bureaucracy, governance system, Lijphart, policymaking
Auteurs Frits van der Meer, Caspar van den Berg, Charlotte van Dijck e.a.
SamenvattingAuteursinformatie

    Taking Lijphart’s work on consensus democracies as our point of departure, we signal a major shortcoming in Lijphart’s focus being almost exclusively on the political hardware of the state structure, leaving little attention for the administrative and bureaucratic characteristics of governance systems. We propose to expand the Lijphart’s model which overviews structural aspects of the executive and the state with seven additional features of the bureaucratic system. We argue that these features are critical for understanding the processes of policymaking and service delivery. Next, in order to better understand the functioning of the Netherlands and Belgium as consensus democracies, we provide a short analysis of the historical context and current characteristics of the political-administrative systems in both countries.


Frits van der Meer
Frits van der Meer, Professor Institute Public Administration, Leiden University.

Caspar van den Berg
Caspar van den Berg, Campus Fryslân, University of Groningen.

Charlotte van Dijck
Charlotte van Dijck, PhD Fellow Research Foundation Flanders (FWO), KU Leuven Public Governance Institute.

Gerrit Dijkstra
Gerrit Dijkstra, Senior Lecturer, Leiden University.

Trui Steen
Trui Steen, Professor, KU Leuven Public Governance Institute.
Article

Transformative Welfare Reform in Consensus Democracies

Tijdschrift Politics of the Low Countries, Aflevering 1 2019
Trefwoorden consensus democracy, welfare state, social investment, transformative reform, Belgium and the Netherlands
Auteurs Anton Hemerijck en Kees van Kersbergen
SamenvattingAuteursinformatie

    This article takes up Lijphart’s claim that consensus democracy is a ‘kinder, gentler’ form of democracy than majoritarian democracy. We zoom in on contemporary welfare state change, particularly the shift towards social investment, and argue that the kinder, gentler hypothesis remains relevant. Consensus democracies stand out in regard to the extent to which their political institutions help to overcome the politically delicate intricacies of governing for the long term. We theorize the features that can help to solve the problem of temporal commitment in democracy through processual mechanisms and illustrate these with short case studies of the contrasting welfare state reform experiences in the Netherlands and Belgium.


Anton Hemerijck
Anton Hemerijck is Professor of Political Science and Sociology at the European University Institute (EUI) in Florence, Italy.

Kees van Kersbergen
Kees van Kersbergen is Professor of Comparative Politics at the Department of Political Science of Aarhus University, Denmark.

    In recent decades, the Dutch labour market has become more flexible. Flexible labour contracts enable firms to adjust employment to a changing market environment and to competitive pressures. Almost without exception, academic studies on the drivers behind the use of flexible labour contracts at the company level, are motivated by competitive pressures. However, companies may be susceptible to institutional pressures as well. Based on a survey among more than 650 managers in the Netherlands, we conclude that firms are vulnerable to institutional (mimetic) forces. This finding has several implications for policy-making and labour flexibility research.


Fabian Dekker
Artikel

Professioneel vermogen

Proactieve ‘coping’ door publieke professionals

Tijdschrift Beleid en Maatschappij, Aflevering 4 2015
Trefwoorden Public professionals, Teachers, performance pressures, proactive coping, professional capability
Auteurs Prof. dr. Mirko Noordegraaf, Nina van Loon MSc, Madelon Heerema MSc e.a.
SamenvattingAuteursinformatie

    Professional services such as educational services, are increasingly managed and optimized in order to improve performances. Performances of students, teachers and school (boards) are measured and evaluated. Increasingly, rules and systems focus on outputs and control. Consequently, the ‘freedom’ of professionals such as teachers is reduced, or is perceived and felt to be reduced. There have been growing debates on the problematic effects of performance pressures. Often, public professionals are seen as ‘defenseless victims’ of systems and pressures – they are ‘professionals under pressure’. In this paper, we introduce a more positive way of understanding professionals and professional action in changing contexts. We see professionals such as teachers as ‘active agents’ who can develop and regain control over their own situation. Professionals can deliver quality, in spite of bureaucratic burdens and managerial intrusions. We call this ability professional capability: ‘the ability to proactively deal with work-related expectations, tasks and burdens in dynamic stakeholder environments’. This paper combines research on public administration, organizational sociology and occupational psychology, to generate a more productive understanding of proactive coping of professionals in public domains. We define and operationalize professional capacity, we explore sources and effects, and we develop hypotheses for further research.


Prof. dr. Mirko Noordegraaf
Prof. dr. Mirko Noordegraaf is als hoogleraar publiek management verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.

Nina van Loon MSc
Nina van Loon MSc was als promovenda verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht en is thans werkzaam bij Aarhus University, Denemarken.

Madelon Heerema MSc
Madelon Heerema MSc is als researcher verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.

Marit Weggemans MSc
Marit Weggemans MSc was als student-assistent verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.
Artikel

Professionals onder druk of professionele tegendruk? Gebalanceerde motivatie voor de publieke zaak in professionele publieke dienstverlening

Tijdschrift Beleid en Maatschappij, Aflevering 3 2014
Trefwoorden Professionals, public services, motivation, public values
Auteurs Nina Mari van Loon MSc en Prof. dr. Mirko Noordegraaf
SamenvattingAuteursinformatie

    There are many practical and academic concerns about public professionals and the pressures and burdens they experience. Professional autonomies and skills are reduced, it is argued, as a result of businesslike new public management, in order to control service results. The solution is clear: organizational logics must be weakened, professional autonomies must be enlarged and professional ways of working must be ‘rescued’. In this paper we re-interpret this presumed problem by analyzing: the interaction between organizational and professional logics, by relating these to a broader institutional logic and by tracing the contribution of individual professional motivations. Professionals, it is shown, can be motivated by broader ambitions to serve society. Such public service motivation consists of three types of motives: rational/instrumental, affective and normative. Our results show that employees in different public professional services show different patterns of motives, which we mainly explain by relating their motivations to the nature of the services they render – whether they render people-changing or people-processing services. These institutional dimensions imply that professional work can be managed, not so much by businesslike ‘market logic’ but by strengthening the meaning of the work professionals do. Professional pressures against organizations do not have to be suppressed – they can be productively used.


Nina Mari van Loon MSc
Nina van Loon MSc is als promovenda verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.

Prof. dr. Mirko Noordegraaf
Prof. dr. Mirko Noordegraaf is als hoogleraar publiek management verbonden aan het departement Bestuurs- en Organisatiewetenschap (USBO) van de Universiteit Utrecht.
Artikel

Het maatschappelijk middenveld in beweging

Een internationale vergelijking van dynamiek in herkomst, perspectief en invulling van vermaatschappelijking

Tijdschrift Bestuurskunde, Aflevering 1 2013
Trefwoorden Big Society, international comparison, public reform, third sector
Auteurs Sabine van Zuydam, Bob van de Velde en Marlot Kuiper
SamenvattingAuteursinformatie

    In this article we aim to provide an insight in one of the specifics of the dynamic relationship between government and society; the delegation of public tasks to (civil) society. The concept ‘Big Society’ in the United Kingdom generated immense expectations in this respect. By making use of an explorative case study, we examine the origins, visions and best practices in successively the UK, Australia and Scandinavia in order to generate a better understanding of this dynamical relationship. The major insights following from this analysis relate to the economic and cultural background, the political reality and rhetoric, as well as to concrete practices to understand what civil society has to offer in the delegation of public tasks. Finally, as a first step towards theory development, we formulate five concrete lessons for the delegation of public tasks to the civil society.


Sabine van Zuydam
S. van Zuydam MSc is promovenda aan de Universiteit van Tilburg.

Bob van de Velde
R.N. van de Velde MSc is promovendus aan de VU Amsterdam.

Marlot Kuiper
M. Kuiper BA is student ‘Research in Public Administration and Organizational Science’.
Artikel

Vluchten in bureaucratie

Bureaucratische gehechtheid onder professionals in de jeugdhulpverlening

Tijdschrift Beleid en Maatschappij, Aflevering 1 2012
Trefwoorden professionalism, youth care, accountability, bureaucracy, marketization
Auteurs Drs. Daniel van Hassel, Prof. dr. Evelien Tonkens en Drs. Marc Hoijtink
SamenvattingAuteursinformatie

    In recent decades, professionals in the public sector have been faced with increasingly detailed demands concerning accountability and performance. It is often argued that this increased accountability and its bureaucratic pressures limit professionals’ discretionary space and autonomy. However, this critique is hardly based on empirical research on the experiences and perceptions of professionals themselves. In this article we present an investigation into these perceptions and experiences with accountability in one particular brand of the public sector, namely youth care.
    Our research indicates that professionals in youth care are hardly interested in greater autonomy or discretion. They rather want clarity, security and options for learning. Moreover, we found ‘bureaucratic attachment’: attachment to bureaucratic procedures particularly as a reaction to increased fears to be sued when something goes wrong with clients. In the recurrent arguments for reduction of bureaucracy, this other face of bureaucracy is often disregarded.
    Regarding working conditions however, the professionals we interviewed do want more discretion. Especially concerning occupation of beds, as the requirement for permanent occupation is viewed to augment risk. We therefore argue for better backing of professionals in youth, for a more precise battle against unnecessary bureaucracy, and for professionalization in order to handle more discretion.


Drs. Daniel van Hassel
Daniel van Hassel is socioloog en als onderzoeker verbonden aan het Nederlands instituut voor onderzoek van de gezondheidszorg (NIVEL), waar hij zich bezighoudt met het thema beroepen in de gezondheidszorg, d.hassel@nivel.nl.

Prof. dr. Evelien Tonkens
Evelien Tonkens is bijzonder hoogleraar actief burgerschap bij de afdeling Sociologie en Antropologie van de Universiteit van Amsterdam en toezichthouder van Meander Medisch Centrum te Amersfoort, e.h.tonkens@uva.nl.

Drs. Marc Hoijtink
Marc Hoijtink is socioloog en onderzoeker aan Kenniscentrum Maatschappij en Recht van de Hogeschool van Amsterdam, waar hij zich bezighoudt met de thema’s sociaal beleid en professionaliseringsvraagstukken, m.a.hoijtink@uva.nl.
Artikel

Beleidsvervreemding van publieke professionals

Theoretisch raamwerk en een casus over verzekeringsartsen en arbeidsdeskundigen

Tijdschrift Beleid en Maatschappij, Aflevering 2 2009
Auteurs Lars Tummers, Victor Bekkers en Bram Steijn
SamenvattingAuteursinformatie

    In this article, we introduce the concept of 'policy alienation'. We define policy alienation as a general cognitive state of psychological disconnection from the policy program being implemented, here by a public professional who regularly interacts directly with clients. By introducing policy alienation, we want to contribute to the contemporary debate on the role of public professionals. According to some authors, professionals are experiencing increasing pressures, as managers have turned their backs to work floors and primarily opt for results, efficiency, and transparency. Conversely, other scholars note that it is questionable whether managers can be blamed for all perceived problems at work floors and in service delivery. We are able to examine these opposing claims using the policy alienation perspective, as this perspective not only takes into account the role of management, but also the influence of policy makers and politicians, as well as the claims of the more emancipated clients. After conceptualizing policy alienation, we use a case of insurance physicians and labor experts to illustrate how the concept can be researched empirically.


Lars Tummers
Lars Tummers werkt op de Erasmus Universiteit Rotterdam aan een proefschrift over beleidsvervreemding van publieke professionals en is adviseur bij PricewaterhouseCoopers Advisory, People & Change. Correspondentiegegevens: Drs. L.G. Tummers, MSc Erasmus Universiteit Rotterdam Faculteit Sociale Wetenschappen Departement Bestuurskunde Postbus 1738 3000 DR Rotterdam tummers@fsw.eur.nl

Victor Bekkers
Victor Bekkers is hoogleraar bestuurskunde, in het bijzonder de empirische studie van overheidsbeleid, aan de Erasmus Universiteit Rotterdam.

Bram Steijn
Bram Steijn is hoogleraar HRM in de publieke sector aan de Erasmus Universiteit Rotterdam.
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