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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.
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’.
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