Marieke van Wieringen

Vrije Universiteit Amsterdam | VU · Department of Organisation Sciences

Er is nog weinig bekend over de samenwerking tussen de verschillende formele en informele hulpverleners die zorg geven aan thuiswonende ouderen. In een eerdere rapportage van het NPO- onderzoek ‘Zorgnetwerken van Kwetsbare Ouderen’ staat dat er gemiddeld bijna tien verschillende hulpverleners zorg verlenen aan kwetsbare thuiswonende ouderen: zeven...

This study explores the link between management characteristics of home care agencies and the involvement of informal caregiver in caregiving. Based on a study of policy documents of two agencies and semi-structured interviews with five team managers and 31 formal caregivers, we conclude that, although the importance of involving informal caregiver...

The present study develops our understanding of the micro-level dynamics of decoupling by addressing how and why various occupational groups, that is, managers and professionals, are involved in decoupling in response to institutional complexity. Our conceptualization of occupational groups’ involvement in decoupling emerges from an in-depth qualit...

The Dutch home-care sector is best characterized as a complex and dynamic institutional environment. Institutional complexity particularly comprises the coexistence of a professional care logic and a logic of managed care. Whereas the professional care logic reflects values and practices such as client-centeredness, professional autonomy, competenc...

Background: Research shows that voice-the communication of ideas, concerns, and perspectives by employees to those in positions to instigate changes-is related to job satisfaction, retention, and organizational improvement. Nevertheless, health care professionals often do not exercise voice. Although researchers have explored the barriers register...

Aim Whereas voice behaviour has been identified as a key precursor to safe and high‐quality patient care, little is known about how voice relates to key workforce outcomes. This study aimed to investigate the relationships between certified nursing assistants' perceived promotive voice behaviour (speaking up with suggestions for future improvement)...

Introduction At all levels, effective collaboration between actors with different backgrounds lies at the heart of integrated care. Much attention has been given to the structural features underlying integrated care, but even under structurally similar circumstances, the effectiveness of collaboration varies largely. Theory and methods Social and...

Aims To identify crucial programme characteristics and group mechanisms of, and lessons learned from hindrances in an empowerment programme for certified nursing assistants and contribute to the development of similar programmes in other care settings. Design Exploratory qualitative study. Methods Between May 2017 and September 2020, we used in‐d...

Members of frontline low-status occupational groups often have access to a vast pool of knowledge, expertise, and experience that may be valuable for organizations. However, previous research has shown that members of these occupational groups are often reluctant to exhibit voice behavior due to their low position in the organizational hierarchy an...

The blind spot The most relevant part of a discussion is not what is discussed but what cannot be spoken of. The real taboos are those for which it is taboo to call them taboos. The status quo defines itself as non-ideological while denouncing any challenge to itself as radical. Therefore the column ‘De Blinde Vlek’ frames the framers, politicizes...

Due to the types of care they deliver, Dutch auxiliary nurses presumably spend more time in a client’s home than other care professionals. Consequently, auxiliary nurses play a vital role in furthering coordination and cooperation between clients and their informal caregivers and other auxiliary and registered nurses, which is important in light of...

Despite an increasing focus on micro-level responses to institutional complexity, knowledge about how different institutional logics are enacted in day-to-day practices is limited, as is our understanding of how differences between responses are resolved. We aim to advance our understanding by studying how members of hierarchically related occupati...

We explored whether a mechanistic or organic structure of home care organizations and their view on informal caregivers are reflected in, respectively, the composition and functioning of mixed care networks of community-dwelling older adults. Two home care organizations were selected: one with a more mechanistic structure, and one with an organic o...