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From 14th til 20th of April Everard worked on an assignment from Maastricht School of Management at the Regional Training Facility (RTF) on Prevention and Suppression of Sexual Gender Based Violence (SGBV) for the Great Lakes Region (GLR), situated in Kampala, Uganda (NICHE-GLR-258). The core of the assignment was to provide RTF with a simple but effective quality management system for their trainings. In cooperation with the Regional Director, the Training Coordinator, some of the Master Trainers, one of the National Trainers and all other staff of RTF a Handbook was produced for the Monitoring and Evaluation of the National Trainer’s Courses by RTF.  The Handbook will support them to provide trainings of even higher quality on their way to become a Centre of Excellence on SGBV. What struck me most during the week is the enormous passion of the team to end the horror of Sexual Gender Based Violence.

From 1 – 4 April the 19th ICIC conference took place in San Sebastian, organised by the International Foundation for Integrated Care. Van Kemenade presented his poster on Four Paradigms and a fifth quadrant: The R2E2-Model © and Integrated Care.

Van Kemenade and Hardjono (2018) discern four quality paradigms in quality management: the Empirical Paradigm, the Reference Paradigm, the Reflective Paradigm and the Emergence Paradigm (the R2E2-Model©). The use of these paradigms differs according to the context.  Together they form a concept of Total Quality Management.

These paradigms can be used for other disciplines and purposes as well. One could state that professionals need to be competent in ‘epistemic fluency’. Epistemic fluency is the capacity to understand, switch between and combine different kinds of knowledge and different ways of knowing about the world (Markauskaite and Goodyear, 2017). In other words professionals need to be able to use all four paradigms of the R2E2-Model © depending on the context they are in.

The Master Program of Integrated Care at Utrecht University of Applied Sciences embraced the R2E2-Model © and its four paradigms to account for the quality of the content of the program. Starting point is that the alumni should be able to switch between and combine the four paradigms. And that means that in the curriculum all four must get equal attention.

This poster presents how the four paradigms can present themselves in Integrated Care and how they are covered by the two year Master Integrated Care. Special attention is given to leadership.

Markauskaite, L and Goodyear, Peter (2017) Epistemic Fluency and Professional Education Innovation, Knowledgeable Action and Actionable Knowledge, Springer, Netherlands

Van Kemenade and Hardjono (2018), Twenty First Century Total Quality Management: The Emergence Paradigm, TQM Journal, https://doi.org/10.1108/TQM-04-2018-0045

On March 25th and 26th 2019 the second part of the Middle Management training took place on Sint Maarten, hosted by the White and Yellow Cross Care Foundation. The course was on coaching, giving and receiving feedback and for a large part on project management.

Eleven out of twelve participants filled in the evaluation form. (Scores from the first part between brackets). They  rated their satisfaction for the course overall with  4.5 (4.3) on a five point scale.  In the remarks it was mentioned that the course will be very helpful for people’s daily work activities in projects.  One participant suggested  “to keep it up”. “You do what you do with love and it shows!!!”. The extent to which the participants felt better equipped for their job scored a 4.2 (4). The trainer scored 4.5 (4.2) on training competencies and 4.4 (4.3) on content knowledge. Ten of the eleven (eleven of the fourteen) participants stated that they would surely recommend this course to others.

 

On the 23rd of March a group of 25 medical specialist of StMaarten Medical Centre (SMMC) came together for a workshop on Four Paradigms in Quality Management facilitated by Everard van Kemenade. The participants first got a lecture on the paradigms and then scored SMMC on the extent to which these paradigms were visible in leadership, strategy, human resource management, resources and processes. Thereafter the group held round table discussions on the ‘desired situation’, leading to a long list of useful suggestions. Van Kemenade formulated as take home message that more dialogue sessions as these should be organised on roadblocks, resources and steps to take.

On the 15th of March the third SYNERGY meeting took place on Saba. This meeting of the Caribbean Network of Leadership in Health Care was hosted by Saba Health Care Foundation (SHCF) and Benevolent Foundation Saba (BFS). There were 28 participants, from 9 healthcare institutes from St Maarten, Statia and Saba. The topic of the day was Safety. Koen Hulshof, director of the GGD and member of the Working Group Infection Prevention Saba held the keynote speech, together with his colleague Lennart Bergwerf (GP), on Anti-Microbial Resistance. Their presentation scored 8.4 on a ten-pointscale. Thereafter there was an introduction in the concept of safety (8.2) and 5-minute presentation by each of the partners (7.7). 

Four organisations presented their best practices on safety. Tammie Papada, quality manager at SMMC presented their  HSOPS survey on safety and she received the highest satisfaction score of the day: 8.6!!! The next presenter was Claudette Rijff of  White and Yellow Cross Care Foundation (7.95), a joint presentation of safety at St Eustatius Healthcare Foundation (presented by Granville Hassel, 7.7) and a presentation by Gisele Codrington and Diana Bakker from Mental Health st. Maarten about violence and aggression in their work (8.17). 

It is amazing to see how the network develops. From 13 participants the first meeting to 23 the second to 28 this time. And the day overall was rated the first time 8.2, the second 8.5 and this time even 8.6 !!!! on a ten point scale.  The possibility for networking in all three meetings was rated 8.7.  The question to what extent this day motivated to come next time rated also 8.7 (second time 8.7; first time 8.3).  

However there is always room for improvement. A lot of ideas have been mentioned. Because of the amount of people attending it might be good to spilt up the group in subgroups regarding a (sub)theme during the day. More interactivity would be appreciated. One member suggested to come together two days once a year to deepen subjects, another to organise a conference for all staff of the participating organisations once in two years.

The next meeting is planned 15th of November 2019, hosted by SMMC on St Maarten and will be on Prevention.