Page 196 - Demo

Chapter 7194how implementation interventions specific for implementing methods that reduce involuntary care in this care sector can be used to initiate implementation processes. Moreover, NPT laid the foundation for getting insight into the interplay between, on the one hand, the plasticity of methods for a better fit with organisations, and on the other hand, the elasticity of organisations to adapt work structures, routines and working relationships to make a method part of care practice thereby improving quality of care.Furthermore, this dissertation showed that care professionals%u2019 collaboration in a Community of Practice, may contribute to the exchange of scientific, tacit and experiential knowledge, which initiates thinking, learning and working together. However, no quantitative confirmation of added value of a CoP was found. The findings revealed that collaborating in a CoP with a structured work routine such as the ItFits-toolkit was valued by care professionals for designing implementation plans for intellectual disability care organisations. However, it is still unclear whether a more or less structured work routine within a CoP reaches different outcomes when collaborating on implementation. Care organisations are constantly striving to reduce involuntary care. The Care and Coercion Act can be effectively implemented in long-term care for clients with intellectual disabilities and challenging behaviour, despite all its difficulties. Although effectiveness of The Needs Assessment Framework for considering clients%u2019 perspectives on involuntary care and the MDETmethod for reducing involuntary care were not demonstrated, the multimethod studies in this dissertation revealed important insights into how these methods were implemented and the circumstances under which these methods were implemented.