[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:10.69,0:00:14.31,Default,,0000,0000,0000,,I had quite a normal life till I was 20.
Dialogue: 0,0:00:14.77,0:00:16.88,Default,,0000,0000,0000,,I was a good student,
Dialogue: 0,0:00:16.88,0:00:19.100,Default,,0000,0000,0000,,and I studied economics.
Dialogue: 0,0:00:20.23,0:00:23.23,Default,,0000,0000,0000,,And then I made a radical choice.
Dialogue: 0,0:00:24.50,0:00:26.49,Default,,0000,0000,0000,,I became a nurse.
Dialogue: 0,0:00:27.67,0:00:30.04,Default,,0000,0000,0000,,I've got my wings,
Dialogue: 0,0:00:31.26,0:00:33.83,Default,,0000,0000,0000,,but as a nurse, as a male nurse,
Dialogue: 0,0:00:33.83,0:00:36.32,Default,,0000,0000,0000,,as I hope you can see,
Dialogue: 0,0:00:38.09,0:00:40.99,Default,,0000,0000,0000,,I worked the rest of my life
Dialogue: 0,0:00:40.99,0:00:42.27,Default,,0000,0000,0000,,with a lot of women,
Dialogue: 0,0:00:42.27,0:00:46.49,Default,,0000,0000,0000,,and I saw it as something very positive.
Dialogue: 0,0:00:46.49,0:00:48.62,Default,,0000,0000,0000,,I learned a lot from it.
Dialogue: 0,0:00:49.65,0:00:52.12,Default,,0000,0000,0000,,I worked for many years in a hospital,
Dialogue: 0,0:00:52.68,0:00:57.22,Default,,0000,0000,0000,,and after that I started to work\Nas a district nurse in a community.
Dialogue: 0,0:00:57.55,0:01:00.54,Default,,0000,0000,0000,,And this was the most\Nbeautiful part of my life
Dialogue: 0,0:01:00.54,0:01:05.43,Default,,0000,0000,0000,,because I learned how to deal with\Nall kind of problems in the community.
Dialogue: 0,0:01:05.78,0:01:09.87,Default,,0000,0000,0000,,And I had colleagues\Nin the same village I worked,
Dialogue: 0,0:01:09.87,0:01:13.24,Default,,0000,0000,0000,,and together, we solved\Nall the problems we met.
Dialogue: 0,0:01:13.65,0:01:15.28,Default,,0000,0000,0000,,There was not a big organization,
Dialogue: 0,0:01:15.28,0:01:19.96,Default,,0000,0000,0000,,it was just a team of nurses\Nwho organized the work themselves.
Dialogue: 0,0:01:20.16,0:01:23.98,Default,,0000,0000,0000,,We took care for patients\Nwho were terminally ill,
Dialogue: 0,0:01:24.24,0:01:26.49,Default,,0000,0000,0000,,patients with dementia,
Dialogue: 0,0:01:26.83,0:01:29.36,Default,,0000,0000,0000,,people who were discharged from hospital,
Dialogue: 0,0:01:29.50,0:01:31.94,Default,,0000,0000,0000,,and there was a big variety of activities.
Dialogue: 0,0:01:31.94,0:01:33.90,Default,,0000,0000,0000,,We also took care for little children.
Dialogue: 0,0:01:34.40,0:01:39.20,Default,,0000,0000,0000,,So it was in that period,\Nthe most healthy job you can get.
Dialogue: 0,0:01:39.92,0:01:45.66,Default,,0000,0000,0000,,And we also built support systems\Nin the community.
Dialogue: 0,0:01:46.14,0:01:49.27,Default,,0000,0000,0000,,It was a very inspiring job,
Dialogue: 0,0:01:49.75,0:01:54.05,Default,,0000,0000,0000,,and I enjoyed it very much till 1993
Dialogue: 0,0:01:54.05,0:01:56.50,Default,,0000,0000,0000,,in Holland we got a big disaster
Dialogue: 0,0:01:56.50,0:01:59.29,Default,,0000,0000,0000,,because the politicians discussed
Dialogue: 0,0:01:59.29,0:02:03.84,Default,,0000,0000,0000,,that community care\Nshould become more professionalized.
Dialogue: 0,0:02:04.11,0:02:06.13,Default,,0000,0000,0000,,And what I meant by that
Dialogue: 0,0:02:06.13,0:02:11.46,Default,,0000,0000,0000,,was that it should become -\Nit should be part of a bigger organization
Dialogue: 0,0:02:11.64,0:02:13.96,Default,,0000,0000,0000,,managed by managers
Dialogue: 0,0:02:14.20,0:02:18.36,Default,,0000,0000,0000,,and organized not focusing\Non solutions for people
Dialogue: 0,0:02:18.36,0:02:20.76,Default,,0000,0000,0000,,but delivering products.
Dialogue: 0,0:02:21.80,0:02:24.39,Default,,0000,0000,0000,,For the nurses, it looked like this:
Dialogue: 0,0:02:25.24,0:02:27.88,Default,,0000,0000,0000,,Instead of thinking helping patients,
Dialogue: 0,0:02:27.88,0:02:31.52,Default,,0000,0000,0000,,they had to think: What kind\Nof products should I deliver?
Dialogue: 0,0:02:31.77,0:02:34.43,Default,,0000,0000,0000,,We had personal care, personal care extra,
Dialogue: 0,0:02:34.43,0:02:36.41,Default,,0000,0000,0000,,personal care special.
Dialogue: 0,0:02:36.41,0:02:40.57,Default,,0000,0000,0000,,We had nursing care, nursing care extra,\Nnursing care special.
Dialogue: 0,0:02:40.96,0:02:45.12,Default,,0000,0000,0000,,And all theses nurses\Ngot disturbed by thinking:
Dialogue: 0,0:02:45.12,0:02:50.80,Default,,0000,0000,0000,,What kind of activities should I give,\Nand how should I code it?
Dialogue: 0,0:02:50.80,0:02:52.96,Default,,0000,0000,0000,,Because there were a lot of codes.
Dialogue: 0,0:02:53.91,0:02:58.43,Default,,0000,0000,0000,,For patients, it was also\Neven a bigger disaster
Dialogue: 0,0:02:58.81,0:03:02.05,Default,,0000,0000,0000,,because for every task,\Nthey got someone else,
Dialogue: 0,0:03:02.05,0:03:05.29,Default,,0000,0000,0000,,and there were sometimes \Npeople with dementia
Dialogue: 0,0:03:05.29,0:03:11.21,Default,,0000,0000,0000,,who got 30 to 40 different people\Ncoming into their house in one month.
Dialogue: 0,0:03:11.21,0:03:12.31,Default,,0000,0000,0000,,And can you imagine
Dialogue: 0,0:03:12.31,0:03:16.86,Default,,0000,0000,0000,,that every time you have to tell again \Nwhat the situation is
Dialogue: 0,0:03:16.86,0:03:19.36,Default,,0000,0000,0000,,and how you want to live your life?
Dialogue: 0,0:03:19.54,0:03:22.54,Default,,0000,0000,0000,,So both nurses and patients
Dialogue: 0,0:03:22.54,0:03:26.89,Default,,0000,0000,0000,,were very, very dissatisfied\Nabout how things were going.
Dialogue: 0,0:03:27.12,0:03:32.36,Default,,0000,0000,0000,,The same time, it looked more and more\Nlike factories, the care organizations,
Dialogue: 0,0:03:32.36,0:03:35.25,Default,,0000,0000,0000,,and I see it in a lot\Nof countries happening.
Dialogue: 0,0:03:35.25,0:03:37.24,Default,,0000,0000,0000,,So you saw that all the things
Dialogue: 0,0:03:37.24,0:03:40.66,Default,,0000,0000,0000,,that were developed\Nin industries and companies,
Dialogue: 0,0:03:40.66,0:03:42.38,Default,,0000,0000,0000,,they were also in the organizations,
Dialogue: 0,0:03:42.38,0:03:47.70,Default,,0000,0000,0000,,and you saw that more and more managers\Nwere taking over the profession.
Dialogue: 0,0:03:48.18,0:03:50.45,Default,,0000,0000,0000,,So what you saw was that
Dialogue: 0,0:03:50.45,0:03:54.88,Default,,0000,0000,0000,,there was more and more\Nmanagement layers in the organizations:
Dialogue: 0,0:03:54.88,0:03:58.59,Default,,0000,0000,0000,,a CEO, directors, managers,
Dialogue: 0,0:03:58.59,0:04:03.49,Default,,0000,0000,0000,,and they almost forgot\Nthat there were also employees.
Dialogue: 0,0:04:03.49,0:04:05.69,Default,,0000,0000,0000,,And it can be done so much differently
Dialogue: 0,0:04:05.69,0:04:09.11,Default,,0000,0000,0000,,as you can see\Nin the other side of the slide.
Dialogue: 0,0:04:09.87,0:04:16.67,Default,,0000,0000,0000,,The consequences, they were very different\Nthan the politicians expected.
Dialogue: 0,0:04:17.04,0:04:20.82,Default,,0000,0000,0000,,Because the expected\Nthat by organizing this way,
Dialogue: 0,0:04:20.82,0:04:23.68,Default,,0000,0000,0000,,the costs would go down\Nand the quality would go up.
Dialogue: 0,0:04:23.68,0:04:27.21,Default,,0000,0000,0000,,They also had market incentives.
Dialogue: 0,0:04:27.35,0:04:30.92,Default,,0000,0000,0000,,But what you saw\Nis that the opposite happened.
Dialogue: 0,0:04:30.92,0:04:33.22,Default,,0000,0000,0000,,The quality went down dramatically
Dialogue: 0,0:04:33.22,0:04:37.01,Default,,0000,0000,0000,,because of the many people\Nwho were involved with every patient,
Dialogue: 0,0:04:37.01,0:04:40.81,Default,,0000,0000,0000,,and the costs doubled in 10 years.
Dialogue: 0,0:04:40.97,0:04:45.74,Default,,0000,0000,0000,,So the assumption\Nof the politicians was quite wrong.
Dialogue: 0,0:04:45.74,0:04:49.64,Default,,0000,0000,0000,,But what you saw was that\Nthe people who paid us
Dialogue: 0,0:04:49.64,0:04:52.83,Default,,0000,0000,0000,,were even more focusing on efficiency.
Dialogue: 0,0:04:52.83,0:04:57.07,Default,,0000,0000,0000,,So for example, when a nurse\Ntook 10 minutes longer
Dialogue: 0,0:04:57.07,0:04:58.83,Default,,0000,0000,0000,,for travelling to a patient,
Dialogue: 0,0:04:58.83,0:05:02.73,Default,,0000,0000,0000,,she had to explain that\Nto her manager, why she did that.
Dialogue: 0,0:05:04.31,0:05:10.47,Default,,0000,0000,0000,,In 2006, some friends and myself,\Nwe thought it's time for a change.
Dialogue: 0,0:05:10.47,0:05:14.21,Default,,0000,0000,0000,,I had been director for a few years\Nin a few organizations,
Dialogue: 0,0:05:14.21,0:05:17.12,Default,,0000,0000,0000,,and I saw that it could be done\Nvery differently.
Dialogue: 0,0:05:17.12,0:05:22.30,Default,,0000,0000,0000,,And our ideas was to change\Nthe healthcare in Holland
Dialogue: 0,0:05:22.30,0:05:23.87,Default,,0000,0000,0000,,and to start a movement to show
Dialogue: 0,0:05:23.87,0:05:27.15,Default,,0000,0000,0000,,that elderly care\Ncould be done much better,
Dialogue: 0,0:05:27.15,0:05:28.26,Default,,0000,0000,0000,,based on trust
Dialogue: 0,0:05:28.26,0:05:30.28,Default,,0000,0000,0000,,and based on self-organization.
Dialogue: 0,0:05:30.50,0:05:35.38,Default,,0000,0000,0000,,So the principles\NI worked myself with in the '80s,
Dialogue: 0,0:05:35.38,0:05:39.92,Default,,0000,0000,0000,,we took them again as the basic principles\Nfor our organization.
Dialogue: 0,0:05:40.24,0:05:46.65,Default,,0000,0000,0000,,And for four nurses in 2007,\Nwe grew to 9000 nurses in 2015.
Dialogue: 0,0:05:47.46,0:05:50.06,Default,,0000,0000,0000,,And it just happened by itself.
Dialogue: 0,0:05:50.34,0:05:53.73,Default,,0000,0000,0000,,The first year, 2007,\Nit was some kind of experiment.
Dialogue: 0,0:05:53.73,0:05:56.53,Default,,0000,0000,0000,,So we started in 10 locations,
Dialogue: 0,0:05:56.69,0:05:58.99,Default,,0000,0000,0000,,and every time happened the same:
Dialogue: 0,0:05:58.99,0:06:03.46,Default,,0000,0000,0000,,we got nurses who just developed\Ntheir networks in the community;
Dialogue: 0,0:06:03.46,0:06:08.17,Default,,0000,0000,0000,,they started to work again\Non the same principles we did in the '80s,
Dialogue: 0,0:06:08.17,0:06:10.32,Default,,0000,0000,0000,,and within a few months,
Dialogue: 0,0:06:10.32,0:06:13.89,Default,,0000,0000,0000,,they had got their patients,\Nand they covered their costs.
Dialogue: 0,0:06:13.89,0:06:16.44,Default,,0000,0000,0000,,So there was no financial problem.
Dialogue: 0,0:06:16.92,0:06:18.69,Default,,0000,0000,0000,,So from 2008,
Dialogue: 0,0:06:18.69,0:06:22.24,Default,,0000,0000,0000,,we got 10, 20 teams a month,
Dialogue: 0,0:06:22.24,0:06:25.09,Default,,0000,0000,0000,,and every time it happened the same.
Dialogue: 0,0:06:25.29,0:06:30.73,Default,,0000,0000,0000,,They called me to come\Nto one of the houses of the nurses,
Dialogue: 0,0:06:30.73,0:06:33.80,Default,,0000,0000,0000,,and we sat all evening talking about\Nof our profession:
Dialogue: 0,0:06:33.80,0:06:35.85,Default,,0000,0000,0000,,What does it mean to help people?
Dialogue: 0,0:06:35.85,0:06:38.32,Default,,0000,0000,0000,,And how can we do it\Njust the way we want it
Dialogue: 0,0:06:38.32,0:06:43.02,Default,,0000,0000,0000,,and not be bothered\Nby any kind of regulations?
Dialogue: 0,0:06:43.60,0:06:44.71,Default,,0000,0000,0000,,So that's what we did,
Dialogue: 0,0:06:44.71,0:06:47.27,Default,,0000,0000,0000,,and the evening of the day after,
Dialogue: 0,0:06:47.27,0:06:49.91,Default,,0000,0000,0000,,I usually got a phone call\Nfrom one of the nurses,
Dialogue: 0,0:06:49.91,0:06:52.63,Default,,0000,0000,0000,,and they said, "When can we start?"
Dialogue: 0,0:06:53.24,0:06:56.26,Default,,0000,0000,0000,,And then we started just a new team\Nin a new neighborhood
Dialogue: 0,0:06:56.26,0:07:00.58,Default,,0000,0000,0000,,focusing on patients as we are used to.\N
Dialogue: 0,0:07:01.24,0:07:07.10,Default,,0000,0000,0000,,So this went at a very high speed,
Dialogue: 0,0:07:07.10,0:07:12.22,Default,,0000,0000,0000,,and we didn't have problems to manage this\Nbecause they were managing themselves.
Dialogue: 0,0:07:12.23,0:07:13.58,Default,,0000,0000,0000,,We had a small back office,
Dialogue: 0,0:07:13.58,0:07:17.28,Default,,0000,0000,0000,,and we still have a small\Nback office with 30 people.
Dialogue: 0,0:07:17.77,0:07:21.42,Default,,0000,0000,0000,,My wife and me, we are some kind\Nof a management team,
Dialogue: 0,0:07:21.42,0:07:26.83,Default,,0000,0000,0000,,but we don't have meetings,\Nand everything is going very well.
Dialogue: 0,0:07:27.64,0:07:30.53,Default,,0000,0000,0000,,My wife is always awake\Nvery early, around 6:00,
Dialogue: 0,0:07:30.53,0:07:34.44,Default,,0000,0000,0000,,and then she tells me what to do\Nlike any other wife, I think,
Dialogue: 0,0:07:34.44,0:07:36.44,Default,,0000,0000,0000,,is telling her husband.
Dialogue: 0,0:07:36.44,0:07:39.93,Default,,0000,0000,0000,,So that's the way we are managing.
Dialogue: 0,0:07:39.93,0:07:45.13,Default,,0000,0000,0000,,And this way, we have a lot of time \Njust to solve problems.
Dialogue: 0,0:07:45.80,0:07:50.42,Default,,0000,0000,0000,,In my job I had before, I had meetings\Nfrom morning till evening,
Dialogue: 0,0:07:50.42,0:07:53.73,Default,,0000,0000,0000,,and I didn't had time\Nto solve the problems.
Dialogue: 0,0:07:53.95,0:07:55.86,Default,,0000,0000,0000,,So that's quite different.
Dialogue: 0,0:07:56.70,0:08:02.24,Default,,0000,0000,0000,,In 2015, we see that there's\Nstill no management.
Dialogue: 0,0:08:02.24,0:08:04.79,Default,,0000,0000,0000,,Because there was a lot\Nof criticism when we started.
Dialogue: 0,0:08:04.79,0:08:09.23,Default,,0000,0000,0000,,They said, yes, you can do this easily\Nwhen you're with just a few persons.
Dialogue: 0,0:08:09.59,0:08:10.75,Default,,0000,0000,0000,,And then, they said,
Dialogue: 0,0:08:10.75,0:08:16.81,Default,,0000,0000,0000,,oh wait, perhaps next year\Nthey will collapse
Dialogue: 0,0:08:16.81,0:08:19.98,Default,,0000,0000,0000,,or they will have big financial problems.
Dialogue: 0,0:08:20.28,0:08:21.56,Default,,0000,0000,0000,,But the opposite happened
Dialogue: 0,0:08:21.56,0:08:27.18,Default,,0000,0000,0000,,because what you saw that the teams\Nwere more and more in control
Dialogue: 0,0:08:27.18,0:08:30.12,Default,,0000,0000,0000,,and taught a lot of solutions
Dialogue: 0,0:08:30.12,0:08:32.38,Default,,0000,0000,0000,,they could find \Nfor the problems they met.
Dialogue: 0,0:08:32.71,0:08:36.13,Default,,0000,0000,0000,,So it was growing, the knowledge\Nwas growing in the teams,
Dialogue: 0,0:08:36.13,0:08:39.19,Default,,0000,0000,0000,,and it became more and more sustainable.
Dialogue: 0,0:08:39.37,0:08:42.47,Default,,0000,0000,0000,,We still tried to avoid\Nany kind of bureaucracy.
Dialogue: 0,0:08:42.48,0:08:44.56,Default,,0000,0000,0000,,We built an IT system
Dialogue: 0,0:08:44.56,0:08:51.20,Default,,0000,0000,0000,,[which prevented] all the bureaucracy\Nto take over the work of the nurses.
Dialogue: 0,0:08:51.50,0:08:53.92,Default,,0000,0000,0000,,So all the bureaucracy was kept outside.
Dialogue: 0,0:08:53.92,0:08:58.27,Default,,0000,0000,0000,,We split the administrative process\Nwith the professional process
Dialogue: 0,0:08:58.56,0:09:02.77,Default,,0000,0000,0000,,so the nurses just can focus\Non what they're there for,
Dialogue: 0,0:09:02.77,0:09:04.92,Default,,0000,0000,0000,,and that's taking care for patients,
Dialogue: 0,0:09:04.92,0:09:09.18,Default,,0000,0000,0000,,find solutions for patients\Nwho have severe problems.
Dialogue: 0,0:09:09.85,0:09:14.77,Default,,0000,0000,0000,,In 2015, we can look at it,\Nif you look back now,
Dialogue: 0,0:09:14.77,0:09:16.58,Default,,0000,0000,0000,,we can say we have, since we started,
Dialogue: 0,0:09:16.58,0:09:19.49,Default,,0000,0000,0000,,the highest client\Nsatisfaction in Holland.
Dialogue: 0,0:09:19.49,0:09:22.71,Default,,0000,0000,0000,,And what's very important\Nfor the policy makers
Dialogue: 0,0:09:22.71,0:09:28.20,Default,,0000,0000,0000,,is that instead it took\Nmore costs, or more hours,
Dialogue: 0,0:09:28.20,0:09:31.76,Default,,0000,0000,0000,,because we're working\Nwith higher educated nurses,
Dialogue: 0,0:09:32.05,0:09:35.24,Default,,0000,0000,0000,,the costs went down with 40 percent.
Dialogue: 0,0:09:36.08,0:09:37.97,Default,,0000,0000,0000,,So last evening,
Dialogue: 0,0:09:37.97,0:09:43.02,Default,,0000,0000,0000,,the Parliament in Holland \Nwas debating about the district nurse.
Dialogue: 0,0:09:43.02,0:09:46.63,Default,,0000,0000,0000,,And they were debating\Nabout the position of the district nurse
Dialogue: 0,0:09:46.63,0:09:49.57,Default,,0000,0000,0000,,in the future in Holland.
Dialogue: 0,0:09:49.57,0:09:53.15,Default,,0000,0000,0000,,And they said, this movement\Nshould be spread all over in Holland,
Dialogue: 0,0:09:53.15,0:09:54.39,Default,,0000,0000,0000,,so we want to support it.
Dialogue: 0,0:09:54.39,0:09:57.39,Default,,0000,0000,0000,,All the political parties agreed on that.
Dialogue: 0,0:09:58.09,0:10:02.64,Default,,0000,0000,0000,,And at the same time,\Nwe became the best employer of the year,
Dialogue: 0,0:10:02.64,0:10:04.20,Default,,0000,0000,0000,,three times in a row.
Dialogue: 0,0:10:04.20,0:10:05.55,Default,,0000,0000,0000,,Just by doing nothing.
Dialogue: 0,0:10:05.55,0:10:07.80,Default,,0000,0000,0000,,We don't have an HR department,
Dialogue: 0,0:10:07.80,0:10:08.85,Default,,0000,0000,0000,,so we don't -
Dialogue: 0,0:10:08.85,0:10:13.87,Default,,0000,0000,0000,,so by doing nothing, and doing less,\Nyou get far better results.
Dialogue: 0,0:10:14.09,0:10:16.64,Default,,0000,0000,0000,,So all these management ideas
Dialogue: 0,0:10:16.64,0:10:19.59,Default,,0000,0000,0000,,about controlling and command people,
Dialogue: 0,0:10:19.59,0:10:22.66,Default,,0000,0000,0000,,are just, in my opinion,\Nquite destructive.
Dialogue: 0,0:10:22.66,0:10:25.90,Default,,0000,0000,0000,,So if you just let people\Norganize the work themselves,
Dialogue: 0,0:10:25.90,0:10:30.08,Default,,0000,0000,0000,,you get much better results\Nand people are much happier
Dialogue: 0,0:10:30.08,0:10:32.65,Default,,0000,0000,0000,,because they can do what they want to do.
Dialogue: 0,0:10:32.65,0:10:34.78,Default,,0000,0000,0000,,And it sounds very logic,
Dialogue: 0,0:10:34.78,0:10:39.47,Default,,0000,0000,0000,,but we make it very difficult for people\Nto work this way in a lot of places,
Dialogue: 0,0:10:39.47,0:10:42.49,Default,,0000,0000,0000,,also in schools and also with police.
Dialogue: 0,0:10:44.37,0:10:47.30,Default,,0000,0000,0000,,It was not only in Holland\Nthat this happens.
Dialogue: 0,0:10:47.30,0:10:50.80,Default,,0000,0000,0000,,There are a lot of countries\Nwho have the same problems,
Dialogue: 0,0:10:50.80,0:10:53.42,Default,,0000,0000,0000,,and we got questions\Nfrom the United States,
Dialogue: 0,0:10:53.42,0:10:57.58,Default,,0000,0000,0000,,from Japan, Sweden, China,\NCzech Republic and so on.
Dialogue: 0,0:10:57.88,0:10:59.46,Default,,0000,0000,0000,,I visited 30 countries,
Dialogue: 0,0:10:59.46,0:11:03.05,Default,,0000,0000,0000,,and in every country\NI meet nurses who had the same ideas.
Dialogue: 0,0:11:03.75,0:11:05.41,Default,,0000,0000,0000,,And we start the same movement.
Dialogue: 0,0:11:05.41,0:11:07.78,Default,,0000,0000,0000,,Just with a few nurses, that's enough.
Dialogue: 0,0:11:07.78,0:11:10.45,Default,,0000,0000,0000,,And then you show that it can be done.
Dialogue: 0,0:11:10.45,0:11:15.06,Default,,0000,0000,0000,,And then you see that\Nother people become curious.
Dialogue: 0,0:11:15.06,0:11:19.46,Default,,0000,0000,0000,,And they say, oh, we never expected\Nthat it was possible in our system
Dialogue: 0,0:11:19.46,0:11:22.28,Default,,0000,0000,0000,,because we have such a complex system.
Dialogue: 0,0:11:22.44,0:11:25.35,Default,,0000,0000,0000,,So we also developed a theory on that.
Dialogue: 0,0:11:25.35,0:11:28.28,Default,,0000,0000,0000,,It's the integrating\Nsimplification theory.
Dialogue: 0,0:11:28.28,0:11:31.97,Default,,0000,0000,0000,,Try to make things simple, not complex.
Dialogue: 0,0:11:33.05,0:11:35.57,Default,,0000,0000,0000,,And when you do that consequently,
Dialogue: 0,0:11:36.14,0:11:39.47,Default,,0000,0000,0000,,it's more easy for people\Nto take their responsibility,
Dialogue: 0,0:11:39.47,0:11:43.60,Default,,0000,0000,0000,,and to think about what can be done\Nto solve problems.
Dialogue: 0,0:11:43.78,0:11:47.34,Default,,0000,0000,0000,,So, I think healthcare is about trust.
Dialogue: 0,0:11:47.34,0:11:51.93,Default,,0000,0000,0000,,I never met a nurse who didn't want\Nto do her work as good as possible.
Dialogue: 0,0:11:51.93,0:11:53.82,Default,,0000,0000,0000,,So you can trust nurses.
Dialogue: 0,0:11:53.82,0:11:56.14,Default,,0000,0000,0000,,It's about meaningful relationships,
Dialogue: 0,0:11:56.14,0:11:59.76,Default,,0000,0000,0000,,with each other but also between nurses\Nand patients, of course.
Dialogue: 0,0:11:59.76,0:12:01.49,Default,,0000,0000,0000,,And it is about empathy.
Dialogue: 0,0:12:01.49,0:12:04.84,Default,,0000,0000,0000,,Try to understand\Nwhat the concerns of people are,
Dialogue: 0,0:12:04.84,0:12:07.39,Default,,0000,0000,0000,,and try to do something positive with it.
Dialogue: 0,0:12:07.79,0:12:10.98,Default,,0000,0000,0000,,So, in my opinion, we should -
Dialogue: 0,0:12:11.70,0:12:15.18,Default,,0000,0000,0000,,let's bring the soul\Nback into the organizations,
Dialogue: 0,0:12:15.18,0:12:18.86,Default,,0000,0000,0000,,and let the complexity\Nget out of the organizations.
Dialogue: 0,0:12:18.86,0:12:20.23,Default,,0000,0000,0000,,Thank you very much.
Dialogue: 0,0:12:20.23,0:12:21.98,Default,,0000,0000,0000,,(Applause)