AIM: This paper is a report of the development and testing of the psychometric properties of an instrument to measure the accuracy of nursing documentation in general hospitals.BACKGROUND: Little information is available about the accuracy of nursing documentation. None of the existing instruments that quantify accuracy of nursing diagnoses, interventions, and progress and outcome evaluations are suitable to measure documentation in general hospital environments, nor were they intended for this purpose.METHOD: The D-Catch instrument, based on the Cat-ch-Ing instrument and the Scale for Degrees of Accuracy in Nursing Diagnoses, was developed in 2007-2008. Content validity of the D-Catch instrument was assessed by two Delphi panels, in which pairs of independent reviewers assessed 245 patient records in seven hospitals in the Netherlands. Construct validity was assessed by explorative factor analysis with principal components and varimax rotation. Internal consistency was measured by Cronbach's alpha. The inter-rater reliability of the D-Catch instrument was tested by calculating Cohen's weighted kappa (K(w)) for each pair of reviewers. Results. Quantity and quality variables were used to assess the accuracy of nursing documentation. Three constructs were identified in the factor analysis. 'Accuracy of the nursing diagnosis' was the only variable with substantial loading on component two (0.907) and a modest loading on component one (0.230). Internal consistency (Cronbach's alpha) was 0.722. The inter-rater reliability (K(w)) varied between 0.742 and 0.896.CONCLUSION: The D-Catch instrument is a valid and reliable measurement instrument to assess nursing documentation in general hospital settings.
DOCUMENT
This study explores the psychometric properties of three instruments: a semi-structured interview, a questionnaire and a sorting task. The central question is which instrument is most suitable to investigate the goal orientations of students in competence-based Pre-Vocational Secondary Education. The questionnaire proved most accurate. The interview provided relevant supplementary information on the goals of the students and underlying motives. The sorting task appeared to be less suitable.
DOCUMENT
De 55plus Toolbox (www.55plustoolbox.nl) ondersteunt ondernemers, ontwerpers en marketeers, bij het innoveren voor 55plussers: wie zijn 55plussers, hoe ontwerp je daar producten voor, hoe richt je de marketing hiervoor in en hoe vermarkt je producten voor deze doelgroep? De gratis toegankelijke toolbox bevat informatie over de doelgroep, handige tools voor bij het innoveren en inzichtelijke cases. De 55plus Toolbox is het resultaat van het RAAK-project Vitale Oudere dat begin 2011 is afgerond. Het was een samenwerking tussen Saxion lectoraat Industrial Design, lectoraat Gezondheid Welzijn en Technologie en andere partners in de regio, waaronder Jaarsma + Lebbink en Panton. Jaarsma + Lebbink biedt tegenwoordig met een aantal partners commerciële diensten aan op het gebied van markt- en productstrategie en –ontwikkeling ter ondersteuning van bedrijven die actief willen zijn op de ouderen-markt. Sinds begin 2017 heeft Jaarsma + Lebbink het beheer over de 55 plus Toolbox. Jaarsma + Lebbink wil met partners bedrijven en instellingen helpen om hun producten en diensten beter af te stemmen op de doelgroep, de 50-plusser, zodat deze organisaties hun concurrentiepositie kunnen versterken. De Toolbox is daarbij een heel nuttig instrument, een bron van informatie en inspiratie, maar dan dient deze wel geüpdatet te worden. Voor Panton, een ontwerpstudio voor de gezondheidzorg in Deventer, zijn ouderen een belangrijke doelgroep voor de producten die ontwikkeld worden. Panton en Jaarsma + Lebbink hebben Saxion Lectoraat Industrial Design gevraagd mee te werken aan de vernieuwing van de 55 Plus Toolbox. Doel van het project is te komen met een vernieuwde Toolbox die een stap verder gaat dan de huidige Toolbox. De vernieuwde Toolbox sluit aan op de huidige vragen en behoeften van potentiële gebruikers: bedrijven en organisaties die met producten en diensten willen innoveren voor de doelgroep ouderen, deze doelgroep op een positieve manier willen bereiken en benaderen via marketing en producten en diensten in de markt willen zetten voor deze doelgroep. De vernieuwde Toolbox biedt organisaties enerzijds de mogelijkheid zelf aan de slag te gaan met innovatie voor de 50 plus doelgroep. Hiervoor worden in de Toolbox kennis, innovatietools en cases aangeboden waarmee organisaties zich kunnen oriënteren op de 50 plus doelgroep en eerste vragen beantwoord kunnen krijgen. Anderzijds wordt organisaties de inzet geboden van professionele bureaus zoals Jaarsma en Lebbink en Panton, voor de ondersteuning op het gebied van marketing en productontwikkeling, en hogeschool Saxion voor praktijkgericht onderzoek op dit vlak.
The transition towards an economy of wellbeing is complex, systemic, dynamic and uncertain. Individuals and organizations struggle to connect with and embrace their changing context. They need to create a mindset for the emergence of a culture of economic well-being. This requires a paradigm shift in the way reality is constructed. This emergence begins with the mindset of each individual, starting bottom-up. A mindset of economic well-being is built using agency, freedom, and responsibility to understand personal values, the multi-identity self, the mental models, and the individual context. A culture is created by waving individual mindsets together and allowing shared values, and new stories for their joint context to emerge. It is from this place of connection with the self and the other, that individuals' intrinsic motivation to act is found to engage in the transitions towards an economy of well-being. This project explores this theoretical framework further. Businesses play a key role in the transition toward an economy of well-being; they are instrumental in generating multiple types of value and redefining growth. They are key in the creation of the resilient world needed to respond to the complex and uncertain of our era. Varta-Valorisatielab, De-Kleine-Aarde, and Het Groene Brein are frontrunner organizations that understand their impact and influence. They are making bold strategic choices to lead their organizations towards an economy of well-being. Unfortunately, they often experience resistance from stakeholders. To address this resistance, the consortium in the proposal seeks to answer the research question: How can individuals who connect with their multi-identity-self, (via personal values, mental models, and personal context) develop a mindset of well-being that enables them to better connect with their stakeholders (the other) and together address the transitional needs of their collective context for the emergence of a culture of the economy of wellbeing?
Many lithographically created optical components, such as photonic crystals, require the creation of periodically repeated structures [1]. The optical properties depend critically on the consistency of the shape and periodicity of the repeated structure. At the same time, the structure and its period may be similar to, or substantially below that of the optical diffraction limit, making inspection with optical microscopy difficult. Inspection tools must be able to scan an entire wafer (300 mm diameter), and identify wafers that fail to meet specifications rapidly. However, high resolution, and high throughput are often difficult to achieve simultaneously, and a compromise must be made. TeraNova is developing an optical inspection tool that can rapidly image features on wafers. Their product relies on (a) knowledge of what the features should be, and (b) a detailed and accurate model of light diffraction from the wafer surface. This combination allows deviations from features to be identified by modifying the model of the surface features until the calculated diffraction pattern matches the observed pattern. This form of microscopy—known as Fourier microscopy—has the potential to be very rapid and highly accurate. However, the solver, which calculates the wafer features from the diffraction pattern, must be very rapid and precise. To achieve this, a hardware solver will be implemented. The hardware solver must be combined with mechatronic tracking of the absolute wafer position, requiring the automatic identification of fiduciary markers. Finally, the problem of computer obsolescence in instrumentation (resulting in security weaknesses) will also be addressed by combining the digital hardware and software into a system-on-a-chip (SoC) to provide a powerful, yet secure operating environment for the microscope software.