The transition from home to a nursing home can be stressful and traumatic for both older persons and informal caregivers and is often associated with negative outcomes. Additionally, transitional care interventions often lack a comprehensive approach, possibly leading to fragmented care. To avoid this fragmentation and to optimize transitional care, a comprehensive and theory-based model is fundamental. It should include the needs of both older persons and informal caregivers. Therefore, this study, conducted within the European TRANS-SENIOR research consortium, proposes a model to optimize the transition from home to a nursing home, based on the experiences of older persons and informal caregivers. These experiences were captured by conducting a literature review with relevant literature retrieved from the databases CINAHL and PubMed. Studies were included if older persons and/or informal caregivers identified the experiences, needs, barriers, or facilitators during the transition from home to a nursing home. Subsequently, the data extracted from the included studies were mapped to the different stages of transition (pre-transition, mid-transition, and post-transition), creating the TRANSCITmodel. Finally, results were discussed with an expert panel, leading to a final proposed TRANSCIT model. The TRANSCIT model identified that older people and informal caregivers expressed an overall need for partnership during the transition from home to a nursing home. Moreover, it identified 4 key components throughout the transition trajectory (ie, pre-, mid-, and post-transition): (1) support, (2) communication, (3) information, and (4) time. The TRANSCIT model could advise policy makers, practitioners, and researchers on the development and evaluation of (future) transitional care interventions. It can be a guideline reckoning the needs of older people and their informal caregivers, emphasizing the need for a partnership, consequently reducing fragmentation in transitional care and optimizing the transition from home to a nursing home.
The Utrecht SBE16 Conference. From the introduction: "The conference is part of the Sustainable Built conference series and is as such considered to be part of the pre-eminent international conference series on sustainable building and construction endorsed by iiSBE, UNEP-SBO and FIDIC. The Utrecht SBE16 conference is hosted by the Centre of Expertise Smart Sustainable Cities of HU University of Applied Sciences Utrecht, in partnership with six Dutch Universities of Applied Sciences (Avans, Saxion, Rotterdam, The Hague, Zuyd, InHolland) and the Utrecht Sustainability Institute (USI). The Transition Zero conference provides us with a unique opportunity to meet transition professionals in urban sustainability from all over Europe and beyond and to learn about the latest developments and best (inter)national practices in urban sustainability. The rich interest in the conference, made it possible to offer research as well as practitioner-driven tracks on topics related to the conference title. The conference brought together excellent future-minded practitioners, researchers and thought leaders from the R&I community, specialists and professionals on zero energy homes and transition of the built environment."
Over the next 10 years, the City of Amsterdam plans to develop major housing schemes provide 90,000 new homes within the existing urban fabric. At the same time, an urban renewal program is being launched to revitalize the most deprived neighbourhoods. Together, these challenges call for more evidence based designprinciples to secure liveable places. Recent development in neuroscience, provides innovative tools to examine in a measurable, cause-effect way, the relationships between the physical fabric, users’ (visual) experience and their behavior in public spaces. In neuroscience, eye-tracking technology (ET) complements brain and behavioral measures (for overview see Eckstein et al. 2017). ET is already used to evaluate the spatial orienting of attention, behavioral response and emotional and cognitive impact in neuroscience, psychology and market research (Popa et al. 2015). ET may also radically change the way we (re)design and thus, experience cities (Sita et al. 2016; Andreani 2017). Until now, eye-tracking pilot studies collected eye fixation patterns of architecture using images in a lab-setting (Lebrun 2016).In our research project Sensing Streetscapes, we take eye-tracking outdoors and explore the potential ET may offer for city design. In collaboration with the municipality of Amsterdam and the local community, the H-neighborhood is used as a single case study. The main focus for urban renewal lies in the “transition-spaces”. They connect the neighborhood with the rapidly developing adjacent areas and are vital for improving the weak social-economic status. The commonly used design principles are validated (Alexander et al. 1977; Gehl 2011, 2014; Pallasmaa 2012) and the consistency of ET is tested, alongside (walk along) interviews and behavioral observations. In the next phase, the data will be analyzed by a panel of applied psychologists and urban designers. The initial results provide valuable lessons for the use of eye-tracking in urban design research. For example, a visual pattern analysis offers more accurate images of the spatial key-elements that matter when moving through transition spaces. More sensory-based city design research is needed to gather a full understanding of the relationships between the configuration of space, users’ (visual) experience, behavioral responses and in turn, perceptual decision making.
Designing cities that are socially sustainable has been a significant challenge until today. Lately, European Commission’s research agenda of Industy 5.0 has prioritised a sustainable, human-centric and resilient development over merely pursuing efficiency and productivity in societal transitions. The focus has been on searching for sustainable solutions to societal challenges, engaging part of the design industry. In architecture and urban design, whose common goal is to create a condition for human life, much effort was put into elevating the engineering process of physical space, making it more efficient. However, the natural process of social evolution has not been given priority in urban and architectural research on sustainable design. STEPS stems from the common interest of the project partners in accessible, diverse, and progressive public spaces, which is vital to socially sustainable urban development. The primary challenge lies in how to synthesise the standardised sustainable design techniques with unique social values of public space, propelling a transition from technical sustainability to social sustainability. Although a large number of social-oriented studies in urban design have been published in the academic domain, principles and guidelines that can be applied to practice are large missing. How can we generate operative principles guiding public space analysis and design to explore and achieve the social condition of sustainability, developing transferable ways of utilising research knowledge in design? STEPS will develop a design catalogue with operative principles guiding public space analysis and design. This will help designers apply cross-domain knowledge of social sustainability in practice.
In the Netherlands, the theme of transitioning to circular food systems is high on the national agenda. The PBL Netherlands Environmental Assessment Agency has stressed that commuting to circular food chains requires a radical transformation of the food chain where (a) natural resources must be effectively used and managed (soil, water, biodiversity, minerals), (b) there must be an optimum use of food by reducing (food) waste . . ., (c) less environmental pressure, and (d) an optimum use of residue streams. The PBL also recognizes that there should be room for tailored solutions and that it is important to establish a benchmark, to be aware of impacts in the production chain and the added value of products. In the line of circular food systems, an integrated nature-inclusive circular farming approach is needed in order to develop a feasible resource-efficient and sustainable business models that brings shared value into the food chain while invigorating the rural areas including those where agricultural vacancy is occurring. Agroforestry is an example of an integrated nature-inclusive circular farming. It is a multifunctional system that diversifies and adapts the production while reducing the carbon footprint and minimizing the management efforts and input costs; where trees, crops and/or livestock open business opportunities in the food value chains as well as in the waste stream chains. To exploit the opportunities that agroforestry as an integrated resource-efficient farming system adds to the advancement towards (a) valuable circular short food chains, (b) nature-based entrepreneurship (nature-inclusive agriculture), and (c) and additionally, the re-use of abandoned agricultural spaces in the Overijssel province, this project mobilizes the private sector, provincial decision makers, financers and knowledge institutes into developing insights over the feasible implementation of agroforestry systems that can bring economic profit while enhancing and maintaining ecosystem services.
