Intention of healthcare providers to use video-communication in terminal care: a cross-sectional study. Richard M. H. Evering, Marloes G. Postel, Harmieke van Os-Medendorp, Marloes Bults and Marjolein E. M. den Ouden BMC Palliative Care volume 21, Article number: 213 (2022) Cite this articleAbstractBackgroundInterdisciplinary collaboration between healthcare providers with regard to consultation, transfer and advice in terminal care is both important and challenging. The use of video communication in terminal care is low while in first-line healthcare it has the potential to improve quality of care, as it allows healthcare providers to assess the clinical situation in real time and determine collectively what care is needed. The aim of the present study is to explore the intention to use video communication by healthcare providers in interprofessional terminal care and predictors herein.MethodsIn this cross-sectional study, an online survey was used to explore the intention to use video communication. The survey was sent to first-line healthcare providers involved in terminal care (at home, in hospices and/ or nursing homes) and consisted of 39 questions regarding demographics, experience with video communication and constructs of intention to use (i.e. Outcome expectancy, Effort expectancy, Attitude, Social influence, Facilitating conditions, Anxiety, Self-efficacy and Personal innovativeness) based on the Unified Theory of Acceptance and Use of Technology and Diffusion of Innovation Theory. Descriptive statistics were used to analyze demographics and experiences with video communication. A multiple linear regression analysis was performed to give insight in the intention to use video communication and predictors herein.Results90 respondents were included in the analysis.65 (72%) respondents had experience with video communication within their profession, although only 15 respondents (17%) used it in terminal care. In general, healthcare providers intended to use video communication in terminal care (Mean (M) = 3.6; Standard Deviation (SD) = .88). The regression model was significant and explained 44% of the variance in intention to use video communication, with ‘Outcome expectancy’ and ‘Social influence’ as significant predictors.ConclusionsHealthcare providers have in general the intention to use video communication in interprofessional terminal care. However, their actual use in terminal care is low. ‘Outcome expectancy’ and ‘Social influence’ seem to be important predictors for intention to use video communication. This implicates the importance of informing healthcare providers, and their colleagues and significant others, about the usefulness and efficiency of video communication.
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People tend to use the same door every time they enter and exit a building. When certainentrances are widely preferred over others, congestion can occur. This paper describes twointerventions to persuade visitors to use another entrance. The first intervention used sensory deprivation (darkness), and the second used guidance paths. The first intervention on sensory deprivation had the expected outcome. This intervention resulted in an avoidance of the darkened door. The second intervention had a result contrary to the expectations; it resulted in an increased preference for the door without guidance paths.
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This research explores the attitudes of children from different socio-economic backgrounds towards cars. This paper explores their projected choices and motivations in the context of (1) post-materialist values; (2) economic constraints; and (3) social status theories; and draws upon survey research among 140 upper elementary school children in the Netherlands between September 2010 and January 2011. Comparative analysis shows that there are significant differences in attitudes of children from different socio-economic backgrounds. Pupils from the affluent predominantly ethnically Dutch schools showed greater awareness of and concern about their parents’ and general use of cars, and less desire to own a car in the future, children from less economically advantaged schools demonstrated lower environmental awareness and concern and more desire to own a car in the future. This study is based on a small sample and indicates a need for large-scale follow-up study of children's attitudes towards cars. https://doi.org/10.1016/j.tranpol.2012.07.010 https://www.linkedin.com/in/helenkopnina/
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Veel ouderen ervaren tijdens en na ziekenhuisopname functieverlies. ‘Function Focused Care in Hospital’, ook wel bekend als bewegingsgerichte zorg, is een interventie gericht op het voorkomen en verminderen van functieverlies bij ouderen tijdens een ziekenhuisopname. Verpleegkundigen moedigen patiënten aan tot actieve betrokkenheid in de dagelijkse zorgmomenten.
Veel ouderen ervaren tijdens en na ziekenhuisopname functieverlies. ‘Function Focused Care in Hospital’, ook wel bekend als bewegingsgerichte zorg, is een interventie gericht op het voorkomen en verminderen van functieverlies bij ouderen tijdens een ziekenhuisopname. Verpleegkundigen moedigen patiënten aan tot actieve betrokkenheid in de dagelijkse zorgmomenten.Doel Doel van dit project is de effectiviteit bepalen van Function Focused Care in Hospital op het fysiek functioneren van patiënten die opgenomen zijn in de Nederlandse ziekenhuizen. Resultaten Nederlandstalig scholingsprogramma en handboek van de Function Focused Care in Hospital-benadering voor de ziekenhuissetting; Een evaluatie van het proces en de uitkomsten van de Function Focused Care-benadering. Looptijd 01 november 2020 - 31 oktober 2025 Aanpak Er is een haalbaarheidsstudie uitgevoerd, die uitwees dat de interventie geschikt is voor de Nederlandse praktijk. Op de neurologische en geriatrische afdelingen van drie ziekenhuizen is Function Focused Care in Hospital in de dagelijkse zorg geïmplementeerd en geëvalueerd op effectiviteit. Over de interventie Function Focused Care (FFC) is een zorgbenadering waarin verpleegkundigen patiënten actief betrekken bij alle zorgmomenten om hun fysiek functioneren te optimaliseren. Eerder onderzoek heeft laten zien dat FFC een positief effect heeft op fysieke activiteit, mobiliteit en ADL bij ouderen in de wijk en de langdurige zorg. Ook laten studies in de acute zorg belovende resultaten zien van FFC op fysieke activiteit en mobiliteit bij ouderen opgenomen in het ziekenhuis. Voorbeelden van zorg volgens de FFC-benadering zijn met de patiënt naar de badkamer lopen in plaats van wassen op bed, of de maaltijd aan tafel nuttigen in plaats van zittend in bed eten. De essentie van FFC is het behouden of, indien mogelijk, verbeteren van het fysieke functioneren. Tijdens de hele ziekenhuisopname wordt de patiënt aangemoedigd meer tijd te laten besteden aan fysieke activiteit op een op de patiënt aangepast niveau. Co-financiering Het project wordt mede gefinancierd door ZonMW, projectnummer 520002003.
In this proposal, a consortium of knowledge institutes (wo, hbo) and industry aims to carry out the chemical re/upcycling of polyamides and polyurethanes by means of an ammonolysis, a depolymerisation reaction using ammonia (NH3). The products obtained are then purified from impurities and by-products, and in the case of polyurethanes, the amines obtained are reused for resynthesis of the polymer. In the depolymerisation of polyamides, the purified amides are converted to the corresponding amines by (in situ) hydrogenation or a Hofmann rearrangement, thereby forming new sources of amine. Alternatively, the amides are hydrolysed toward the corresponding carboxylic acids and reused in the repolymerisation towards polyamides. The above cycles are particularly suitable for end-of-life plastic streams from sorting installations that are not suitable for mechanical/chemical recycling. Any loss of material is compensated for by synthesis of amines from (mixtures of) end-of-life plastics and biomass (organic waste streams) and from end-of-life polyesters (ammonolysis). The ammonia required for depolymerisation can be synthesised from green hydrogen (Haber-Bosch process).By closing carbon cycles (high carbon efficiency) and supplementing the amines needed for the chain from biomass and end-of-life plastics, a significant CO2 saving is achieved as well as reduction in material input and waste. The research will focus on a number of specific industrially relevant cases/chains and will result in economically, ecologically (including safety) and socially acceptable routes for recycling polyamides and polyurethanes. Commercialisation of the results obtained are foreseen by the companies involved (a.o. Teijin and Covestro). Furthermore, as our project will result in a wide variety of new and drop-in (di)amines from sustainable sources, it will increase the attractiveness to use these sustainable monomers for currently prepared and new polyamides and polyurethanes. Also other market applications (pharma, fine chemicals, coatings, electronics, etc.) are foreseen for the sustainable amines synthesized within our proposition.
