Nationwide and across the globe, the quality, affordability, and accessibility of home-based healthcare are under pressure. This issue stems from two main factors: the rapidly growing ageing population and the concurrent scarcity of healthcare professionals. Older people aspire to live independently in their homes for as long as possible. Additionally, governments worldwide have embraced policies promoting “ageing in place,” reallocating resources from institutions to homes and prioritising home-based services to honour the desire of older people to continue living at home while simultaneously addressing the rising costs associated with traditional institutional care.Considering the vital role of district nursing care and the fact that the population of older people in need of assistance at home is growing, it becomes clear that district nursing care plays a crucial role in primary care. The aim of this thesis is twofold: 1) to strengthen the evidence base for district nursing care; and 2) to explore the use of outcomes for learning and improving in district nursing care. The first part of this thesis examines the current delivery of district nursing care and explores its challenges during the COVID-19 pandemic to strengthen the evidence base and get a better understanding of district nursing care. Alongside the goal of strengthening the evidence for district nursing care, the second part of this thesis explores the use of patient outcomes for learning and improving district nursing care. It focuses on nurse-sensitive patient outcomes relevant to district nursing care, their current measurement in practice, and what is needed to use outcomes for learning and improving district nursing practice.
Smart home technologies are a large potential market for the construction and building services industry. This chapter discusses the topics consultants, installers, and suppliers of home automation systems encounter when working in the field. Improved communication skills and more flexible approaches to the design and installing of building services leads to many new opportunities for new products and services. There are a large number of requirements from the perspective of architectural design and building services engineering, which relate to the infrastructure that is needed for smart homes. An overview of these electrical engineering and ICT requirements is discussed. When working with clients, it is important to consider the additional set of rules of working in their homes. Clients may have additional needs in the field of home modifications that can also be addressed when doing retrofitting projects. An outline of steps to get stared and essential questions for professional care organization is given.
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There is an increasing call in society for the improvement of well-being for nursing home residents and the support of care professionals through a wide array of architectural and technological solutions that are available in modern nursing homes. This study investigated which of these solutions are considered essential by stakeholders from healthcare and technology. Data were gathered via 22 simultaneously held multidisciplinary mind map sessions with 97 stakeholders, resulting in 43 mind maps. These, in turn, were grouped into a single mind map of the nursing home in general, the private rooms for residents with somatic or psychogeriatric health problems, and the group living room. A prioritization of solutions was added. The contents of the mind maps reflect a Dutch consensus on the necessary architectural and technological features for the design of nursing homes.
Due to societal developments, like the introduction of the ‘civil society’, policy stimulating longer living at home and the separation of housing and care, the housing situation of older citizens is a relevant and pressing issue for housing-, governance- and care organizations. The current situation of living with care already benefits from technological advancement. The wide application of technology especially in care homes brings the emergence of a new source of information that becomes invaluable in order to understand how the smart urban environment affects the health of older people. The goal of this proposal is to develop an approach for designing smart neighborhoods, in order to assist and engage older adults living there. This approach will be applied to a neighborhood in Aalst-Waalre which will be developed into a living lab. The research will involve: (1) Insight into social-spatial factors underlying a smart neighborhood; (2) Identifying governance and organizational context; (3) Identifying needs and preferences of the (future) inhabitant; (4) Matching needs & preferences to potential socio-techno-spatial solutions. A mixed methods approach fusing quantitative and qualitative methods towards understanding the impacts of smart environment will be investigated. After 12 months, employing several concepts of urban computing, such as pattern recognition and predictive modelling , using the focus groups from the different organizations as well as primary end-users, and exploring how physiological data can be embedded in data-driven strategies for the enhancement of active ageing in this neighborhood will result in design solutions and strategies for a more care-friendly neighborhood.
"Zoekt en gij zult vinden", luidt de bekende uitdrukking. Het Nederlandse MKB heeft veel technieken beschikbaar die voor een bekend probleem in Nederlandse verpleeghuizen een oplossing kan bieden: er raken in verpleeghuizen veel zaken zoek, van hulpmiddelen tot meubilair, wat leidt tot vele uren zoektijd voor zorgprofessionals en bewoners (met dementie) en hun naasten, en wat een negatieve invloed heeft op kwaliteit van zorg en onderhoud. Het doel van dit projectvoorstel is om een oplossing te ontwikkelen voor het zoekraken, niet in kaart hebben en het onbekend zijn met het gebruik, van hulpmiddelen in verpleeghuizen. Er bestaat zogenaamde track & trace technologie om locatie en gebruik van zaken te monitoren. Hoewel deze technologie op terreinen bouw, logistiek en ziekenhuiszorg in opkomst is, wordt deze in verpleeghuizen nog niet grootschalig ingezet. Er is bij bedrijven onvoldoende kennis over hoe deze technologie succesvol kan worden ingezet in verpleeghuizen waarbij de behoeften van zorgprofessionals en bewoners aan de basis van het ontwerp liggen. De maatschappelijke relevantie iets aan de problematiek te doen is niet alleen ingegeven door een behoefte de kwaliteit van zorg te ondersteunen, maar ook om geld te besparen door zoektijd te verminderen, en om beheer- en onderhoud van hulpmiddelen beter te kunnen stroomlijnen (logistiek en financieel) doordat bedrijven en verpleeghuizen een beter inzicht hebben in het gebruik. In dit project wordt met MKB-partners met een achtergrond in elektrotechnische installaties, ICT, bouw en inrichting en hulpmiddelen samengewerkt aan het ontwerpen en evalueren van een ?demonstrator?: een start van een field lab track & trace van hulpmiddelen voor zorginstellingen met twee testlocaties in verpleeghuizen. Dit doen deze partijen samen met twee verpleeghuisorganisaties en hun professionals teneinde een systeem te ontwikkelen dat aansluit bij de behoeften van de werkvloer en derhalve de grootste meerwaarde heeft voor de stakeholders. Hierbij zullen verschillende werkvormen worden gebruikt waarbij de nadruk ligt op de inbreng van alle betrokkenen. Door middel van focusgroep- en ontwerpsessies zullen stakeholders de behoeften op het gebied van track & trace van roerende goederen kunnen definiëren en omzetten in een concreet ontwerp. Het eindresultaat van het project zal naast concrete kennis vooral bestaan uit een tweetal demonstrators die met aanpassing ook in andere zorgsettings ingezet kunnen worden om kwaliteit van zorg en werkprocessen te ondersteunen. Deze demonstrators zullen tevens dienen als platform voor vervolgexperimenten.
To optimize patient care, it is vital to prevent infections in healthcare facilities. In this respect, the increasing prevalence of antibiotic-resistant bacterial strains threatens public healthcare. Current gold standard techniques are based on classical microbiological assays that are time consuming and need complex expensive lab environments. This limits their use for high throughput bacterial screening to perform optimal hygiene control. The infection prevention workers in hospitals and elderly nursing homes underline the urgency of a point-of-care tool that is able to detect bacterial loads on-site in a fast, precise and reliable manner while remaining with the available budgets. The aim of this proposal titled SURFSCAN is to develop a novel point-of-care tool for bacterial load screening on various surfaces throughout the daily routine of professionals in healthcare facilities. Given the expertise of the consortium partners, the point-of-care tool will be based on a biomimetic sensor combining surface imprinted polymers (SIPs), that act as synthetic bacterial receptors, with a thermal read-out strategy for detection. The functionality and performance of this biomimetic sensor has been shown in lab conditions and published in peer reviewed journals. Within this proposal, key elements will be optimized to translate the proof of principle concept into a complete clinical prototype for on-site application. These elements are essential for final implementation of the device as a screening and assessment tool for scanning bacterial loads on surfaces by hospital professionals. The research project offers a unique collaboration among different end-users (hospitals and SMEs), and knowledge institutions (Zuyd University of Applied Sciences, Fontys University of Applied Sciences and Maastricht Science Programme, IDEE-Maastricht University), which guarantees transfer of fundamental knowledge to the market and end-user needs.
