Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision support application aiming to increase nurses' and case managers' confidence in clinical judgment and decision-making was tested. The participants (N = 67) assessed a case of a PwD within the problem domains: self-reliance, safety and informal care, and provided suggestions for possible solutions. Participants used either their regular procedure with (intervention group) or without the App (control group) to conduct these tasks. No statistically significant difference was found on the primary outcome measure, the overall level of confidence. However, nurses and case managers highly recommended use of the App in practice. To explain these results, more research on the potential added value of the App is needed.
DOCUMENT
The concept of a working alliance is rooted in psychotherapy and has been studied extensively in that field. Much less research has been conducted into working alliances between chronic psychiatric patients and their case managers. The aim of this review was to identify what is known about the working alliance between chronic psychiatric patients and their case managers. An extensive survey of the literature produced 14 articles for this review. The results of studies conducted show that a good working alliance has positive effects on the functioning of patients, and that the quality of the alliance depends on both patient characteristics and the behaviour of the case managers. The results also indicate that the working alliance is largely determined in the first 3 months of the contact. Further research into the development of working alliances is necessary.
MULTIFILE
Due to the existing pressure for a more rational use of the water, many public managers and industries have to re-think/adapt their processes towards a more circular approach. Such pressure is even more critical in the Rio Doce region, Minas Gerais, due to the large environmental accident occurred in 2015. Cenibra (pulp mill) is an example of such industries due to the fact that it is situated in the river basin and that it has a water demanding process. The current proposal is meant as an academic and engineering study to propose possible solutions to decrease the total water consumption of the mill and, thus, decrease the total stress on the Rio Doce basin. The work will be divided in three working packages, namely: (i) evaluation (modelling) of the mill process and water balance (ii) application and operation of a pilot scale wastewater treatment plant (iii) analysis of the impacts caused by the improvement of the process. The second work package will also be conducted (in parallel) with a lab scale setup in The Netherlands to allow fast adjustments and broaden evaluation of the setup/process performance. The actions will focus on reducing the mill total water consumption in 20%.
The Dutch Environmental Vision and Mobility Vision 2050 promote climate-neutral urban growth around public transport stations, envisioning them as vibrant hubs for mobility, community, and economy. However, redevelopment often increases construction, a major CO₂ contributor. Dutch practice-led projects like 'Carbon Based Urbanism', 'MooiNL - Practical guide to urban node development', and 'Paris Proof Stations' explore integrating spatial and environmental requirements through design. Design Professionals seek collaborative methods and tools to better understand how can carbon knowledge and skills be effectively integrated into station area development projects, in architecture and urban design approaches. Redeveloping mobility hubs requires multi-stakeholder negotiations involving city planners, developers, and railway managers. Designers act as facilitators of the process, enabling urban and decarbonization transitions. CARB-HUB explores how co-creation methods can help spatial design processes balance mobility, attractiveness, and carbon neutrality across multiple stakeholders. The key outputs are: 1- Serious Game for Co-Creation, which introduces an assessment method for evaluating the potential of station locations, referred to as the 4P value framework. 2-Design Toolkit for Decarbonization, featuring a set of Key Performance Indicators (KPIs) to guide sustainable development. 3- Research Bid for the DUT–Driving Urban Transitions Program, focusing on the 15-minute City Transition Pathway. 4- Collaborative Network dedicated to promoting a low-carbon design approach. The 4P value framework offers a comprehensive method for assessing the redevelopment potential of station areas, focusing on four key dimensions: People, which considers user experience and accessibility; Position, which examines the station's role within the broader transport network; Place-making, which looks at how well the station integrates into its surrounding urban environment; and Planet, which addresses decarbonization and climate adaptation. CARB-HUB uses real cases of Dutch stations in transition as testbeds. By translating abstract environmental goals into tangible spatial solutions, CARB-HUB enables scenario-based planning, engaging designers, policymakers, infrastructure managers, and environmental advocates.
Dit onderzoek gaat over het verbeteren van de multidisciplinaire samenwerkingsvaardigheden van hbo-docenten. Binnen Hogeschool Rotterdam Business School worden er meerdere initiatieven ondernomen om uit te zoeken welke methode deze belangrijke vaardigheid kan helpen ontwikkelen en ook past binnen de hbo-onderwijspraktijk. De “geïntegreerde casemethode” is geïdentificeerd door docenten als de meest effectieve methode. Deze methode gaat een stap verder dan de huidige algemeen gebruikte Harvard business methode. Dit gaat langs drie lijnen van integratie: 1) het integreren van onderzoek, schrijven en doceren van een case: in plaats van het gebruik van bestaande en vaak dure Harvard cases, worden hbo-docenten getraind om zelf een organisatieprobleem te onderzoeken, een case te schrijven en te doceren; 2) het integreren van regionale cases in business curricula: in plaats van buitenlandse (vaak Amerikaanse business stijl) cases te gebruiken, worden hbo-docenten geholpen om real-life cases te schrijven van organisaties en bedrijven in de regionale omgeving van de hogeschool; 3) het integreren van beroepspraktijk in onderwijspraktijk: aanvullend op behandeling van casestudies in theorie, worden bedrijven betrokken in de onderwijspraktijk. Studenten houden interviews met CEO’s/managers, voeren veldonderzoek uit in het bedrijf. Het bedrijf geeft feedback en beoordeelt eindresultaten. Deze methode is uitgeprobeerd door acht docenten van vier verschillende opleidingen tussen 2016-2018. Deze multidisciplinaire samenwerking leidde tot een succesvolle Engelstalige minor “Business Pressure Cooker” en “de Rotterdam International Case Competition”. Om dit succes te vergroten en een breder draagvlak te krijgen voor de geïntegreerde casemethode, is een methodiek nodig. Hierin kunnen meerdere docenten van verschillende opleidingen worden getraind. Het gewenste resultaat is dat a) docenten handvatten krijgen om de casemethode professioneler toe te passen in hun onderwijspraktijk; b) een kennisnetwerk ontwikkelen waardoor docenten van diverse opleidingen hun kennis/ervaring kunnen uitwisselen, kracht bundelen om case-based onderwijsonderdeel gezamenlijk uit te ontwikkelen.
