Background Clients facing decision-making for long-term care are in need of support and accessible information. Construction of preferences, including context and calculations, for clients in long-term care is challenging because of the variability in supply and demand. This study considers clients in four different sectors of long-term care: the nursing and care of the elderly, mental health care, care of people with disabilities, and social care. The aim is to understand the construction of preferences in real-life situations. Method Client choices were investigated by qualitative descriptive research. Data were collected from 16 in-depth interviews and 79 client records. Interviews were conducted with clients and relatives or informal caregivers from different care sectors. The original client records were explored, containing texts, letters, and comments of clients and caregivers. All data were analyzed using thematic analysis. Results Four cases showed how preferences were constructed during the decision-making process. Clients discussed a wide range of challenging aspects that have an impact on the construction of preferences, e.g. previous experiences, current treatment or family situation. This study describes two main characteristics of the construction of preferences: context and calculation. Conclusion Clients face diverse challenges during the decision-making process on long-term care and their construction of preferences is variable. A well-designed tool to support the elicitation of preferences seems beneficial.
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The growth in urban population and economic upturnis leading to higher demand for construction, repairand renovation works in cities. Houses, public utilities,retail spaces, offices and infrastructure need toadapt to cope with the increasing number of residentsand visitors, urban functions and changing standards.Construction projects contribute to more attractive,sustainable and economically viable urban areas oncethey are finished. However, transport activities relatedto construction works have negative impacts on thesurrounding community if not handled appropriately.It is estimated that 15 to 20 percent of heavy goodsvehicles in cities are related to construction, and 30to 40 percent of light commercial vans [1]. In the citiesstudied in the CIVIC project, construction-relatedtransport was found to be one of the biggest challengesto improving sustainability. Smarter, cleaner and saferconstruction logistics solutions in urban areas areneeded for environmental, societal and economicreasons. However, in many European cities and metropolitanareas the sense of urgency is not evident or alack of knowledge is creating passivity.
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From the article: Abstract. This exploratory and conceptual article sets out to research what arguments and possibilities for experimentation in construction exists and if experimentation can contribute towards more innovative construction as a whole. Traditional, -western- construction is very conservative and regional, often following a traditional and linear design process, which focuses on front-loaded cost savings and repetitive efficiency, rather than securing market position through innovation. Thus becoming a hindrance for the development of the sector as a whole. Exploring the effects of using the, in other design-sectors commonly and successfully practiced, “four-phased iterative method” in architectural construction could be the start of transforming the conservative construction industry towards a more innovative construction industry. The goal of this research is to find whether the proposed strategy would indeed result in a higher learning curve and more innovation during the - architectural- process. Preliminary research indicates that there is argumentation for a more experimental approach to construction.
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