from the article: Web-shop entrepreneurs generally overlook success factors during the expansion process of applying cross-border trade, resulting in failure or even high financial losses. The solution to this issue may be a decision supporting model, that supports SME web-shop entrepreneurs in their cross border decision-making. Thuiswinkel.org, the industry organisation for web-shops in The Netherlands, actively supports the cross-border information requirements of these entrepreneurs by supporting knowledge on the marketing factors that influence the cross-border decision. This research focusses on identifying a decision supporting model answering the question: How does the supply chain as factor relate to other decisive factors used by web-shop entrepreneurs in their cross-border trade-expansion decision? The model has been developed through three research steps: semi-unstructured interviews to find the first indication for decision factors, literature research to develop contours of a decision supporting model, and an online survey to test the initial model found. To determine a weight to the factors, the KANO-model is used from a customer satisfaction viewpoint. The conceptual model shows that ‘supply chain partner(s)’, is a necessary basic factor to consider during the cross-border trade-expansion decision. However, customer satisfaction as operational logistics service determines the success of the cross-border trade-expansion.
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In this paper we research the following question: What motivational factors relate, in which degree, to intentions on compliance to ISP and how could these insights be utilized to promote endusers compliance within a given organization? The goal of this research is to provide more insight in the motivational factors applicable to ISP and their influence on end-user behavior, thereby broadening knowledge regarding information systems security behaviors in organizations from the viewpoint of non-malicious abuse and offer a theoretical explanation and empirical support. The outcomes are also useful for practitioners to complement their security training and awareness programs, in the end helping enterprises better effectuate their information security policies. In this study an instrument is developed that can be used in practice to measure an organizational context on the effects of six motivational factors recognized. These applicable motivational factors are determined from literature and subsequently evaluated and refined by subject matter experts. A survey is developed, tested in a pilot, refined and conducted within four organizations. From the statistical analysis, findings are reported and conclusions on the hypothesis are drawn. Recommended Citation Straver, Peter and Ravesteyn, Pascal (2018) "End-users Compliance to the Information Security Policy: A Comparison of Motivational Factors," Communications of the IIMA: Vol. 16 : Iss. 4 , Article 1. Available at: https://scholarworks.lib.csusb.edu/ciima/vol16/iss4/1
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Aim: In-hospital prescribing errors (PEs) may result in patient harm, prolonged hospitalization and hospital (re)admission. These events are associated with pressure on healthcare services and significant healthcare costs. To develop targeted interventions to prevent or reduce in-hospital PEs, identification and understanding of facilitating and protective factors influencing in-hospital PEs in current daily practice is necessary, adopting a Safety-II perspective. The aim of this systematic review was to create an overview of all factors reported in the literature, both protective and facilitating, as influencing in-hospital PEs. Methods: PubMed, EMBASE.com and the Cochrane Library (via Wiley) were searched, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement, for studies that identified factors influencing in-hospital PEs. Both qualitative and quantitative study designs were included. Results: Overall, 19 articles (6 qualitative and 13 quantitative studies) were included and 40 unique factors influencing in-hospital PEs were identified. These factors were categorized into five domains according to the Eindhoven classification (‘organization-related’, ‘prescriber-related’, ‘prescription-related’, ‘technologyrelated’ and ‘unclassified’) and visualized in an Ishikawa (Fishbone) diagram. Most of the identified factors (87.5%; n = 40) facilitated in-hospital PEs. The most frequently identified facilitating factor (39.6%; n = 19) was ‘insufficient (drug) knowledge, prescribing skills and/or experience of prescribers’. Conclusion: The findings of this review could be used to identify points of engagement for future intervention studies and help hospitals determine how to optimize prescribing. A multifaceted intervention, targeting multiple factors might help to circumvent the complex challenge of in-hospital PEs.
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The Best of Both Worlds: Success factors of Turkish-Dutch innovative entrepreneurs In recent years, a number of countries, among them the Netherlands, attach great importance to stimulating the economic development in the country, by promoting entrepreneurship in general and within the ethnic and cultural entrepreneurial groups in particular. Innovation is generally the result of an interactive process involving synergy between the diverse backgrounds and characteristics. Based on a qualitative research, this article provides an overview of insights in the critical success factors of Turkish-Dutch innovative entrepreneurs in the Netherlands. The success factors of ethnic entrepreneurs are approached in this study from three different dimensions: individual factors, social factors, and environmental factors. The individual factors are presented as personality traits and personal motivations. The social factors are discussed from the perspective of social networks, socio-cultural and socio-economic characteristics. As for environmental factors, they are divided into regional characteristics as well as the availability of resources and the presence of opportunities. Turkish-Dutch entrepreneurs, also called “ethnic entrepreneurs”, appear proficient in linking different innovation opportunities to their own strengths. They are operating better in both worlds, and are successfully navigating between the two cultures. This article also formulates several suggestions for the Dutch government, business world and educational institutions to stimulate innovation. SAMENVATTING Het beste van beide werelden: Succesfactoren van Turks-Nederlandse innovatieve ondernemers De laatste jaren hechten vele landen, onder andere Nederland, er groot belang aan om de economische ontwikkelingen op een hoger niveau te tillen door ondernemerschap in het algemeen, en binnen de etnische en culturele groepen in het bijzonder, te stimuleren. Innovatie is een gevolg van een interactief proces waarbij synergie ontstaat tussen de diverse achtergronden en kenmerken. Gebaseerd op een kwalitatief onderzoek worden in dit artikel, aan de hand van drie verschillende dimensies, te weten individuele, sociale en omgevingsfactoren, de succesfactoren van Turks-Nederlandse innovatieve ondernemers inzichtelijk gemaakt. De Turks-Nederlandse ondernemers, ook wel “etnische ondernemers” genoemd, blijken bedreven te zijn in het koppelen van innovatiekansen aan hun eigen sterke punten. Ze komen beter tot hun recht in beide werelden, en navigeren op succesvolle wijze tussen de twee culturen door. Dit artikel formuleert een aantal aanbevelingen voor de Nederlandse overheid, het bedrijfsleven en de klanten.
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Empirical studies in the creative arts therapies (CATs; i.e., art therapy, dance/movement therapy, drama therapy, music therapy, psychodrama, and poetry/bibliotherapy) have grown rapidly in the last 10 years, documenting their positive impact on a wide range of psychological and physiological outcomes (e.g., stress, trauma, depression, anxiety, and pain). However, it remains unclear how and why the CATs have positive effects, and which therapeutic factors account for these changes. Research that specifically focuses on the therapeutic factors and/or mechanisms of change in CATs is only beginning to emerge. To gain more insight into how and why the CATs influence outcomes, we conducted a scoping review (Nstudies = 67) to pinpoint therapeutic factors specific to each CATs discipline, joint factors of CATs, and more generic common factors across all psychotherapy approaches. This review therefore provides an overview of empirical CATs studies dealing with therapeutic factors and/or mechanisms of change, and a detailed analysis of these therapeutic factors which are grouped into domains. A framework of 19 domains of CATs therapeutic factors is proposed, of which the three domains are composed solely of factors unique to the CATs: “embodiment,” “concretization,” and “symbolism and metaphors.” The terminology used in change process research is clarified, and the implications for future research, clinical practice, and CATs education are discussed.
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NL samenvatting: In dit verkennend onderzoek werden social engineering-aanvallen bestudeerd, vooral de aanvallen die mislukten, om organisaties te helpen weerbaarder te worden. Fysieke, telefonische en digitale aanvallen werden uitgevoerd met behulp van een script volgens de 'social engineering-cyclus'. We gebruikten het COM-B model van gedragsverandering, verfijnd door het Theoretical Domains Framework, om door middel van een enquête te onderzoeken hoe Capability, Motivational en vooral Opportunity factoren helpen om de weerbaarheid van organisaties tegen social engineering-aanvallen te vergroten. Binnen Opportunity leek sociale invloed van extra belang. Werknemers die in kleine ondernemingen werken (<50 werknemers) waren succesvoller in het weerstaan van digitale social engineering-aanvallen dan werknemers die in grotere organisaties werken. Een verklaring hiervoor zou een grotere mate van sociale controle kunnen zijn; deze medewerkers werken dicht bij elkaar, waardoor ze in staat zijn om onregelmatigheden te controleren of elkaar te waarschuwen. Ook het installeren van een gespreksprotocol over hoe om te gaan met buitenstaanders was een maatregel die door alle organisaties werd genomen waar telefonische aanvallen faalden. Daarom is het moeilijker voor een buitenstaander om toegang te krijgen tot de organisatie door middel van social engineering. Dit artikel eindigt met een discussie en enkele aanbevelingen voor organisaties, bijvoorbeeld met betrekking tot het ontwerp van de werkomgeving, om hun weerbaarheid tegen social engineering-aanvallen te vergroten. ENG abstract: In this explorative research social engineering attacks were studied, especially the ones that failed, in order to help organisations to become more resilient. Physical, phone and digital attacks were carried out using a script following the ‘social engineering cycle’. We used the COM-B model of behaviour change, refined by the Theoretical Domains Framework, to examine by means of a survey how Capability, Motivational and foremost Opportunity factors help to increase resilience of organisations against social engineering attacks. Within Opportunity, social influence seemed of extra importance. Employees who work in small sized enterprises (<50 employees) were more successful in withstanding digital social engineering attacks than employees who work in larger organisations. An explanation for this could be a greater amount of social control; these employees work in close proximity to one another, so they are able to check irregularities or warn each other. Also, having a conversation protocol installed on how to interact with outsiders, was a measure taken by all organisations where attacks by telephone failed. Therefore, it is more difficult for an outsider to get access to the organisation by means of social engineering. This paper ends with a discussion and some recommendations for organisations, e.g. the design of the work environment, to help increase their resilience against social engineering attacks. https://openaccess.cms-conferences.org/publications/book/978-1-958651-29-2/article/978-1-958651-29-2_8 DOI: 10.54941/ahfe1002203
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Alongside the growing number of older persons, the prevalence of chronic diseases is increasing, leading to higher pressure on health care services. eHealth is considered a solution for better and more efficient health care. However, not every patient is able to use eHealth, for several reasons. This study aims to provide an overview of: (1) sociodemographic factors that influence the use of eHealth; and (2) suggest directions for interventions that will improve the use of eHealth in patients with chronic disease. A structured literature review of PubMed, ScienceDirect, Association for Computing Machinery Digital Library (ACMDL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) was conducted using four sets of keywords: “chronic disease”, “eHealth”, “factors”, and “suggested interventions”. Qualitative, quantitative, and mixed-method studies were included. Four researchers each assessed quality and extracted data. Twenty-two out of 1639 articles were included. Higher age and lower income, lower education, living alone, and living in rural areas were found to be associated with lower eHealth use. Ethnicity revealed mixed outcomes. Suggested solutions were personalized support, social support, use of different types of Internet devices to deliver eHealth, and involvement of patients in the development of eHealth interventions. It is concluded that eHealth is least used by persons who need it most. Tailored delivery of eHealth is recommended
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Background: More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT). Method: A cross-sectional study among children/adolescents and their parents treated in either a regular outpatient clinic or a youth-ACT setting in a specialized mental health treatment center in the Netherlands. Results: Child, parent and family/social context factors were associated with treatment intensification from regular outpatient care to youth-ACT. The combination of the child, parent, and family/social context factors adds substantially to the predictive power of the model (Nagelkerke R2 increasing from 36 to 45% for the three domains separately, to 61% when all domains are combined). The strongest predictors are the severity of psychiatric disorders of the child, parental stress, and domestic violence. Conclusions: Using a wide variety of variables that are potentially associated with treatment intensification from regular outpatient clinic to youth-ACT, we constructed a regression model illustrating a relatively strong relation between the predictor variables and the outcome (Nagelkerke R2 = 0.61), with three strong predictors, i.e. severity of psychiatric disorders of the child, parental stress, and domestic violence. This emphasizes the importance of a system-oriented approach with primary attention for problem solving and stress reduction within the system, in addition to the psychiatric treatment of the child, and possibly also the parents. Auteurs: Vijverberg, R., Ferdinand, R., Beekman, A., & van Meijel B.
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Stroke is the second most common cause of death and the third leading cause of disability worldwide,1,2 with the burden expected to increase during the next 20 years.1 Almost 40% of the people with stroke have a recurrent stroke within 10 years,3 making secondary prevention vital.3,4 High amounts of sedentary time have been found to increase the risk of cardiovascular disease,5–11 particularly when the sedentary time is accumulated in prolonged bouts.12–15 Sedentary behavior, is defined as “any waking behavior characterized by an energy expenditure ≤1.5 Metabolic Equivalent of Task (METs) while in a sitting, reclining or lying posture”.16,17 Studies in healthy people, as well as people with diabetes and obesity, have shown that reducing the total amount of sedentary time and/or breaking up long periods of uninterrupted sedentary time, reduces metabolic risk factors associated with cardiovascular disease.6,9,10,12–15 Recent studies have shown that people living in the community after stroke spend more time each day sedentary, and more time in uninterrupted bouts of sedentary time compared to age-matched healthy peers.18–20 Reducing sedentary time and breaking up long sedentary bouts with short bursts of activity may be a promising intervention to reduce the risk of recurrent stroke and other cardiovascular diseases in people with stroke. To develop effective interventions, it is important to understand the factors associated with sedentary time in people with stroke. Previous studies have found associations between self-reported physical function after stroke and total sedentary time, but inconsistent results with regards to the relationship of age, stroke severity, and walking speed with sedentary time.20,21 These results are from secondary analyses of single-site observational studies, not powered to address associations, and inconsistent in the methods used to determine waking hours; thus making direct comparisons between studies difficult.20,21 Individual participant data pooling, with consistent processing of wake time data, allows novel exploratory analyses of larger datasets with greater power. By pooling all available individual participant data internationally, this study aimed to comprehensively explore the factors associated with sedentary time in community-dwelling people with stroke. Specifically, our research questions were: (1) What factors are associated with total sedentary time during waking hours after stroke? (2) What factors are associated with time spent in prolonged sedentary bouts during waking hours?
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Background and aim Self-management support is an integral part of current chronic care guidelines. The success of self-management interventions varies between individual patients, suggesting a need for tailored self-management support. Understanding the role of patient factors in the current decision making of health professionals can support future tailoring of self-management interventions. The aim of this study is to identify the relative importance of patient factors in health professionals’ decision making regarding self-management support. Method A factorial survey was presented to primary care physicians and nurses. The survey consisted of clinical vignettes (case descriptions), in which 11 patient factors were systematically varied. Each care provider received a set of 12 vignettes. For each vignette, they decided whether they would give this patient self-management support and whether they expected this support to be successful. The associations between respondent decisions and patient factors were explored using ordered logit regression. Results The survey was completed by 60 general practitioners and 80 nurses. Self-management support was unlikely to be provided in a third of the vignettes. The most important patient factor in the decision to provide self-management support as well as in the expectation that self-management support would be successful was motivation, followed by patient-provider relationship and illness perception. Other factors, such as depression or anxiety, education level, self-efficacy and social support, had a small impact on decisions. Disease, disease severity, knowledge of disease, and age were relatively unimportant factors. Conclusion This is the first study to explore the relative importance of patient factors in decision making and the expectations regarding the provision of self-management support to chronic disease patients. By far, the most important factor considered was patient’s motivation; unmotivated patients were less likely to receive self-management support. Future tailored interventions should incorporate strategies to enhance motivation in unmotivated patients. Furthermore, care providers should be better equipped to promote motivational change in their patients.
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