Abstract: Technological innovation in the healthcare sector is increasing, but integration of information technology (IT) in the care process is difficult. Healthcare workers are important agents in this IT integration. The purpose of this study is to explore factors that feed motivation to use IT. Self-determination theory (SDT) is applied to study how motivational factors impact effective IT use among frontline caregivers in residential care settings. As the team is very important to these caregivers, the team is our unit of analysis. In an embedded single case study design, interviews were conducted with all nine members of a team effectively using IT. All three basic psychological needs from SDT - autonomy, competence and relatedness - were found to have impact on effective IT use, though autonomy was primarily experienced at team level. Conversely, the effective use of an IT collaboration tool influences relatedness.
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Author Supplied: In the last decades, architecture has emerged as a discipline in the domain of Information Technology (IT). A well-accepted definition of architecture is from ISO/IEC 42010: "The fundamental organization of a system, embodied in its components, their relationships to each other and the environment, and the principles governing its design and evolution." Currently, many levels and types of architecture in the domain of IT have been defined. We have scoped our work to two types of architecture: enterprise architecture and software architecture. IT architecture work is demanding and challenging and includes, inter alia, identifying architectural significant requirements (functional and non-functional), designing and selecting solutions for these requirements, and ensuring that the solutions are implemented according to the architectural design. To reflect on the quality of architecture work, we have taken ISO/IEC 8402 as a starting point. It defines quality as "the totality of characteristics of an entity that bear on its ability to satisfy stated requirements". We consider architecture work to be of high quality, when it is effective; when it answers stated requirements. Although IT Architecture has been introduced in many organizations, the elaboration does not always proceed without problems. In the domain of enterprise architecture, most practices are still in the early stages of maturity with, for example, low scores on the focus areas ‘Development of architecture’ and ‘Monitoring’ (of the implementation activities). In the domain of software architecture, problems of the same kind are observed. For instance, architecture designs are frequently poor and incomplete, while architecture compliance checking is performed in practice on a limited scale only. With our work, we intend to contribute to the advancement of architecture in the domain of IT and the effectiveness of architecture work by means of the development and improvement of supporting instruments and tools. In line with this intention, the main research question of this thesis is: How can the effectiveness of IT architecture work be evaluated and improved?
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Equestrianism is currently facing a range of pressing challenges. These challenges, which are largely based on evolving attitudes to ethics and equine wellbeing, have consequences for the sport’s social licence to operate. The factors that may have contributed to the current situation include overarching societal trends, specific aspects of the equestrian sector, and factors rooted in human nature. If equestrianism is to flourish, it is evident that much needs to change, not the least,human behaviour. To this end, using established behaviour change frameworks that have been scientifically validated and are rooted in practice — most notably, Michie et al.’s COM-B model and Behaviour Change Wheel — could be of practical value for developing and implementing equine welfare strategies. This review summarises the theoretical underpinnings of some behaviour change frameworks and provides a practical, step-by-step approach to designing an effective behaviour change intervention. A real-world example is provided through the retrospective analysis of an intervention strategy that aimed to increase the use of learning theory in (educational) veterinary practice. We contend that the incorporation of effective behaviour change interventions into any equine welfare improvement strategy may help to safeguard the future of equestrianism.
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Hoofdstuk 15 15.1 Introduction 15.2 An international law perspective 15.3 The American position 15.4 International human rights developments 15.5 Effective remedy and reparations 15.6 Reflections References In the international arena there are some encouraging developments in relation to accountability and transparency for the use of armed drones. It is increasingly recognized that remote pilotless aircraft have become part of modern warfare, and that sometimes they are also used outside the context of armed conflict. Subsequently, both international humanitarian and human rights law can apply. The issue of access to justice, however, receives less explicit socio-political attention. Victims of armed remote pilotless aircraft strikes meet countless challenges in effectuating their right to an effective remedy. Often even a formal recognition that a strike has taken place is lacking. Furthermore, the states involved fail to publicly release information about their own investigations. This makes it difficult for those affected to substantiate their status as a victim and seek justice, including reparations. The international community should, in addition to urging involved states to independently and impartially investigate all armed drone strikes, ensure that access to an effective remedy for civilian victims, whether on an international, transnational or national level, becomes a reality.
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IntroductionTake it Personal!+ is a treatment program for individuals with Mild Intellectual Disability or Borderline Intellectual Functioning (MID-BIF) and Substance Use Disorder (SUD). It is supported by a mobile health application (mHealth), and researchers found it can reduce Substance Use (SU). Aims: This study aimed to explore the usability of the treatment program in as experienced by clients and their confidants.MethodsWe conducted post-treatment, semi-structured interviews with clients (n = 8) and their confidants (n = 8). We coded transcripts according to thematic analysis and using inductive and deductive methods. Subsequently, we analyzed connections between the codes and grouped them into themes using axial coding.ResultsOverall clients and confidants experienced the treatment program as usable, and most mentioned the program helped to reduce SU. The clients and confidants reported the presence of a confidant was helpful. Some clients and confidants reported the mHealth application was helpful. Components that were perceived as effective were self-control skills, daily registration exercise and discussing quantity of SU non-judgingly. Perceived impeding factors were video calling and a non-supportive network.ConclusionThis study shows that Take it Personal!+ is an useable treatment program for individuals with MID-BIF and SUD, that helps to decrease their self-reported SU. Nevertheless, there is room for improvement for further adapting the treatment, which will be discussed.
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In this study data-feedback in a cyclic model of data-driven teaching was used to enhance the teaching behavior of students registered in a master course for teachers. Differences between pre- and post-test measures in a simple one-group pre-test post-tests design proved to be significant with effect sizes ranging from d = 0.29 to d = 0.76. Improving teaching behavior in a time span of only six weeks on average is remarkable since earlier studies indicated that it takes over 15 years to master complex teaching skills with a ‘natural development’ of teaching skills of about 25% of a standard deviation.
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Individuals with mild intellectual disabilities or borderline intellectual functioning are at increased risk to develop a substance use disorder—however, effective treatment programs adapted to this target group are scarce. This study evaluated the effectiveness of Take it Personal!+ in individuals with mild intellectual disabilities or borderline intellectual functioning and substance use disorder. Take it Personal!+ is a personalized treatment based on motivational interviewing and cognitive-behavioral therapy supported by an mHealth application. Data were collected in a nonconcurrent multiple baseline single-case experimental design across individuals with four phases (i.e., baseline, treatment, posttreatment, and follow-up). Twelve participants were randomly allocated to baseline lengths varying between 7 and 11 days. Substance use quantity was assessed during baseline, treatment, and posttreatment with a daily survey using a mobile application. Visual analysis was supported with statistical analysis of the daily surveys by calculating three effect size measures in 10 participants (two participants were excluded from this analysis due to a compliance rate below 50%). Secondary, substance use severity was assessed with standardized questionnaires at baseline, posttreatment, and follow-up and analyzed by calculating the Reliable Change Index. Based on visual analysis of the daily surveys, 10 out of 12 participants showed a decrease in mean substance use quantity from baseline to treatment and, if posttreatment data were available, to posttreatment. Statistical analysis showed an effect of Take it Personal!+ in terms of a decrease in daily substance use in 8 of 10 participants from baseline to treatment and if posttreatment data were available, also to posttreatment. In addition, data of the standardized questionnaires showed a decrease in substance use severity in 8 of 12 participants. These results support the effectiveness of Take it Personal!+ in decreasing substance use in individuals with mild intellectual disabilities or borderline intellectual functioning.
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Videos can enrich the learning environment in a variety of ways, adding value to the learning process. Using videos brings benefits to the students and to you as the lecturer, as long as you give proper thought to how you use them. The Research Group Teaching, Learning & Technology is conducting research into the effective use of videos in teaching.
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Over the last two decades, institutions for higher education such as universities and colleges have rapidly expanded and as a result have experienced profound changes in processes of research and organization. However, the rapid expansion and change has fuelled concerns about issues such as educators' technology professional development. Despite the educational value of emerging technologies in schools, the introduction has not yet enjoyed much success. Effective use of information and communication technologies requires a substantial change in pedagogical practice. Traditional training and learning approaches cannot cope with the rising demand on educators to make use of innovative technologies in their teaching. As a result, educational institutions as well as the public are more and more aware of the need for adequate technology professional development. The focus of this paper is to look at action research as a qualitative research methodology for studying technology professional development in HE in order to improve teaching and learning with ICTs at the tertiary level. The data discussed in this paper have been drawn from a cross institutional setting at Fontys University of Applied Sciences, The Netherlands. The data were collected and analysed according to a qualitative approach.
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BackgroundThe world’s population is aging, and with aging population comes an increase of chronic diseases and multimorbidity. At the same time a shortfall of trained health care professionals is anticipated. This raises questions on how to provide the best possible care. The use of Information and communication technology (ICT) and e-health has the potential to address the challenges that healthcare is facing. ICT applications and e-health, such as videophones, telemedicine and mobile devices, can benefit the healthcare system. Nonetheless, ICT is not used to its full potential. One of the key factors is the low adoption rate by nursing professionals. The nursing profession is characterized by teamwork and interdisciplinary collaboration. Nurses often work in nursing teams and collaboration between different disciplines is necessary for providing health care. Thus, collaboration is necessary when implementing ICT innovations.MethodsA systematic literature review was conducted in online databases PubMEd, CINAHL and IEEE, using key words related to innovation, nursing teams and adoption.ResultsThe result of the systematic review is that little is known about the relation between ICT adoption by nurses and the nature of collaboration by nurses in teams and in interdisciplinary networks. This leads to further research questions and a need for further research in this subject.
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