Abstract: Background For patients, seclusion during psychiatric treatment is often a traumatic experience. To prevent such experiences, adjustments in the design of seclusion rooms have been recommended. Methods As there have been no empirical studies on the matter, we used a quasi-experimental design to compare the experiences in seclusion of two groups of patients: 26 who had been secluded in a room designed according to the principles of healing environment, a so called ‘Enriched Environment Seclusion room’ (EES), and 27 who had been secluded in a regular seclusion (RS) room. The enrichment included audio-visual facilities, a fixed toilet, a couch and a self-service system to adjust light, colour, blinds and temperature according to the patient’s preferences. Insight into their experiences was obtained using the Patient View-of-Seclusion Questionnaire, which comprises nine statements on seclusion, supplemented with open-ended questions. Results The responses regarding seclusion experiences between the two groups did not differ significantly (U = 280.00, p = .21, r = -.17). Although those who had been secluded in the specially designed room had greatly appreciated the opportunities for distraction, and those who had been secluded in a regular seclusion room expressed the need for more distracting activities during seclusion, both groups described seclusion as a dreadful experience. If seclusion cannot be avoided, patients recommend facilities for distraction (such as those provided in an enriched environment seclusion room) to be available. Conclusion Whatever the physical environment and facilities of a seclusion room, we may thus conclude that seclusion is a burdensome experience.
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Long-term care facilities in the Netherlands try to implement new design approaches to enrich their environments and to cope with the changes and innovations in the Dutch healthcare sector. An enriched environment supports both quality of life of people with frail health and the well-being of the healthcare professionals who take care of them. Despite the increased attention devoted to built environments in relation to health, a gap in knowledge remains how to implement new design approaches. The aim of this study is to present a structural approach for a decision-making process to help to create enriched small-scale care facilities for older people with a frail health condition. A case study was conducted to understand how the structural approach contributes to implementing design features of an enriched environment. The structural approach identifies the key factors (such as shared language, collective understanding and involvement of stakeholders) that should be considered when developing such facilities and describes the critical steps for decision-makers for such environment. This case study provides a rich source of information from actual experiences for a better understanding of steering mechanisms for decision-making by the management of small-scale care facilities.
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Quality of life serves a reference against which you can measure the various domains of your own life or that of other individuals, and that can change over time. This definition of the World Health Organization encompasses many elements of daily living, including features of the individual and the environment around us, which can either be the social environment, the built environment, or other environmental aspects. This is one of the rationales for the special issue on “Quality of Life: The Interplay between Human Behaviour, Technology and the Environment”. This special issue is a joint project by the Centre of Expertise Health Innovation of the Hague University of Applied Sciences in The Netherlands. The main focus of this Special Issue is how optimising the interplay between people, the environment, and technology can enhance people’s quality of life. The focus of the contributions in this special issue is on the person or end‐user and his or her environment, both the physical, social, and digital environment, and on the interaction between (1) people, (2) health, care, and systems, and (3) technology. Recent advances in technology offer a wide range of solutions that support a healthy lifestyle, good quality of life, and effective and efficient healthcare processes, for a large number of end‐users, both patients/clients from minus 9 months until 100+ years of age, as well as practitioners/physicians. The design of new services and products is at the roots of serving the quality of life of people. Original article at MDPI; DOI: https://doi.org/10.3390/ijerph16245106 (Editorial of Special Issue with the same title: "Quality of Life: The Interplay between Human Behaviour, Technology and the Environment")
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The main question that leads the focus in this study is: What is the contribution of the school environment to the resilience of middle-adolescent students? Before going into the background and rationale of this study I will specify the terms used in this research question: - Contribution: In this study I will use the dynamic term contribution instead of the term effect because I will not measure the causal influence in a statistical way but I will explore the relationship between school environment and middle-adolescents resilience in terms of dynamic, reciprocal interactions. - School environment: With the term school environment I refer to all possible aspects of the immediate environment constituted by the school as a system in which the middle-adolescent is interactively participating. These aspects can include teachers as well as the school building as well as the lunch breaks and extramural activities. No framed description of this term will be postulated beforehand because the school environment will be studied from the viewpoint of the middle-adolescents. It is the middle-adolescents description of the term school environment that is the focus of this study. - Resilience: Before constructing the term resilience in a detailed manner in Chapter Two I will use the term to denote the ability to bounce back after stressful experiences. - Middle-adolescent: a 14-or 15-year old girl or boy. I will elaborate on the reason for the focus on this age group in paragraph 2.1.
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Background: Running has become one of the most popular sports and has proven benefits for public health. Policy makers are increasingly aware that attractively designed public spaces may promote running. However, little is known about what makes a running environment attractive and restorative for runners and to what extent this depends on characteristics of the runner. This study aims to investigate 1) to what extent intrapersonal characteristics (i.e. motives and attitudes) and perceived environmental characteristics (e.g. quality of the running surface, greenness of the route, feelings of safety and hinderance by other road users) are associated with the perceived attractiveness and restorative capacity of the running environment and 2) to what extent the number of years of running experience modify these associations. Methods: Cross-sectional data were collected through the online Eindhoven Running Survey 2015 (ERS15) among half marathon runners (N = 2477; response rate 26.6%). Linear regression analyses were performed for two outcomes separately (i.e. perceived attractiveness and perceived restorative capacity of the running environment) to investigate their relations with motives and attitudes, perceived environmental characteristics and interactions between perceived environmental characteristics and number of years of running experience. Results: Perceived environmental characteristics, including green and lively routes and a comfortable running surface were more important for runners’ evaluation of the attractiveness and restorative capacity of the running environment than runners’ motives and attitudes. In contrast to experienced runners, perceived hinder from unleashed dogs and pedestrians positively impacted the attractiveness and restorative capacity for less experienced runners. Conclusions: Perceived environmental characteristics were important determinants of the attractiveness and restorative capacity of the running environment for both novice and experienced runners. However, green and lively elements in the running environment and hinderances by cars were more important for less experienced runners. In order to keep novice runners involved in running it is recommended to design comfortable running tracks and routes and provide good access to attractive, green and lively spaces.
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The ageing population demands designing environments while considering their functional needs, desires and wishes. The ICF framework together with the gerontechnological principles can help to have focus on how to adjust or to (re)design the environment for this population. This paper focuses on building-related environmental factors including eHealth solutions. Knowledge and understanding of how the environment is perceived by older people help to set the building performance requirements and gives direction to improve our research to create healthy environments for future users.
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Boekbesprekingen van : Michael Sandel. Niet alles is te koop: De morele grenzen van marktwerking. Utrecht: Ten Have, 2016 Peter Hendriks. Turkish-Dutch and Moroccan-Dutch female professionals in social work. The self-perception of young, newly-started professionals in social work. Delft: Eburon, 2018. Denise Robbesom. ‘Werken aan trage vragen’. De woorden van Harry Kunneman. Leusden: ISVW Uitgevers, 2017.
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The study of moral reasoning in relation to sustainable development is an emerging field within environmental education (EE) and education for sustainable development (ESD). The vignette method was used to evaluate the perception of the relationship between environmental and social issues in the Dutch upper elementary school children. This case study is placed within two broad areas of tension, namely between the need to address urgent environmental problems and to promote pluralistic democratic learning; and between the value of environment as an economic asset and deep ecology perspective. Results of this study indicate that the children are able to critically think about the moral dilemmas inherent in sustainable development and distinguish between different values in relation to environment. https://doi.org/10.1016/j.stueduc.2013.12.004 https://www.linkedin.com/in/helenkopnina/
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The aim of the paper is a contextual analysis of universities in the Netherlands: an analysis of the key issues and external developments, and how they affect the academic organization, the organization of academic work and the characteristics and preferences of scientists. Subsequently, we will discuss effects of these developments on the HRM system and policy (and in specific the management of talent or excellence). We will use multiple theoretical frameworks and perspectives grounded in organizational theory to describe Dutch universities and their context: structural frame, professional frame, cultural frame and political frame. Most literature discusses one aspect of the academic organization: education or research aspect, HRM aspect, financial aspect et cetera. Seldom the different aspects have been presented as one integrated entity. We want to show that using multiple frames or lenses will lead to an integrated, enriched and more balanced view of a situation.
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Light enables us to see and perceive our environment but it also initiates effects beyond vision, such as alertness. Literature describes that at least six factors are relevant for initiating effects beyond vision. The exact relationship between these factors and alertness is not yet fully understood. In the current field study, personal lighting conditions of 62 Dutch office workers (aged 49.7 ± 11.4 years) were continuously measured and simultaneously self-reported activities and locations during the day were gathered via diaries. Each office worker participated 10 working days in spring 2017. Personal lighting conditions were interpreted based on four of the six factors (light quantity, spectrum, timing, and duration of light exposure). Large individual differences were found for the daily luminous exposures, illuminances, correlated colour temperatures, and irradiances measured with the blue sensor area of the dosimeter. The average illuminance (over all participants and all days) over the course of the day peaked three times. The analysis of the duration of light exposure demonstrated that the participants were on average only exposed to an illuminance above 1000 lx for 72 minutes per day. The interpretation of personal lighting conditions based on the four factors provides essential information since all of these factors may be relevant for initiating effects beyond vision. The findings in the current paper give first in-depth insight in the possibilities to interpret personal lighting conditions of office workers.
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