Background: According to the principles of Reablement, home care services are meant to be goal-oriented, holistic and person-centred taking into account the capabilities and opportunities of older adults. However, home care services traditionally focus on doing things for older adults rather than with them. To implement Reablement in practice, the ‘Stay Active at Home’ programme was developed. It is assumed that the programme leads to a reduction in sedentary behaviour in older adults and consequently more cost-effective outcomes in terms of their health and wellbeing. However, this has yet to be proven. Methods/ design: A two-group cluster randomised controlled trial with 12 months follow-up will be conducted. Ten nursing teams will be selected, pre-stratified on working area and randomised into an intervention group (‘Stay Active at Home’) or control group (no training). All nurses of the participating teams are eligible to participate in the study. Older adults and, if applicable, their domestic support workers (DSWs) will be allocated to the intervention or control group as well, based on the allocation of the nursing team. Older adults are eligible to participate, if they: 1) receive homecare services by the selected teams; and 2) are 65 years or older. Older adults will be excluded if they: 1) are terminally ill or bedbound; 2) have serious cognitive or psychological problems; or 3) are unable to communicate in Dutch. DSWs are eligible to participate if they provide services to clients who fulfil the eligibility criteria for older adults. The study consists of an effect evaluation (primary outcome: sedentary behaviour in older adults), an economic evaluation and a process evaluation. Data for the effect and economic evaluation will be collected at baseline and 6 and/or 12 months after baseline using performance-based and self-reported measures. In addition, data from client records will be extracted. A mixed-methods design will be applied for the process evaluation, collecting data of older adults and professionals throughout the study period. Discussion: This study will result in evidence about the effectiveness, cost-effectiveness and feasibility of the ‘Stay Active at Home’ programme.
Background: The shift in healthcare to extramural leads to more patients with complex health problems receiving nursing care at home. However, the interest of baccalaureate nursing students for community nursing is moderate, which contributes to widespread labour-market shortages. This study investigates the effect of a more ‘communitycare-oriented’ curriculum on nursing students’ perceptions of community care. Methods: A quasi-experimental quantitative survey study with a historic control group (n = 477; study cohorts graduating in 2015, 2016, and 2017; response rate 90%) and an intervention group (n = 170; graduating in 2018; response rate 93%) was performed in nursing students of a University of Applied Sciences in a large city in the Netherlands. The intervention group underwent a new curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). The control and intervention group were compared on demographics, placement preferences and perceptions with a chi-square or T-test. Multiple regression was used to investigate the effect of the curriculum-redesign on nursing students’ perceptions of community care.Results: The comparison between the control and intervention group on students’ perceptions of community care shows no significant differences (mean 6.18 vs 6.21 [range 1–10], respectively), nor does the curriculum-redesign have a positive effect on students’ perceptions F (1,635) = .021, p = .884, R2 = < .001. The comparison on placement preferences also shows no significant differences and confirms the hospital’s popularity (72.7% vs 76.5%, respectively) while community care is less often preferred (9.2% vs 8.2%, respectively). The demographics ‘working in community care’ and ‘belonging to a church/religious group’ appear to be significant predictors of more positive perceptions of community care. Conclusions: Graduating students who experienced a more ‘community-care-oriented’ curriculum did not more often prefer community care placement, nor did their perceptions of community care change. Apparently, four years of education and placement experiences have only little impact and students’ perceptions are relatively static. It would be worth a try to conduct a large-scale approach in combination with a carefully thought out strategy, based on and tying in with the language and culture of younger people. Keywords: Community care, Nurse education, Curriculum design, Perceptions, Career choice
A case study and method development research of online simulation gaming to enhance youth care knowlegde exchange. Youth care professionals affirm that the application used has enough relevance as an additional tool for knowledge construction about complex cases. They state that the usability of the application is suitable, however some remarks are given to adapt the virtual environment to the special needs of youth care knowledge exchange. The method of online simulation gaming appears to be useful to improve network competences and to explore the hidden professional capacities of the participant as to the construction of situational cognition, discourse participation and the accountability of intervention choices.
"Lifestyle and Digital Sovereignty, a new-media arts approach to collective technological empowerment for holistic care" is een praktijkgericht artistiek onderzoekstraject dat een nieuwe mediakunstinterventie creëert in het domein van de gezondheidszorg. Dit project onderzoekt hoe artistieke interventies die technologische processen integreren kennis kunnen genereren die kan worden toegepast in een bredere context, namelijk het verhogen van gezonde levensstijlgewoonten bij de bevolking. Het onderzoekt hoe artistiek onderzoek de digitale geletterdheid kan vergroten en deelnemers in staat kan stellen hun levensstijlgewoonten te beheren met behulp van kunstmatige intelligentie, waardoor ze op een soevereine manier kunnen interageren met technologische sensoren en systemen. Het project omvat een mensgerichte benadering van AI, in overeenstemming met de ethische en morele vereisten ervan. Het zal veldonderzoek toepassen in de vorm van AT-LABS: een ruimte in kaart gebracht door middel van technologie en artistiek geïntervenieerd door middel van geluid, licht en choreografie, om een optimale bodem te creëren voor artistiek onderzoek naar gemeenschapsvorming, technologisch gemedieerde interactie, digitale geletterdheid en performatieve praktijk, die een interdisciplinaire aanpak mogelijk maakt. De AT-LAB's vinden iteratief plaats tijdens het vierjarige doctoraatstraject. De informatie die bij elke interventie wordt verzameld, zal leiden tot aanpassingen en verbeteringen in de volgende iteraties. De tweede onderzoekslijn zal de artistieke mogelijkheden van nieuwe mediakunst in deze context bekijken en onderzoeken. Het project wordt uitgevoerd binnen het Consortium Healthy Living as a Service (HLaS), een programma geleid door het Universitair Medisch Centrum Groningen (UMCG). Verder zal worden samengewerkt met V2_ Lab for the Unstable Media, en ARC in het Noorden. Het wordt begeleid door Prof. Dr. Anke Coumans van de onderzoeksgroep Image in Context van de Hanze Hogeschool en Dr. Bianca Herlo, UDK Berlin, Design Research Group. Secundaire professionele begeleiders zijn Dr. Michel Dartel, V2_ Avans Hogeschool, en Prof. Dr. Claudine Lamoth, UMCG, en leider van het HLaS project.
