To face the challenges of an ageing population, many Western countries nowadays stimulate an ageing in place policy to empower older adults to grow old in their own homes with the highest degree of self‐reliance. However, many community‐living older adults experience limitations in (instrumental) activities of daily living ((I)ADLs), which may result in a need for home‐care services. Unfortunately, home‐care workers often provide support by taking over tasks, as they are used to doing things for older adults rather than with them, which undermines their possibilities to maintain their self‐care capabilities. In contrast, reablement focuses on capabilities and opportunities of older adults, rather than on disease and dependency. Consequently, older adults are stimulated to be as active as possible during daily and physical activities. The 'Stay Active at Home' programme was designed to train home‐care workers to apply reablement in practice. To explore the experiences of home‐care workers with this programme an exploratory study was conducting in the Netherlands, between April and July, 2017. In total, 20 participants were interviewed: nine nurses (including a district nurse), 10 domestic support workers and the manager of the domestic support workers. The semi‐structured interviews focused on the experienced improvements with regard to knowledge, skills, self‐efficacy and social support. Furthermore, the most and least appreciated programme components were identified. The study has shown that home‐care workers perceived the programme as useful to apply reablement. However, they also need more support with mastering particular skills and dealing with challenging situations. Future implementation of the 'Stay Active at Home' programme can potentially benefit from small adaptions. Furthermore, future research is needed to examine whether the programme leads to more (cost‐) effective home care.
This article describes a European project which was aimed at improving the situation of persons with psychiatric or learning disabilities with regard to social participation and citizenship. The project took place in three countries (Estonia, Hungary and the Netherlands) and four cities (Tallinn, Budapest, Amersfoort and Maastricht). The project included research and actions at the policy level, the organizational level and the practice level. At the policy level, the framework of the United Nations Convention on the Rights of Persons with Disabilities (United Nations, 2006) and the European Disability Strategy (European Commission, 2010) were used to look at national and local policies, at the reality of the lives of those with disabilities and at the support that professional services offer with regard to participation and inclusion. The project generated a number of insights, recommendations and methods by which to improve the quality of services and increase the number of opportunities for community engagement. In this article, we present some of the lessons learned from the meta-analysis. Although the circumstances in each country are quite different with regard to policy, culture and service systems, it is remarkable that people with disabilities face many of the same problems. The study shows that in all three countries, access to services could be improved. Barriers include bureaucratic procedures and a lack of services. The research identified that in every country and city there are considerable barriers regarding equal participation in the field of housing, work and leisure activities. In addition to financial barriers, there are the barriers of stigma and self-stigmatization. Marginalization keeps people in an unequal position and hinders their recovery and participation. In all countries, professionals need to develop a stronger focus on supporting the participation of their clients in public life and in the development of different roles pertaining to citizenship
Increasing attention has been paid to the ‘voice’ of people living with mild cognitive impairment (MCI) or dementia, but there is a lack of clarity about how everyday life is perceived from this insider’s perspective. This study aimed to explore the everyday life experiences, challenges and facilitators of individuals with MCI and dementia living at home. A scoping review of qualitative studies, guided by the Joanna Briggs Institute Reviewers Manual, was conducted. Eight databases were searched, resulting in 6345 records, of which 58 papers published between 2011 and 2021 were included. Analysis was carried out by descriptive content analysis. Findings were categorized into seven spheres of everyday life: experiences related to the condition, self, relationships, activities, environment, health and social care and public opinions. The results show many disruptions and losses in everyday life and how people try to accommodate these changes. In all areas of everyday life, people show a deep desire to have reciprocal relationships, stay engaged through participation in activities and have a sense of belonging in the community. However, more research is needed on the factors that promote and impede the sense of reciprocity and belonging.
MULTIFILE
For the development of a circular economy and the reduction of the environmental impact of supply chains, the sharing of reliable information throughout the entire chain is a prerequisite. In practice, this is difficult to realise which blockchain can improve. BCLivingLab aims to explore the application of blockchain technology in supply chain and logistics. The project develops four physical hubs and a virtual repository for blockchain knowledge to support SME’s in developing use-cases and experiment with blockchain applications. The ambition is to build a community of interested stakeholders and to be involved in current and future blockchain initiatives.
For the development of a circular economy and the reduction of the environmental impact of supply chains, the sharing of reliable information throughout the entire chain is a prerequisite. In practice, this is difficult to realise which blockchain can improve. BCLivingLab aims to explore the application of blockchain technology in supply chain and logistics. The project develops four physical hubs and a virtual repository for blockchain knowledge to support SME’s in developing use-cases and experiment with blockchain applications. The ambition is to build a community of interested stakeholders and to be involved in current and future blockchain initiatives.
Als invulling voor de City Deal Kennis Maken willen de gemeente Leeuwarden en de onderwijsinstellingen (MBO, HBO en WO) in nauwe samenwerking met bedrijfsleven en maatschappelijke instellingen hun krachten bundelen voor het oplossen van relevante vraagstukken. De stad heeft gezien de rurale context in Noord-Nederland een brede definitie, onder het motto “De Stad als campus, de regio als proeftuin”. De uitgangspunten zijn: - Er wordt in eerste instantie gewerkt aan thema’s en uitgangspunten vanuit de Kennisagenda Fryslân die vanuit het Hoger Onderwijs Akkoord Fryslân, naar een innovatieve en lerende regio is opgesteld, - De uitdagingen worden aangepakt vanuit een multi-disciplinaire en multi-level (MBO, HBO en WO) aanpak. - De activiteiten vinden zoveel mogelijk plaats in zogenaamde living labs . - Het Innovatie Pact Fryslân, een samenwerkingsverband tussen het Friese hoger onderwijs, het beroepsonderwijs, het bedrijfsleven, de provincie Fryslân en de F4 gemeenten en Hoger Onderwijs Akkoord Fryslân overleg (zie figuur 2) als strategisch platform inzetten. In algemene zin de activiteiten die in dit kader uitgevoerd gaan worden zijn: 1. Het aanstellen van een kwartiermaker/ kennismakelaar die maatschappelijke vraagstukken in kaart brengt en kan koppelen aan de partners. 2. Als pilot, het inrichten van een aantal living labs op basis van een multi-disciplinaire- en multi-level aanpak. Studenten van meerdere kennisinstellingen en verschillende opleidingen zullen hieraan deelnemen om meerdere invalshoeken te krijgen om de maatschappelijke uitdagingen aan te pakken. Als hoogtepunt zal er een groot inspiratie-event georganiseerd worden (“Fryslân breekt uit”). 3. Het opstellen van een gezamenlijke living lab agenda, waarin gewerkt wordt aan de afstemming en uitvoering van de living labs. NHL Stenden Hogeschool zal als penvoerder optreden en met de gemeente Leeuwarden als consortiumpartners aan te merken. Daarnaast zullen de O3 partners (onderwijs/onderzoek/ondernemers) verenigd binnen het IPF een belangrijke rol krijgen voor afstemming, maar ook in de uitvoer.
