Climate change is now considered more than just an environmental issue, with far-reaching effects for society at large. While the exact implications of climate change for policing practice are still unknown, over the past two decades criminologists have anticipated that climate change will have a number of effects that will result in compromised safety and security. This article is informed by the outcome of a co-creation workshop with 16 practitioners and scholars of diverse backgrounds based in The Netherlands, who sought to conceptualize and systematize the existing knowledge on how climate change will most likely impact the professional practice of the Dutch (or any other) police. These challenges, with varying degrees of intensity, are observable at three main levels: the societal, organizational, and individual level. These levels cannot be separated neatly in practice but we use them as a structuring device, and to illustrate how dynamics on one level impact the others. This article aims to establish the precepts necessary to consider when exploring the intersection between climate change and policing. We conclude that much still needs to be done to ensure that the implications of climate change and the subject of policing are better aligned, and that climate change is recognized as an immediate challenge experienced on the ground and not treated as a distant, intangible phenomenon with possible future impacts. This starts with creating awareness about the possible ways in which it is already impacting the functioning of policing organizations, as well as their longer-term repercussions.
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Background: The need for effective continuing education is especially high in in-hospital geriatric care, as older patients have a higher risk of complications, such as falls. It is important that nurses are able to prevent them. However, it remains unknown which interventions change the behavior of nurses. Therefore, the aim of this study is to identify intervention options to change the behavior of hospital nurses regarding fall prevention among older hospitalized patients. Methods: This study used a mixed method design. The Behavior Change Wheel (BCW) was used to identify intervention functions and policy categories to change the behavior of nurses regarding fall prevention. This study followed the eight steps of the BCW and two methods of data collection were used: five focus groups and three Delphi rounds. The focus groups were held with hospital nurses (n = 26). Geriatric experts (n = 11), managers (n = 13) and educators (n = 13) were included in the Delphi rounds. All data were collected within ten tertiary teaching hospitals in the Netherlands. All participants were included based on predefined in- and exclusion criteria and availability. Results: In Geriatric experts’ opinions interventions targeting behavior change of nurses regarding fall prevention should aim at ‘after-care’, ‘estimating fall risk’ and ‘providing information’. However, in nurses’ opinions it should target; ‘providing information’, ‘fall prevention’ and ‘multifactorial fall risk assessment’. Nurses experience a diversity of limitations relating to capability, opportunity and motivation to prevent fall incidents among older patients. Based on these limitations educational experts identified three intervention functions: Incentivisation, modelling and enablement. Managers selected the following policy categories; communication/marketing, regulation and environmental/social planning. Conclusions: The results of this study show there is a discrepancy in opinions of nurses, geriatric experts, managers and educators. Further insight in the role and collaboration of managers, educators and nurses is necessary for the development of education programs strengthening change at the workplace that enable excellence in nursing practice. DOI: https://doi.org/10.1186/s12912-021-00598-z
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Past research on designing for behavioural change mostly concerned linear design processes, whereas in practice, Agile design methods are increasingly popular. This paper evaluates the possibilities and limitations of using Agile design methods in theory-driven design for behavioural change. We performed a design case study, consisting of a student design team working on improving waiting experiences at Schiphol Airport security and check-in. Our study showed that Agile design methods are usable when designing for behavioural change. Moreover, the Behavioural Lenses toolkit used in the design process is beneficial in facilitating theory-driven Agile design. The combination of an Agile design process and tools to evidentially inform the design enabled the design team to formulate viable and interesting concepts for improving waiting-line experiences. However, limitations also occurred: a mismatch between the rate at which the Scream method proceeded and the time and momentum needed to conduct in-depth research.
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Vragenlijsten die fysiotherapeuten gebruiken om behandeluitkomsten te meten zijn vaak lang en bevatten soms irrelevante vragen. Dit probleem kan opgelost worden door gebruik te maken van PROMIS-CAT (Computer Adaptief Testen). Door deze slimme manier van meten hoeven nog maar vier tot zeven vragen ingevuld te worden voor een betrouwbare score.Doel Het doel van dit project is het onderzoeken van de feasibility (haalbaarheid) van voor de fysiotherapie relevante PROMIS-CAT instrumenten. Resultaten Dit onderzoek loopt nog. We zullen de resultaten hier later publiceren. Het onderzoek is verdeeld in vijf werkpakketten: Wat is de meetfout en bij welke verschilscore is de verandering groter dan de meetfout van de PROMIS-CAT instrumenten (test-hertest betrouwbaarheid en Smallest Detectable Change)? Kunnen de PROMIS-CAT instrumenten verandering goed meten en met welke score is de verandering relevant voor patiënten (responsiviteit en Minimal Important Change)? Wat is de behoefte, aanvaardbaarheid, implementeerbaarheid en praktische toepasbaarheid van de PROMIS-CAT instrumenten? Welke scholing kunnen we ontwikkelen die nodig is voor implementatie van de PROMIS-CAT instrumenten in de eerstelijns fysiotherapie? Wat is het effect van deze scholing op het gebruik en de haalbaarheid van de PROMIS-CAT instrumenten? Looptijd 01 juni 2021 - 31 mei 2023 Aanpak In een pilotproject zijn de PROMIS-CAT instrumenten ingebouwd in het Elektronisch Patiënten Dossier “Fysiomanager”. Fysiotherapeuten nemen de PROMIS-CAT instrumenten gedurende een half jaar af, naast de huidige gebruikte vragenlijsten. Door middel van interviews worden ervaringen van fysiotherapeuten en patiënten in kaart gebracht en wordt een scholing ontwikkeld en geëvalueerd. Relevantie Indien de PROMIS-CAT instrumenten goede meeteigenschappen hebben en praktisch goed toepasbaar zijn, kan de belasting voor het invullen van vragenlijsten voor patiënten en fysiotherapeuten aanzienlijk afnemen. De verwachting is dat de PROMIS-CAT instrumenten de huidige lange vragenlijsten op termijn kunnen gaan vervangen en de nieuwe gouden standaard in uitkomstmetingen kunnen worden. Quote Met dit onderzoek brengen we uitkomstgerichte zorg een stukje dichter bij de patiënt en de fysiotherapeut” (Dr. Caroline Terwee, Dutch-Flemish PROMIS National Center).
Vragenlijsten die fysiotherapeuten gebruiken om behandeluitkomsten te meten zijn vaak lang en bevatten soms irrelevante vragen. Dit probleem kan opgelost worden door gebruik te maken van PROMIS-CAT (Computer Adaptief Testen). Door deze slimme manier van meten hoeven nog maar vier tot zeven vragen ingevuld te worden voor een betrouwbare score.
