PurposePalliative care improves quality of life of patients and relatives facing life-threatening illnesses; it places their needs central (WHO, 2015). It is however unknown if facility design in Dutch hospice care facilities fulfils these needs. This paper aims to establish if services and spaces of hospice care providers match with needs of users.DesignThis explorative study includes a literature review on needs and supporting services and spaces, using evidence-based design and indoor-environment design literature. Semi-structured interviews were conducted with caregivers and support staff.FindingsPatients in the final stages of life need a last refuge that requires a higher standard when compared to regular healthcare environments. The spaces and service delivery processes at hospices seem to be optimal while in other (hospice) care settings users miss adequate spaces and services. In addition, management in care systems needs to reconfigure accordingly in order to offer flexible customisation e.g. allocation of staff. Several space and service requirements have been identified, like domesticity, lay-out, style of décor, space for loved ones, quiet, and personal artefacts.Practical implicationsThe research findings will be used for follow-up research that will result in aligning the designs of spaces and services with needs of hospice care users.Originality/ValueThe role of facility management in palliative care has rarely been studied. Current findings may be regarded as a starting point for further investigation in this area, allowing hospice care to improve its spaces and services in order to meet patients’ and relatives’ needs.
Self-efficacy and outcome expectations regarding client activation determine professionals’ level of actively engaging clients during daily activities. The Client Activation Self-Efficacy and Outcome Expectation Scales for nurses and domestic support workers (DSWs) were developed to measure these concepts. This study aimed to assess their psychometric properties. Cross-sectional data from a sample of Dutch nurses (n=150) and DSWs (n=155) were analysed. Descriptive statistics were used to examine floor and ceiling effects. Construct validity was assessed by testing research-based hypotheses. Internal consistency was determined with Cronbach’s alpha. The scales for nurses showed a ceiling effect. There were no floor or ceiling effects in the scales for domestic support workers. Three out of five hypotheses could be confirmed (construct validity). For all scales, Cronbach’s alpha coefficients exceeded 0.70. In conclusion, all scales had moderate construct validity and high internal consistency. Further research is needed concerning their construct validity, testretest reliability and sensitivity to change.
Athor supplied : "This paper describes an agent-based architecture for domotics. This architecture is based on requirements about expandability and hardware independence. The heart of the system is a multi-agent system. This system is distributed over several platforms to open the possibility to tie the agents directly to the actuators, sensors and devices involved. This way a level of abstraction is created and all intelligence of the system as a whole is related to the agents involved. A proof of concept has been built and functions as expected. By implementing real and simulated devices and an easy to use graphical interface, all kind of compositions can be studied using this platform."
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