A loss of physical functioning (i.e., a low physical capacity and/or a low physical activity) is a common feature in patients with chronic obstructive pulmonary disease (COPD). To date, the primary care physiotherapy and specialized pulmonary rehabilitation are clearly underused, and limited to patients with a moderate to very severe degree of airflow limitation (GOLD stage 2 or higher). However, improved referral rates are a necessity to lower the burden for patients with COPD and for society. Therefore, a multidisciplinary group of healthcare professionals and scientists proposes a new model for referral of patients with COPD to the right type of exercise-based care, irrespective of the degree of airflow limitation. Indeed, disease instability (recent hospitalization, yes/no), the burden of disease (no/low, mild/moderate or high), physical capacity (low or preserved) and physical activity (low or preserved) need to be used to allocate patients to one of the six distinct patient profiles. Patients with profile 1 or 2 will not be referred for physiotherapy; patients with profiles 3–5 will be referred for primary care physiotherapy; and patients with profile 6 will be referred for screening for specialized pulmonary rehabilitation. The proposed Dutch model has the intention to get the right patient with COPD allocated to the right type of exercise-based care and at the right moment.
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In opdracht van het ministerie van Binnenlandse Zaken en Koninkrijksrelaties heeft het lectoraat Changing Role of Europe van De Haagse Hogeschool de rol van de Dutch Urban Envoy geëvalueerd. De betekenis, de inzet, het vervolg en de toekomstige invulling van de rol van de Dutch Urban Envoy komen aan bod. Op basis van de inzichten van 37 interviews met 39 betrokken partijen (van het Ministerie van BZK, Nederlandse steden, Europese steden, koepelorganisaties, Europese instellingen en andere ministeries binnen de Rijksoverheid) en deskresearch zijn de volgende conclusies en aanbevelingen geformuleerd.
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Blog post op de blog van het Amsterdam Creative Industries Network. Tijdens de Berlin Music Week hebben Inholland-onderzoekers Koos Zwaan en Sabine de Lat van het lectoraat Media, Cultuur en Burgerschap de eerste bevindingen gepresenteerd van een lopend onderzoeksproject getiteld ‘No Limits: The Value of Dutch Music in the Online Domain’.
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Op 1 januari 2013 wordt de Wet Bestuur en Toezicht naar verwachting van kracht1. Na invoering van deze wet kunnen bedrijven gemakkelijker kiezen uit de one-tier board en de two-tier board als bestuursmodel. Shell heeft in 2005 het one-tier model ingevoerd en kan dus al de eerste balans opmaken. Ervaringen bij Shell en lessen voor bedrijven die volgen.
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Purpose: The purpose of this research is to develop a “risk resilience model” for agricultural SMEs, that prepares farmers to the effects of major environmental challenges like climate change and weather shocks. Methodology: Action research is the methodology used. It was based on a template for qualitative research. Involved in the inquiry, action and reflection phase are: four Dutch SME farmers, strategic risk management experts, agricultural experts, and bachelor students. Findings: As an outcome of this study, a “risk resilience model” has been developed. It supports farmers/agribusiness firms to reach their orientation to a longer timeframe. Systemically seen, it provides a holistic view that enables farmers/entrepreneurs, and stakeholders to operationalize their ambitions from a responsible and sustainable business, including environmental, social, governance elements in interaction with the system they are part of. Originality and value: This study contributes by proposing a “risk resilience model” for SME farmers. Furthermore, the study conceptualizes risk resilience for farmers, by looking through a lens of multiple value creation in a dynamic context and based on insights from different fields, actual ESG knowledge, and determinants for risk resilience, competitive advantage and agricultural resilience.
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Civil society as a social sphere is constantly subjected to change. Using the Dutch context, this article addresses the question whether religiously inspired engagement is a binder or a breakpoint in modern societies. The author examines how religiously inspired people in the Netherlands involve themselves in non-governmental organizations (NGOs) and voluntary activities. Religious involvement and social engagement in different European countries are compared and discussed. In addition, the author explores the models of civil society and applies these to both the Christian and Islamic civil society in the Netherlands. Using four religious ‘identity organizations’ as case studies, this article discusses the interaction of Christian and Islamic civil society related to secularized Dutch society. The character and intentions of religiously inspired organizations and the relationship between religious and secular involvement are examined. This study also focuses on the attitude of policymakers towards religiously inspired engagement and government policy on ‘identity organizations’ in the Netherlands.
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Learning analytics can help higher educational institutions improve learning. Its adoption, however, is a complex undertaking. The Learning Analytics Capability Model describes what 34 organizational capabilities must be developed to support the successful adoption of learning analytics. This paper described the first iteration to evaluate and refine the current, theoretical model. During a case study, we conducted four semi-structured interviews and collected (internal) documentation at a Dutch university that is mature in the use of student data to improve learning. Based on the empirical data, we merged seven capabilities, renamed three capabilities, and improved the definitions of all others. Six capabilities absent in extant learning analytics models are present at the case organization, implying that they are important to learning analytics adoption. As a result, the new, refined Learning Analytics Capability Model comprises 31 capabilities. Finally, some challenges were identified, showing that even mature organizations still have issues to overcome.
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Artificial Intelligence (AI) offers organizations unprecedented opportunities. However, one of the risks of using AI is that its outcomes and inner workings are not intelligible. In industries where trust is critical, such as healthcare and finance, explainable AI (XAI) is a necessity. However, the implementation of XAI is not straightforward, as it requires addressing both technical and social aspects. Previous studies on XAI primarily focused on either technical or social aspects and lacked a practical perspective. This study aims to empirically examine the XAI related aspects faced by developers, users, and managers of AI systems during the development process of the AI system. To this end, a multiple case study was conducted in two Dutch financial services companies using four use cases. Our findings reveal a wide range of aspects that must be considered during XAI implementation, which we grouped and integrated into a conceptual model. This model helps practitioners to make informed decisions when developing XAI. We argue that the diversity of aspects to consider necessitates an XAI “by design” approach, especially in high-risk use cases in industries where the stakes are high such as finance, public services, and healthcare. As such, the conceptual model offers a taxonomy for method engineering of XAI related methods, techniques, and tools.
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The instrument called Families Importance in Nursing Care-Nurses' Attitudes (FINC-NA) is used to measure nurses' attitudes toward involving families in their nursing care. The aim of this study is to evaluate the FINC-NA scale in a population of Dutch nurses and add new psychometric information to existing knowledge about this instrument. Using a cross-sectional design, 1,211 nurses received an online application in 2015. Psychometric properties were based on polychoric correlations and the Generalized Partial Credit Model. A total of 597 (49%) nurses responded to the online application. Results confirmed a four-subscale structure. All response categories were utilized, although some ceiling effects occurred. Most items increase monotonically, and the majority of items discriminate well between different latent trait scores of nurses with some items providing more information than others. This study reports the psychometric properties of the Dutch language FINC-NA instrument. New insights into the construct and content of items enable the possibility of a more generic instrument that could be valid across several cultures.
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Aims: To evaluate the effects of the implementation of a professional practice model based on Magnet principles on the nurse work environment in a Dutch teaching hospital. Design: A quasi-experimental study. Methods: Data were collected from registered nurses working on the clinical wards and outpatient clinics of the hospital in June/July 2016 (baseline) and in June/September 2019 (measurement of effects). Participants completed the Dutch Essentials of Magnetism II survey, which was used to measure their perception of their work environment. After baseline measurements were collected, interventions based on a professional practice model incorporating Magnet principles were implemented to improve the nurse work environment. Descriptive statistics and independent t-tests were conducted to examine differences between survey outcomes in 2016 and 2019. Results: Survey outcomes revealed significant changes in the nurse work environment between 2016 and 2019. Seven of the eight subscales (essentials of magnetism) improved significantly. Score for overall job satisfaction increased from 7.3 to 8.0 and score for quality of care increased from 7.0 to 7.6. On unit level, 17 of the 19 units showed improvement in the nurse work environment. Conclusion: The implementation of a professional practice model positively affects the nurse work environment, job satisfaction and quality of care. Impact: Nowadays, the quality of care is threatened by workload pressure and the low autonomy experienced by nurses. Considering the global shortage of nurses and growing complexity of healthcare, it is important to invest in improving the nurse work environment. The Magnet concept created a work environment in which nurses can deliver optimal quality of care. Knowledge of how Magnet principles affect the nurse work environment in the Netherlands is missing. These study results, including the description of how the interventions were implemented, will assist other hospitals to develop improvement strategies by focusing on the nurse work environment.
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