Blood draws for laboratory investigations are essential for patient management in neonatal intensive care units (NICU). When blood samples clot before analysis, they are rejected, which delays treatment decisions and necessitates repeated sampling.
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ObjectiveTo obtain insights into parents' information needs during the first year at home with their very preterm (VP) born infant.MethodsWe conducted semi-structured interviews with parents of VP infants participating in a post-discharge responsive parenting intervention (TOP program). Online interviews were audiotaped and transcribed verbatim. Inductive thematic analysis was performed by two independent coders.ResultsTen participants were interviewed and had various and changing information needs during the developmental trajectory of their infant. Three main themes emerged; (1) Help me understand and cope, (2) Be fully responsible for my baby, and (3) Teach me to do it myself. Available and used sources, such as the Internet, did not meet their information needs. Participants preferred their available and knowledgeable healthcare professionals for reassurance, tailored information, and practical guidance.ConclusionThis study identified parents' information needs during the first year at home with their VP infant and uncovered underlying re-appearing needs to gain confidence in child-caring abilities and autonomy in decision-making about their infants' care.InnovationThis study provides valuable information for healthcare professionals and eHealth developers to support parental self-efficacy during the first year after preterm birth.
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Emergency care (from ambulance to emergency room) is focused on somatic care: fixing the body. When a patient with mental dysregulation who experiences ‘disproportionate feelings like fear, anger, sadness or confusion, possibly with associated behaviours’ (Van de Glind et al. 2023) does not get appropriate attention, this can result in the disruption of treatment and even psychological trauma upon trauma. To improve the emergency care process, the authors of this paper - health researchers and design researchers engaged in a project based on the experience-based co-design (EBCD) approach (Donetto et al. 2015; Bate and Robert 2007). EBCD is a method used to design better experiences in healthcare settings, in cooperation with (former) patients and healthcare professionals. The process of EBCD involves partnerships between stakeholders and the discovery and sensemaking of experiences through specialized methods to gain an understanding of the interface between user and service, to design new experiences (Bate and Robert 2007, 31). There is, however, an interesting challenge in bringing patients and care professionals together. In emergency care, patients depend greatly on their healthcare providers. The patients in this study had existing mental vulnerabilities and may have been traumatized by previous visits. We needed to enable these stakeholders to be equal partners with ownership and power, one of the characteristics of co-design in EBCD (Donetto et al. 2015). In this paper, we describe how we adapted and applied the EBCD method, with a focus on creating equal partnerships. We also reflect on the extent of our success and the diBiculties we encountered in attaining this objective.
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Nature areas in North-West Europe (NWE) face an increasing number of visitors (intensified by COVID-19) resulting in an increased pressure on nature, negative environmental impacts, higher management costs, and nuisance for local residents and visitors. The high share of car use exaggerates these impacts, including peak pressures. Furthermore, the almost exclusive access by car excludes disadvantaged people, specifically those without access to a car. At the same time, the urbanised character of NWE, its dense public transport network, well-developed tourism & recreation sector, and presence of shared mobility providers offers ample opportunities for more sustainable tourism. Thus, MONA will stimulate sustainable tourism in and around nature areas in NWE which benefits nature, the environment, visitors, and the local economy. MONA will do so by encouraging a modal shift through facilitating sustainableThe pan-European Innovation Action, funded under the Horizon Europe Framework Programme, aims to promote innovative governance processes ,and help public authorities in shaping their climate mitigation and adaptation policies. To achieve this aim, the GREENGAGE project will leverage citizens’ participation and equip them with innovative digital solutions that will transform citizen’s engagement and cities’ effectiveness in delivering the European Green Deal objectives for carbon neutral cities.Focusing on mobility, air quality and healthy living, citizens will be inspired to observe and co-create their cities by sensing their urban environments. The aim to complement, validate, and enrich information in authoritative data held by the public administrations and public agencies. This will be facilitated by engaging with citizens to co-create green initiatives and to develop Citizen Observatories. In GREENGAGE, Citizen Observatories will be a place where pilot cities will co-examine environmental issues integrating novel bottom-up process with top-down perspectives. This will provide the basis to co-create and co-design innovative solutions to monitor environmental problems at ground level with the help of citizens.With two interrelated project dimensions, the project aims to enhance intelligence applied to city decision-making processes and governance by engaging with citizen observations integrated with Copernicus, GEOSS, in-situ, and socio-economic intelligence, and by delivering innovative governance models based on novel toolboxes of decision-making methodologies and technologies. The envisioned citizens observatory campaigns will be deployed and fully demonstrated in 5 pilot engagements in selected European cities and regions including: Bristol (the United Kingdom), Copenhagen (Denmark), Turano / Gerace (Italy) and the region of Noord Brabant (the Netherlands). These innovation pilots aim to highlight the need for smart city governance by promoting citizen engagement, co-creation, gathering new data which will complement existing datasets and evidence-based decision and policymaking.
We produceren en consumeren meer mode dan we nodig hebben, met te veel impact op mens en milieu. Mode aankopen zijn vaak impulsief en worden ter plekke, in de winkel besloten. Daar ligt dus een kans, maar wanneer gaan we als consument vaker voor duurzame mode kiezen, en hoe kunnen duurzame mode retailers ons daartoe verleiden?Doel Annuska werkt vanuit Lectoraat Marketing en Customer Experience (HU) samen het Copernicus Institute of Sustainable Development (Universiteit Utrecht) aan promotie onderzoek. Het doel van haar promotieonderzoek is om vanuit marketing perspectief bij te dragen aan duurzaamheidsdoelstellingen en consumenten te bewegen naar een duurzame kledingkast. Resultaten Het promotie onderzoek heeft de vorm van een monografie. Tussentijds worden deelresultaten verspreid, bijvoorbeeld in de vorm van blogs bij SWOCC, samenwerking met het UU Sustainable Behavior team & UU fashion onderzoekers, bijdrage aan (internationale, academische) congressen zoals PLATE, en door kennis te delen in onderwijs op de Hogeschool Utrecht (bijv. in de Minor ‘Marketing van duurzame oplossingen’). In een deel van het onderzoek wordt het SHIFT framework gehanteerd als analytische lens. In onderstaande kennisclip legt Annuska deze lens kort uit. iFrame: Looptijd 01 november 2020 - 31 december 2024 Aanpak Dit mixed-method onderzoek kent vier deelstudies, waaronder 1) literatuuronderzoek naar factoren die consumenten beïnvloeden om duurzame mode te kiezen, 2) interviews met duurzame mode retailers hoe zij consumenten overtuigen, 3) een verdiepende vergelijking tussen twee perspectieven voor Resale, en 4) kwantitatief onderzoek.
We produceren en consumeren meer mode dan we nodig hebben, met te veel impact op mens en milieu. Mode aankopen zijn vaak impulsief en worden ter plekke, in de winkel besloten. Daar ligt dus een kans, maar wanneer gaan we als consument vaker voor duurzame mode kiezen, en hoe kunnen duurzame mode retailers ons daartoe verleiden?