This article proposes that identity formation and reformation are important dynamics that influence and are influenced by the course of a sustainability transition. We study identity (re-)formation in the transition of the dairy sector in a rural area in the Netherlands: the Green Heart. Soil subsidence, high emissions, and economic pressures require substantial changes in practices in the dairy sector and most importantly, the landscape that it is intertwined with. We use narrative analysis to study identity (re-)formation in two new stakeholder collectives that aim to address sustainability in the area. We identify discrepancies between the narratives in these collectives and the transition challenge. These discrepancies can be explained by the role that the landscape of the Green Heart plays in the identity (re-)formation within these collectives. The attachment to the current landscape forms a lock-in for the sustainability transition in this area.
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Objectives: To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC). Design: Qualitative study conducted through semi-structured in-depth interviews. Setting: Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants: In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis: All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results: 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. Conclusions: European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
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By having a healthy and happy social life, social needs are fulfilled. When social needs are not fulfilled, loneliness and social isolation can occur, which have negative consequences for one’s physical and mental health. Social technology, technology that enables social interaction, can be a resource to fulfil the social needs of older people. In this study, we aimed to learn what role social technology plays in the social life of older people. We held 15 interviews with people aged over 70 who regularly use some form of social technology. Our results indicate that social technology plays different roles in the lives of older people. It strengthens the existing social relationships and social structures. It also brings depth and fun to the social contacts of older people and in this way, enriches their social lives. Social technology also gives a sense of safety and peace of mind to the older people themselves but also to their network members. However, there are barriers in the use of social technology. The older people struggled with using social technology and feel that social technology sometimes stands in the way of real human contact. In supporting and facilitating people’s relationship with others, a community and society, technology helps fulfil older people’s need for connectedness, meaningfulness and independence. However, the relationship with independence is ambiguous. Their life experience gives older people a thoughtful way of looking at social technology and the role it plays in their lives
Cities: Action-perspectives for a climate-proof, drought-resilient, and water-sensitive built environment Recurring droughts severely impacted the Dutch built Environment , causing financial, environmental, and social effects. Climate change and urban developments are expected to aggravate this. Although municipalities recognize drought as critical risk, few have prepared for it. This is due to a lack of understanding of the urban water balance under drought and the vulnerability of urban water use(r)s, ambiguity in role and responsibility, and missing action-perspectives. Thirsty Cities aims to address this by developing, collecting, connecting and delivering in a transdisciplinary approach the needed knowledge, insights, tooling, principles, designs, infrastructures and action-perspectives for a climate-proof, drought-resilient, and water-sensitive built environment.Dorstige Steden: Handelingsperspectieven voor een klimaatbestendige, droogteweerbare, en waterrobuuste bebouwde omgeving.De Nederlandse bebouwde omgeving is herhaaldelijk geraakt door droogte, met financiële, ecologische en maatschappelijke effecten. Klimaatverandering en stedelijke ontwikkelingen zullen het droogte-risico naar verwachting doen toenemen. Alhoewel overheden droogte als een risico erkennen, hebben weinigen zich daarop voorbereid. Gebrek aan inzicht in de stedelijke waterbalans onder droogte, de kwetsbaarheid van stedelijke watergebruikers, onduidelijkheid in rol en verantwoordelijkheid van betrokken actoren, en ontbrekende handelingsperspectieven liggen hieraan ten grondslag. ‘Dorstige Steden’ draagt middels trans-disciplinair onderzoek bij aan een klimaatbestendige, droogteweerbare, en waterrobuuste bebouwde omgeving door de benodigde kennis, inzichten, instrumentaria, principes en ontwerpen te ontwikkelen, verzamelen en verbinden en handelingsperspectieven te formuleren.
