Background and aim – Challenging behaviour, such as aggression towards oneself, others, or objects, arises in interaction with the environment and may prevent individuals from participating in society and enjoying a high quality of life (QoL). Literature suggests that architects can contribute to prevention, by influencing challenging behaviour before rather than after its occurrence. The objective is to explore how architecture can contribute to the quality of life of intellectually impaired (and autistic) individuals showing challenging behaviour (CB). Methods – The case study is based on interviews with residents and care providers, and direct observations of their daily life. Results – Residents turn out to be dependent on the (visual) connection with the care provider and may experience stress from the behaviour of fellow residents. They also may experience stress when faced with unexpected situations and by sensory overload. Originality – The relevance of architecture for CB reduction is new to this particular field of healthcare. Practical or social implications – If these preliminary findings can be confirmed, they provide a basis for developing guidelines to design better environments for intellectually impaired individuals showing CB. Architecture might promote choice in interpersonal distance, by generous floorplans, a variety of spaces, and escape possibilities. Predictability might be enhanced by providing visual overview and previews into rooms. Finally, architecture that promotes sensory adjustment might improve the QoL of individuals showing CB by preventing sensory overload, and by doing so, mitigate related behaviours.Type of paper – Research paper.
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Background and aim – The aim of this paper is to look at the professionalization of municipal real estate management (MREM) from an organizational design perspective.Methods / Methodology – Analysis of current and recent MREMliterature in a Dutch context on organizational design. Results – It appears that organizational design is implicitly or explicitly concluded as being interesting and relevant, but no research was performed on this topic. In general, it seems MREM could be significantly better organized creating higher value of its real estate for society. Practical or social implications – The finding that organizational design is an interesting yet underexposed parameter contributes to an awareness at real estate professionals. A better organization of MREM will not only increase professionalism, but also create higher value for local authorities and society. Moreover, possibilities for future research have been identified. Ultimately, new research and more best case practices can advance the management of real estate at local governments.
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The objective is to develop the redesign of patient clinics by a living lab consisting of a multidisciplinary group of designers (interior design, facility design, organization design) and art students in participation with end-users and health care professionals at a Dutch university hospital.
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A Dutch healthcare organisation modernizes its real estate portfolio to meet today’s requirements and acquired an office building for conversion into a nursing home for elderly with dementia. The purpose of the research has been to study the design principles for elderly with dementia, for innovative and smart application in work processes and the acquired building.Methods – Using multiple-method qualitative research design, bachelor thesis students of a university of applied sciences explored the reconstruction of the acquired building and related healthcare processes. Results – Application of design principles for the elderly with dementia were studied, among which were interior design, catering process, and connection with the neighbourhood. Feasible interior ideas were elaborated, intentions for change in the catering process were confirmed by stakeholders, and an action plan for neighbourhood connections was delivered. Elements are being used for a final design. Implementation has to be checked with close scrutiny.Originality – The application of design principles for elderly with dementia (design, favourable state, beautiful moments) together with changes in work processes of health care employees aiming at patient-centred care is a new combination. Practical or social implications – When a healthcare organisation chooses a new care concept, not only the surroundings change. Also, the processes around people and the way we take care of them change. In many ways a new concept can only succeed when the employees and the way they work change as well.
MULTIFILE
Hoe bestrijden we energiearmoede die ontstaat in de private huursector? Hoe versterk je de cyberweerbaarheid van het mkb? En hoe kunnen we afgeschreven windmolens hergebruiken als nieuw bouwmateriaal? Het zijn slechts drie van de talloze voorbeelden van actueel praktijkgericht onderzoek aan hogescholen. Onderzoek dat direct is verbonden met grote maatschappelijke opgaven, bijvoorbeeld op het gebied van energie, klimaat, technologisering en kansengelijkheid. Voor die opgaven hebben we nieuwe kennis nodig die we snel kunnen omzetten in nieuwe producten en oplossingen. Het praktijkgericht onderzoek aan hogescholen is daarvoor een onmisbare schakel tussen fundamenteel onderzoek en onze samenleving.
MULTIFILE
Een integraal concept dat financieel aantrekkelijk is voor medewerkers. Zo zou volgens Smart WorkPlace expert Mark Mobach een ‘waar-je-werkt-budget’ eruit moeten zien.
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