A presentation about a step wise behavioural change approach that is developed by Maastricht Bereikbaar. With this approach actions and campaigns to stimulate people to change their mobility behaviour will be effective and successfull. The presentation contains an introduction of Maastricht Bereikbaar, an explaination of the steps and preconditions, and the results we achieved so far with the program.
Aim and objectives: To provide an in-depth insight into the barriers, facilitators and needs of district nurses and nurse assistants on using patient outcomes in district nursing care. Background: As healthcare demands grow, particularly in district nursing, there is a significant need to understand how to systematically measure and improve patient outcomes in this setting. Further investigation is needed to identify the barriers and facilitators for effective implementation. Design: A multi-method qualitative study. Methods: Open-ended questions of a survey study (N = 132) were supplemented with in-depth online focus group interviews involving district nurses and nurse assistants (N = 26) in the Netherlands. Data were analysed using thematic analysis. Results: Different barriers, facilitators and needs were identified and compiled into 16 preconditions for using outcomes in district nursing care. These preconditions were summarised into six overarching themes: follow the steps of a learning healthcare system; provide patient-centred care; promote the professional's autonomy, attitude, knowledge and skills; enhance shared responsibility and collaborations within and outside organisational boundaries; prioritise and invest in the use of outcomes; and boost the unity and appreciation for district nursing care. Conclusions: The preconditions identified in this study are crucial for nurses, care providers, policymakers and payers in implementing the use of patient outcomes in district nursing practice. Further exploration of appropriate strategies is necessary for a successful implementation. Relevance to clinical practice: This study represents a significant step towards implementing the use of patient outcomes in district nursing care. While most research has focused on hospitals and general practitioner settings, this study focuses on the needs for district nursing care. By identifying 16 key preconditions across themes such as patient-centred care, professional autonomy and unity, the findings offer valuable guidance for integrating a learning healthcare system that prioritises the measurement and continuous improvement of patient outcomes in district nursing.
Due to climate change, rising temperatures lead to more extreme heat stress in urban areas. Last summer, there were poignant images of people looking for shade in cities. Trees are effective measures to provide shade and decrease the perceived temperature. However, trees cannot grow in healthy conditions due to the conflicting interests of the many functions and infrastructure in cities. Also time is a limiting factor; before trees are fully grown and can fulfil its various functions (shade, biodiversity, appearance), it takes not only physical space but also time. Alternative interventions, such as a pergola, can help increase urban resilience by reducing the negative impacts of climate change.Pergolas are known, for example, in more southern Europe cities. However, despite the described promising effects of the pergola in documents to reduce heat stress and provide shade, we barely see these structures in the Dutch public space. We all know the pergola as an esthetical piece in the backyard where it provides shade, privacy and contributes to well-being, but they are not widely used in the public realm.Next to that, there are few or no known preconditions for an urban pergola. The functions that an urban pergola can offer go beyond providing shade. The pergola might help reduce noise and pollution, provide a meeting place in a neighbourhood and support biodiversity. Since space is scarce in cities where many different interests come together, we want to explore the potential contribution of an urban pergola to different problems. Therefore, at the Amsterdam University of Applied Sciences, we have worked on an urban pergola as a real 'boundary object' where we bring education, research, municipalities, and entrepreneurs across disciplines and sectors together to discuss the potential of such an object.For this workshop, we would like to show our first results of this interdisciplinary action research and continue answering the question: how can a pergola fit in the Dutch urban area? Therefore, we would like to explore the functions and forms of the urban pergola with stakeholders, such as municipalities, entrepreneurs, citizens, students, and researchers all from different disciplines. The desired outcome of this workshop is a joint proposal for implementing urban pergolas that can meet the versatile needs of cities and thereby make cities more liveable.
MULTIFILE
Dit project omvat een verkennend onderzoek dat beoogt de technische route, de scope en de randvoorwaarden van de energietransitie op vakantieparken en campings in beeld te brengen. De sector voor vakantieparken en campings zal, net als alle andere sectoren, binnen dertig jaar nul-emissies van broeikasgassen moeten bereiken. De gemeente Goeree-Overflakkee en de Provincie Zuid-Holland zijn voornemens om een project op te zetten om de voor Goeree-Overflakkee belangrijke sector te helpen de energietransitie te maken. De gemeente en provincie willen graag antwoord op de vraag welke kennis en welke partijen nodig zijn om de duurzaamheidsdoelstelling zodanig in een beleidsproces te gieten dat de belangen van de vele stakeholders in deze sector samenkomen op een wijze dat de doelstelling gehaald wordt.This project entails an exploratory study that aims to map the technical route, scope and preconditions of the energy transition at holiday parks and campsites. The holiday park and camping sector, like all other sectors, will have to achieve zero greenhouse gas emissions within thirty years. The municipality of Goeree-Overflakkee and the Province of South Holland intend to set up a project to help this important sector on Goeree-Overflakkee to make the energy transition. The municipality and province would like an answer to the question of what knowledge and which parties are needed to put the sustainability objective into a policy process in such a way that the interests of the many stakeholders in this sector come together in a way that the objective is achieved.
