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Providing in-between meals during dialysis treatment contributes to an adequate protein and energy intake in hemodialysis patients

Door leefstijl naar gezondheid. De mythe van het bewegen

Er lijkt een duidelijke mate van evidentie te bestaan betreffende de relatie fysieke activiteit, respectievelijk fitheid en gezondheid in de algemene populatie en bij bepaalde pathologieën. Er is evenwel nog behoefte aan verder wetenschappelijk onderzoek naar mogelijke determinanten en onderliggende mechanismen, als ook naar evidentie bij bepaalde, specifieke aandoeningen. Tevens mag duidelijk zijn dat ondanks de bestaande evidentie fysieke activiteit/oefening te weinig toegepast wordt in de gezondheidszorg. Het onderzoek naar de effectiviteit van gezondheidskundige interventies is dan ook uitermate belangrijk. Dit lectoraat hoopt dan ook een bescheiden bijdrage hieraan te kunnen leveren. Hiervoor heeft zij reeds afspraken tot samenwerking met de academische en medische wereld (in Utrecht, Amsterdam, Maastricht en Leuven), met de gezondheidszorg (RIVM Bilthoven en GG&GD Utrecht) en met de beroepen- of bedrijfswereld (Politie regio Utrecht; Enraf Nonius, Delft). De beoogde doelstellingen zullen echter naar alle waarschijnlijkheid beduidend meer tijd in beslag nemen dan de periode van 4 jaar die de Stichting Kennis Ontwikkeling voorzien heeft met betrekking tot het oprichten en financieren van de lectoraten.

Design science research approach a way for implementing competence based internships

Since 2000, all Dutch Universities of Professional Education are confronted with three major renewals. The first was the European agreement to implement the Bachelor-Master system in Higher Education. The second was the strong tendence to renew eduction towards Competence Based Education. The third renewal came from the decision of the ministery of Education to contract lectures (lectoren) and research networks (kenniskringen) to improve research competences among students. Basic idea behind the latest renewal was that if students from Universities of Professional Education bring in more knowledge in companies, during and after their study, this will stimulate the innovative power of Dutch small and medium enterprices (SME’s). Educational developers have been very bussy with these renewals. Under the cloak of national assurance guidelines and external panels of inspection many educational developers automatically tended to use the instrumental paradigm for many design contexts. In accordance with the research of Gustafson (1993) and Richey (1993) we raised questions about the relevance of the instrumental paradigm for educational design contexts, because often the means-end thinking of the instrumental approach have seemed to be out of place. This research project by Lappia, De Boer & Van Rennes took place in 2006 at INHOLLAND university of professional education in the western part of The Netherlands with four pilots at School of Technology, Social Work, Education and Economics. The researchers started from the assumption that improving competence-based internships could not been based on an instrumental paradigma, because of the lack of absolute standards and the need to support deliberation among stakeholders. The Design Science Approach of Van Aken (2004) and Andriessen (2004) was been used to reveal field-tested and grounded technological rules as design specifications for improvement tools. Beside that the research project used the communicative paradigm (Visscher-Voerman & Gustafson, 2004) to reach consensus among the practitioners, who accompanion students during their internships in organisations in order to achieve a growth of competences in the choosen working field. Participants in the research project were employees of the School of Education, The School of Technology and the School of Economics, the department of Education, Quality, Research and development (OKR). Conditions for participating in the project were that the Schools recognized the problems with implementing Competence Based Internship and the School had to set the employees whe participated in the project free for half a day during the project. The Schools as stakeholders in the project were primary interested in solution of their practical problem (practical stream). The department of Education, Quality, Research and development was interested in solution of the pratical problem for dissemination reasons, but would also learn new strategies for implementation (knowledge stream). Therefore was choosen to follow the Design Science Research Approach.

Facultative educational exploration circular material usage Griffiersveld Apeldoorn

This report was written for the municipality of Apeldoorn as a contribution to Cityloops. It consists of designing and planning tools and provides answers for the municipality of Apeldoorn to enable them to move towards a circular construction economy.

One-year evaluation of people recovering from COVID-19 receiving allied primary healthcare

Background: A Dutch nationwide prospective cohort study was initiated to investigate recovery trajectories of people recovering from coronavirus disease 2019 (COVID-19) and costs of treatment by primary care allied health professionals. Objectives: The study described recovery trajectories over a period of 12 months and associated baseline characteristics of participants recovering from COVID-19 who visited a primary care allied health professional. It also aimed to provide insight into the associated healthcare and societal costs. Methods: Participants completed participant-reported standardized outcomes on participation, health-related quality of life, fatigue, physical functioning, and costs at baseline (ie, start of the treatment), 3, 6, 9 and 12 months. Results: A total of 1451 participants (64 % women, 76 % mild/moderate severity) with a mean (SD) age of 49 (12) years were included. Linear mixed models showed significant and clinically relevant improvements over time in all outcome measures between baseline and 12 months. Between 6 and 12 months, we found significant but not clinically relevant improvements in most outcome measures. Having a worse baseline score was the only baseline factor that was consistently associated with greater improvement over time on that outcome. Total allied healthcare costs (mean €1921; SEM €48) made up about 3% of total societal costs (mean €64,584; SEM €3149) for the average participant in the cohort. Conclusions: The health status of participants recovering from COVID-19 who visited an allied health professional improved significantly over a 12-month follow-up period, but nearly the improvement occurred between baseline and 6 months. Most participants still reported severe impairments in their daily lives, and generated substantial societal costs. These issues, combined with the fact that baseline characteristics explained little of the variance in recovery over time, underscore the importance of continued attention for the management of people recovering from COVID-19. Trial registration: clinicaltrials.gov

Het effect van HRM-interventies op gedrag van medewerkers volgens HR-professionals

In dit artikel wordt beschreven hoe door middel van workshops met een strategische HRM game een belangrijke stap is gezet in het maken van een realistisch strategisch HRM simulatiemodel. 187 HR-pro- fessionals kregen tijdens een workshop 72 HR-praktijken voorgelegd. De door hen verwachte effecten van deze praktijken op het gedrag van medewerkers is op een kwantitatieve manier expliciet gemaakt. Vervolgens maakten ze al spelende deze praktijken concreet tot op een niveau dat voor hen praktisch bruikbaar is. Op basis van de ervaringskennis van deze HR-professionals is het nu mogelijk om deze HR-praktijken en het door hen verwachte genuanceerde effect op medewerkersgedrag te koppelen aan vier strategische ideaaltypen. Dit vormt de basis van een simulatiemodel voor strategisch HRM. HR-professionals hebben zo bijgedragen aan het ontwikkelen van een tool die de beroepsgroep in de toekomst helpt hun werk beter te doen. Met de tool wordt het makkelijker om de organisatiestrategie te vertalen naar een daarbij passend HRM-beleid. De serious game die dat dit inzicht geeft, kan nu al door professionals gespeeld worden. De simulatie vereist nog verdere ontwikkeling, maar de eerste stappen zijn gezet, met dank aan alle deelnemers.