Zoekresultaten

Development of a goal-directed movement intervention (GOAL) using a movement sensor for hospitalized patients: An intervention mapping approach

Objective: To describe the development of a goal-directed movement intervention in two medical wards, including recommendations for implementation and evaluation. Design: Implementation Research. Setting: Pulmonology and nephrology/gastroenterology wards of the University Medical Centre Utrecht, The Netherlands. Participants: Seven focus groups were executed including 28 nurses, 7 physical therapists and 15 medical specialists. Patients' perceptions were repeatedly assessed during the iterative steps of the intervention development. Intervention: Interventions were targeted to each ward's specific character, following an Intervention Mapping approach using literature and research meetings. Main measures: Intervention components were linked to Behavior Change Techniques and implementation strategies will be selected using the Expert Recommendation Implementing Change tool. Evaluation outcomes like number of patients using the movement intervention will be measured, based on the taxonomy of Proctor. Results: The developed intervention consists of: insight in patients movement behavior (monitoring & feedback), goal setting (goals & planning) and adjustments to the environment (associations & antecedents). The following implementation strategies are recommended: to conduct educational meetings, prepare & identify champions and audit & provide feedback. To measure service and client outcomes, the mean level of physical activity per ward can be evaluated and the Net Promoter Score can be used. Conclusion(s): This study shows the development of a goal-directed movement intervention aligned with the needs of healthcare professionals. This resulted in an intervention consisting of feedback & monitoring of movement behavior, goal setting and adjustments in the environment. Using a step-by-step iterative implementation model to guide development and implementation is recommended.

The Degree-of-Engagement diagram

Entrepreneurship in the network economy

The network economy typically signifies a notion from the information society where new products and services are developed by collaborating individuals and/or businesses organised in virtual networks. The network economy has important characteristics in common with Northern European governance models, which suggests a direction for developing workable governance models for businesses engaging in network economy activities. This resemblance presents a unique perspective on global economic development. Innovation can and should be combined with high ethical, social and environmental standards. This is illustrated by empirical data on Hidden Champions in Europe: middlesized companies that are dominant in their specific market niches. We suggest that the rise of the network economy could have far-reaching consequences for the way businesses should be organised and managed.

Journalist Huib Modderkolk over privacy en digitale geopolitiek

Journalist en auteur Huib Modderkolk doet onderzoek naar een wereld die voor de meeste mensen verborgen blijft. Mendeltje en Ruud spreken hem over cyberspionage, privacy en digitale geopolitiek. Hoe doe je onderzoek naar iets dat geheim is? En hoeveel risico lopen we in een tijd waarin ons leven zich online afspeelt? En spelen wij als Nederland echt in de Champions League van de cyberspionage? Huib neemt ons mee undercover!

Critical issues in sustainability - Part III

This booklet is the third of its kind and, as such, the sequel to ‘Critical Issues in Sustainability – Part I’ and ‘Critical Issues in Sustainability – Part II’. It contains several of our reflections as they have appeared in writing throughout 2020, notably but not exclusively through opinion articles. Just as much as we hope this booklet will challenge your ideas and actions and will provide you with the inspiration to change our world for the better, we hope it will be the ancestor of our and others’ future work. In any case, we invite you to let us know what you think about it and how we might join forces

Strategic competences for concrete action towards sustainability: : An oxymoron?

In the current discourses on sustainable development, one can discern two main intellectual cultures: an analytic one focusing on measuring problems and prioritizing measures, (Life Cycle Analysis (LCA), Mass Flow Analysis (MFA), etc.) and; a policy/management one, focusing on long term change, change incentives, and stakeholder management (Transitions/niches, Environmental economy, Cleaner production). These cultures do not often interact and interactions are often negative. However, both cultures are required to work towards sustainability solutions: problems should be thoroughly identified and quantified, options for large change should be guideposts for action, and incentives should be created, stakeholders should be enabled to participate and their values and interests should be included in the change process. The paper deals especially with engineering education. Successful technological change processes should be supported by engineers who have acquired strategic competences. An important barrier towards training academics with these competences is the strong disciplinarism of higher education. Raising engineering students in strong disciplinary paradigms is probably responsible for their diminishing public engagement over the course of their studies. Strategic competences are crucial to keep students engaged and train them to implement long term sustainable solutions.