Background: There is an increasing number of patients with a chronic illness demanding primary care services. This demands for effective self-management support, including collaborative goal setting. Despite the fact that primary care professionals seem to have difficulties implementing goal setting, little information is available about the factors influencing the complexity of this process in primary care. Objective: The aim of this study was to contribute to an understanding of the complexity of selfmanagement goal setting in primary care by exploring experts’ and primary care professionals’ experiences with self-management goal setting and viewpoints regarding influencing factors. Methods: A descriptive qualitative research methodology was adopted. Two focus groups and three individual interviews were conducted (total participants n = 17). Thematic content analysis was used to analyse the data. Results: The findings were categorized into four main themes with subordinated subthemes. The themes focus around the complexity of setting non-medical goals and around professionals’ skills and attitudes to negotiate and decide about goals with patients. Furthermore, patients’ skills and attitudes for goal setting and the integration of goal setting in the time available were formulated as themes. Conclusions: Setting self-management goals in primary care, especially in family medicine, might require a shift from a medical perspective to a biopsychosocial perspective, with an increasing role set aside for the professional to coach the patient in expressing his self-management goals and to take responsibility for these goals.
These are hard days for companies: they have to survive in a market that has been hit by a financial crisis. Many countries in Europe have severe problems trying to overcome this financial crisis. The main remedy applied by governments is to cut back on expenditure, but on the other hand it is said that it is important for a country, and especially for companies, to invest in innovation. These innovations should lead to innovative products that will lead to profitability turnovers for these companies and, as a consequence, improve the economic conditions in a country. Universities provide students with engineering competences, like develop innovation, with which they can show a higher degree of ability to answer complex questions such as how to become players in the market again. Teaching students to become more innovative engineers, Fontys University of Applied Sciences, Department of Engineering, has designed a curriculum in which students are educated in the competence innovation. An important element in the process of teaching innovation to students is the approach of inquiring into possibilities of patents. In the second semester of the first year, students can decide to join an innovative project called: ‘The invention project’. The basis of this project is that students are given the opportunity to create their own invention and with their previously acquired knowledge and skills they design, calculate, prototype and present their invention. In a research project, the experiences of students in this Invention Project have been analysed. The goal of this study was to understand what the success factors are for such a project. The basis of this inquiry is a questionnaire to identify the opinions of students. The research was carried out in the spring semester of 2012. In total 31 students were involved in this research. The results show that there was a high degree of student satisfaction about the Invention Project focused on innovation development. Success factors for this project in the first year of the curriculum were seen: 1 to work on own inventions, 2 development of student’s perception of the total product creation process and 3 to make students see the relevance of contacts with real professionals from industry and from the patent office in their own project. Improvements can be made by: 1 helping students more during the creativity stage in the project and 2 to coach them more on the aspect of engineering a successful invention of which they can be proud. This Invention project is a interesting with which collaborations with other universities can be set up.
Introduction: Self-management is considered a potential answer to the increasing demand for family medicine by people suffering from a chronic condition or multi-morbidity. A key element of self-management is goal setting. Goal setting is often defined as a moment of agreement between a professional and a patient. In the self-management literature, however, goal setting is regarded as a circular process. Still, it is unclear how professionals working in family medicine can put it into practice. This background paper aims to contribute to the understanding of goal setting within self-management and to identify elements that need further development for practical use. Debate: Four questions for debate emerge in this article: (1) What are self-management goals? (2) What is necessary to accomplish the process of goal setting within self-management? (3) How can professionals decide on the degree of support needed for goal setting within self-management? (4) How can patients set their goals and how can they be supported? Implications: Self-management goals can be set for different (life) domains. Using a holistic framework will help in creating an overview of patients’ goals that do not merely focus on medical issues. It is a challenge for professionals to coach their patients to think about and set their goals themselves. More insight in patients’ willingness and ability to set self-management goals is desirable. Moreover, as goal setting is a circular process, professionals need to be supported to go through this process with their patients.
In Amsterdam's neighbourhoods, much of the waste that is disposed has the potential of becoming something else by means of recycling or upcycling. Zero Waste lab –which is part of the organization De Gezonde Stad- is a place where inhabitants can bring their own separated waste in exchange for value coins. Now, Zero Waste Lab now wants to take this a step forward and further develop their own project: from recycling to upcycling waste. In this endeavour, HvA will collaborate by researching the possibilities for upcycling a local waste stream by means of digital production pro-cesses, as well as ways of involving the neighbourhood. Because it is of vital importance for the project not only to be technically possible, but also scalable and economically feasible, Zero Waste Lab and HvA have asked for partnership to the company Verdraaid Goed. This partnership and specific case study, presented here as ‘Wood for the neighborhood’ can be summa-rized in four main goals: • (Production) Explore the design and manufacturing possibilities of using digital production to upcycle a local wood waste stream (with an industrial robotic arm) • (Design) Show how explorative research, when carried on from the beginning of the de-sign process, can bring great added value to the development of project concepts. • (Social) Demonstrate that involving stakeholders early in the process of reusing and de-signing with waste materials can shape the future in new directions • (All three) Highlight how this case study is relevant and fits the principles of the circular economy
In Amsterdam's neighbourhoods, much of the waste that is disposed has the potential of becoming something else by means of recycling or upcycling. Zero Waste lab –which is part of the organization De Gezonde Stad- is a place where inhabitants can bring their own separated waste in exchange for value coins. Now, Zero Waste Lab now wants to take this a step forward and further develop their own project: from recycling to upcycling waste. In this endeavour, HvA will collaborate by researching the possibilities for upcycling a local waste stream by means of digital production pro-cesses, as well as ways of involving the neighbourhood. Because it is of vital importance for the project not only to be technically possible, but also scalable and economically feasible, Zero Waste Lab and HvA have asked for partnership to the company Verdraaid Goed. This partnership and specific case study, presented here as ‘Wood for the neighborhood’ can be summa-rized in four main goals: • (Production) Explore the design and manufacturing possibilities of using digital production to upcycle a local wood waste stream (with an industrial robotic arm) • (Design) Show how explorative research, when carried on from the beginning of the de-sign process, can bring great added value to the development of project concepts. • (Social) Demonstrate that involving stakeholders early in the process of reusing and de-signing with waste materials can shape the future in new directions • (All three) Highlight how this case study is relevant and fits the principles of the circular economy
In Amsterdam's neighbourhoods, much of the waste that is disposed has the potential of becoming something else by means of recycling or upcycling. Zero Waste lab –which is part of the organization De Gezonde Stad- is a place where inhabitants can bring their own separated waste in exchange for value coins. Now, Zero Waste Lab now wants to take this a step forward and further develop their own project: from recycling to upcycling waste. In this endeavour, HvA will collaborate by researching the possibilities for upcycling a local waste stream by means of digital production pro-cesses, as well as ways of involving the neighbourhood. Because it is of vital importance for the project not only to be technically possible, but also scalable and economically feasible, Zero Waste Lab and HvA have asked for partnership to the company Verdraaid Goed. This partnership and specific case study, presented here as ‘Wood for the neighborhood’ can be summa-rized in four main goals: • (Production) Explore the design and manufacturing possibilities of using digital production to upcycle a local wood waste stream (with an industrial robotic arm) • (Design) Show how explorative research, when carried on from the beginning of the de-sign process, can bring great added value to the development of project concepts. • (Social) Demonstrate that involving stakeholders early in the process of reusing and de-signing with waste materials can shape the future in new directions • (All three) Highlight how this case study is relevant and fits the principles of the circular economy.
