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.
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The authors investigate the potential of Mixed Reality (MR) games for team building and assessment. The AMELIO game was designed for a highly immersive MR lab. The game is a multi-player team challenge based on the concept of an escape room, staged in a space colony emergency situation. An explorative empirical pre-post measurement study was carried out to establish whether playing AMELIO influences team cohesiveness. Ten teams of three played AMELIO and filled out pre- and post-game questionnaires with validated measurements of team cohesiveness and mediating factors related to team composition, game experience and team dynamics. The findings show a positive and significant increase in team cohesiveness, with stronger effects for teams with lower pre-game familiarity. In terms of game experience and team dynamics, audio aesthetics and empathy proved to be significant mediating factors. This AIDS game validation and improvement, and understanding and guiding the team building process.
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Purpose To analyze differences between Western and Eastern cultures in the way they conceptualize knowledge and discuss the implications of these differences for a global intellectual capital (IC) theory and practice. Design/methodology/approach A systematic metaphor analysis of the concept of knowledge and IC is used to identify common Western conceptualizations of knowledge in IC literature. A review of philosophical and religious literature was done to identify knowledge conceptualizations in the main streams of Asian philosophy. Findings Fundamental differences were found in the way knowledge is conceptualized. In Western IC literature common metaphors for knowledge include knowledge as a thing and knowledge as capital. In Asian thought, knowledge is seen as unfolding truth based upon a unity of universe and human self and of knowledge and action. Research limitations/implications The research was performed on a limited sample of literature. More research is needed to identify how knowledge is conceptualized in the practice of doing business in Asia and to test the effects of introducing IC theories to Asian businessmen and managers. Practical implications Western conceptualizations of knowledge, embedded in terms like intellectual capital and knowledge management, can not be transferred to Asian business without considering the local view on knowledge. Asian conceptualizations of knowledge should play an important role in the further development of a knowledge-based theory and practice of the firm. Originality/value The paper is the first to explore differences in knowledge conceptualizations by analyzing the underlying metaphors that are used in Western IC literature and Asian philosophy.
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The World Health Organization engages cities and communities all over the world in becoming age-friendly. There is a need for assessing the age-friendliness of cities and communities by means of a transparently constructed and validated tool which measures the construct as a whole. The aim of this study was to develop a questionnaire measuring age-friendliness, providing full transparency and reproducibility. The development and validation of the Age Friendly Cities and Communities Questionnaire (AFCCQ) followed the criteria of the COnsensus-based Standards for selection of health Measurement INstruments (COSMIN). Four phases were followed: (1) development of the conceptual model, themes and items; (2) initial (qualitative) validation; (3) psychometric validation, and (4) translating the instrument using the forward-backward translation method. This rigorous process of development and validation resulted in a valid, psychometrically sound, comprehensive 23-item questionnaire. This questionnaire can be used to measure older people’s experiences regarding the eight domains of the WHO Age-Friendly Cities model, and an additional financial domain. The AFCCQ allows practitioners and researchers to capture the age-friendliness of a city or community in a numerical fashion, which helps monitor the age-friendliness and the potential impact of policies or social programmes. The AFCCQ was created in Dutch and translated into British-English. CC-BY Original article: https://doi.org/10.3390/ijerph17186867 (This article belongs to the Special Issue Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives") https://www.dehaagsehogeschool.nl/onderzoek/lectoraten/details/urban-ageing#over-het-lectoraat Extra: Vragenlijst bijlage / Questionnaire attachement
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Het AZC in Leersum heeft een vaste opvangcapaciteit voor 625 mensen. De vluchtelingen die er worden opgevangen hebben vaak een inactieve leefstijl, zijn belemmerd in het gebruikmaken van regulier sportaanbod, kampen met fysieke en mentale gezondheidsklachten en verkeren in een kwetsbare positie. Het Living Lab Utrechtse Heuvelrug wilde bewoners van het AZC betrekken in haar activiteiten. Samen met het COA en lokale partners is gewerkt aan het opzetten van een duurzaam sport- en beweegaanbod voor deze bewoners. Dit heeft geresulteerd in het aanbieden en opzetten van verschillende sportactiviteiten als voetbal, walk & talk, hardlopen, fitness, boulderen en bootcamp. Er is ook veel energie gestoken om zwemlessen aan te bieden, maar dat is nog niet gelukt (wel veelbelovend vervolg). Het voetbal liep zo goed op de locatie van het AZC, dat er al snel contact is gezocht met een lokale club om een veld te gebruiken. Dit, een toernooi en oefenwedstrijden zorgde ook voor positieve zichtbaarheid van de bewoners en brengt weer nieuwe mogelijkheden zoals vaste deelname binnen de voetbalvereniging voor bewoners van het AZC. Bewoners geven aan dat deelname aan de activiteiten enorme positieve impact kan hebben op hun welzijn. Ook bleken betrokken vrijwilligers eens te meer onmisbaar voor de organisatie van de activiteiten. Ook studenten van de HU hebben hierin een rol gespeeld.
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Designers move more and more in the direction of Service Design, in which frequently a participatory or co-design approach is used to involve service providers in the design process. The designerprovider relationship in such Service Design processes differs in four aspects from traditional client-relationships: The relationship is 1) more dynamic and interactive, 2) based on collaboratively evolving ideas and ambitions, 3) focusing on the process of innovation, rather than on the outcome, and 4) frequently based on extrinsic motivation for innovation or on fuzzy starting points. Designers experience difficulties in persuading service providers of the importance of such a collaborative approach, while providers are not familiar with this kind of approach and their organizations are not ready for such a kind of collaboration. This paper positions designer-provider relationship in Service Design processes in literature and describes a research proposal for the development of an efficient and effective participatory design intervention that stimulates collaboration between designers and service providers.
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Ecocentrism has roots in environmental philosophy, which questions the conceptual dichotomy between humans and the environment, acknowledging nonhuman species' right to flourish independently of human interest (Naess 1973). Generally, ecocentrism refers to a planet- and nature-centered as opposed to the human-centered (anthropocentric) system of values. Inspired by this philosophy, ecocentric education focuses on intrinsic values of the ecosystem, environment, and individual living beings and habitats in environmental education (EE) and education for sustainable development (ESD). https://rd.springer.com/referencework/10.1007/978-3-319-63951-2 LinkedIn: https://www.linkedin.com/in/helenkopnina/
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Werkgroep Het Groene Spoor van de Vereniging Duurzaam Soesterkwartier uit Amersfoort is ervan overtuigd dat het vestigen van een groen-recreatieve verbinding tussen binnenstad en buitengebied een oplossing kan zijn voor de maatschappelijke en de stedenbouwkundige opgaven waar Amersfoort zich mee geconfronteerd ziet. Deze groen-recreatieve verbinding heeft ze Het Groene Spoor genoemd. In dit rapport wordt deze hypothese getoetst door allereerst de maatschappelijke en de stedenbouwkundige opgaven verder uit te werken, en dievervolgens af te zetten tegen een op studiegebieds-niveau en perceelsniveau ingevulde inrichting voor Het Groene Spoor. Leidende concepten in het onderzoek waren Hergebruik Van Ruimte, Tijdelijke Ruimtelijke Ordening en Meervoudig Ruimtegebruik.
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Er is wereldwijd een groeiende groep milieuvluchtelingen waarvoor nog geen internationaal beschermingsregime bestaat. Het internationaal recht biedt geen adequaat antwoord. Dit artikel laat zien welke soorten milieuvluchtelingen bestaan, en zal betogen dat de bescherming van deze groep plaats kan vinden onder het VN-principe The Responsibility to Protect (R2P). Staten en de internationale gemeenschap hebben een zorgplicht voor milieuvluchtelingen. De basis hiervan ligt bij de Rechten van de Mens. De effectieve uitvoering van een aantal basisrechten wordt immers negatief beïnvloed door milieudegradatie. Tevens wordt staatssoevereiniteit steeds meer beschouwd als een verantwoordelijkheid. Via The Responsibility to Protect ontstaat er een integrale aanpak: 1) een staat is ten eerste zelf verantwoordelijk voor de bescherming van milieuvluchtelingen, 2) de internationale gemeenschap heeft een verantwoordelijkheid een staat hierbij te assisteren, en 3) indien een staat zijn milieuvluchtelingen niet wil of niet kan beschermen, verschuift de verantwoordelijkheid voor dit probleem naar de internationale gemeenschap, om collectief snel en beslissend te reageren. ABSTRACT The number of environmental refugees is growing, but an international legal protection regime is non-existent. This article shows eight different kinds of environmental refugees, and will argue that the protection of these groups can take place under the UN principle The Responsibility to Protect (R2P). States and the international community are obliged to help environmental refugees, based on the International Bill of Human Rights. The effective implementation of basic rights is influenced negatively by environmental degradation. Furthermore, changed notions regarding state sovereignty are also pointing at the responsibility of the state. The Responsibility to Protect (R2P) offers an integral approach: In first instance, the responsibility to take protective measures lies with the state itself. Secondly, the international community has a responsibility to assist. Lastly, when a state is not able or willing to protect its environmental refugees, the responsibility yields to the international community, to respond in a swift and decisive manner.
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