Smart home technologies are a large potential market for the construction and building services industry. This chapter discusses the topics consultants, installers, and suppliers of home automation systems encounter when working in the field. Improved communication skills and more flexible approaches to the design and installing of building services leads to many new opportunities for new products and services. There are a large number of requirements from the perspective of architectural design and building services engineering, which relate to the infrastructure that is needed for smart homes. An overview of these electrical engineering and ICT requirements is discussed. When working with clients, it is important to consider the additional set of rules of working in their homes. Clients may have additional needs in the field of home modifications that can also be addressed when doing retrofitting projects. An outline of steps to get stared and essential questions for professional care organization is given.
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Smart home technologies are a large potential market for the construction and building services industry. This chapter discusses the topics consultants, installers, and suppliers of home automation systems encounter when working in the field. Improved communication skills and more flexible approaches to the design and installing of building services leads to many new opportunities for new products and services. There are a large number of requirements from the perspective of architectural design and building services engineering, which relate to the infrastructure that is needed for smart homes. An overview of these electrical engineering and ICT requirements is discussed. When working with clients, it is important to consider the additional set of rules of working in their homes. Clients may have additional needs in the field of home modifications that can also be addressed when doing retrofitting projects. An outline of steps to get stared and essential questions for professional care organization is given.
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Background: Transmural palliative care interventions aim to identify older persons with palliative care needs and timely provide advance care planning, symptom management, and coordination of care. Nurses can have an important role in these interventions; however, their expertise is currently underused. A new transmural care pathway with a central role for the community care registered nurse in advance care planning aims to contribute to the quality of palliative care for older persons. Objective: To examine the perspectives of community nurses on the feasibility of a new transmural care pathway for advance care planning for older persons. Design: A qualitative study design using semi-structured interviews. Setting(s): Interviews were performed with community nurses of three participating homecare organizations in the Netherlands between March and May 2023. Participants: 19 community nurses. Methods: A topic guide was based on (1) challenges in advance care planning identified from the literature and (2) concepts that are important in assessing the feasibility of complex healthcare interventions provided by the Normalisation Process Theory framework. A combined inductive and deductive thematic analysis was performed. Results: Four themes were identified: views on the transmural care pathway, community nurses’ needs to fulfil their role, key points regarding implementation, and evaluation of the new practice. In general, community nurses were positive about the feasibility of the new practice as it provided a more structured work process that could facilitate interprofessional collaboration and improve the quality of palliative care. Overall, the feasibility of the new practice, from community nurses perspective, was determined by (1) clear roles and responsibilities in the transmural care pathway, (2) standardized registration of advance care planning, and (3) close involvement of community nurses in the whole implementation process. Conclusions: We highlighted important factors, from the perspectives of community nurses, that need to be considered in the implementation of a new transmural care pathway for advance care planning. A clear division of roles and responsibilities, standardized registration of advance care planning, and involvement of community nurses during the whole implementation process were mentioned as important enabling factors. This knowledge might contribute to successful implementation of a transmural care pathway that aims to enhance the quality of palliative care for older persons. Tweetable abstract: Community nurses’ perspectives on the feasibility of a transmural care pathway for advance care planning for older persons.
