Zoekresultaten

Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators - A scoping review

The use of the biopsychosocial model in primary care physiotherapy for chronic pain is far from the recommendations given in research and current guidelines. To understand why physiotherapists have difficulty implementing a biopsychosocial approach, more insight is needed on the barriers and facilitators. This scoping review aimed to investigate and map these barriers and facilitators that physiotherapists working in primary care reportedly face when treating patients with chronic musculoskeletal pain from a biopsychosocial perspective. Four electronic databases (PubMed, Embase, CINAHL and ERIC) and the grey literature were searched. Studies were included if they investigated the experiences of physiotherapists in the treatment of chronic pain from a biopsychosocial perspective in primary care. Extracted data were discussed and sub grouped in themes following a qualitative content analysis approach. To align with current use of theories on behavior change, the resulting themes were compared to the Theoretical Domains Framework. After screening, twenty-four studies were included. Eight groups of barriers and facilitators were identified, thematically clustered in six themes: knowledge, skills, and attitudes; environmental context and resources; role clarity; confidence; therapeutic alliance; and patient expectations. The results of this review can be used to inform the development of implementation programs.

Maintaining your competitive edge

Practical guidelines for designing recycling, collaborative, and scalable business models: A case study of reusing textile fibers into biocomposite products

Our current take-make-dispose economic model faces a vital challenge as it extracts resources from the natural environment at faster rates than that the natural environment can replenish. A circular economy where businesses lower their negative impact on the natural environment by transitioning towards recycling business models (RBMs), one of the four principles of circularity, is suggested as a promising solution. For a RBM to become viable, collaboration among several stakeholders and across several industries is required. In addition, the RBM should be scalable to make a positive impact. Hence, developing RBMs is complex as organizations need to consider multiple principles imposed by the recycling, collaborative, and scalability dimensions of these business models (BMs). In addition, these principles often remain general and not actionable to the practitioners. Therefore, in this study, we researched the practical guidelines for viable RBMs that are also collaborative and scalable. The empirical setting is the reuse of textile fibers to develop biocomposite products. We studied three cases using a research-through-design approach. We contribute to the literature on RBMs by showing the six minimum practical guidelines for recyclability, collaboration, and scalability. We draw implications for within sector collaborations and advance the thought that lease constructs challenge the scalability of RBM.

Goeie snap van elkaar in de zorgketen

Mensen die een hersenletsel hebben opgelopen gaan een herstelproces in dat langdurig is en meestal complex. Onder herstel verstaan we het leren omgaan met de beperkingen en het weer verkrijgen van een zo groot mogelijke kwaliteit van bestaan (Visser, 2010). Als er een partner of ander naast familielid is, raakt deze als mantelzorger vaak intensief betrokken bij dit herstelproces. De persoon met een niet-aangeboren hersenletsel (NAH) en de mantelzorger ontmoeten dan professionals als ‘cliëntkoppel’ in ziekenhuizen, revalidatiecentra, op dagbesteding en in diverse andere instellingen en verbanden. Zij maken hun entree in een (doorgaans) onbekende wereld, namelijk in de wereld van hulp-en zorgvragen. Een goede communicatie kan helpen om het revalidatietraject en daarmee het herstel te optimaliseren (Witteveen e.a., 2007).

Forget the Pot of Gold

How and where can Dutch design entrepreneurs find work in Germany? This was the question DutchDFA put to the research team at Inholland University of Applied Sciences in February 2010. But the researchers took a different angle, and generated unexpected data, revealing patterns, and valuable new insights into practicing design and architecture abroad.

XBRL- en SBR- revolutie binnen het MKB

80 procent van de Nederlandse midden- en kleinbedrijven heeft nog nooit gehoord van Standard Business Reporting (SBR). Slechts 4 procent van de bedrijven die wel weten wat SBR is, is hierover geïnformeerd door hun leverancier van administratiesoftware. Dit blijkt uit onderzoek van de Hogeschool van Amsterdam onder ruim duizend midden- en kleinbedrijven (mkb). Bedrijven die SBR willen implementeren hebben veel behoefte aan de koppeling van hun informatiesystemen, aan benchmarking en aan actuele financiële cijfers. Dit biedt kansen voor softwareleveranciers.