Presentatie gegeven over de review in Brussel Objectives: In the past decades many psychosocial interventions for elderly people with dementia have been developed and implemented. Relatively little research has been done on the extent to which these interventions were implemented in the daily care. The aim of this study was to obtain insight into strategies for successful implementation of psychosocial interventions in the daily residential dementia care. Using a modified RE-AIM framework, the indicators that are considered important for effective and sustainable implementation were defined.
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Abstract: Technological innovation in the healthcare sector is increasing, but integration of information technology (IT) in the care process is difficult. Healthcare workers are important agents in this IT integration. The purpose of this study is to explore factors that feed motivation to use IT. Self-determination theory (SDT) is applied to study how motivational factors impact effective IT use among frontline caregivers in residential care settings. As the team is very important to these caregivers, the team is our unit of analysis. In an embedded single case study design, interviews were conducted with all nine members of a team effectively using IT. All three basic psychological needs from SDT - autonomy, competence and relatedness - were found to have impact on effective IT use, though autonomy was primarily experienced at team level. Conversely, the effective use of an IT collaboration tool influences relatedness.
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Background The experiences of residents who have communication difficulties such as dysphasia are largely absent from the literature. Aim To illuminate the everyday experiences of four residents with severe communication difficulties living in a residential care setting in the Netherlands. Methodology & Methods A collective case study methodology was used. Seventy-five hours of observation, interview and documentary data was gathered over six weeks. Alternative strategies of communication were developed to enable the co-creation of dialogue between participants and researcher. For example, a participant who could not talk used intentionally created artwork to share her ideas with the researcher. Findings Participants' daily experiences were characterised by struggling against the constraints of the residential setting: having to wait, having unmet needs, experiencing vulnerability and uncertainty. Participants' communication difficulties exacerbated these constraints. Their experiences of struggling were sometimes ameliorated by significant social contact with family or particular staff members, and engaging in enjoyable activities. Occasionally the experiences of enjoying the here-and-now, and being 'seen' as a person by the other, would create beautiful moments in which truly person centred engagement would occur. These moments were neither articulated nor recorded, and were thus invisible after they had occurred. Similarly, the experiences of struggling against the constraints were neither acknowledged nor recorded. Significant experiences in the lives of these four residents were therefore invisible to others. The unifying theme representing the participants' daily experiences was: That which goes unsaid. Discussion It was necessary to develop communication strategies which would by-pass the researcher's assumptions and enable participants to introduce their own ideas and opinions. This ongoing process of co-creation of dialogue required work from, and trust between, participants and researcher. What is new? Expressly seeking the views of residents with communication difficulties Successfully using process consent with participants in this situation Using intentionally created artwork during data gathering in this context What has regional, national or international relevance? The findings indicate that people with communication difficulties may not receive optimal care in residential settings in the Netherlands. Methods are described which could be used by practitioners in their everyday work, and which show facilitators or practice developers how they can help carers to engage in more effective communication with this kind of resident. Additionally, this research contributes to the international discussion about ethical participation of vulnerable people in research.
The objective of CW4N is to identify opportunities for wood reuse through the use of advanced digital production technologies1, and develop related implementation strategies for public organisations, in particular housing corporations and municipalities. Strategies include concrete proposals on how to: a) collect and process wood waste from residential buildings; b) add value to reclaimed wood by means of digital production; c) increase tenant involvement and acceptance for waste wood collection and circular reuse; d) create impactful applications for a circular economy. The research is carried out in four work packages. The first identifies the nature of residential wood waste (volume, type, application) from past case projects of housing corporations Ymere and Rochdale. Their upcoming renovation plans are evaluated, to identify resources and hotspots for future implementations. The second workpackage explores what applications can be conceived, given the available wood and digital production tools at the AUAS Robot Lab. In the third workpackage case studies are carried out for actual projects of the housing corporations. Physical prototypes are used as conversation pieces to involve tenants and increase their acceptance for circular applications. In the fourth workpackage all findings are combined in a set of implementation strategies. High-quality data-collection is crucial for the project, since it will determine the nature of the materials for designing and manufacturing applications. In this proposal, additional resources are added to the project to take care of data-collection. Due to covid-19, project managers at Ymere and Rochdale must focus on day-to-day work to get ongoing and planned building projects done, reducing their time for data collection from previous projects. In addition, because of teleworking, non-digital data such as drawings and reports are not easily accessible. To enhance data-collection, student-assistants will be added to the project to survey ongoing renovation projects in the field.
