Navigating pluralism: understanding perceptions of the ecosystem services concept

Being open to multiple interpretations allows the ecosystem services concept to operate as a boundary object, facilitating communication and cooperation between different user groups. Yet there is a risk the resultant pluralism limits the capacity of ecosystem services assessments to directly inform decision and policy making, and that the concept could be used to support environmentally or socially harmful activities. Here, we report results from a large mixed methods survey conducted among academics, policymakers and practitioners working in the field of ecosystem services across Europe. We use these results to explore the trade-off that exists between the role of ecosystem services as a boundary object and the needs of policy and decision makers of more standardisation. We conclude this can be done by working towards the standardisation of ecosystem service assessments within specific jurisdictions, whilst maintaining forums for debate, collaboration, and critical reflection within the broader ecosystem services community. We also aim to deduce guiding principles to ensure the ecosystem services concept is not used to support detrimental activities. The consideration of shared and cultural values, the expansion of inter- and transdisciplinary work and the integration of the concept of sustainability are identified as valuable guiding principles to this end.</p

Handling a messy world: lessons learned when trying to make the ecosystem services concept operational

The concept of ecosystem services is widely used in the scientific literature and increasingly also in policy and practice. Nevertheless, operationalising the concept, i.e. putting it into practice, is still a challenge. We describe the approach of the EU-project OpenNESS (Operationalisation of Ecosystem Services and Natural Capital), which was created in response to this challenge to critically evaluate the concept when applied to real world problems at different scales and in different policy sectors. General requirements for operationalization, the relevance of conceptual frameworks and lessons learnt from 27 case study applications are synthesized in a set of guiding principles. We also briefly describe some integrative tools as developed in OpenNESS which support the implementation of the principles. The guiding principles are grouped under three major headlines: “Defining the problem and opening up the problem space”, “Considering ethical issues” and “Assessing alternative methods, tools and actions”. Real world problems are often “wicked” problems, which at first are seldom clear-cut and well-defined, but often rather complex and subject to differing interpretations and interests. We take account of that complexity and emphasise that there is not one simple and straightforward way to approach real world problems involving ecosystem services. The principles and tools presented are meant to provide some guidance for tackling this complexity by means of a transdisciplinary methodology that facilitates the operationalisation of the ecosystem services concept

Executive Function and Falls in Older Adults: New Findings from a Five-Year Prospective Study Link Fall Risk to Cognition

Background: Recent findings suggest that executive function (EF) plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk. Methodology/Main Results We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women) who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR). After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74–.98, p = .021), the attention index (RR: .84; CI: .75–.94, p = .002) and dual tasking gait variability (RR: 1.11; CI: 1.01–1.23; p = .027) were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02). Conclusions/Significance: These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk

A SIN for conserving Europe's biological and landscape diversity

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Een kwalitatieve studie naar de perspectieven van interprofessionele zorgteams omtrent differentiatie tussen verpleegkundige expertfuncties

DOEL: Het doel van dit onderzoek was om de differentiatie tussen verpleegkundige expertfuncties in kaart te brengen, dit met een focus op verpleegkundig specialisten en verpleegkundig consulenten vanuit het perspectief van interprofessionele zorgteams in een Vlaamse ziekenhuiscontext. METHODE: Aan de hand van doelgerichte steekproeftrekking werden interprofessionele zorgteams gerekruteerd om deel te nemen aan semigestructureerde focusgroep-interviews. De volgende aspecten werden hierbij in beschouwing genomen: teamsamenstelling, type ziekenhuis, geografische locatie en beschikbaarheid. RESULTATEN: Hoewel Interprofessionele zorgteams beperkte kennis hebben over functiedifferentiatie tussen verpleegkundige expertfuncties, erkennen zij de toegevoegde waarde die deze functiedifferentiatie kan hebben voor zowel het team als voor de patiëntenzorg. Bovendien nemen verpleegkundig consulenten en verpleegkundig specialisten een aantal rollen op waarop zij zich differentiëren en elkaar aanvullen: opleider, coach en coördinator van zorg. Naast deze gemeenschappelijke rollen werd de wetenschappelijke rol alleen voor de verpleegkundig specialist geïdentificeerd. CONCLUSIES: De differentiatie tussen verpleegkundig consulenten en verpleegkundig specialisten stelt deze functies in staat om op een synergistische manier samen te werken, vandaar dat beide functies geïmplementeerd moeten worden om elkaars praktijkvoering aan te vullen. Hoewel interprofessionele teams beperkte kennis hebben over functiedifferentiatie in de verpleegkunde erkennen ze hiervan de meervoudige meerwaarde

Quality criteria of nature-based interventions in healthcare facilities : a scoping review

Abstract: Introduction: Implementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in healthcare, identification of quality criteria is necessary to support desired outcomes related to biodiversity, human health and intervention processes. This study is part of a larger research project in collaboration with the Flemish Agency of Nature and Forest in Belgium. Methods: A scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, in PubMed, Medline, Web of Science and Scopus. A step-by-step tabular screening process was conducted to identify relevant studies and reviews of nature-based interventions, published in English between January 2005 and April 2023. A qualitative content analysis was conducted and the results were then presented to the project steering group and a panel of stakeholders for refinement. Results: After filtering on the eligibility criteria, and with focus on healthcare facilities, 14 articles were included in this study. A preliminary nature-based interventions quality framework with a set of quality indicators has been developed. Discussion: When designing integrated nature-based interventions, a needs analysis of users and the outdoor environment should be conducted. Next, the integration of a One Health and biodiversity perspective and the application of a complex intervention framework, could support the quality of the design and implementation of nature-based interventions in healthcare facilities and facilitate their assessment. In future work, more rigorous research into the design and implementation of integrated nature-based interventions is needed to test and refine the quality criteria in practice

Characteristics and effectiveness of mentoring programmes for specialized and advanced practice nurses : a systematic review

Abstract: Aims(1) To identify, evaluate and summarize evidence about the objectives and characteristics of mentoring programmes for specialized nurses (SNs) or nurse navigators (NNs) and advanced practice nurses (APNs) and (2) to identify the effectiveness of these programmes.DesignA systematic review based on PRISMA guidelines.Data SourcesFrom November 2022 until 7 December 2022, four databases were searched: PubMed, EMBASE, CINAHL and The Cochrane Library.Review MethodsStudy selection was performed independently by two researchers. Disagreements were discussed until consensus was reached. Data extraction was undertaken for included studies. Data synthesis was conducted using narrative analysis. Quality appraisal was performed using the Critical Appraisal Skill Programme (CASP) and Mixed Methods Appraisal Tool (MMAT).ResultsTwelve articles were included, all of which focused on mentoring programmes for APNs. Different forms of mentorship (e.g. (in)formal mentorship, work shadowing, workshops) were reported. Studies reported positive outcomes on job retention (n = 5), job satisfaction (n = 6), skills improvement (n = 7), satisfaction with the programme (n = 7) and confidence improvement (n = 4) among participants of mentoring programmes.ConclusionThere is a lack of uniformity and consistency in various elements of mentoring programmes. Further research is needed to develop mentoring programmes for both APNs and SNs/NNs in a systematic and theoretically underpinned manner. It is necessary to establish a thorough evaluation methodology, preferably using a mixed methods design that includes both a qualitative process evaluation and a comprehensive outcome evaluation using validated questionnaires, taking into account the NN/APN, the interprofessional team and organizational level.ImpactThe synthesis of evidence may be useful to organizations developing and implementing mentoring programmes for both SN/NN and APN. The development of a mentoring programme for nursing experts should be considered a complex intervention that requires theoretical frameworks and contextual considerations.No Patient or Public ContributionNot applicable, as no patients or public were involved