'Instead of "closing down" at our ages… we’re thinking of exciting and challenging things to do': older people’s microadventures outdoors on (e-)bikes

This paper explores how people aged 50 and over, who were returning to cycling as part of an eight-week health and wellbeing trial, created their own cycling microadventures. Applying a stage model of the process of adventure to qualitative data generated from personal diaries and focus groups, we examine how older people anticipated and prepared for their microadventures, the challenges and discoveries they experienced, the benefits they gained and how electrically assisted ‘e-bikes’ can provide further opportunities for adventure. We conclude that cycles are a mode uniquely placed to facilitate microadventures and that e-bikes, in particular, offer further potential to enable older people to (re-)connect with place and other people. But, while this type of activity can provide benefits in terms of health and wellbeing, we argue that more supportive physical and social infrastructure is required to provide opportunities for more people to undertake microadventures close to their homes

入院中の小児の在宅移行に必要な訪問看護に対する課題その2 : 兵庫県下の病棟看護師を対象とした質問紙調査の自由記載の分析より

近年、高度な医療的ケアが必要な子ども達が自宅で生活するケースが増加しているが、訪問看護ステーションの受入れが十分に整っていない現状がある。本研究では、小児の在宅移行が進んでいくための条件と、その条件のうち病棟看護師および訪問看護師に求められる条件を明らかにすることを目的とした。兵庫県下の小児の病棟看護師を対象とした質問紙調査を行ない、その中の「どうすれば在宅へ移行できると思うか?」「今後の小児訪問看護への期待は?」の自由記載部分の内容を分析した。得られた結果より、病棟看護師や訪問看護師が取り組む課題等について検討した。結果と考察について以下に示す。1.結果全体としては、地域・医療機関側の条件、患児側の条件、家族側の条件に分類され、種々の問題が山積した状態であることが分かった。2.病棟看護師が主として取り組むべき課題として、患児の身体的な状態が安定保持され、家族が知識・技術を習得する等の在宅移行に向けての準備が整うように関わることが挙げられていた。また、スムーズな在宅移行のためには、訪問看護の充実のみを課題ととらえるのではなく、病棟内での課題についても多く挙げられていた。3.小児訪問看護が主として取り組む課題として、まず訪問看護における小児の受け入れ体制の整備が挙げられた。そして、小児の人工呼吸器管理などの専門性の高いケア技術が提供され、家庭看護者の精神面、身体面への支援が行われていくことが求められていた。4.小児在宅移行を推進する連携や制度に関する課題としては、家庭看護者の休息確保が十分に行われ、なおかつQOL向上を目指すことが出来る社会資源制度の整備・充実や誰もが利用しやすい社会資源制度の整備が行われることが求められていた。そして、よりよい社会資源制度の充実のためにも地域と医療機関の連携を行っていくことが重要であると考える。今回は、実際に在宅移行することの出来た事例については調査していない。今後は、実際に小児の在宅移行を実施していく中で見える課題に関しても明確化し課題解決を行っていく必要性があると考える。In recent years, children who need advanced medical care at home has been increasing, however home nursing stations are not always available for those children. In this study, we aim to clarify the conditions which would facilitate the transition of children from hospital to home care and which could be fulfilled by child care unit nurses and visiting nurses. Child care unit nurses were asked using a questionnaire and the answers from open-ended questions were analyzed qualitatively. From the collected data, the issues which unit nurses and visiting nurses should tackle were examined. The results and discussion are described below : 1. As a whole, results were classified into the conditions of the community and the medical institution, the conditions of children and the conditions of their families. It turned out that various problems had accumulated. 2. The main objective which unit nurses should promote is to maintain the stable physical condition of the child and to let the family get the knowledge and skills for the child\u27s home care. Moreover, it was pointed out that many problems remain unsolved in the unit before the discharge. 3. The main objective which visiting nurses should tackle is to promote child acceptability at the visiting nursing stations. They are expected to provide advanced medical care at home, such as respirator management for children, and to support caregivers psychologically and physiologically. 4. A problem to be solved by collaborating with home nursing stations, hospitals, administration, and the community is assurance of enough rest for caregivers at home and providing social resources which will enhance quality improvement of care and social service systems which are easy to use. Therefore it is important to collaborate with the commumity and hospitals for better health systems. However, we didn\u27t investigate an actual case in which a child with disease was successfully shifted to home care. Thus a further investigation is needed to observe the actual barriers to promote the homecare of children suffering from illness

Using Usability Inspections To Find Usability Problems Early in the Lifecycle

Usability Inspections give development teams another option in creating usable software and in finding usability problems early enough to fix them. This paper focuses on enabling the reader to conduct usability inspections on their software. Keywords: Usability, Inspections, Software Evaluation, Review Audience: This paper will be aimed at a technical audience. Specifically, people who are responsible for determining what evaluation techniques to use to evaluate their product and people responsible for creating usable products. Biographical Sketch: Following graduation from New Mexico State University with a Bachelor of Science in Computer Science, Rosemary Marchetti began her career at IBM's Santa Teresa Lab. After joining Hewlett-Packard she worked with teams company-wide to improve their software inspection techniques. She is currently working with HewlettPackard teams to identify and build the competencies they need to meet their business goals. Rosemary worked with human factor..