Development of a practical guideline for person centred goal setting in geriatric rehabilitation:A participatory action research

PurposeTo improve goal setting in Geriatric Rehabilitation (GR), by developing an evidence-based practical guideline for patient-centred goal setting.MethodsParticipatory action research (PAR) in a cyclical process, with GR professionals as co-researchers. Each cycle consisted of five phases: problem analysis, literature review, development, practical experience, feedback & evaluation. The evaluation was based on video recordings of goal setting conversations, and on oral and written feedback of the GR professionals who tested the guideline.ResultsIn two PAR-cycles the guideline was developed, consisting of eight recommendations for setting and using goals, and of practical advices elaborating three of the recommendations, concerning conversational skills specific for goal setting conversations. After the second cycle the research team concluded that the guideline was feasible in daily practice and effective when used consciously.ConclusionIn this study, a practical guideline for setting and using goals in GR was developed. GR teams can improve their patient centred working with goals by discussing the recommendations in their team and choosing the recommendations to work on. This can be supported by the development of an interdisciplinary training. The effect on quality of care should be subject to further investigation

Prijsontwikkeling van varkensrechten

In deze notitie wordt inzicht gegeven in de ontwikkeling van de prijs van varkensrechten in de afgelopen vijf jaar, en de verwachte ontwikkeling van de prijs van de varkensrechten in 2019-2021. Deze informatie wordt gebruikt voor een advies aan het Ministerie van LNV over een marktconforme vergoeding voor varkensrechten, in het kader van de voorgenomen Sanerings- en Beëindigingsregeling voor varkenshouders

Demand and experiences with financial products and services in climate smart villages

This study ‘Demand for and experiences with financial products and services’ describes and discusses the results of a survey to provide a first insight into the financial services that the smallholder farmers from climate smart villages use and to explore how these are related to climate smart agricultural technologies & practices. The study is one of three preliminary studies of a multi-year international research project (2016-2022) on ‘Business models, incentives and innovative finance for scaling climate smart agriculture (CSA)’. The knowledge and insights developed are used to further support ongoing and emerging climate smart projects in which CCAFS is involved. A survey was conducted to identify smallholder farmers and the small to medium enterprises (in different stages of the value chain) and their demand for and experiences with financial products and services. There were 148 respondents from 24 villages from Latin America, West Africa, East Africa, Southeast Asia and South Asia. The targeted number of female respondents (50%) was nog met in all regions, for example in India where the role of female farmers in irrigated agriculture would be limited. A limitation to the results is that in different regions a different number of villages was involved, making it more difficult to generalise results. Sometimes it would prove challenging to make conclusions about the reasoning behind the answers. The study is about adoption climate smart agriculture, but does not define the extent of adoption. .

Reforma financiera y crédito rural en Centroamérica. La necesidad de instituciones e innovaciones

Introducción: La reforma financiera es omnipresente en Centroamérica, Sorprendentemente, las políticas de reforma financiera son muy similares en toda la región, no obstante que las condiciones macroeconómicas y estructurales de los países del área son muy diversas. Todas las reformas incluyen dos componentes básicos: menos intervención directa del Estado en el negocio de la intermediación financiera y una mayor supervisión del sistema bancario mediante bancos centrales más autónomos