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Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.

A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.

The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.

The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.

The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.

Using retail banking as a setting and focusing specifically on elderly customers (i.e. individuals aged 60 or more), this study aims to deepen the current understanding of how the physical context and the need for human interaction influence elderly customers' attitudes toward self-service technologies (SSTs) and their behavior.

Using face-to-face questionnaires, a sample of 505 elderly bank customers was collected. Data were analyzed using a multi-method approach, combining a moderated mediation analysis with a fuzzy-set qualitative comparative analysis.

The findings suggest that a pleasant retail space may result in a positive attitude toward SSTs, which increases their co-creation intention. It also highlights that need for interaction of elderly customers with employees has detrimental effects on their attitude toward SSTs.

The current analysis was carried out among Italian elderly banks' customers. Thus, the results are highly dependent on the context of the analysis. In addition, it does not consider the different degrees of knowledge and experience the elderly may have with technology.

This study suggests that providing access and support for using technology may be essential for banks to facilitate SSTs adoption in elderly customers.

To the best of the authors' knowledge, this study represents the first attempt to examine the influence of the physical context on elderly customers' attitudes toward SSTs and their consequent behavioral intentions. Furthermore, it highlights the importance of the human touch for these particular customers.

Process facilitation as part of a complex intervention for changing or improving practices within workplaces is becoming a common work method. The aim of this study was to investigate what characterizes the process-facilitating role in a complex intervention.

The present study focuses on a complex work environment intervention targeting eight organizational units (workplaces) in the Swedish healthcare sector. The study applies a mixed-method approach and has been carried out in two steps. First, a qualitative process evaluation was performed. Secondly, an evaluation was conducted to see to what extent these identified conditions and mechanisms affected the quantitative intervention effect in term of sickness absence.

The analysis shows that the facilitating role consisted of three overlapping and partially iterative phases. These phases involved different activities for the facilitating role. Depending on how the facilitating role and the intervention were designed, various supporting conditions were found to significantly affect the outcome of the intervention measured as the total sickness absence.

It is concluded that the facilitation is not static or fixed during the change process. Instead, the facilitation role develops and emerges through the process of support during the different implementation phases.

The facilitative role of performing support is based on a combination of support role activities and expert role activities. The support role focuses on support activities, while the expert role includes capacity building through knowledge- and legitimacy-oriented activities.

This study contributes to earlier research by developing a methodological approach for carrying out process facilitation in complex interventions.

Secondary customers often experience secondary vulnerabilities that manifest in family-centred transformative services as other- and self-related customer needs. Yet, a relational perspective on primary and secondary customers’ needs is lacking. The study analyses secondary customers’ needs and their relationship to primary customers’ needs to enhance well-being in customer entities. The service inclusion lens is used to understand customers’ experiences of vulnerability.

The study uses an exploratory approach. The data consists of ethnographic observations and interviews of elderly residents (primary customers), their family members (secondary customers) and nurses in two nursing homes.

Primary and secondary customers’ needs are interrelated (or unrelated) in four ways: they are separate, congruent, intertwined or discrepant. The vulnerability experiences fluctuate in intensity and over time, individually reflecting on these need dimensions.

The study contributes to service research concerning customers’ experiences of vulnerability, secondary customers and their inclusion in services. Primary customers’ service inclusion may increase/decrease secondary customers’ service inclusion and their experience of vulnerability. Moreover, secondary customers’ inclusion is often necessary to foster primary customers’ inclusion and well-being.

Fostering service inclusion and well-being for primary and secondary customers requires balanced inclusion and acknowledging the needs of both groups. Service providers may need to act as moderators within customer entities if discrepant needs occur.

The study addresses the under-researched areas of family members’ customer needs, their relation to primary customers’ needs, experiences of secondary vulnerability and context-related vulnerability.

The purpose of this paper is to shed light on the state-of-the-art about sustainable tourism. Despite the significant growth of publications exploring sustainable tourism, the debate on the relationship between tourism and sustainability remains open. In addition, the sector faces the challenge of the 2030 Agenda, as the authors have not yet managed to curb environmental degradation and social disparities. This research needs to be comprehensively addressed to inform future steps and to identify sustainable tourism practices that will advance the goals of this action plan.

This study applies a mixed methodology, using a bibliometric analysis performed by VOSviewer and SciMat software of 311 articles from the Web of Science. In addition, it includes an in-depth analysis of trending research topics in the field during 2019 and 2020.

After 20 years of research on sustainable tourism, there is still significant dispersion of studied topics, frameworks and applications. The results show the evolution of research towards the study and measurement of sustainable change, social and cultural aspects and the development of responsible governance models.

New stakeholder relationships models require a methodological and technological framework. Further progress in sustainable tourism guided by the 2030 Agenda demands the establishment of worldwide recognised measurement indicators and policy frameworks.

With a mixed methodological approach and a special focus on the sustainable development goals (SDGs), this paper provides a “state-of-the-art” update to sustainability research in tourism. The results obtained have been associated with their contribution to achieving SDGs.

尽管探索可持续旅游业的出版物大幅增长, 但关于旅游业和可持续性之间关系的辩论仍然没有结束。此外, 该部门还面临着2030年议程的挑战, 因为我们还没有设法遏制环境退化和社会差异。这项研究需要全面解决, 以便为未来的步骤提供信息, 并确定可持续旅游的做法, 以推进本行动计划的目标。

本研究采用混合方法, 通过VOSviewer和SciMat软件对来自科学网的311篇文章进行文献计量分析。此外, 它还包括对2019年和2020年期间该领域的趋势性研究课题的深入分析。

经过20年的可持续旅游研究, 所研究的课题框架和应用仍然存在很大的分散性。我们的结果显示, 研究朝着研究和测量可持续变化、社会和文化方面以及发展负责任的治理模式的方向发展。

新的利益相关者关系模型需要一个方法学和技术框架。在2030年议程的指导下, 可持续旅游业的进一步发展需要建立世界公认的测量指标和政策框架。

通过混合方法和对可持续发展目标（SDGs）的特别关注, 本文为旅游业的可持续性研究提供了 “最先进 “的更新。获得的结果与他们对实现可持续发展目标的贡献有关。

A pesar del importante crecimiento de las publicaciones que exploran el turismo sostenible, el debate sobre la relación entre turismo y sostenibilidad sigue abierto. Además, el sector se enfrenta al reto de la Agenda 2030, ya que aún no se ha conseguido frenar la degradación medioambiental y las disparidades sociales. Esta investigación debe abordarse de forma exhaustiva para informar de los pasos futuros e identificar las prácticas de turismo sostenible que harán avanzar los objetivos de este plan de acción.

Este estudio aplica una metodología mixta, utilizando un análisis bibliométrico realizado por el software VOSviewer y SciMat con 311 artículos de la Web of Science. Además, incluye un análisis en profundidad de los temas de investigación de tendencia en el campo durante 2019 y 2020.

Después de 20 años de investigación sobre el turismo sostenible, sigue habiendo una importante dispersión de los marcos temáticos estudiados y de las aplicaciones. Nuestros resultados muestran la evolución de la investigación hacia el estudio y la medición del cambio sostenible, los aspectos sociales y culturales y el desarrollo de modelos de gobernanza responsable.

Los nuevos modelos de relaciones con los grupos de interés requieren un marco metodológico y tecnológico. Los nuevos avances en el turismo sostenible guiados por la Agenda 2030 exigen el establecimiento de indicadores de medición y marcos políticos reconocidos a nivel mundial.

Con un enfoque metodológico mixto centrado especialmente en los Objetivos de Desarrollo Sostenible (ODS), este trabajo proporciona una actualización del “estado del arte” a la investigación de la sostenibilidad en el turismo. Los resultados obtenidos se han asociado con la consecución de los ODS.

The acute geriatric community hospital (AGCH) in an intermediate care facility is an alternative to conventional hospitalization. A comprehensive geriatric assessment and rehabilitation are integrated into acute medical care for older patients. This study aims to evaluate patient experience and satisfaction with the AGCH.

This is a mixed method observational study including a satisfaction questionnaire and qualitative interviews with AGCH patients or informal caregivers.

A total of 152 participants filled in the questionnaire, and thirteen semi-structured interviews were conducted. Twelve categories and four overarching themes emerged in the analysis. In general, study participants experience the admission to the AGCH as positive and are satisfied with the care they received; there were also suggestions for improvement.

Limitations of this study include possible participation bias. The results show that patients value this type of care indicating that it should be implemented elsewhere. Further research will focus on health outcomes, readmission rates and cost effectiveness of the AGCH.

This is the first study to evaluate care satisfaction with the AGCH. It shows that hospitalized older adults positively value the AGCH as an alternative to hospitalization.

Many adults fail to achieve sufficient moderate-to-vigorous physical activity (MVPA). The purpose of this paper is to understand how workplaces most effectively promote physical activity for the benefit of public health.

Data were collected via two online surveys. First, 3,360 adults employed at 308 workplaces across England self-reported their MVPA, activity status at work and frequency of journeys made through active commuting. From this sample, 588 participants reported on the policies and practices used in their workplace to promote physical activity. Factor and cluster analysis identified common practice. Regression models examined the association between the workplace factors and engagement in physical activity behaviours.

Five factors emerged: targeting active travel, availability of information about physical activity outside the workplace, facilities and onsite opportunities, sedentary behaviour, and information about physical activity within the workplace. Further, five clusters were identified to illustrate how the factors are typically being utilised by workplaces across England. Commonly used practices related to promoting active travel, reducing sedentary behaviour and the provision of information but these practices were not associated with meeting MVPA guidelines. The provision of facilities and onsite exercise classes was associated with the most positive physical activity behaviour outcomes; however, these structures were rarely evident in workplaces.

Previous research has identified a number of efficacious actions for promoting physical activity in the workplace, however, research investigating which of these are likely to be acceptable to worksites is limited. The present study is the first to combine these two important aspects. Five common profiles of promoting physical activity in worksites across England were identified and related to physical activity outcomes. Guidance is given to workplace managers to enable them to maximise the resources they have for the greatest gains in employee health. Where feasible, facilities, and classes should be provided to achieve the most positive outcomes.

Older people with dementia (OPD) have specific housing and technology-related needs, for which various design principles exist. A model for designing environments and its constituting items for people with dementia that has a firm foundation in neurology may help guide designers in making design choices. The paper aims to discuss these issues.

A general design model is presented consisting of three principles for OPD, namely designing for ageing people; designing for a favourable state and designing for beautiful moments. The neurosciences as a whole give shape to an eminent framework explaining the behaviour of OPD. One of the objectives of this paper is to translate the design principles into design specifications and to show that these specifications can be translated in a design.

Philosophical concepts are introduced which are required to understand design for OPD. Four case studies from Dutch nursing homes are presented that show how the theory of modal aspects of the philosopher Dooyeweerd can be used to map design specifications in a systematic way.

These examples of design solutions illustrate the applicability of the model developed in this article. It emphasises the importance of the environment for supporting the daily life of OPD.

There is a need for a design model for OPD. The environment and technology should initiate positive behaviours and meaningful experiences. In this paper, a general model for the designing of environments for OPD was developed that has a firm foundation in neurology and behavioural sciences. This model consists of six distinct steps and each step can be investigated empirically. In other words, this model may lay the foundation for an evidence-based design.