Review: Operationalizing Smart One Water: Collaborative solutions — R0/PR3

Background Persistent somatic symptoms and functional disorders (PSS/FD) are complex conditions requiring collaboration between healthcare professionals. This is especially true at the interface between primary and secondary care interface. The current fragmentation of care is a major barrier to this, leading to poor experiences and outcomes and high costs for healthcare and society. Objectives The aim is to identify barriers and possible solutions for collaboration between primary and secondary care in patients with PSS/FD. Methods In two sessions, using the nominal group technique, a mix of primary and secondary care professionals identified barriers and possible solutions to collaboration between primary and secondary care in PSS/FD care. Barriers to collaboration were identified during session one, with potential solutions identified during session two in response to the top eight barriers. Each session ended with a voting round ranking the barriers and solutions. Results A total of 102 healthcare professionals participated in two sessions. In the first session, 55 participants provided a list of 22 barriers, while in the second session, 47 participants provided 18 possible solutions. The top barriers related to shared language and protocols, referral quality, expectations and responsibilities between healthcare professionals and patients, and time pressure. The top solutions identified related to general practitioners using electronic consultations with specialists and shared terminology with patients. Conclusion The identified barriers and possible solutions for collaboration between primary and secondary care need attention when considering collaboration in PSS/FD care and related settings, both in new and ongoing collaborations.

To maintain competitive edge among increasingly complicated product activities, joint efforts from varied functional groups are required. Information from marketing, sales, engineering, sourcing, or even consumer should be cross-referenced. Moreover, predefined workflows can facilitate efficient collection of distributed information. Traditional workflow solutions, however, can only provide a simple e-form for a workflow execution. Such workflow solutions merely offer modeling approval-based workflow (A WF), such as drawing reviews or absence applications. In contrast, unlike traditional workflow, a collaborative-based workflow (CWF) in product development process requires complicated e-forms with manifold views for a workflow execution. This paper illustrates the framework of collaborative workflow solution, which can be applied to model workflow utilized in distributed product development. To fulfill the varied business requirements, the paper also attempts to achieve a dynamic and efficient construction of complicated e-forms in collaborative workflow solution. Other mechanisms such as routing definition and authority setup are also explained. Finally, an example of new product development execution is introduced to explain the actual practice of collaborative workflow concept. The major contribution of this paper is to propose a coding-free framework for CWF. Compared to the traditional hard-coding method, the construction time for CWF system can be reduced significantly with the assistance of modeling tool. Time reduction on developing e-systems, in this regard, is a very important issue for most modern e-industries. The concept in this paper can direct a global enterprise to efficiently construct workflow management system for global collaboration.

BackgroundThe statistics of healthcare worker (HCW) COVID-19 infections do not convey the lived experience of HCWs during the pandemic. This study explores the working conditions and issues faced by Australian...

High-performance coaching is a deeply gendered field of work. Despite international and national efforts, women are still systematically underrepresented in coach education and in leadership positions. For example, at the 2020 Olympic Games in Tokyo, only 13% of the accredited coaches were women. While there is substantial international research on gender inequality in high-performance coaching, in-depth knowledge on the current qualification and work situation of women high-performance coaches is limited. To address this gap, the Women in Sports Coaching: Investigating qualification and professional pathways in German elite sport (QualiFT) study was designed, which we report and reflect on in this protocol. The overarching aim of this mixed-method study is to investigate gender-specific barriers and support factors for women coaches’ career pathways in high-performance sport as well as to develop needs-based solutions in collaboration with key stakeholders. Employing a participatory mixed-methods design across three sub-studies, the project combines a blend of data collection and analysis methods, such as an online survey, biographical mapping interviews, focus group discussions, expert interviews, and document analysis. Statistical evaluation of license and survey data as well as qualitative insights from practitioners, experts and document analysis enable a multifaceted understanding of structural and individual barriers and support factors for gender equity in coaching. In so doing, the study provides a foundation for developing research-based measures to promote gender equity in high-performance sports coaching.

Henryk (Heini) Eisenberg (1921–2009): From polymer chemistry to halophilic enzymes to chromatin and back

The Assisted Living project (2016-2019) aimed to investigate older adults’ needs for digital technology for daily support and to develop technology solutions in collaboration with the user group. This paper presents data extracted from three sub-studies: Sub-study 1 investigated older homecare recipients’ use of and attitudes towards digital technology, sub-study 2 explored assisted living residents’ needs and requirements for technology, and sub-study 3 explored their experiences with environmental sensor technology to support safety and daily living. The aim was to explore how the occupational science concepts of doing, being, belonging, and becoming can provide a deeper understanding of technology use among participants in the Assisted Living Project. This study demonstrates that for older adults in the Assisted Living project to become technology users required both personal motivation and cognitive capacity for learning to use the device and become familiar with the technology, and access to internet and digital tools. Digitalization in society leads to new challenges for all citizens, especially those who are less familiar with using digital technology. By applying an occupational science perspective to technology use, this paper contributes to creating awareness about digital exclusion and occupational injustice. It provides a deeper understanding of use and non-use and the digital divide, such as the consequences of not having access to digital healthcare services, that may lead to breaches of democratic human rights.

People with complex needs often have unmet biopsychosocial needs that require integrated services through intersectoral collaboration. Few studies have evaluated the factors influencing intersectoral collaboration for health improvement of a vulnerable population between non-profit organizations (NPOs) and primary health care partners in rural areas. The objectives of the study are: (1) to describe intersectoral collaboration between an NPO and its social and primary health care partners in a rural setting; and (2) to identify the elements that facilitate or hinder this collaboration. An instrumental case study was conducted through field research. Data collection included non-participant observation, semi-structured interviews, and analysis of documents. A thematic analysis was then carried out, and a case story was written. The case study provides an in-depth account of the case, its context, and the key factors influencing intersectoral collaboration. Fourteen factors were identified as having a significant impact on intersectoral collaboration with the NPO. These factors had positive and negative effects on collaboration efforts. Several of these effects are also factors that had, in turn, effects on collaboration. Implementing intersectoral collaborations requires a shared vision, healthy relationships, and transparent, respectful communication, among other important factors. Our study provides leaders of healthcare projects in rural areas with actionable advice to address potential challenges and enhance the effectiveness of their collaborative efforts.

Purpose: The objectives of this study were: (1) to understand and describe the challenges that women with physical disabilities face during their motherhood process; (2) to understand and describe their strengths, and (3) to produce a list of supports that health professionals and policy makers should apply in order to address the needs of these mothers. Methods: The study was conducted within the phenomenological-constructivist paradigm. In-depth semi-structured interviews were conducted with 17 mothers age 32–62 with various physical disabilities. Results: The findings revealed both physical and mental challenges that these women have faced during their motherhood. Although these challenges, the women evaluated that motherhood, in the context of disability, helped them to develop positive disability identity, to frame and accept their interdependence and to become resilient. Their disability also influenced the children, i.e. they have learned how to cope with difficulties. The mothers recommended making the environment more accessible for them, providing physical and emotional support, parental guidance, information about their rights, and financial benefits to meet their children's needs. Conclusions: Mothering with a disability can result in personal growth, but this positive process requires interdependence, creative and collaborative approach applied in rehabilitation practices.Implications for RehabilitationSupporting mothers with physical disabilities should address not only their physical needs but also their mental and social needs. In particular, mothers with physical disabilities want and need parental guidance as well as accessible recreational activities for them and their children.An interdependence and creative approach should be applied in rehabilitation practices in a way that recognizes the right of women with physical disabilities to become mothers, express their needs and develop solutions in collaboration with health professionals.Health professionals should look for strengths of mothers with physical disabilities and use their strengths to accomplish personal aims within individual rehabilitation programs.

PurposeThis paper aims to study the results of open innovation initiatives in Spain under the lockdown during the first stages of the COVID-19 crisis. Based on the most recent literature on open innovation in the public sector, this paper explores the following research questions, namely, what are the key features of collaborative governance processes that guided open innovation initiatives in the Spanish public sector during the COVID-19 crises? How open public innovation cases generated public value to the society during the COVID-19 crises in Spain?Design/methodology/approachThe study is based on two in-depth case studies of open innovation in the public sector: the collaborative platform Frena la Curva and the hackathon Vence al Virus, both launched during the first moments of the COVID-19 crisis. The methodology is based on 13 semi-structured interviews, content observation and documentary analysis. The data were interpreted according to the dimensions described in the analytical framework: descriptive dimensions of both initiatives but also their degree of elaboration, incentives and objectives, characteristics of governance and collaboration between actors and challenges for the accountability processes; and finally, their procedural legitimacy, considering the COVID-19 crisis context.FindingsThe results of the study show that citizens have played a key role during the hardest stage of the crisis, collaborating with governments and advancing their innovative capabilities, mostly in the digital sphere. The analysis also identified different outcomes, including the improvement of citizen’s involvement, deliberation practices or network building. Besides, this paper has identified some limitations and barriers to open innovation and collaborative governance processes in terms of accountability and legitimacy of these initiatives. Here, their contribution was constrained by the emerging stage of implementation and by the unique circumstances of the lockdown under the COVID-19 crisis.Research limitations/implicationsFuture advancements of open innovation initiatives to consolidate collaborative governance processes will need further exploration. Although this paper diversified the contacts and the data collection in the fieldwork to avoid social biases, the results of the interviews might reflect very positive outcomes. Despite the case studies that took place during the COVID-19 crisis and their planned actions to maintain their existence, the post-crisis analysis will be needed to assess the impact of these open innovation cases in collaborative governance structures.Practical implicationsOpen innovation is an emerging narrative and practice in the public sector requiring time and energy from public officials and managers. The study also highlighted the problem of how to legitimate open innovation cases in the public sector and the implications for their institutionalization. Public managers involved in these types of initiatives need to keep the momentum both inside and outside their organizations. Regarding the utilization of information and communications technologies (ICTs), open innovation processes do not need technology to develop their full potential, whereas the COVID-19 crisis and the ongoing digitalization of work settings, accessibility, etc., could transform ICTs into a critical tool for public managers leading innovation initiatives within their organizations.Social implicationsThe social implications of this paper are manifold. This study provides evidence of one of the future avenues of public management: open innovation. New avenues for the involvement and collaboration of citizens with public authorities are another social implication pinpointed by this paper. Democratic legitimacy and procedural accountability are assessed using the open innovation case studies during the COVID-19 crisis. Finally, transforming governments using collaborative platforms deserves social oversight understanding if they really contribute to build trust in political institutions.Originality/valueDespite their differences, both Frena la Curva and Vence al Virus demonstrated the potential and limitations of public innovation and collaborative governance to cope with an unprecedented crisis such as the COVID-19. The special features of this emergency, including the long period of confinement, posed challenges and also opportunities to develop these initiatives: as several interviewees stated, these projects helped to channel the civic energy to co-produce solutions in collaboration with a wide range of actors. Data allow us to identify the key features of collaborative governance that guided open innovation initiatives in the Spanish public sector during the COVID-19 crisis.

PurposeThe purpose of this research study is to empirically investigate the Figma prototyping technology adoption factors among entrepreneurship and innovation libraries for providing support to startups by developing and evolving the prototype solutions in collaboration with health libraries.Design/methodology/approachThis study uses the technology adoption model (TAM) as a framework and the partial least squares structural equation modeling (PLS-SEM) method of structural equation modeling (SEM) using SmartPLS 3.2.9 software version to investigate the prototyping adoption factors among entrepreneurship and innovation libraries for rural health innovations. A total of 40 libraries, spread over 16 entrepreneurship and innovation libraries, participated in this survey, including participants from Europe (35%), Asia (15%) and USA (50%).FindingsThe findings show that previous experience, social impact, brand image and system quality have a significant positive impact on entrepreneurship and innovation libraries' perceived usefulness (PU) of prototyping technology. Perceived ease of use of prototype technology is positively influenced by usability, training materials and documentation, experience and self-efficacy. Together, perceived usefulness and perceived ease of use have a significant influence on behavioural intention. Behavioural intention is positively impacted by minimal investment and shallow learning curve. Technology adoption is furthered by behavioural intention. The control variables, for instance location, gender and work experience (as librarian), were found not having any impact on Figma technology adoption.Research limitations/implicationsThrough strategic partnerships with other libraries (including health libraries), policymakers, and technology providers, the adoption of prototype technology can be further accelerated. The important ramifications for policymakers, technology providers, public and entrepreneurship and innovation libraries to create a self-reliant innovation ecosystem to foster rural health innovation based on entrepreneurship are also listed in the article.Originality/valueThis research is distinctive since it integrates several areas of study, including entre, advances in rural healthcare and libraries. A novel idea that hasn't been thoroughly investigated is the collaboration between entrepreneurship and innovation libraries and health libraries for supporting businesses. This study offers insights into the factors that drive technology adoption and offers practical advice for policymakers and technology providers. It also advances understanding of the adoption of Figma prototyping technology among libraries for rural health innovation. Overall, this study provides a novel viewpoint on the nexus between different disciplines, showing the opportunity for cooperation and innovation in favour of rural health.

Fabrum Solutions in collaboration with Callaghan Innovation has been developing large pulse tube cryocoolers based on Callaghan Innovation's diaphragm pressure wave generators (DPWG). The pulse tube's lack of moving parts in combination with the DPWG's metal diaphragms produces a cost-effective, long life and robust cryocooler. The DPWG has had 10 years of development, resulting in a series of DPWGs ranging in input powers from 0.5 kW to 30 kW that have been coupled to a variety of in-line and coaxial pulse tubes. Two DPWGs have had in excess of 7000 hours running to date. The PTC330 cryocooler is based on a new 330 cc DPWG and has produced 480 W of cooling at 77 K during testing. The PTC1000 combines three such pulse tubes on a single 1000 cc DPWG to produce 1270 W at 77 K. This paper details the development of the PTC330 and PTC1000 cryocoolers from initial lab prototypes through to commercial products, integrated into liquefiers and ready for use in applications such as: Nitrogen liquefaction, re-liquefaction of boil-off from storage tanks, or cooling of cryostats for High Temperature Superconductor applications.

Take your PIC (Program Improvement Committee): The benefits of a resident-run initiative to improve graduate medical education.

Many health leaders are highly analytical, adaptive learners who thrive on solving complex problems in dynamic, real-world contexts. Their expertise is grounded in years of field experience, where they have honed their ability to rapidly generate insights, test ideas, and innovate solutions in collaboration with diverse stakeholders.

Integration of Artificial Intelligence and Open-Source Tools for Intelligent Natural Language Queries on IFC Models: An Accessible and Collaborative Solution

Leaders in academia and health care recognize the need for practice-ready nurses to address the nursing shortage, reduce onboarding time, and improve the satisfaction and retention of registered nurses. Historically, nurse leaders have developed programs, such as nurse residency programs, to address these issues. However, additional innovative approaches are needed to address the pervasive nursing shortage. The need to better prepare nursing graduates with essential competencies for beginning practice led to the creation of a unique nursing program that uses an apprenticeship model, combining academic and practice partners. Implementation of the apprenticeship program has led to a 100% NCLEX-RN (National Council Licensure Examination for Registered Nurses) pass rate for graduates of the program and a high program retention rate (92%). Health care system leaders report an 80% to 83% 2-year post-graduation retention rate for nursing graduates. Amidst a pervasive nursing shortage, continued efforts and strategies are needed to build the nursing profession. The apprenticeship program provides a robust and innovative option for second-degree students interested in earning a bachelor of science in nursing.