Purpose: This study aims to capture the complex clinical reasoning process during tailoring of exercise and dietary interventions to adverse effects and comorbidities of patients with ovarian cancer receiving chemotherapy. Methods: Clinical vignettes were presented to expert physical therapists (n = 4) and dietitians (n = 3). Using the think aloud method, these experts were asked to verbalize their clinical reasoning on how they would tailor the intervention to adverse effects of ovarian cancer and its treatment and comorbidities. Clinical reasoning steps were categorized in questions raised to obtain additional information; anticipated answers; and actions to be taken. Questions and actions were labeled according to the evidence-based practice model. Results: Questions to obtain additional information were frequently related to the patients’ capacities, safety or the etiology of health issues. Various hypothetical answers were proposed which led to different actions. Suggested actions by the experts included extensive monitoring of symptoms and parameters, specific adaptations to the exercise protocol and dietary-related patient education. Conclusions: Our study obtained insight into the complex process of clinical reasoning, in which a variety of patient-related variables are used to tailor interventions. This insight can be useful for description and fidelity assessment of interventions and training of healthcare professionals.
MULTIFILE
Digital transformation has been recognized for its potential to contribute to sustainability goals. It requires companies to develop their Data Analytic Capability (DAC), defined as their ability to collect, manage and analyze data effectively. Despite the governmental efforts to promote digitalization, there seems to be a knowledge gap on how to proceed, with 37% of Dutch SMEs reporting a lack of knowledge, and 33% reporting a lack of support in developing DAC. Participants in the interviews that we organized preparing this proposal indicated a need for guidance on how to develop DAC within their organization given their unique context (e.g. age and experience of the workforce, presence of legacy systems, high daily workload, lack of knowledge of digitalization). While a lot of attention has been given to the technological aspects of DAC, the people, process, and organizational culture aspects are as important, requiring a comprehensive approach and thus a bundling of knowledge from different expertise. Therefore, the objective of this KIEM proposal is to identify organizational enablers and inhibitors of DAC through a series of interviews and case studies, and use these to formulate a preliminary roadmap to DAC. From a structure perspective, the objective of the KIEM proposal will be to explore and solidify the partnership between Breda University of Applied Sciences (BUas), Avans University of Applied Sciences (Avans), Logistics Community Brabant (LCB), van Berkel Logistics BV, Smink Group BV, and iValueImprovement BV. This partnership will be used to develop the preliminary roadmap and pre-test it using action methodology. The action research protocol and preliminary roadmap thereby developed in this KIEM project will form the basis for a subsequent RAAK proposal.
Digital transformation has been recognized for its potential to contribute to sustainability goals. It requires companies to develop their Data Analytic Capability (DAC), defined as their ability to manage and analyze data effectively. Despite the governmental efforts to promote digitalization, there seems to be a knowledge gap on how to proceed, with 37% of Dutch SMEs reporting a lack of knowledge, and 33% reporting a lack of support in developing DAC. While extensive attention has been given to the technological aspects of DAC, the people, process, and organizational culture aspects are as important, requiring a comprehensive approach and thus a bundling of knowledge from different expertise. Therefore, the objective of this KIEM proposal is to identify organizational enablers and inhibitors of DAC through a series of interviews and case studies, and use these to formulate a preliminary roadmap to DAC.
Mediabedrijven en -organisaties maken steeds meer gebruik van algoritmes om hun gebruikers gepersonaliseerde aanbevelingen aan te bieden voor artikelen, muziek, series, films en video’s. Dergelijke aanbevelingsalgoritmes maken gebruik van technieken uit kunstmatige intelligentie om te voorspellen in welke inhoud een gebruiker geïnteresseerd is, bijvoorbeeld op basis van wat de gebruiker eerder heeft bekeken of beluisterd of op basis van wat andere gebruikers hebben bekeken of beluisterd. Publieke omroepen, die programma’s maken voor kijkers en luisteraars, en de Nederlandse Publieke Omroep (NPO), die in Nederland zorgt voor de distributie en uitzending van die programma’s, zien potentie in deze technologie. De NPO maakt nog slechts beperkt gebruik van automatische aanbevelingen om inhoud aan kijkers en luisteraars aan te bieden, maar zij verkent samen met een aantal partners uit het publieke omroepbestel de mogelijkheden om de technologie breder in te zetten. Anders dan de meeste mediabedrijven wordt de NPO wordt bekostigd door overheidsbudget en heeft het als expliciete missie om het Nederlandse publiek te verbinden en te verrijken met programma’s die informeren, inspireren en amuseren. Dit stelt andere eisen aan een aanbevelingsalgoritme. Waar het doel van commerciële partijen veelal bestaat uit het optimaliseren van winst en/of engagement, beoogt de NPO aanbevelingen te bieden op transparante en inzichtelijke wijze, en staat pluriformiteit (diversiteit in perspectieven) in aanbevelingen centraal. Op dit moment speelt bij de NPO de vraag welke principes (pluriformiteit, personalisatie, etc.) leidend moeten zijn in aanbevelingen en hoe deze principes geoperationaliseerd kunnen worden. Het doel van dit project is daarom om, middels literatuuronderzoek, interviews met experts en gebruikers, en prototyping, een aantal principes te identificeren en operationaliseren die geschikt zijn voor aanbevelingsalgoritmes van publieke omroepen.
