Background: Delirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical setting, with rates of under 5% in minor elective surgery but up to 80% in intensive care unit patients. Delirium has severe adverse consequences, but despite this and its high prevalence, it remains undetected in the majority of cases. Optimal delirium care requires an interdisciplinary, multi-dimensional diagnostic and therapeutic approach involving doctors, nurses, physiotherapists, and occupational therapists. However, there are still important gaps in the knowledge and management of this syndrome. Main body: The objective of this paper is to promote the interdisciplinary approach in the prevention and management of delirium as endorsed by a delirium society (European Delirium Association, EDA), a geriatrics society (European Geriatric Medicine Society, EuGMS), a nursing society (European Academy of Nursing Science, EANS), an occupational therapy society (Council of Occupational Therapists for European Countries, COTEC), and a physiotherapy society (International Association of Physical Therapists working with Older People of the World Confederation for Physical Therapy, IPTOP/WCPT). Short conclusion: In this paper we have strongly promoted and supported interdisciplinary collaboration underlying the necessity of increasing communication among scientific societies. We have also provided suggestions on how to fill the current gaps via improvements in undergraduate and postgraduate delirium education among European Countries.
Fields neighboring the disciplines of kinesiology and sports science have called for more interdisciplinary work, including the adoption of critical approaches to research. This scoping review explored the degree to which critically-aligned research has developed within these disciplines. The goal was to identify who this research studied, what methods were used, and which theoretical and conceptual frameworks were adopted. Publications between 2010-2022 in six top kinesiology and sports science journals using four databases were searched using keywords to identify critically-aligned research. A multi-step screening process was used to identify and sort articles that adequately fit the criteria of critically-aligned research. The scoping review identified 5666 entries of which 3300 were unique publications. 76 articles were assessed to be critically-aligned. Four themes regarding demographics emerged: Geographic area, gender, race/ethnicity/indigeneity, and inequality/inequity. Regarding methodology, three major theoretical and conceptual frameworks emerged: ecological, socio-economic, and cultural. Overall, a relatively small number of studies fit our search criteria, suggesting that critically-aligned research remains at the margins of the disciplines. For the studies that were critically-aligned, they often centered the Global North and were inconsistent in their application of categories such as race, ethnicity, inequality and equity. These studies were diverse in their methodological approach while relying on ecological, socio-economic, and cultural frameworks. To heed the calls for a more interdisciplinary approach, and to advance the disciplines more generally, kinesiology and sports science should expand their adoption of critical approaches to research.
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Problems with communication and collaboration among perinatal caregivers threaten the quality and safety of care given to mothers and babies. Good communication and collaboration are critical to safe care for mothers and babies. In this study the researchers focused on studies examining the factors associated with good communication and collaboration as they occur in working routines in maternity care practice. Their study is part of a growing trend of identifying the positive aspects of communication and collaboration in maternity care.
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In the past decades, we have faced an increase in the digitization, digitalization, and digital transformation of our work and daily life. Breakthroughs of digital technologies in fields such as artificial intelligence, telecommunications, and data science bring solutions for large societal questions but also pose a new challenge: how to equip our (future)workforce with the necessary digital skills, knowledge, and mindset to respond to and drive digital transformation?Developing and supporting our human capital is paramount and failure to do so may leave us behind on individual (digital divide), organizational (economic disadvantages), and societal level (failure in addressing grand societal challenges). Digital transformation necessitates continuous learning approaches and scaffolding of interdisciplinary collaboration and innovation practices that match complex real-world problems. Research and industry have advocated for setting up learning communities as a space in which (future) professionals of different backgrounds can work, learn, and innovate together. However, insights into how and under which circumstances learning communities contribute to accelerated learning and innovation for digital transformation are lacking. In this project, we will study 13 existing and developing learning communities that work on challenges related to digital transformation to understand their working mechanisms. We will develop a wide variety of methods and tools to support learning communities and integrate these in a Learning Communities Incubator. These insights, methods and tools will result in more effective learning communities that will eventually (a) increase the potential of human capital to innovate and (b) accelerate the innovation for digital transformation
This project addresses the fundamental societal problem that encryption as a technique is available since decades, but has never been widely adopted, mostly because it is too difficult or cumbersome to use for the public at large. PGP illustrates this point well: it is difficult to set-up and use, mainly because of challenges in cryptographic key management. At the same time, the need for encryption has only been growing over the years, and has become an urgent problem with stringent requirements – for instance for electronic communication between doctors and patients – in the General Data Protection Regulation (GDPR) and with systematic mass surveillance activities of internationally operating intelligence agencies. The interdisciplinary project "Encryption for all" addresses this fundamental problem via a combination of cryptographic design and user experience design. On the cryptographic side it develops identity-based and attribute-based encryption on top of the attribute-based infrastructure provided by the existing IRMA-identity platform. Identity-based encryption (IBE) is a scientifically well-established technique, which addresses the key management problem in an elegant manner, but IBE has found limited application so far. In this project it will be developed to a practically usable level, exploiting the existing IRMA platform for identification and retrieval of private keys. Attribute-based encryption (ABE) has not reached the same level of maturity yet as IBE, and will be a topic of further research in this project, since it opens up attractive new applications: like a teacher encrypting for her students only, or a company encrypting for all employees with a certain role in the company. On the user experience design side, efforts will be focused on making these encryption techniques really usable (i.e., easy to use, effective, efficient, error resistant) for everyone (e.g., also for people with disabilities or limited digital skills). To do so, an iterative, human-centred and inclusive design approach will be adopted. On a fundamental level, scientific questions will be addressed, such as how to promote the use of security and privacy-enhancing technologies through design, and whether and how usability and accessibility affect the acceptance and use of encryption tools. Here, theories of nudging and boosting and the unified theory of technology acceptance and use (known as UTAUT) will serve as a theoretical basis. On a more applied level, standards like ISO 9241-11 on usability and ISO 9241-220 on the human-centred design process will serve as a guideline. Amongst others, interface designs will be developed and focus groups, participatory design sessions, expert reviews and usability evaluations with potential users of various ages and backgrounds will be conducted, in a user experience and observation laboratory available at HAN University of Applied Sciences. In addition to meeting usability goals, ensuring that the developed encryption techniques also meet national and international accessibility standards will be a particular point of focus. With respect to usability and accessibility, the project will build on the (limited) usability design experiences with the mobile IRMA application.
Globally, we face the urgent task of the transition to a climate neutral and circular society. Biobased materials are regenerative and add considerably less to the carbon stock in the atmosphere. Therefore they get high priority in several missions of the KIA theme “Energy transition and Sustainability”. In recent years significant progress has been made in biobased materials technology. In the “Circular Biobased Delta” region the Universities of Applied Sciences have grown into strong research partners in this field. However, successful business cases are few and society reacts only hesitantly. Accelerating the transition to biobased materials asks for a strategic move to a truly interdisciplinary collaboration. In response, in the Living Ecosystem programme, technological, economic and societal researchers from the three Universities of Applied Sciences (HZ, RUAS, Avans) join to form a core group. Together they will align and extend their research in shared topics such as biobased ingredients, circular building, and bioplastics. Around these topics, cross-sectoral communities within the existing regional ecosystem will be organised, connected and called upon to articulate interdisciplinary research projects and valorise the outcomes. The partners have different levels of achievement together forming a strong research group. They will share their experiences to collectively improve the volume, impact and quality of their research. In doing so they aim to become leaders within their separate disciplines and collectively evolve into an (inter)nationally recognised top-rank research community. The core group of researchers is assisted by a strong consortium, whose members represent the different topics and functions in the ecosystem. The consortium will advise the core group in defining and valorising their research. The regional ecosystem already hosts many “field labs”. The programme aims to create focus in their utilisation for an impactful programme of development, education and communication activities.
