This white paper is presented by the Ethics Working Group of the uNLock Consortium This white paper presents findings of the Ethics Working Group, from the conceptual phase of investigation into the ethical issues of the uNLock solution, providing identity management solutions for sharing and presentation of medical COVID-19 credentials (test results) in the context of healthcare institutions. We have provided an outline of direct and indirect stakeholders for the uNLock solution and mapped values, benefits, and harms to the respective stakeholders. The resulting conceptual framework has allowed us to lay down key norms and principles of Self Sovereign Identity (SSI) in the specific context of uNLock solution. We hope that adherence to these norms and principles could serve as a groundwork for anticipatory mitigation of moral risk and hazards stemming from the implementation of uNLock solution and similar solutions. Our findings suggest that even early stage of conceptual investigation in the framework of Value Sensitive Design (VSD), reveals numerous ethical issues. The proposed implementation of the uNLock app in the healthcare context did not proceed further than prototype stage, thus our investigation was limited to the conceptual stage, and did not involve the practical implementation of VSD method involving translation of norms and values into engineering requirements. Nevertheless, our findings suggest that the implementation of VSD method in this context is a promising approach that helps to identify moral conflicts and risks at a very early stage of technological development of SSI solutions. Furthermore, we would like to stress that in the light of our findings it became painfully obvious that hasty implementation of medical credentials system without thorough ethical assessment, risks creating more ethical issues rather than addressing existing ones.
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This paper aims to address the research gap in ethical design frameworks for self-sovereign identity (SSI) solutions. We present a case study of value sensitive design (VSD) conceptual investigation applied in the context of SSI-based solutions for the sharing of medical credentials uNLock. We evaluate the applicability and quality of VSD application on the basis of 5 criteria. We validate these findings by comparing the results of the original report with the studies presenting empirically informed insights from the deployment of SSI solutions for the presentation of medical credentials. We identify a problem of “value branching” particular to SSI solutions that can lead to the overinflation of the set of relevant values. We outline the affordances and limitations of the conceptual VSD investigation in our case study. We further reflect on the limits of general SSI principles and argue that the ethical design of SSI solutions always requires context-specific evaluative frameworks.
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Seclusion of patients on psychiatric wards is a controversial intervention with serious safety issues for patients. Nurses have an important role in the decision to use seclusion when encountering aggressive behaviour. The aim of this thesis is to improve knowledge about the influence of nurses on the incidence of aggressive behaviour and the use of seclusion, in order to use that knowledge to prevent such events in the future. Patients and nurses share views on the factual cause of aggressive behaviour, but their perception of the severity differ. The attitude of nurses towards seclusion changed over the last decades from a therapeutic paradigm to a safety paradigm. In our study, teams with majority of male nurses were associated with less seclusion and aggressive behaviour. Teams with high scores on personality trait openness were associated with less seclusion and teams with high scores on personality trait extraversion were associated with patients’ aggression. There are no golden solutions to improve safety of psychiatric wards, but increased attention of development of nursing skills seems as an important step forward. By providing optimal nursing care, vulnerable patients on psychiatric wards receive the care they deserve.
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The UNLOCK project - Creativity through game-based learning at higher education – aims to equip HEIs to design, set and facilitate escape room games in their learning experiences, to foster the creativity and other entrepreneurial skills of HEI’s students.The UNLOCK project will provide the context, process and tools based on a new and innovative learning approach that stimulates entrepreneurial skills in both students and educators, aiming at strengthening employability, creativity and new professional paths.
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Future work processes are going to change in several aspects. The working population (at least in Western European countries) is decreasing, while average age of employees increases. Their productivity is key to continuity in sectors like healthcare and manufacturing. Health and safety monitoring, combined with prevention measures must contribute to longer, more healthy and more productive working careers. The ‘tech-optimist’ approach to increase productivity is by means of automation and robotization, supported by IT, AI and heavy capital investments. Unfortunately, that kind of automation has not yet fulfilled its full promise as productivity enhancer as the pace of automation is significantly slower than anticipated and what productivity is gained -for instance in smart industry and healthcare- is considered to be ‘zero-sum’ as flexibility is equally lost (Armstrong et al., 2023). Simply ‘automating’ tasks too often leads to ‘brittle technology’ that is useless in unforeseen operational conditions or a changing reality. As such, it is unlikely to unlock high added-value. In healthcare industry we see “hardly any focus on research into innovations that save time to treat more patients.” (Gupta Strategists, 2021). Timesaving, more than classic productivity, should be the leading argument in rethinking the possibilities of human-technology collaboration, as it allows us to reallocate our human resources towards ‘care’, ’craft’ and ’creativity’.
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The following e-book was prepared as part of the Erasmus+ UNLOCK project, which has the objective of identifying the use of educational escape rooms (EERs) in higher education environments and examining the role of educators in those activities. The document presents a review of the existing body of academic literature on EERs, while capturing current approaches and practices from across the diverse line of disciplines, and challenges experienced in the adoption of EERs in the (higher) education settings. The literature review provides an overview of the status-quo of the EERs in the higher education sector, followed by UNLOCK project partner country reports (Denmark, Germany, Netherlands, Lithuania, Portugal, and Spain) for targeted insights on the adoption of EERs in the local (higher) education contexts. We also present the synthesis report provides a discussion of the major findings, along with emerging themes and recommendations for further EER research and practice.
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