scholarly journals Institutionalizing Reflexivity for Sustainability: Two Cases in Health Care

2021 ◽  
Vol 13 (21) ◽  
pp. 11712
Author(s):  
Tjerk Jan Schuitmaker-Warnaar ◽  
Callum J. Gunn ◽  
Barbara J. Regeer ◽  
Jacqueline E. W. Broerse

Unsustainability in health care comprises diminishing returns and misalignment between the health care regime and the needs of the population. To deal with complex sustainability problems, niche solutions can be collaboratively designed and implemented through reflexive methods. For second-order sustainability, however, the institutionalization of the reflexive element itself is also needed. This paper aims to provide insight into the possibilities of embedding reflexivity into institutions to support second-order sustainability by reporting on two consecutive participatory research programs that sought to address unsustainability in terms of misalignment and diminishing returns. The first case study reflexively monitored the system’s innovation toward an integrated perinatal care system. Reflection within the project and implementation was supported successfully, but for stronger embedding and institutionalization, greater alignment of the reflexive practices with regime standards was needed. Building on these lessons, the second case study, which was part of the IMI-PARADIGM consortium, collaboratively built a structured tool to monitor and evaluate “the return on engagement” in medicine development. To institutionalize reflexivity, the creation of “reflexive standards” together with regime actors appears to be most promising. Broader and deeper institutionalization of reflexive standards can be attained by building enforcement structures for reflexive standards in the collaborative process as part of the reflexive methodologies for addressing complex sustainability problems.

1996 ◽  
Vol 21 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Marilyn Fleer

This paper details three examples of technology education in process. The first case study highlights how an early childhood teacher comes to think about and plan for technology education. A series of diary entries are included to show the progression in thinking. In the second case study, a preschool teacher shows how very young children can participate in technology education. In the third case study a Year 3 teacher reveals how young children can become investigators in a simulated architects studio. The focus is on following the children's technological questions. All three case studies provide some insight into the sort of technological language that can be fostered in early childhood.


Author(s):  
Diogo R. Ferreira

This chapter introduces the principles of sequence clustering and presents two case studies where the technique is used to discover behavioral patterns in event logs. In the first case study, the goal is to understand the way members of a software team perform their daily work, and the application of sequence clustering reveals a set of behavioral patterns that are related to some of the main processes being carried out by that team. In the second case study, the goal is to analyze the event history recorded in a technical support database in order to determine whether the recorded behavior complies with a predefined issue handling process. In this case, the application of sequence clustering confirms that all behavioral patterns share a common trend that resembles the original process. Throughout the chapter, special attention is given to the need for data preprocessing in order to obtain results that provide insight into the typical behavior of business processes.


Author(s):  
Stefanie Van de Peer

The first case study deals with the ‘mother’ of Egyptian documentary making Ateyyat el Abnoudy, and traces her career as a lawyer, journalist and filmmaker. As a pioneer of politically engaged and socially preoccupied documentary, she has influenced many young female filmmakers. Since the early seventies, her films, both short and feature length, have been celebrated throughout the world at festivals and retrospectives, but remain controversial in Egypt itself. This case study looks in detail at her early short films, Horse of Mud (1971), Sad Song of Touha (1972) and The Sandwich (1975), as well as feature length documentaries Permissible Dreams (1982), Responsible Women (1994) and Days of Democracy (1996). Dealing with the lower classes, women’s issues, education and illiteracy among women, their personal status and their political situation in Egypt, the films reflect a concern with the subaltern woman. The filmmaker’s concern with the subaltern woman stems from an intellectual preoccupation with inequality and a professional insight into the unwillingness of the state to deal with women’s problems.


2010 ◽  
Vol 13 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Marjon Van Der Pol ◽  
Alan Shiell ◽  
Flora Au ◽  
David Jonhston ◽  
Suzanne Tough

2021 ◽  
pp. 103985622110450
Author(s):  
Sandra Keppich-Arnold ◽  
Liza Hopkins

Objective: Managing mental health patients during the COVID-19 pandemic has been a global challenge. Current workforce arrangements tend to separate those skilled in caring for highly infectious medical patients from those whose specialism is in managing co-morbid mental health, substance misuse and/or behaviours of concern, including potential non-compliance with community or health care directives. This paper reports an innovative service development through the emergency establishment of a temporary COVID-positive mental health ward in response to a local outbreak in Melbourne. Method: A case study of service reorientation is presented, examining barriers and enablers to effective care of co-morbid mental illness, addiction and COVID-19. Results: Establishing a skilled multidisciplinary workforce across mental health and infectious disease is the most important consideration in optimising care. Other issues included suitable physical space, security arrangements and inter-disciplinary communication. Conclusions: The paper holds insights for managing mental health care during potential future infectious disease outbreaks across the country.


Romanticism ◽  
2019 ◽  
Vol 25 (1) ◽  
pp. 69-80
Author(s):  
Ruth Knezevich

The genre of annotated verse represents an under-explored form of transporting romanticism. In annotated, locodescriptive poems like those in Anna Seward's Llangollen Vale, readers are invited to read not only the spatiality of the landscapes depicted in the verse but also the landscape of the page itself. Seward's poems, with their focus on understanding geographical, political, and historical spaces both real and imaginary, provide geocritical insight into poetic productions of the early Romantic era. Likewise, geocriticism offers a fresh and useful – even necessary – analytic approach to such poems. I adopt Anna Seward as a case study in annotated verse and argue that attending to the materiality and paratextuality of her work allows us to access the complexities of her poetry and prose as well as her position within the wider framework of transporting Romanticism.


Somatechnics ◽  
2012 ◽  
Vol 2 (2) ◽  
pp. 263-283 ◽  
Author(s):  
Svenja J. Kratz

Abstract: Presented from an ArtScience practitioner's perspective, this paper provides an overview of Svenja Kratz's experience working as an artist within the area of cell and tissue culture at QUT's Institute of Health and Biomedical Innovation (IHBI). Using The Absence of Alice, a multi-medium exhibition based on the experience of culturing cells, as a case study, the paper gives insight into the artist's approach to working across art and science and how ideas, processes, and languages from each discipline can intermesh and extend the possibilities of each system. The paper also provides an overview of her most recent artwork, The Human Skin Equivalent/Experience Project, which involves the creation of personal jewellery items incorporating human skin equivalent models grown from the artist's skin and participant cells. Referencing this project, and other contemporary bioart works, the value of ArtScience is discussed, focusing in particular on the way in which cross-art-science projects enable an alternative voice to enter into scientific dialogues and have the potential to yield outcomes valuable to both disciplines.


Author(s):  
Shruti Makarand Kanade

 Cloud computing is the buzz word in today’s Information Technology. It can be used in various fields like banking, health care and education. Some of its major advantages that is pay-per-use and scaling, can be profitably implemented in development of Enterprise Resource Planning or ERP. There are various challenges in implementing an ERP on the cloud. In this paper, we discuss some of them like ERP software architecture by considering a case study of a manufacturing company.


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