Alle Publikationen
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2019
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(2019) : A Layered Architecture for Socially Assistive Robotics as a Service: 2019 IEEE International Conference on Systems, Man and Cybernetics (SMC): 2019 IEEE International Conference on Systems, Man and Cybernetics (SMC): Bari, Italy: 10/6/2019 - 10/9/2019: [Piscataway, NJ]: IEEE, S. 352-357
Abstract: Socially assistive robotics technology is expected to play a crucial role in supporting home patients with neurological disorders. Nevertheless, the adoption of such technology in real home environments is still far to be reached since it presents several challenges mainly related to its acceptance in the everyday life. In this domain, a high degree of personalization is required usually obtained by a customization of a robotic system with respect to specific assistive tasks. On the contrary, socially assistive robots are usually general-purpose platforms requiring a considerable effort for customization. In this work, to limit static and costly customization of robotic systems, a service-oriented approach is adopted to represent and manage assistive tasks to be performed by a social robotic system, allowing to decouple a given functionality from its concrete implementation that can be provided by different devices and with different execution modalities. The service-oriented approach for robotics applications, known as Robot-as-a-Service, is becoming attractive for decoupling the robot hardware from the functionalities it provides.
2017
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(2017): Pushing boundaries-culture-sensitive care in oncology and palliative care. A qualitative study. In: Psycho-oncology 26 (6), S. 763-769. DOI: 10.1002/pon.4217
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27429221 Abstract: OBJECTIVE In increasingly globalized societies, patient-centered cancer care requires culture-sensitive approaches in order to ensure patients well-being. While migrant patients' needs are frequently reported in the literature, staff members' perception of work with migrant patients, associated challenges, or individual work approaches are largely unknown. This study addresses this research gap through qualitative exploration of experiences of multicultural health care professionals in supportive oncology and palliative care, working with patients from different cultural backgrounds. This study aims to understand staff experience of the impact of culture on cancer care. METHODS This study was conducted at the Medical University of Vienna, including staff from different settings of oncology and palliative care, in different professional positions, and with a range of individual migration backgrounds. Semistructured interviews were conducted with 21 staff members working with patients from different cultural backgrounds. Interviews explored views on the impact of culture on care were audio-taped, transcribed, and analyzed using a rigorous method of thematic analysis, enhanced with grounded theory techniques. RESULTS Interviews revealed 4 key topics: culture-specific differences, assumed reasons for differences, consequences of multicultural care, and tools for culture-sensitive care. Strategies to better deal with migrant patients and their families were suggested to improve work satisfaction amongst staff. CONCLUSIONS This study identifies relevant staff challenges in work with migrant patients. Concrete suggestions for improvement include measures on an organizational level, team level, and personal tools. The suggested measures are applicable to improve work satisfaction and culture-sensitive care not only in cancer care but also in other areas of medicine.
Keywords: Adult, Attitude of Health Personnel, Culturally Competent Care, Culture, culture specific, Female, Gesellschaftsprofit, Health Personnel/psychology/statistics & numerical data, Humans, Interaktion, Job Satisfaction, Kultur, kulturspezifisch, Male, Medical Oncology, Medizin, Middle Aged, Neoplasms/ethnology/therapy, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Palliative Care, Pflege, Qualitative research, Umgangsformen, Young Adult 2010
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(2010): Mental health care and the politics of inclusion. A social systems account of psychiatric deinstitutionalization. In: Theoretical medicine and bioethics 31 (6), S. 411-427. DOI: 10.1007/s11017-010-9155-8
DOI: http://www.ncbi.nlm.nih.gov/pubmed/20711755 Abstract: This paper provides an interpretation, based on the social systems theory of German sociologist Niklas Luhmann, of the recent paradigmatic shift of mental health care from an asylum-based model to a community-oriented network of services. The observed shift is described as the development of psychiatry as a function system of modern society and whose operative goal has moved from the medical and social management of a lower and marginalized group to the specialized medical and psychological care of the whole population. From this theoretical viewpoint, the wider deployment of the modern social order as a functionally differentiated system may be considered to be a consistent driving force for this process; it has made asylum psychiatry overly incompatible with prevailing social values (particularly with the normative and regulative principle of inclusion of all individuals in the different functional spheres of society and with the common patterns of participation in modern function systems) and has, in turn, required the availability of psychiatric care for a growing number of individuals. After presenting this account, some major challenges for the future of mental health care provision, such as the overburdening of services or the overt exclusion of a significant group of potential users, are identified and briefly discussed.
Keywords: Bioethics,, Community Mental Health Services/organization & administration, Deinstitutionalization, Diskriminierung, Ethik, Fehlverhalten, Gesellschaftsprofit, Health Services Accessibility, Hospitals, Psychiatric, Humans, Medizin, Mental Disorders, Mental Health, Pathologie, Patient Care Team, Pflege, Politics, Psychiatry/trends, social systems, ethics, Social Values, Soziale Ordnung, Spain, systems theory, Werte 2006
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(2006): Psychosocial and psychodynamic factors influencing health care utilisation. In: Health care analysis : HCA : journal of health philosophy and policy 14 (2), S. 69-78. DOI: 10.1007/s10728-006-0013-9
DOI: http://www.ncbi.nlm.nih.gov/pubmed/17195575 Abstract: This paper aims to elucidate some dysfunctional aspects of health care utilisation by combining concepts from modern systems theory and from psychoanalysis. Contemporary health care in industrialised countries can be conceived as a social system in terms of modern systems theory. According to this theory, social systems are operating on the basis of a 'guiding difference,' which in the case of health care is the distinction between 'healthy' and 'ill.' Its rigidity in adhering to the healthy-ill dichotomy exposes health care to being collusively entangled in the interpersonal defence arrangements of patients. In the psychoanalytic view, individual conflicts can be warded off from consciousness not only by intrapsychic defence, but also by interpersonal defence mechanisms. These mechanisms involve the patients' close social environment, often including doctors and hospitals. The functioning and the motivational structure of health care itself shows features of neurotic defence: not only its representatives, but health care as a whole act in a rigid, obsessive manner in order to separate the healthy from the ill and to battle against (presumed) diseases. This obsession sometimes results in excessive diagnostic activism and in inconsiderate application of aggressive medical treatments. Both are inappropriate with regard to the salient problem of modern medicine: the increase of chronic nonfatal diseases like depression and chronic pain. The described defence mechanisms are unconscious not only to patients but also to health care professionals (let alone health politicians), and are contributing to dysfunctional health care overuse.
Keywords: Aggression/psychology, Denken in Kategorien, Health Services/utilization, Humans, Interaktion, Interpersonal Relations, krank vs. gesund, Medizin, Models, Organizational, Motivation, Pathologie, Pflege, Psychoanalytic Theory, psychosozial, Rolle (Beruf), Self Concept, social systems, ethics, soziale Umwelt, systems theory, Wahrnehmungsverzerrungen / Bedeutungszuweisungen -
(2006): Breaking the rules of the game. Ethical implications for nursing practice and education. In: Nursing Science Quarterly 19 (3), S. 207-210
Abstract: Rules in games are fundamental to the ethics of practice. Rules provide a context or space where a game is defined and played. Throughout human life, games may be formalized with written and unwritten rules. Imaginations may be sparked in the creative structuring of new, informal games. Formal and informal rules can serve to provide direction for what may be viewed as decorum and appropriate behavior with professional groups. In this column, the author illuminates possible ethical meanings for rule-making and breaking with implications for nursing practice and education from a nursing theoretical perspective.
Keywords: Berufstechnik, decorum, Fehlverhalten, Gesellschaftsprofit, Gruppenverhalten / Joint Action, Intellektualtechnik, Interaktion, Medizin, Mensch-Technik-Relationen (MTR), Normen, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Pflege, Regel, Regelwerk, Regelwerke, Soziale Rolle, Spiel, Spieltheorie, Technik, Umgangsformen, Verhalten am Arbeitsplatz, Voraussetzungen für sozial angemessenes Verhalten
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