Design Characteristics of Sensory Gardens in Norwegian Nursing Homes: A Cross-Sectional E-Mail Survey

ABSTRACT

Sensory gardens are increasingly popular in Norwegian nursing homes. This study examined the design characteristics of Norwegian sensory gardens using a cross-sectional web survey design addressing nursing home leaders (n = 121). The findings revealed that Norwegian sensory gardens were generally compliant with recommended design guidelines involving sensory experiences, stable walkways, landmarks, accessibility, visibility from indoors, seating features, and prosthetic supports. There is, however, a potential for further improvements concerning walkways with rails, access to alarm systems, clear signposts to toilets from the outdoors, lighting in the evenings, greenhouses, increased awareness of edible and nontoxic plants, and maintenance of the gardens.     

A computerized system to monitor resilience indicators in organizations

The concepts developed by resilience engineering allow the understanding and monitoring the functioning of organizations and, particularly, to map the role of human activities, in success or in failure, enabling a better comprehension about how people make decisions in unexpected situations. The capture of information about human activities in the various organization levels gives managers a deeper real-time understanding of what is influencing the people performance, providing awareness of the factors that influence positively or negatively the organizational goals initially projected. The monitoring is important because the correct functioning of complex systems depends on the knowledge that people have to perform their activities and how the system environment provides tools that actually support the human performance. Therefore, organizations should look forward through precursors in operating signals to identify possible problems or solutions in the structure of tasks and activities, safety, quality, schedule, rework, and maintenance. We apply the concepts of resilience engineering to understand the organization by the analysis of cognitive tasks and activities. The aim is the development of a computerized system to monitor human activities to produce indicators to access system resilience. The validation of the approach was made in a real organization and the results show the successful applicability of the system. Based on findings obtained after the experiment of the system in a real organization, and managers and workers opinions, it was possible to show that the use of system provided an anticipated (real-time) perception about how activities are effectively being performed, allowing managers and workers to make decisions more consistent with daily problems, and also to anticipate solutions to cope with unexpected situations.     

Public transport and people with impairments – exploring non-use of public transport through the case of Oslo,Norway

abstract

Despite the attention given to universal design in recent years, many people with impairments still refrain from travelling on public transport. This explorative case study, conducted in the greater Oslo region in Norway, aims to add knowledge on why this is so. Findings indicate that insecurity while travelling and expectations of problems along the way are significant barriers. For many it is the sum of all challenges combined, from experience or anticipation that leads to non-use of public transport. The study shows that universal design policy, as of today, does not lead to accessible public transport systems that rendered impairments irrelevant. If society could safeguard the individuals’ travel needs, this might have profound societal repercussions through increased workforce participation and value added in society. Only then can society make the best use of all its inhabitants while championing inclusiveness and equality.     

Do public representatives in local governments know about “disability rights” in Pakistan? An awareness assessment case from Southern Punjab

Local self-government systems have been adopted in many countries to supervise local interests in development and provide a range of goods and services to localities. It is believed that awareness of certain issues itself guides duty-bearers to reshape and divert development in a certain direction. In Pakistan, elected representatives in district governments are the key duty-bearers at the local level. Hence, their awareness is indispensable to decision-making for local development and, thus, it is pertinent to assess it from a disability rights perspective. In-depth information collected from two districts has reflected that most of the public representatives are ill-informed about disability, day-to-day problems of disabled persons and their rights, which results in inadvertently disability-biased local development planning. An overriding impression gained from the results is that raising elected representatives’ awareness on disability and the rights of disabled people is imperative to embracing disability rights practice in local development.     

The future of the social sciences and humanities in the science of complex systems

The modern world is characterized by problems that involve systems with social and physical subsystems. They are entangled systems of system of systems with multilevel dynamics. There is no methodology able to combine the partial micro-, meso- and macrotheories that focus on subsystems into a coherent representation of the dynamics of the whole. Policy requires prediction, but the traditional definitions of prediction are not appropriate for multilevel socio-complex systems. Heterogeneous multilevel systems have subsystems that may behave with great regularity over long periods of time, and then suddenly change their behavior due to weak coupling with other subsystems. Thus systems that are usually highly predictable may be subject to rare but extreme events, and this is highly relevant to policy-makers. New ways of thinking are needed that transcend the confines of the traditional humanities, social and physical sciences. Of necessity, this science will be embedded in the design, implementation and management of systems, and therefore the new science will be entwined with policy. Much policy is interventionist experiment. By themselves scientists cannot conduct experiments on socio-complex systems because they have neither the mandate nor the money to design and instrument experiments on the large scale. Policy-makers – elected politicians and their officers – design the future, making it as they believe it ought to be. New kinds of scientific predictions can inform policy but can only be instrumented and tested if there is goodwill between policy-makers and scientists, where scientists are junior partners. Scientists offer policy-makers theories and predictions of social systems based on logical-deductive methods. Policy is generally made on the basis of rhetoric, with the best possible arguments being deployed to support favored conclusions. To convince policy-makers that a particular scientific theory should be used, scientists move from the logical-deductive to the rhetorical. Thus the full theory of a science of complex systems has to provide a logical-deductive metatheory of the rhetorical and logical-deductive systems that make decisions and implement them. Traditional natural and physical science has avoided rhetoric, which is much better understood in the humanities and social sciences. Thus it is concluded that the science of complex systems must embrace the humanities and social sciences not just because their domains of study are relevant but also because their methods are necessary to understand how science and policy work together in complex social systems.     

Illness and the disruption of autobiography: accounting for the complex effect of awareness in schizophrenia

Interventions for individuals with schizophrenia often involve helping clients become more aware of their condition so they can make informed decisions about their treatment and recovery. Yet the effect of awareness or admission of schizophrenia has remained elusive. Empirical research has found that awareness of illness is essential for people to make informed decisions about the future, to free themselves from blame for difficulties linked with illness, and to form and sustain bonds with others. However, this awareness has also been linked to depressed mood, lower self-esteem, and a diminished sense of well-being. In this article, we review the evidence and suggest that the effect of awareness on well-being may be mitigated by the meaning clients assign to their illness and whether it disrupts their life story. Evidence linking clients' internalized, stigmatizing beliefs about illness with demoralization is presented, and clinical implications are discussed.     

The Transition From School to Work: A Developmental Perspective

Career development theory provides a comprehensive model for conceptualizing the school-to-work transition. Since the 1920s, this model has guided the design of a plethora of career education methods and materials that orient, teach, coach, and rehearse students for the transition from school to work. The developmental model, methods, and materials aim to increase students' awareness of the choices to be made and the information and planning that bears on these choices.     

Wheels within wheels and systems within systems The assessment process

SUMMARY. To assess the problems and needs of a disturbed child or adolescent, there should be an awareness of many interacting conceptual systems within which the individual exists and develops. This paper highlights the theoretical view that an individual cannot be fully understood within any single theoretical framework or system Using an awareness of the hierarchy of systems., formulations are set out to allow for logical interventions at one or more of these levels; thus reducing the need for professionals to decide on the ‘right’ intervention or treatment for any individual or family     

Therapy and Ecology: Viewing the Natural World Through Systemic Lenses

Over the past fifty years systems theory has had a significant influence on numerous disciplines. Ecology and some models of therapy have integrated these systemic ideas, thereby opening up new meanings and new ways of responding respectively to environmental concerns and to emotional distress . Parallels can be drawn between how the two disciplines have developed systemic ideas and applied them for the purpose of change, and each has a contribution to make to the other. Systemic therapy has developed tools of inquiry that can assist in raising awareness of environmental issues. Ecology, in its turn, challenges therapy to include an ecological context in its understanding of the human condition.     

Gendered Economic,Social, and Cultural Challenges to HIV/AIDS Prevention and Intervention for Chinese Women

ABSTRACT

China is experiencing the most rapidly expanding HIV prevalence in the world, with the percentage of Chinese women living with HIV/AIDS also increasing significantly. Chinese women's risk of HIV infection is heavily influenced by patriarchal cultural beliefs, Confucian doctrines, and rapid social and economic changes in China. Chinese women generally have a low level of awareness of HIV/AIDS. With inherent inferior social status and economic disadvantage, their vulnerability to HIV infection is heightened by adverse impacts of massive rural-to-urban migration, explosion of the commercial sex industry, and prevalence of gender-based violence. In order to target HIV/AIDS prevention and treatment programs for Chinese women, their specific needs and gendered obstacles must be addressed and tackled. These include strategies that aim to fight against poverty, improve education, enhance HIV/AIDS awareness, facilitate new life-skills acquisition and behavior change, make available woman-centered services for testing and treatment of HIV, and eradicate gender-based discrimination and violence. There is also an urgent need to further develop various public health infrastructure in China, especially in remote and rural areas. The pool of gender experts in China should also be expanded to conduct a thorough gender analysis and design a national response to address the evolving HIV/AIDS epidemic in Chinese women.     

The Use of Postage Stamps to Teach Social Studies Topics

In recent studies, youths in the United States have demonstrated a remarkable lack of cultural literacy. As the world is becoming increasingly interconnected, it is imperative that students enhance their understanding of other cultures. A classroom correspondence match with a Peace Corps volunteer through the Coverdell Peace Corps World Wise Schools program can help students make this improvement by traveling the globe and raising their cross-cultural awareness—without leaving the classroom. In this article, a returned Peace Corps volunteer and current classroom instructor presents classroom strategies he has used from the Coverdell Peace Corps World Wise Schools program. Using Robert Hanvey's (1976) four levels of cross-cultural awareness, the author demonstrates how this unique program can dramatically improve students' cross-cultural awareness.     

Voices of girls with disabilities in rural Iran

This paper investigates the interaction of gender, disability and education in rural Iran, which is a relatively unexplored field of research. The responses of 10 female students with disabilities from Isfahan indicated that the obstacles they faced included marginalization, difficulties in getting from home to school, difficulties within the school building itself, and discrimination by teachers, classmates and school authorities. The data collected for the study contain a wide range of conservative gendered discourses, and show how traditional gender beliefs interact with disability to aggravate the problems faced in education by young women with disabilities. It is hoped that the findings will raise awareness among policy-makers of the many formidable obstacles that make it difficult for young women with disabilities to achieve their full potential in education.     

Managerial audit and community mental health: a study of rationalising practices in Finnish psychiatric outpatient clinics

In many European welfare states the reform of mental health services has been accompanied by the implementation of new forms of governance, including the introduction of managerial audit systems. While such systems have been developed for ‘good causes’, such as quality assurance, financial management and monitoring staff performance, they may simultaneously produce diverse and contradictory effects on practice. The aim of this article is to examine the role of one managerial audit system, introduced in psychiatric outpatient clinics in central Finland, and assess its impact on practice. Reference is made to modernising mental health policy in the UK as that has producedsimilar practics outcomes. The research was an empirical study of practice using a mixed-method case study design involving documentary research and semi-structured interviews. Insights from Mitchell Dean's notion of governmentalisation of government were utilised in the analysis. It was found that, although the audit system primarily served administrative needs, it began to reshape practice by reinforcing certain modes of working and excluding others. The analysis of community mental health work in Finland, with similar trends in the UK, highlights the connection between documentation, resource allocation and managerial priorities that reinforce particular styles of practice. In community mental health services it would appear that the problems of professional practice have become the problems of administration.     

Awareness of Gambling-Related Problems, Policies and Educational Programs Among High School and College Administrators

This brief report summarizes a survey of high school and college representatives and their awareness toward gambling-related problems. The Massachusetts Council on Compulsive Gambling developed a survey instrument to review the policies and training programs of 20 high schools and 10 colleges that were located within the catchment areas of Massachusetts Department of Public Health state-sponsored gambling treatment programs. The results revealed that there is an important discrepancy between the prevalence of gambling-related problems among young people and the awareness of these problems among educators. High school and colleges evidence a paucity of existing gambling-related regulations or policies. There is little opportunity for students and educators to learn within the school setting about gambling and its potential hazards. Without sufficient in-service education and training for faculty and staff, there is little likelihood that this group of educators can engage in the early identification or prevention efforts that are so vital to advancing the health and welfare of young people.     

Training time estimation to improve alarm reactions

Prior researchers have demonstrated that training may be an effective strategy for improving operator reactions to alarm systems with less than perfect reliability. Of the training strategies tested, recognition of temporal patterns in prior sensor activations seems to offer the greatest promise for improving the speed and appropriateness of subsequent alarm reactions. The current research was completed to clarify which of three temporal interval training methods leads to the most appropriate alarm reactions. Fifty-six undergraduates evaluated whether alarms occurring after sensor activations were true or false, based on elapsed time between the sensor signals and the alarm signals. Participants completed five training sessions to learn to estimate time intervals using simple repetition training, performance feedback, or performance feedback plus subdivision cues. Contrary to expectations, results indicated that participants did not benefit differentially from temporal interval training. Differences between pre- and posttest interval estimation performance was similar among groups, and training groups performed comparably when reacting to signals. Participants generally focused on advertised alarm system reliability, responding more appropriately and more quickly to lower reliability alarms. Future researchers and designers should replicate these findings with realistic tasks and real-world complex task operators to determine their generalization.     

Integrating community ergonomics with educational ergonomics--designing community systems to support classroom learning

This paper offers a conceptual framework, bolstered by empirical evidence, for two conclusions: (1) that variability in student learning is prominently influenced by ergonomic design features, not only of classrooms and school systems, but also of surrounding communities; and (2) a systems concept of learning environments therefore is required to support student learning, based on integrating educational with community ergonomics. Educational system design factors known to strongly influence student learning first are reviewed. One of the most prominent of these is the socioeconomic status of communities in which schools are housed. Independent lines of evidence then are introduced that may account for how and why community design affects learning. The paper closes with recommendations for persuading policymakers and educators that closer integration of school system operations and functions with those of the surrounding community, with a central goal of upgrading community design conditions, represents a highly promising opportunity for improving student learning performance. One major challenge is to heighten awareness that learning environments outside the classroom are as or more important as those inside, in terms of influencing not only test but broader educational and societal trajectories of children.     

Vertical greening systems, a process tree for green façades and living walls

This study shows that greening the building envelope with vertical greening systems such as climbing plants or living wall systems provides ecological and environmental benefits. Contemporary architecture in fact is increasingly focusing on vertical greening systems as a means to restore the environmental integrity of urban areas, biodiversity and sustainability. Applying green façades, which is an established feature of contemporary urban design, can offer multiple environmental benefits on both new and existing buildings and can be a sustainable approach in terms of energy saving considering materials used, nutrients and water needed and efficient preservation of edifices. To provide a full perspective and a viable case study on vertical greening systems a process tree is developed throughout this research. Elaborating the process tree has proved to be a useful methodology to analyse main parameters as climate and building characteristics, avoid damages and maintenance problems caused by inappropriate design, and compare different elements such as technologies, materials, durability, dimensions, and plant species employed.     

Safety implications of infotainment system use in naturalistic driving

The use of a radio while driving has long been considered a "threshold" of distraction that is socially acceptable although it may be a factor in some crashes and near crashes. This "social acceptance" has prompted the use of radio tasks, specifically radio tuning, as "references" that should not be exceeded by other secondary and tertiary tasks that make their way into the vehicle. As new functions make their way into vehicle radios (or more advanced infotainment systems), however, it is possible that radio tasks may become distracting to a level that surpasses current driver expectations. This investigation examines the naturalistic usage of several advanced infotainment systems and examines whether usage is associated first with changes in near crash occurrence and second with changes in driving behavior. Little association was found with near crashes: 5 of 46 near crash events observed in the dataset exhibited infotainment system use. Drivers involved in infotainment system use during near crashes, however, did exhibit distinct glance behaviors, generally suggesting lower levels of awareness about their driving environment. Initial analyses of a larger dataset appear to confirm these findings.     

The farrier's work environment

The horse industry in Sweden has rapidly expanded in recent years. This increasing number of horses implies a greater need for more farriers. Shoeing a horse is hard physical work, and includes awkward work postures and repetitive movements. It is well known that hard physical work increases the risk of injuries and musculoskeletal problems. The risk is especially high for musculoskeletal disorders when certain movements are constantly repeated. Heavy or repeated unilateral loads lead to considerable stress on the muscles, which can lead to rupture and fatigue that can cause long term problems. A case study showed that farriers worked 75% of their work time with their backs in bent positions (often more than 70 degrees). Farriers are also exposed to risk factors in their physical environment like dust, noise and poor lighting. Risk of kicks and bites, eye injuries and burns are other factors that make their work environment hazardous. There are only a few studies available that have documented the farriers' working environment and these are not of recent date. A US study from 1984 described kicks and bites from horses, metal splinters in the eyes, heat exhaustion and problematic postures to be perceived as the greatest risks in their work. The back, knees and wrists were the most exposed body regions. There is a need for more current and in-depth studies investigating the farriers' working conditions in order to gain more knowledge of their health and work environment. The aim of the present study is to investigate the physical health and work environment of farriers. The investigation will use questionnaires, work load measurements and workplace analysis. The results will serve as a base for improvements concerning the design of the workplace, equipment, tools and aids as well as supplying recommendations about physical exercise and the correct work technique, etc. The results are planned to be incorporated in the education of farriers.     

Social Problems Awareness Manifested Through Sociological Research,Newspapers, and Creative Literature*

Content analysis of newspaper items, sociological research and sociology course titles, and reviews of novels associated with Chicago, 1910–1930, was used to test several propositions concerning changes in the structural loci, heterogeneity, and amount of social problems awareness in modern society. Although considerable social problems awareness was found to be manifested by newspapers, sociological research, and creative literature, little similarity was found in the types of social problems focused upon. There was no evidence found concerning a shift in such activity from newspapers and creative literature to sociological research, nor was evidence found that would support the proposition that social problems awareness tends to increase significantly in modern society.