Designing the safety of healthcare. Participation of ergonomics to the design of cooperative systems in radiotherapy

This communication deals with the involvement of ergonomists in a research-action design process of a software platform in radiotherapy. The goal of the design project is to enhance patient safety by designing a workflow software that supports cooperation between professionals producing treatment in radiotherapy. The general framework of our approach is the ergonomics management of a design process, which is based in activity analysis and grounded in participatory design. Two fields are concerned by the present action: a design environment which is a participatory design process that involves software designers, caregivers as future users and ergonomists; and a reference real work setting in radiotherapy. Observations, semi-structured interviews and participatory workshops allow the characterization of activity in radiotherapy dealing with uses of cooperative tools, sources of variability and non-ruled strategies to manage the variability of the situations. This production of knowledge about work searches to enhance the articulation between technocentric and anthropocentric approaches, and helps in clarifying design requirements. An issue of this research-action is to develop a framework to define the parameters of the workflow tool, and the conditions of its deployment.     

Heavy physical work under time pressure: the garbage collection service--a case study

The increased generation of garbage has become a problem in large cities, with greater demand for collection services. The collector is subjected to high workload. This study describes the work in garbage collection service, highlighting the requirements of time, resulting in physical and psychosocial demands to collectors. Ergonomic Work Analysis (EWA) - a method focused on the study of work in real situations was used. Initially, technical visits, global observations and unstructured interviews with different subjects of a garbage collection company were conducted. The following step of the systematic observations was accompanied by interviews conducted during the execution of tasks, inquiring about the actions taken, and also interviews about the actions, but conducted after the development of the tasks, photographic records and audiovisual recordings, of workers from two garbage collection teams. Contradictions between the prescribed work and activities (actual work) were identified, as well as the variability present in this process, and strategies adopted by these workers to regulate the workload. It was concluded that the insufficiency of means and the organizational structure of management ensue a situation where the collection process is maintained at the expense of hyper-requesting these workers, both physically and psychosocially.     

Infant Distress and Regulatory Behaviors Vary as a Function of Attachment Security Regardless of Emotion Context and Maternal Involvement

Differences in infant distress and regulatory behaviors based on the quality of attachment to mother, emotion context (frustration versus fear), and whether or not mothers were actively involved in the emotion-eliciting tasks were examined in a sample of 98 16-month-old infants and their mothers. Dyads participated in the Strange Situation, a limiting task designed to elicit infant frustration, and a novelty task designed to elicit infant fear. Mothers were asked to remain uninvolved during the first minute of each task, and then instructed to engage with their infants as they wished for the remaining three minutes. Independent of concurrent maternal sensitivity, resistant infants were significantly more distressed than secure and avoidant infants. Avoidant infants engaged in fewer active mother-oriented regulation behaviors than secure and resistant infants and engaged in more self-soothing in the mother involved condition than the mother uninvolved condition. Resistant infants engaged in more physical comfort with their mothers and more venting than both secure and avoidant infants, and exhibited a smaller variety of adaptive non-mother-oriented strategies than did secure infants. There were few differences in infant distress and regulatory behaviors as a function of emotion task and maternal involvement. Limitations and implications for future research are discussed.     

Participation for children exposed to domestic violence? Social workers' approaches and children's strategies

This article explores social workers' approaches to children exposed to domestic violence and children's strategies in encounters with these professionals in the context of family law proceedings. Investigator approaches as well as child strategies are reconstructed from children's narratives. Furthermore, possible links between the social worker's approach described by a particular child, and the child's own strategies are outlined. Participation can offer children validation of their experiences and support their recovery after exposure to violence. However, it is suggested that it seems to be a challenging task for social workers to both validate children's experiences of violence and simultaneously offer them participation in the investigation process.     

Social Capital and Self Perceived Health Among European Older Adults

There is increasing interest among researchers in the effects of social capital on the health of older adults. One of the key policy question for an ageing population concerns how do we identify the factors that influence health. Very recently, an increasing interest on social capital as a key determinant for health has developed and, surprisingly, not much is known for the European population. This paper analyzes the association between social capital and self-perceived health among older adults in Europe using a mixed effects logistic model. Social capital is considered in its two components—bonding and bridging—in order to understand if the relations inside or outside an individual inner circle have a different association with health. Our results give empirical support to the role of individual social capital in preventing a poor self-perceived health. This means that social capital, especially the bridging component of it, can be one of the key factors of ageing in good health and should be fostered by policy makers in order to give an answer to one of the most compelling challenge of our century: population ageing.     

Does Tourism Consumption Behaviour Mirror Differences in Living Standards?

Based on the theoretical foundation of well-being measurement, the study explores differences in living standards by analysing the distribution of tourism expenditure. A mixture of regression models is used to explore the heterogeneity in tourism consumption by identifying groups of families with similar tourism consumption behaviour as a function of certain socio-demographic and economic factors. The empirical analysis, performed on Italian expenditure data, suggests that there are three different patterns of consumption behaviour conditional to the socio-demographic and economic covariates in the tourism market and that differences in tourism consumption between groups of households mirror inequalities in living standards.     

Agreement and discrepancy between children,parents, and social workers on school‐based effort avoidance in child welfare services

A multiperspective approach is beneficial for obtaining reliable and multifaceted pictures of child behaviour problems. The goal of the present study is to examine interrater agreement on school‐based effort avoidance between children receiving child welfare services, parents, and social workers. Given previous findings, interrater agreement is expected to be low. Self‐reported data on school‐based effort avoidance were gathered for children and adolescents in child welfare services. Additionally, social workers (using the Teacher‐Report Checklist for social and learning behaviour) and parents (using the parallel version of the self‐rating questionnaire on school‐based effort avoidance) were asked to complete an external assessment tool to compare children's perspectives with the ratings of significant adults. The results confirmed significant discrepancies between parents' and children's ratings on effort avoidance tendencies. Furthermore, there were only small to moderate correlations between children's self‐ratings and the adults' assessments; however, the consensus between adults was higher than the interrater agreement between children and social workers. Discrepancies in ratings from multiple informants underline the importance of integrating multiple perspectives, especially children's perspectives, in the diagnostic process in order to plan and adapt appropriate care and treatment.     

Bat boxes in urban non-native forests: a popular practice that should be reconsidered

Impact mitigation practices are currently one of the hottest topics in conservation and regarded as priorities worldwide. Forest bat populations are known to provide important ecosystem services such as pest control and bat boxes have become one of the most popular management options for counteracting the loss of roosts. However, bat boxes tend to be employed in non-native forests near highly humanized areas where human disturbance is higher. The aim of this study was to evaluate how the surrounding landscape composition affects bat box occupancy in urban non-native forests along the Mediterranean corridor in the Northeastern Iberian Peninsula. Two hundred wooden bat boxes were monitored in young non-native forests in the period 2004–2012. The influence of land cover on occupancy rate of bat boxes was analysed at the landscape level in a 5 km buffer around bat-box stations. In total, 1659 inspections were carried out, in which a 15 % occupancy rate was detected. Bat boxes hosted three different species (Pipistrellus pygmaeus, Pipistrellus kuhlii and Nyctalus leisleri). More than 70 % of the occupancy can be explained by habitat and spatial composition. The presence of urban areas around bat boxes tends to have a negative impact on bat occupation rates; by contrast, forest coverage has a positive effect, especially for the tree-dwelling bats. These patterns could be associated with the large number of available roosts in buildings, microhabitat or phylopatry. Thus, to increase success, we suggest that landscape composition should be considered when using bat boxes for conservation.     

A socio-ecological perspective of urban green networks: the Stockholm case

Landscape fragmentation threatens habitats, biodiversity and other ecosystem services. In tackling this threat, the dynamic processes of social-ecological systems should be recognised and understood. Although network analysis based on graph theory has been recognised as an efficient way of spatially understanding landscape or habitat connectivity, only few studies have offered specific approaches or suggestions for integrating detailed social-ecological values into geographical distributions. As a contribution to bridging this gap, this paper introduces a social-ecological network model for the issue of landscape or habitat fragmentation applied to the case of Stockholm, Sweden. Graph theory was used in combination with sociotope and biotope maps for simple visualisation of network situations in two-dimensional maps. The European crested tit (Lophophanes cristatus), European common toad (Bufo bufo) and human beings were selected as indicator species, based on a landscape ecology analysis in Stockholm Municipality in 2009. Slope, land use and human disturbance maps were assessed in order to decide cost values of travelling from node to node. Lease-cost-path accumulation was used to create ideal reference maps of green networks. Three separate maps were then developed for suggesting efficient routes for three indicators in city scale that mainly connect from the Royal National City Park to the other parts of the city. The model in Hjorthagen neighbourhood to highlight two practical paths that link this fragmented community to its neighbouring park areas. Findings make it possible to address two scales of network improvement strategies, namely first for the city-scale green network that connects geographical habitats (nodes) and the regional green wedges of the city, and the second that of neighbourhood links between habitats in detailed layers of green networks. Strategic improvement potentials are presented based on ideal reference maps of green networks correspondingly.