Ergonomic risk assessment of nasogastric tube placement and implications for design and training

The placement of nasogastric (NG) tubes is known to be prone to error and may lead to serious issues for patient safety and wellbeing. In some instances these have been catastrophic and resulted in the death of the patient. This study sought to explore the potential risks associated with this procedure through the use of systematic prospective risk assessment. The research team used the Prospective Hazard Analysis (PHA) toolkit developed by Ward et al (2010) . The study has shown a wide number of risks that cover equipment design, work organisation, and training issues. The link between equipment design and training provides an important example of the need for a systematic approach to reducing errors and improving resilience in this aspect of healthcare.     

Predicting long-term absenteeism from work in construction industry: a longitudinal study

In this study we examine whether the Work Ability Index (WAI) has additional value in predicting long-term absenteeism in construction industry. Results of the study show that the WAI has additional value in predicting absenteeism, but that the amount of explained variance is low. This is partly due to the definition of absenteeism in The Netherlands, where this study took place.     

Tractor accidents in Swedish traffic

The objective of this study is to reach a better understanding of accidents on Swedish roads involving tractors and to suggest ways of preventing them. In an earlier study we analyzed police-reported fatal accidents and accidents that led to physical injuries from 1992 to 2005. During each year of this period, tractors were involved in 128 traffic accidents on average, an average of 7 people were killed, 44 sustained serious injuries, and 143 sustained slight injuries. The number of fatalities in these tractor accidents was about 1.3% of all deaths in traffic accidents in Sweden. Cars were most often involved in the tractor accidents (58%) and 15% were single vehicle accidents. The mean age of the tractor driver involved was 39.8 years and young drivers (15-24 years) were overrepresented (30%). We are now increasing the data collected with the years 2006-2010 in order to study the changes in the number of accidents. Special attention will be given to the younger drivers and to single vehicle accidents. Based on the results we aim to develop suggestions for reducing road accidents, e.g. including measures for making farm vehicles more visible and improvement of the training provided at driving schools.     

Promoting work ability and well-being in hospital nursing: the interplay of age, job control, and successful ageing strategies

Previous research shows that work ability of nurses decreases with age. In our study we therefore addressed the following questions: Do successful ageing strategies at work in terms of selection, optimization, and compensation (SOC) support the work ability of nurses? Does SOC mediate the relationship between job control (i.e., decision opportunities at work) and work ability? Does the mediation differ between age-groups? 438 nurses (Age Range 21-63 years) completed a questionnaire in the course of an employee survey. Results show that SOC is positively related with work ability. The positive effect of job control on work ability is significantly mediated by SOC. There are stronger mediating effects for elder nurses than for younger nurses. Results indicate that the interplay of job control and SOC at work helps to maintain the work ability of nurses in nursing care.     

Systems approaches to risk assessing healthcare, how far have we come?

Systems approaches and their relevance to risk assessment are considered through an examination of a number of recent applications in England. The importance of visual mapping of systems is emphasised. This approach encourages participation from those within the system with less technical knowledge but with important information to add to a risk assessment. Other advantages outlined include the ability to readily identify system boundaries, map processes and record both strengths and weaknesses of existing or planned system changes. The use of risk assessment methods with this approach should be cautious, as any one method may only identify a sub-set of all risks.     

Development of guidelines for designing appliances for older persons

The ability of older adults to use a domestic appliance depends on their comprehension of the appliance's operation. This may depend on transfer of understanding from similar, more familiar technology. While this may assist their interaction with the new device, it may constrain the discovery of new functionality not represented in the familiar technology, and, thereby, constrain the discovery of advanced functionality. Older adults experience declining cognitive abilities associated with attention, perceptual encoding, and memory (cueing and recall). Designing appliances to extend cognitive abilities provides opportunity to prolong functional independence. Concepts from cognitive psychology, human factors, and gerontology are reviewed to explain age-related behavior towards technology to support innovative product development of technologies for older adults.     

The amount of ergonomics and user involvement in 151 design processes

Ergonomics, usability and user-centered design are terms that are well known among designers. Yet, products often seem to fail to meet the users' needs, resulting in a gap between expected and experienced usability. To understand the possible causes of this gap the actions taken by the designer during the design process are studied in this paper. This can show whether and how certain actions influence the user-friendliness of the design products. The aim of this research was to understand whether ergonomic principles and methods are included in the design process, whether users are involved in this process and whether the experience of the designer (in ergonomics/user involvement) has an effect on the end product usability. In this study the design processes of 151 tangible products of students in design were analyzed. It showed that in 75% of the cases some ergonomic principles were applied. User involvement was performed in only 1/3 of the design cases. Hardly any correlation was found between the designers' experience in ergonomic principles and the way they applied it and no correlations were found between the designers' experience in user involvement and the users' involvement in the design process.     

Teaching culture beyond nationalist boundaries: national identities,stereotyping, and culture in language education

The authors take a critical language pedagogy approach to examining a 2011 controversy over disparaging comments towards Mexicans made by commentators of the British Broadcasting Corporation’s automotive show Top Gear. In particular, they focus on the characterization of groups and individuals according to their nationality and examine the ubiquity of nationalism and its ability to shape our conception of culture and in turn our understandings of others as members of ‘X national culture.’ The fact that humor is often a justification for national stereotyping and that these stereotypes are also connected to racist discourse are also explored. In the second part of the article, the implications of the stereotyping debate for language classrooms are considered. The authors argue that the controversy itself can be used as a tool for critical engagement that helps students deconstruct the underlying nationalist paradigm in L2 classrooms and build greater intercultural awareness.

Español: Los autores examinan, desde una perspectiva de la pedagogía crítica del lenguaje, la controversia que surgió en el 2011 debido a los comentarios nocivos hechos hacia los mexicanos por los locutores del show automotriz del BBC, Top Gear. En particular, se enfocan en la caracterización de los grupos e individuos de acuerdo a su nacionalidad, y examinan la ubiquidad del nacionalismo y su capacidad para darle forma a nuestra conceptualización de la cultura y, a su vez, nuestra forma de ver a otros como miembros de una ‘cultural nacional X’. Los autores también exploran el hecho de que a menudo se utiliza el humor como una justificación para los estereotipos nacionales, y que estos estereotipos también están conectados al discurso racista. En la segunda parte del artículo, se consideran las implicaciones para la enseñanza de idiomas del debate sobre los estereotipos. Argumentan los autores que la controversia en sí se puede utilizar como una herramienta para promover una postura crítica que ayude a los alumnos a deconstruir el paradigma subyacente del nacionalismo en el salón de lenguas extranjeras y fomente la conciencia intercultural.     

From invited to uninvited participation (and back?): rethinking civil society engagement in technology assessment and development

In recent years, citizens?? and civil society engagement with science and technology has become almost synonymous with participation in institutionally organized formats of participatory technology assessment (pTA) such as consensus conferences or stakeholder dialogues. Contrary to this view, it is argued in the article that beyond these standardized models of ??invited?? participation, there exist various forms of ??uninvited?? and independent civil society engagement, which frequently not only have more significant impact but are profoundly democratically legitimate as well. Using the two examples of patient associations and environmental and consumer organizations in the field of nanotechnology, it is illustrated that interest-based civil society interventions do play an important role in the polycentric governance of science and technology. In conclusion, some implications for the activities of TA institutions and the design of novel TA procedures are outlined.     

Interactive profit-planning systems and market turbulence: A dynamic capabilities perspective

This article describes, theorizes and empirically investigates the concept of interactive profit-planning systems (PPS) through the lens of the dynamic capabilities logic. With this conceptualization: interactive PPS capabilities comprise budgeting, forecasting and results-reporting routines, in which top and middle managers interact to create knowledge for sensing, seizing, and business model reconfiguring (to manage strategic business change). Survey data from 331 Australian firms is analyzed employing partial least squares structural equation modeling. The data provides support for two hypotheses: (1) greater market turbulence strengthens the positive effect of interactive PPS capabilities on business unit performance; and (2) greater market turbulence strengthens the positive effect of flexibility values (of organizational culture) on interactive PPS capabilities. Our findings show that interactive PPS capabilities function according to the salient tenets of the dynamic capabilities logic, and clarify the beneficial roles of formal cybernetic control systems and the intertwined involvement of top and middle managers in using dynamic capabilities.