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This study investigates the impact of generative AI systems like ChatGPT on semi-structured decision-making, specifically in evaluating undergraduate dissertations. We propose using Davis’ technology acceptance model (TAM) and Schulz von Thun’s four-sides communication model to understand human–AI interaction and necessary adaptations for acceptance in dissertation grading. Utilizing an inductive research design, we conducted ten interviews with respondents having varying levels of AI and management expertise, employing four escalating-consequence scenarios mirroring higher education dissertation grading. In all scenarios, the AI functioned as a sender, based on the four-sides model. Findings reveal that technology acceptance for human–AI interaction is adaptive but requires modifications, particularly regarding AI’s transparency. Testing the four-sides model showed support for three sides, with the appeal side receiving negative feedback for AI acceptance as a sender. Respondents struggled to accept the idea of AI, suggesting a grading decision through an appeal. Consequently, transparency about AI’s role emerged as vital. When AI supports instructors transparently, acceptance levels are higher. These results encourage further research on AI as a receiver and the impartiality of AI decision-making without instructor influence. This study emphasizes communication modes in learning-ecosystems, especially in semi-structured decision-making situations with AI as a sender, while highlighting the potential to enhance AI-based decision-making acceptance.
Background
The admission to a nursing home is a critical life-event for affected persons as well as their families. Admission related processes are lacking adequate participation of older people and their families. To improve transitions to nursing homes, context- and country-specific knowledge about the current practice is needed. Hence, our aim was to summarize available evidence on challenges and care strategies associated with the admission to nursing homes in Germany.
Methods
We conducted a scoping review and searched eight major international and German-specific electronic databases for journal articles and grey literature published in German or English language since 1995. Further inclusion criteria were focus on challenges or care strategies in the context of nursing home admissions of older persons and comprehensive and replicable information on methods and results. Posters, only-abstract publications and articles dealing with mixed populations including younger adults were excluded. Challenges and care strategies were identified and analysed by structured content analysis using the TRANSCIT model.
Results
Twelve studies of 1,384 records were finally included. Among those, seven were qualitative studies, three quantitative observational studies and two mixed methods studies. As major challenges neglected participation of older people, psychosocial burden among family caregivers, inadequate professional cooperation and a lack of shared decision-making and evidence-based practice were identified. Identified care strategies included strengthening shared decision-making and evidence-based practice, improvement in professional cooperation, introduction of specialized transitional care staff and enabling participation for older people.
Conclusion
Although the process of nursing home admission is considered challenging and tends to neglect the needs of older people, little research is available for the German health care system. The perspective of the older people seems to be underrepresented, as most of the studies focused on caregivers and health professionals. Reported care strategies addressed important challenges, however, these were not developed and evaluated in a comprehensive and systematic way. Future research is needed to examine perspectives of all the involved groups to gain a comprehensive picture of the needs and challenges. Interventions based on existing care strategies should be systematically developed and evaluated to provide the basis of adequate support for older persons and their informal caregivers.
Many experts project generative AI will impact the types of competencies that are valued among working professionals. This is the first known academic study to explore the views of business practitioners about the impacts of generative AI on skill sets. This survey of 692 business practitioners showed that business practitioners widely use generative AI, with the most common uses involving research and ideation, drafting of business messages and reports, and summarizing and revising text. Business practitioners report that character-based traits such as integrity and soft skills will become more important. Implications for teaching business communication are discussed.
Dieser Beitrag untersucht anhand des DAX im Zeitraum Januar 2010 bis Juli 2022, ob Unternehmen mit hohen bzw. niedrigen ESG-Scores einen Performanceunterschied aufweisen. Die Ergebnisse zeigen für kein Portfolio eine signifikante Über- oder Unterperformance. Lediglich die besten ESG-Firmen tendieren in normalen Marktphasen zu einer Unterperformance. Investoren erleiden beim Berücksichtigen von ESG-Scores auf den DAX risikoadjustiert keinen Nachteil und können zugleich ihrem guten Gewissen Genüge tun.
Background
Vertigo, dizziness or balance disorders (VDB) are common leading symptoms in older people, which can have a negative impact on their mobility and participation in daily live, yet, diagnosis is challenging and specific treatment is often insufficient. An evidence-based, multidisciplinary care pathway (CPW) in primary care was developed and pilot tested in a previous study. The aim of the present study is to evaluate the effectiveness and safety of the CPW in terms of improving mobility and participation in community-dwelling older people with VDB in primary care.
Methods
For this multicentre cluster randomised controlled clinic trial, general practitioners (GP) will be recruited in two regions of Germany. A total of 120 patients over 60 years old with VDB will be included. The intervention is an algorithmized CPW. GPs receive a checklist for standardise clinical decision making regarding diagnostic screening and treatment of VDB. Physiotherapists (PT) receive a decision tree for evidence-based physiotherapeutic clinical reasoning and treatment of VDB. Implementation strategies comprises educational trainings as well as a workshop to give a platform for exchange for the GPs and PTs, an information meeting and a pocket card for home care nurses and informal caregivers and telephone peer counselling to give all participants the capability, opportunity and the motivation to apply the intervention. In order to ensure an optimised usual care in the control group, GPs get an information meeting addressing the national guideline. The primary outcome is the impact of VDB on participation and mobility of patients after 6 month follow-up, assessed using the Dizziness Handicap Inventory (DHI) questionnaire. Secondary outcomes are physical activity, static and dynamic balance, falls and fear of falling as well as quality of life. We will also evaluate safety and health economic aspects of the intervention. Behavioural changes of the participants as well as barriers, facilitating factors and mechanisms of impact of the implementation will be investigated with a comprehensive process evaluation in a mixed-methods design.
Discussion
With our results, we aim to improve evidence-based health care of community-dwelling older people with VDB in primary care.
Virtual meeting recordings have become a common part of virtual and hybrid workplace environments. Meeting recordings offer potential benefits (speedy transcript production, expedited information sharing, searchable information, inclusion of visual and tonal expressions) and drawbacks (difficulty discussing sensitive issues, employee privacy, limited off-the-record capabilities, and employee concerns over sharing recordings). Given this variance, policies for virtual meetings are a necessity. Managers can successfully implement a policy by co-creating policy preferences with employees in open-ended and nonjudgmental conversations that openly discuss potential benefits, drawbacks, and employee concerns. Topics such as when to record, when not to record, how to gain consent, and who will have administrative and sharing rights should be covered. Accessibility concerns, use or rejection of software features, for how long and where meeting recordings should be stored, and emerging issues such as use of virtual reality meetings and AI tools are areas of less urgency that may be part of the conversations. Managers should deliver policy preferences to a group of representatives from Human Resources, Information Technology, and the executive team to compose the policy, request a legal review, then introduce and implement it in the organization.
Exploring stakeholder perspectives: Enhancing robot acceptance for sustainable healthcare solutions
(2023)
The pandemic has highlighted the fact that healthcare systems around the world are under pressure. Demographic change is leading to an increasing shortage of care workers in most countries, and the demographic challenge is only just beginning in most societies. While robots are widely used in industry, robotic support in healthcare is still limited to very specialized robots in the operating theatre. The question of what type of deployment is likely to be successful in a healthcare scenario is not only a technological or economical question but also one of technology acceptance. The answer to this question supports entrepreneurial opportunities to develop sustainable healthcare solutions.
In this paper, we analyze the acceptance of robots in elderly care from the perspective of patients, patient families, and geriatric care professionals. To understand the various positions and to identify the suitability of existing acceptance models, we applied stakeholder mapping to conduct qualitative interviews with 14 people with different knowledge backgrounds and levels of involvement in care situations, based on 9 videos showing different robots and application scenarios.
The results confirmed that existing technology acceptance models need to be extended by factors such as robot appearance. We found that the background knowledge of the respondents influences the results of the questions about e.g. safety concerns. In addition, we found that the contribution to patients' self-determination and independence is an important factor that is not included in existing technology acceptance models. Finally, the discovery of a significant discrepancy between the self-perception and the external perception of the different stakeholders regarding the acceptance of a service robot can be explained by the stakeholder positions involved in caring for the benefit of a specific patient.
These findings encourage further research, especially with the underlying assumption that technology acceptance in healthcare is not just a patient issue, but a stakeholder issue. Stakeholder mapping is a valid tool to analyze the interdependencies for the acceptance of robots. Therefore, we suggest using a tool such as stakeholder mapping to further analyze these issues.
Fault and anomaly detection in district heating substations: A survey on methodology and data sets
(2023)
District heating systems are essential building blocks for affordable, low-carbon heat supply. Early detection and elimination of faults is crucial for the efficiency of these systems and necessary to achieve the low temperatures targeted for 4th generation district heating systems. Especially methods for fault and anomaly detection in district heating substations are currently of high interest, as faults in substations can be repaired quickly and inexpensively, and smart meter data are becoming widely available. In this paper, we review recent scientific publications presenting data-driven approaches for fault and anomaly detection in district heating substations with a focus on methods and data sets. Our review indicates that researchers use a wide variety of methods, mostly focusing on unsupervised anomaly detection rather than fault detection. This is due to a lack of labeled data sets, preventing the use of supervised learning methods and quantitative analysis. Together with the lack of publicly available data sets, this impedes the accurate comparison of individual methods. To overcome this impediment, increase the comparability of different methods and foster competition, future research should focus on establishing publicly available data sets, and industry-relevant metrics as benchmarks.
Die Gesundheitswirtschaft ist im hohen Maße von Technisierung und Digitalisierung betroffen, welche neue Kompetenzen bei den verantwortlichen Akteur:innen erfordert. Die Fähigkeiten, die für den professionellen Umgang mit diesen Entwicklungspro zessen relevant sind, werden in der Literatur mit verschiedenen Begriffen umschrieben: Inhalte wie Technik, Digitalität, Medien, Informatik, Computer oder Informations- und Kommunikationstechnologien (IKT) werden mit Fähigkeiten und Fertigkeiten re präsentierenden Begriffen wie Kompetenzen, Literacy oder Skills verknüpft. Deutlich wird bisher jedoch nicht, welche spezifi schen Fähigkeiten die im Diskurs geforderten Konstrukte jeweils adressieren, worin sie sich unterscheiden und welchen Beitrag sie zum Ziel beruflicher Handlungskompetenz leisten.
This article examines interweaving collective histories in different formerly colonized regions of the world: 1. Migratory movements from the territory of the former Ottoman Empire to the Americas, specifically to Brazil, and 2. transregional migration between different regions within China. On the basis of empirical data, we discuss sociological biographical research as an approach to analyzing migration and social mobility as transgenerational processes. In the case of Syrians in Brazil who have fled from the civil war, these processes are reflected in transnational family structures, transgenerational mandates, and knowledge transmission. In the case of domestic migration within China, the “mission” that families give their children is social advancement through education (e.g., Crabb 2010; Fong 2004). In the context of anti-Western discourses in China, it can be demonstrated that postcolonial discourses are functional in the effort to regain former international strength and national prosperity, and that discourses on “becoming a modern citizen” pervade family aspirations. The article is intended as a plea for i) taking a closer look at historical and contemporary South-South relations, and ii) situating current migration movements historically. It ties into global historical and sociological debates on “shared/common histories” and “intertwined histories."