Introduction: Making shared ethical decisions about patients' further healthcare involves coordinating the opinions of healthcare professionals, and patients and their relatives. The purpose of the ...research was to examine the joint ethical decision-making of healthcare professionals. Methods: A review of the scientific literature performed in the COBISS, Springer Link and PubMed databases was used. To search for literature in the Slovenian language, the following words were used: "etika", "zdravstveni delavci", "skupne odločitve" and in the English language: "ethics", "health professionals", "shared decision making". The literature review was carried out using the PRISMA diagram. Results were synthesized using thematic analysis. Results: 19 articles were included in the final analysis. We created three thematic categories: (1) ethical competence of healthcare workers, (2) problems in the area of joint ethical decision-making and (3) new approaches to joint ethical decision-making to improve outcomes in clinical practice. In the field of joint ethical decision-making of healthcare professionals, the importance of ethical competence, issues in the field of joint ethical decision-making and new approaches to joint ethical decision-making for improving results in clinical practice is demonstrated. Discussion and conclusion: The findings of the research contribute to illuminating the importance of joint ethical decision-making and giving an insight into the factors of joint ethical decision-making. The end result of certain ethical decisions that affect the interaction of healthcare professionals and all levels in healthcare are important.
Uvod: Epidemija covida-19 je omejila praktično usposabljanje študentov zdravstvene nege. V zdravstveni negi simulacije niso novost, razmeroma novo področje izobraževanja pa so virtualne simulacije ...ali virtualni pacienti. Namen pregleda je bil preučiti najnovejše empirične ugotovitve o učinkovitosti oziroma uspešnosti uporabe virtualnih simulacij ali virtualnih pacientov pri študiju zdravstvene nege po svetu. Metode: Pregledani so bili znanstveni članki, objavljeni med letoma 2016 in 2021 v bibliografskih bazah CINAHL, MEDLINE, ERIC ter v kataložno-bibliografski bazi podatkov COBIB. Proučevani so bili članki, ki so obravnavali študente zdravstvene nege, pri katerih sta bila virtualna simulacija ali virtualni pacient uporabljena za način učenja in ne kot način preverjanja usvojenega znanja druge učne metode. Sinteza rezultatov je bila narejena s tematsko analizo. Rezultati: Vključenih je bilo 12 raziskav, ki so bile večinoma opravljene v razvitih državah. Rezultati so pokazali pozitiven vpliv virtualnih simulacij ali virtualnih pacientov na kognitivno in afektivno domeno znanja, praktično izvedbo intervencij, oceno samoučinkovitosti, kompetentnosti in zadovoljstva študentov. Diskusija in zaključek: Kadar kliničnega usposabljanja za študente zdravstvene nege ni mogoče zagotoviti, so virtualne simulacije ali virtualni pacienti lahko eno izmed možnih okolij za trening kliničnih odločitev, ki bi jih študent sicer pridobil v klinični praksi, ne morejo pa nadomestiti kliničnega usposabljanja in izkušenj, ki jih študent pridobi ob pacientu.
In order to cut their carbon footprint and promote environmental sustainability, the majority of businesses have now turned towards sustainable practises in their manufacturing processes and supply ...networks. The use of sustainable materials has drawn a lot of attention recently as a crucial step in accomplishing these goals. Choosing the material that is most suited for a product can be difficult, despite the fact that there are many sustainable materials available. This study uses machine learning – a random forest algorithm and multi-criteria decision analysis (MCDA) to optimise the use of sustainable materials in supply-chain operations. The study uses machine learning algorithms to analyse data on different sustainable materials, their characteristics and their effects on the environment. The study also investigates how an optimised material selection affects the whole supply chain, including the production, packing and shipping operations. The research offers a complete strategy for reducing the environmental effect of industrial processes by combining approaches from material engineering, supply chain management and machine learning. The novelty of this work resides in its integration of material engineering and machine learning strategies to enhance the supply chain choice of sustainable materials. As a notable example, the study highlights the potential of mycelium as a sustainable material for air conditioner components. Mycelium’s unique properties, such as its biodegradability, lightweight nature and adaptability position it as a promising candidate, enhancing the environmental profile of air conditioners. By incorporating mycelium-based components, manufacturers can significantly reduce carbon emissions, resource consumption and waste generation throughout a product’s lifecycle. This investigation underscores both the viability of mycelium and the broader significance of innovative material choices in reshaping industries towards a more sustainable future. Through such advances, this research not only contributes to the air conditioning sector but also establishes a paradigm for sustainable material adoption with far-reaching positive implications.
The article draws attention to the loss of contract power of people, especially those with mental disabilities. It shows a gap between policies and ideology of participation on the one hand and lived ...experiences of participation practices in the care proceedings' systems on the other. Users' participation seems to be a trademark of contemporary EU social policy or mental health policy, while children's participation is the most emphasised part of child-friendly justice discourse, but the question arises whether they really are in place. The national and European research projects conducted by the author and her colleagues in the last years are used to emphasise the most problematic points, but also innovative social work and advocacy practices. The central focus of the article is therefore the author's recent EU research project 'Access to Justice for Children with Mental Disabilities', which has addressed the participation of children with mental disabilities in all stages of the legal processes. In the case of Slovenia, these are mainly taking the place at centres of social work. The findings showed that in spite of the progress towards participation of children in general in social care decisions, children with mental disabilities remain virtually invisible.
