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  • Publikation
    Developing the TeamOBS-vacuum-assisted delivery checklist to assess clinical performance in a vacuum-assisted delivery: a Delphi study with initial validation
    (Frontiers Research Foundation, 2024) Brogaard, Lise; Hinshaw, Kim; Kierkegaard, Ole; Manser, Tanja; Uldbjerg, Niels; Hvidman, Lone [in: Frontiers in Medicine]
    In Northern Europe, vacuum-assisted delivery (VAD) accounts for 6–15% of all deliveries; VAD is considered safe when conducted by adequately trained personnel. However, failed vacuum extraction can be harmful to both the mother and child. Therefore, the clinical performance in VAD must be assessed to guide learning, determine a performance benchmark, and evaluate the quality to achieve an overall high performance. We were unable to identify a pre-existing tool for evaluating the clinical performance in real-life vacuum-assisted births. We aimed to develop and validate a checklist for assessing the clinical performance in VAD. We conducted a Delphi process, described as an interactive process where experts answer questions until answers converge toward a “joint opinion” (consensus). We invited international experts as Delphi panelists and reached a consensus after four Delphi rounds, described as follows: (1) the panelists were asked to add, remove, or suggest corrections to the preliminary list of items essential for evaluating clinical performance in VAD; (2) the panelists applied weights of clinical importance on a Likert scale of 1–5 for each item; (3) each panelist revised their original scores after reviewing a summary of the other panelists’ scores and arguments; and (4) the TeamOBS-VAD was tested using videos of real-life VADs, and the Delphi panel made final adjustments and approved the checklist. Twelve Delphi panelists from the UK (n = 3), Norway (n = 2), Sweden (n = 3), Denmark (n = 3), and Iceland (n = 1) were included. After four Delphi rounds, the Delphi panel reached a consensus on the checklist items and scores. The TeamOBS-VAD checklist was tested using 60 videos of real-life vacuum extractions. The inter-rater agreement had an intraclass correlation coefficient (ICC) of 0.73; 95% confidence interval (95% CI) of [0.58, 0.83], and that for the average of two raters was ICC 0.84 95% CI [0.73, 0.91]. The TeamOBS-VAD score was not associated with difficulties in delivery, such as the number of contractions during vacuum extraction delivery, cephalic level, rotation, and position. Failed vacuum extraction occurred in 6% of the video deliveries, but none were associated with the teams with low clinical performance scores. The TeamOBS-VAD checklist provides a valid and reliable evaluation of the clinical performance of vaginal-assisted vacuum extraction.
    01A - Beitrag in wissenschaftlicher Zeitschrift
  • Publikation
    Older adults’ engagement and mood during robot-assisted group activities in nursing homes: development and observational pilot study
    (JMIR Publications, 01.05.2023) Tanner, Alexandra; Urech, Andreas; Schulze, Hartmut; Manser, Tanja [in: JMIR Rehabilitation and Assistive Technologies]
    Promoting the well-being of older adults in an aging society requires new solutions. One resource might be the use of social robots for group activities that promote physical and cognitive stimulation. Engaging in a robot-assisted group activity may help in the slowdown of physical and cognitive decline in older adults. Currently, our knowledge is limited on whether older adults engage in group activities with humanlike social robots and whether they experience a positive affect while doing so. Both are necessary preconditions to achieve the intended effects of a group activity. Our pilot study has 2 aims. First, we aimed to develop and pilot an observational coding scheme for robot-assisted group activities because self-report data on engagement and mood of nursing home residents are often difficult to obtain, and the existing observation instruments do have limitations. Second, we aimed to investigate older adults’ engagement and mood during robot-assisted group activities in 4 different nursing care homes in the German-speaking part of Switzerland. We developed an observation system, inspired by existing tools, for a structured observation of engagement and mood of older adults during a robot-assisted group activity. In this study, 85 older adult residents from 4 different care homes in Switzerland participated in 5 robot-assisted group activity sessions, and they were observed using our developed system. The data were collected in the form of video clips that were assessed by 2 raters regarding engagement (direction of gaze, posture as well as body expression, and activity) and mood (positive and negative affects). Both variables were rated on a 5-point rating scale. Our pilot study findings show that the engagement and mood of older adults can be assessed reliably by using the proposed observational coding scheme. Most participants actively engaged in robot-assisted group activities (mean 4.19, SD 0.47; median 4.0). The variables used to measure engagement were direction of gaze (mean 4.65, SD 0.49; median 5.0), posture and body expression (mean 4.03, SD 0.71; median 4.0), and activity (mean 3.90, SD 0.65; median 4.0). Further, we observed mainly positive affects in this group. Almost no negative affect was observed (mean 1.13, SD 0.20; median 1.0), while the positive affect (mean 3.22, SD 0.55; median 3.2) was high. The developed observational coding system can be used and further developed in future studies on robot-assisted group activities in the nursing home context and potentially in other settings. Additionally, our pilot study indicates that cognitive and physical stimulation of older adults can be promoted by social robots in a group setting. This finding encourages future technological development and improvement of social robots and points to the potential of observational research to systematically evaluate such developments.
    01A - Beitrag in wissenschaftlicher Zeitschrift
  • Publikation
    Die hybride Zukunft der Zusammenarbeit
    (28.01.2022) Rutz, Milena; Kopp, Nicole
    06 - Präsentation
  • Publikation
    Ganzheitlich-adaptives Bildungsdesign
    (Zürcher Hochschule der Künste, 01.10.2023) Rutz, Milena; Vannotti, Stefano; Schule für Gestaltung Bern und Biel
    Bildung ist einer der grössten Hebel für die Gestaltung einer wünschenswerten Zukunft. Der stetige Wandel in der Arbeitswelt erfordert eine dynamische Weiterentwicklung von praxisorientierten Bildungsangeboten. In der vorliegenden Arbeit wird am Beispiel des Studiengangs HF Interaction Design der Schule für Gestaltung in Bern ein Framework für ein ganzheitlich-adaptives Bildungsdesign vorgestellt. Die Exploration und Integration unterschiedlicher Perspektiven aus der Bildungs- und Arbeitswelt definieren den strategischen Gestaltungsraum der Studienleitung. Das entwickelte Framework fokussiert auf das lebenslange Lernen aller am Studiengang beteiligten Akteur:innen und bietet Bildungsverantwortlichen eine Orientierung, um die strategische Weiterentwicklung von praxisorientierten Bildungsangeboten ganzheitlich und adaptiv zu gestalten.
    11 - Studentische Arbeit
  • Publikation
    Exploring objective measures for assessing team performance in healthcare: an interview study
    (Frontiers Research Foundation, 10/2023) Wespi, Rafael; Birrenbach, Tanja; Schauber, Stefan K.; Manser, Tanja; Sauter, Thomas C.; Kämmer, Juliane E. [in: Frontiers in Psychology]
    01A - Beitrag in wissenschaftlicher Zeitschrift