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Introducing participatory fairness in emergency communication can support self-organization for survival.

ABSTRACT: Participatory resilience of disaster-struck communities requires reliable communication for self-organized rescue, as conventional communication infrastructure is damaged. Disasters often lead to blackouts preventing citizens from charging their phones, leading to disparity in battery charges and a digital divide in communication opportunities. We propose a value-based emergency communication system based on participatory fairness, ensuring equal communication opportunities for all, regardless of inequality in battery charge. The proposed infrastructure-less emergency communication network automatically and dynamically (i) assigns high-battery phones as hubs, (ii) adapts the topology to changing battery charges, and (iii) self-organizes to remain robust and reliable when links fail or phones leave the network. The novelty of the proposed mobile protocol compared to mesh communication networks is demonstrated by comparative agent-based simulations. An evaluation using the Gini coefficient demonstrates that our network design results in fairer participation of all devices and a longer network lifetime, benefiting the community and its participants.

SUBMITTER: Banerjee I

PROVIDER: S-EPMC8010119 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundAntimicrobial resistance poses a threat to patient safety worldwide. To stop antimicrobial resistance, Antimicrobial Stewardship Programs (ASPs; programs for optimizing antimicrobial use), need to be implemented. Within these programs, nurses are important actors, as they put antimicrobial treatment into effect. To optimally support nurses in ASPs, they should have access to information that supports them in their preparation, administration and monitoring tasks. In addition, it should help them to detect possible risks or adverse events associated with antimicrobial therapy. In this formative study, we investigate how nurses' can be supported in ASPs by means of an eHealth intervention that targets their information needs.MethodsWe applied a participatory development approach that involves iterative cycles in which health care workers, mostly nurses, participate. Focus groups, observations, prototype evaluations (via a card sort task and a scenario-based information searching task) and interviews are done with stakeholders (nurses, managers, pharmacist, and microbiologist) on two pulmonary wards of a 1000-bed teaching hospital.ResultsTo perform the complex antimicrobial-related tasks well, nurses need to consult various information sources on a myriad of occasions. In addition, the current information infrastructure is unsupportive of ASP-related tasks, mainly because information is not structured to match nurse tasks, is hard to find, out of date, and insufficiently supportive of awareness. Based our findings, we created a concept for a nurse information application. We attuned the application's functionality, content, and structure to nurse work practice and tasks.ConclusionsBy applying a participatory development approach, we showed that task support is a basic need for nurses. Participatory development proved useful regarding several aspects. First, it allows for combining bottom-up needs (nurses') and top-down legislations (medical protocols). Second, it enabled us to fragmentise and analyse tasks and to reduce and translate extensive information into task-oriented content. Third, this facilitated a tailored application to support awareness and enhance patient safety. Finally, the involvement of stakeholders created commitment and ownership, and helped to weigh needs from multiple perspectives.

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Introducing participatory fairness in emergency communication can support self-organization for survival.

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