Two models of ethical alignment through metacommunication in clinical situations

The literature on communication in patient-centred care typically focuses on physicians’ alignment strategies. The goals of these strategies are diagnostic accuracy, effectiveness via compliance and patient-centredness. Although the success of these strategies can to some extent be measured, the ethical standards by which they are evaluated are not sufficiently clear. This article presents two models of alignment through ‘explicit’ metacommunication, derived from two different ethical perspectives on patient-centredness. The article first presents the concept of metacommunication and identifies two ethical perspectives that produce normative stands concerning patient-centredness: the logic of care and internal morality. Second, the article presents two models of how metacommunication can contribute to the visibility and accomplishment of these two ethical perspectives in clinical alignment.</jats:p

How participatory design works:mechanisms and effects

We argue that the distinguishing features of Participatory Design are not the participatory activities as such but the mechanisms used, the effects produced and the way in which these are sustained. We use program theory to illuminate how participatory design works and how it may be understood as more than a collection of methods or a matter of configuring user participation. Program theory operates by formulating the causal relations between the planned inputs, the process and the effects in terms of output, outcome and impact. While participatory design might appear similar to co-design or user-centered design on the level of design activities, PD differs in terms of the mechanisms employed and how effects and their sustainment are conceived. Looking at participatory design through the lens of program theory highlights how particular mechanisms work towards not only the designed product but also towards generating gains and lasting effects for participants

Views from within a narrative : Evaluating long-term human-robot interaction in a naturalistic environment using open-ended scenarios

Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. Date of acceptance: 16/06/2014This article describes the prototyping of human–robot interactions in the University of Hertfordshire (UH) Robot House. Twelve participants took part in a long-term study in which they interacted with robots in the UH Robot House once a week for a period of 10 weeks. A prototyping method using the narrative framing technique allowed participants to engage with the robots in episodic interactions that were framed using narrative to convey the impression of a continuous long-term interaction. The goal was to examine how participants responded to the scenarios and the robots as well as specific robot behaviours, such as agent migration and expressive behaviours. Evaluation of the robots and the scenarios were elicited using several measures, including the standardised System Usability Scale, an ad hoc Scenario Acceptance Scale, as well as single-item Likert scales, open-ended questionnaire items and a debriefing interview. Results suggest that participants felt that the use of this prototyping technique allowed them insight into the use of the robot, and that they accepted the use of the robot within the scenarioPeer reviewe