[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.00,0:00:01.32,Default,,0000,0000,0000,,*33C3 preroll music*
Dialogue: 0,0:00:01.32,0:00:21.72,Default,,0000,0000,0000,,Karen: Thank you all for coming. We are\Nabout to start the next talk. Think big or
Dialogue: 0,0:00:21.72,0:00:26.10,Default,,0000,0000,0000,,care for yourself on the obstacles to\Nthink of emergent technologies in the
Dialogue: 0,0:00:26.10,0:00:32.10,Default,,0000,0000,0000,,field of nursing science. Our speakers are\NHanna Wüller and Anne Koppenburger. They
Dialogue: 0,0:00:32.10,0:00:37.86,Default,,0000,0000,0000,,both work on the use and development of\Ntechnology in nursing. Hanna is examining
Dialogue: 0,0:00:37.86,0:00:42.78,Default,,0000,0000,0000,,which parts of nursing should be supported\Nby technological solutions. She does
Dialogue: 0,0:00:42.78,0:00:49.14,Default,,0000,0000,0000,,research on augmented reality used in\Nnursing. Anna works on feminist science
Dialogue: 0,0:00:49.14,0:00:55.26,Default,,0000,0000,0000,,and technological studies, as well as\Ncritique of the political economy. She is
Dialogue: 0,0:00:55.26,0:01:01.80,Default,,0000,0000,0000,,the editor of a book that just came out\Nhere in 2017: The Cybernetic Capitalism
Dialogue: 0,0:01:01.80,0:01:07.32,Default,,0000,0000,0000,,Revolution - The Emancipatory Perspective\Nin technological change. I hope you will
Dialogue: 0,0:01:07.32,0:01:15.00,Default,,0000,0000,0000,,listen to their talk with great interest.\NThere is translations into English and
Dialogue: 0,0:01:15.00,0:01:20.16,Default,,0000,0000,0000,,German on the website that you can find on\Nthe site. Enjoy the talk.
Dialogue: 0,0:01:20.16,0:01:26.28,Default,,0000,0000,0000,,*applause*
Dialogue: 0,0:01:26.28,0:01:30.90,Default,,0000,0000,0000,,Thank you, Karen, for this nice\Nintroduction. Welcome to our talk: Think
Dialogue: 0,0:01:30.90,0:01:37.85,Default,,0000,0000,0000,,big or care for yourself. On the obstacles\Nto think of emerging technologies in the
Dialogue: 0,0:01:37.85,0:01:45.69,Default,,0000,0000,0000,,field of nursing science. We're very proud\Nto talk here on CCC. My name is Anne
Dialogue: 0,0:01:45.69,0:01:54.10,Default,,0000,0000,0000,,Koppenburger. This is Hanna Wüller. Let me\Nshortly say something about the
Dialogue: 0,0:01:54.10,0:02:01.23,Default,,0000,0000,0000,,perspective that I will take in this talk.\NAs I did in the book that was just showed,
Dialogue: 0,0:02:01.23,0:02:07.17,Default,,0000,0000,0000,,I will do it again to give you time, maybe\Nto write it down or something. I'm
Dialogue: 0,0:02:07.17,0:02:11.06,Default,,0000,0000,0000,,interested in the understanding of\Ntechnologies, especially in the
Dialogue: 0,0:02:11.06,0:02:16.67,Default,,0000,0000,0000,,understandings of technological change. I\Nam looking at how different societal
Dialogue: 0,0:02:16.67,0:02:23.47,Default,,0000,0000,0000,,agents relate themself within this change.\NAnd in that book, we did it with some
Dialogue: 0,0:02:23.47,0:02:30.94,Default,,0000,0000,0000,,different agents like DIY technology\Nfriendly initiatives, industrial players
Dialogue: 0,0:02:30.94,0:02:37.86,Default,,0000,0000,0000,,or trade unions. Today, we want to talk\Nabout care and the relation to technology.
Dialogue: 0,0:02:37.86,0:02:48.12,Default,,0000,0000,0000,,And we will do this in three steps. And I\Nshould say that it will take around 25
Dialogue: 0,0:02:48.12,0:02:54.60,Default,,0000,0000,0000,,minutes, then we will have five minutes\Nleft. We would be happy to get one or two
Dialogue: 0,0:02:54.60,0:03:00.30,Default,,0000,0000,0000,,questions from the audience. But however,\Nfor those of you who will not get the
Dialogue: 0,0:03:00.30,0:03:05.64,Default,,0000,0000,0000,,possibility to talk to us or to contribute\Nsomething to our talk, please feel free to
Dialogue: 0,0:03:05.64,0:03:11.58,Default,,0000,0000,0000,,reproach us afterwards or to check out our\Nuniversity web pages and get in touch with
Dialogue: 0,0:03:11.58,0:03:19.08,Default,,0000,0000,0000,,us. OK, the following 25 minutes we will\Ntalk about the relation of nursing,
Dialogue: 0,0:03:19.08,0:03:25.02,Default,,0000,0000,0000,,science and technology in order to expose\Nit as problematic. First, I would talk
Dialogue: 0,0:03:25.02,0:03:29.34,Default,,0000,0000,0000,,about nursing science and what we actually\Ntalk about when we say nursing science,
Dialogue: 0,0:03:29.34,0:03:36.90,Default,,0000,0000,0000,,and I will link this to the question of\Nwhat we mean when we talk in nursing
Dialogue: 0,0:03:36.90,0:03:43.56,Default,,0000,0000,0000,,science about technology. Afterwards,\NHanna will introduce you in a current
Dialogue: 0,0:03:43.56,0:03:52.32,Default,,0000,0000,0000,,research project on augmented reality. She\Nwill talk about what is going on right now
Dialogue: 0,0:03:52.32,0:04:03.90,Default,,0000,0000,0000,,in this field of research. OK. I would\Nstart with the first part. I want to argue
Dialogue: 0,0:04:03.90,0:04:12.78,Default,,0000,0000,0000,,that social struggles for making care work\Nvisible are a consequential requirement to
Dialogue: 0,0:04:12.78,0:04:18.12,Default,,0000,0000,0000,,conceptualize the application of different\Ntechnologies and nursing science. It's
Dialogue: 0,0:04:18.12,0:04:23.04,Default,,0000,0000,0000,,like that: You cannot take it for granted\Nto talk about care. It is thanks to the
Dialogue: 0,0:04:23.04,0:04:28.68,Default,,0000,0000,0000,,extraordinary work of feminist political\Nactivists, artist, writers and theorists
Dialogue: 0,0:04:28.68,0:04:35.88,Default,,0000,0000,0000,,that today we are in the situation to talk\Nabout care work as a structured and
Dialogue: 0,0:04:35.88,0:04:42.24,Default,,0000,0000,0000,,structuring activity at all. I mean, to\Ntalk about care apart from it as being a
Dialogue: 0,0:04:42.24,0:04:49.38,Default,,0000,0000,0000,,labor of love. It was embedded in the new\Nleft social movements in the 1960s and
Dialogue: 0,0:04:49.38,0:04:54.84,Default,,0000,0000,0000,,some countries around the world that\Nmaterialist feminist were struggling to
Dialogue: 0,0:04:54.84,0:05:01.68,Default,,0000,0000,0000,,expose care work as a notable part of\Nsocial reproduction. In these efforts, the
Dialogue: 0,0:05:01.68,0:05:08.70,Default,,0000,0000,0000,,relation between productive labor and\Nreproductive labor has been exposed as
Dialogue: 0,0:05:08.70,0:05:14.88,Default,,0000,0000,0000,,interdependent, as dependent on each\Nother. And this emancipatory struggles
Dialogue: 0,0:05:14.88,0:05:20.76,Default,,0000,0000,0000,,have made care work visible by the\Nnaturalizing as care work has been
Dialogue: 0,0:05:20.76,0:05:26.10,Default,,0000,0000,0000,,revealed as an essential precondition of a\Nbourgeois society's capitalist production.
Dialogue: 0,0:05:26.76,0:05:32.76,Default,,0000,0000,0000,,However, being visible, of course, is not\Nthe same as being recognized and still
Dialogue: 0,0:05:32.76,0:05:38.58,Default,,0000,0000,0000,,today care work lags of societal\Nappreciation. Those circumstances comes,
Dialogue: 0,0:05:38.58,0:05:44.76,Default,,0000,0000,0000,,for example, with low wages and poor\Nworking conditions. Who wants to learn
Dialogue: 0,0:05:44.76,0:05:49.26,Default,,0000,0000,0000,,more about the ongoing struggle is\Nrecommended to check out, for instance,
Dialogue: 0,0:05:49.26,0:05:54.12,Default,,0000,0000,0000,,the work of Helen Hester. She's a member\Nof the technology-friendly xeno-feminist
Dialogue: 0,0:05:54.12,0:05:59.52,Default,,0000,0000,0000,,collective Laboria Cuboniks. She's an\Nassociate professor for media and
Dialogue: 0,0:05:59.52,0:06:04.26,Default,,0000,0000,0000,,communication at the University of West\NLondon, and she emphasizes on the task to
Dialogue: 0,0:06:04.26,0:06:10.86,Default,,0000,0000,0000,,continue the discussion of making care\Nwork visible. Visible as a part - as a
Dialogue: 0,0:06:10.86,0:06:16.56,Default,,0000,0000,0000,,notable part - of social reproduction, she\Nproposes to rethink living arrangements,
Dialogue: 0,0:06:16.56,0:06:24.90,Default,,0000,0000,0000,,living standards and the role of domestic\Ntechnology. Therefore, she opens up a
Dialogue: 0,0:06:24.90,0:06:30.72,Default,,0000,0000,0000,,discussion on automatisation of certain\Naspects of health care. Despite a lot of
Dialogue: 0,0:06:30.72,0:06:36.96,Default,,0000,0000,0000,,controversies around this, she says the\Nopening to automatisation is a refusal to
Dialogue: 0,0:06:36.96,0:06:45.24,Default,,0000,0000,0000,,naturalize this work. OK, back to nursing\Nscience. Yeah, we can see how these
Dialogue: 0,0:06:46.68,0:06:51.30,Default,,0000,0000,0000,,social, political, economic movements that\NI just have mentioned, those emancipatory
Dialogue: 0,0:06:51.30,0:06:56.64,Default,,0000,0000,0000,,struggles, they obviously affect the\Ntheoretical horizon of nursing science,
Dialogue: 0,0:06:56.64,0:07:01.14,Default,,0000,0000,0000,,which in turn influences the\Nconceptualization of technology and care
Dialogue: 0,0:07:01.14,0:07:07.08,Default,,0000,0000,0000,,work settings. Speaking for a German\Ncontext of nursing science, contemporary
Dialogue: 0,0:07:07.08,0:07:11.46,Default,,0000,0000,0000,,nursing scientists, they are still\Noverwhelmingly busy with the
Dialogue: 0,0:07:11.46,0:07:17.46,Default,,0000,0000,0000,,professionalization of health care. They\Nare partly still engaged in establishing
Dialogue: 0,0:07:17.46,0:07:22.44,Default,,0000,0000,0000,,nursing science as a scientific discipline\Nthat describes and develops reasonable
Dialogue: 0,0:07:22.44,0:07:26.34,Default,,0000,0000,0000,,caring practice on the basis of\Nindependent nursing research.
Dialogue: 0,0:07:27.96,0:07:32.88,Default,,0000,0000,0000,,Distinguishing nursing science as\Nindependent from medicine is seen as a
Dialogue: 0,0:07:32.88,0:07:38.28,Default,,0000,0000,0000,,cornerstone in these struggles. Medicine\Nas a life science discipline is probably
Dialogue: 0,0:07:38.28,0:07:43.32,Default,,0000,0000,0000,,rightly accused of being pervaded by\Nstrongly functionalist, partly mechanic,
Dialogue: 0,0:07:43.32,0:07:55.86,Default,,0000,0000,0000,,partly cybernetic paradigm. This formal\Nand mathematical paradigm might be seen as
Dialogue: 0,0:07:55.86,0:08:01.62,Default,,0000,0000,0000,,a reflexive background against which this\Nyoung and ambitious discipline has
Dialogue: 0,0:08:01.62,0:08:07.91,Default,,0000,0000,0000,,constituted itself, at least in the German\Ncontext. Oh, sorry. By drawing on critical
Dialogue: 0,0:08:07.91,0:08:19.02,Default,,0000,0000,0000,,theories, nursing scientists rejected a\Npurely medical approach to bodily
Dialogue: 0,0:08:19.02,0:08:23.72,Default,,0000,0000,0000,,processes, which often those medical\Napproaches, they often comes in
Dialogue: 0,0:08:23.72,0:08:28.91,Default,,0000,0000,0000,,explanatory modes of, for example,\Nquantifying rationalizing technologizing.
Dialogue: 0,0:08:28.91,0:08:35.17,Default,,0000,0000,0000,,Nursing practice, in contrast, is supposed\Nto approach human beings' experiences of
Dialogue: 0,0:08:35.17,0:08:40.31,Default,,0000,0000,0000,,health and sickness and modes of\Ncomprehension of a fully understanding,
Dialogue: 0,0:08:40.31,0:08:45.73,Default,,0000,0000,0000,,for example, by phenomenologically\Nreconstructing individual meaning and
Dialogue: 0,0:08:45.73,0:08:51.83,Default,,0000,0000,0000,,collective sense structures. So in\Ncomparison, medicine and nursing, medicine
Dialogue: 0,0:08:51.83,0:08:57.96,Default,,0000,0000,0000,,prefers to explain diseases by formalize\Nevents, a formalized thinking, a linear
Dialogue: 0,0:08:57.96,0:09:04.32,Default,,0000,0000,0000,,thinking. Whereas nursing science is\Nsupposed to comprehend being healthy or
Dialogue: 0,0:09:04.32,0:09:11.04,Default,,0000,0000,0000,,being sick by mimetic faculty, by, I say,\Nsimply and playing, by feel it. That is
Dialogue: 0,0:09:11.04,0:09:17.10,Default,,0000,0000,0000,,why nursing sciences draw on highly\Ncontroversial constructs like intuition or
Dialogue: 0,0:09:17.10,0:09:23.74,Default,,0000,0000,0000,,implicit knowledge. Here, we still witness\Nthe movement of making visible what was
Dialogue: 0,0:09:23.74,0:09:28.56,Default,,0000,0000,0000,,made invisible before socially,\Npolitically, theoretically. Exactly at
Dialogue: 0,0:09:28.56,0:09:33.24,Default,,0000,0000,0000,,this point, we find a particular strong\Nrejection of different technologies and
Dialogue: 0,0:09:33.24,0:09:37.56,Default,,0000,0000,0000,,care work by nursing scientists. Since\Ntechnology, especially information
Dialogue: 0,0:09:37.56,0:09:42.21,Default,,0000,0000,0000,,technology, are conceived as means of\Nexplanation, these technologies are
Dialogue: 0,0:09:42.21,0:09:47.34,Default,,0000,0000,0000,,identified with the formalistic paradigm\Nthat supposedly cannot comprehend the
Dialogue: 0,0:09:47.34,0:09:52.44,Default,,0000,0000,0000,,implicit part of human beings' experience.\NHere, the different struggles that I have
Dialogue: 0,0:09:52.44,0:09:59.35,Default,,0000,0000,0000,,mentioned meet each other. They both are\Ntargeting at onto-epistemological regimes
Dialogue: 0,0:09:59.35,0:10:06.24,Default,,0000,0000,0000,,of capitalizing, rationalizing\Ntechnologizing. They kind of attack on
Dialogue: 0,0:10:06.24,0:10:13.81,Default,,0000,0000,0000,,this processes just in order, which is an\Nimportant work also to include the
Dialogue: 0,0:10:13.81,0:10:21.04,Default,,0000,0000,0000,,excluded, to qualify the quantified, and\Nalso to de-technologize the technologized.
Dialogue: 0,0:10:21.04,0:10:26.78,Default,,0000,0000,0000,,So just to sum up this first part, it is\Nimportant to keep in mind that both the
Dialogue: 0,0:10:26.78,0:10:30.30,Default,,0000,0000,0000,,histories of feminists efforts to make\Ncare work visible and the academic
Dialogue: 0,0:10:30.30,0:10:35.55,Default,,0000,0000,0000,,struggle of establishing nursing science\Nas a scientific discipline, they are both
Dialogue: 0,0:10:35.55,0:10:41.46,Default,,0000,0000,0000,,interlinked. They go parallel in their\Nambition to emancipate themselves from
Dialogue: 0,0:10:41.46,0:10:46.47,Default,,0000,0000,0000,,formalizing, thinking and acting. They\Nalso share basic parts of their
Dialogue: 0,0:10:46.47,0:10:52.56,Default,,0000,0000,0000,,theoretical foundation. As a result, an\Nalways mysteriously indetermined part of
Dialogue: 0,0:10:52.56,0:10:59.22,Default,,0000,0000,0000,,the human being's existence is supposed to\Nbe a crucial counterpoint of technological
Dialogue: 0,0:10:59.22,0:11:00.20,Default,,0000,0000,0000,,formations.\N*mumbles*
Dialogue: 0,0:11:00.20,0:11:08.10,Default,,0000,0000,0000,,But the question, of course, is what are
Dialogue: 0,0:11:08.10,0:11:13.65,Default,,0000,0000,0000,,those or these technological formations\Nand how to situate nursing practices
Dialogue: 0,0:11:13.65,0:11:20.98,Default,,0000,0000,0000,,within them. So for this, let me tell you\Nwhat technology means when we as a nursing
Dialogue: 0,0:11:20.98,0:11:26.98,Default,,0000,0000,0000,,science talk about it. So technology -\NWhat do we talk about it? I already said
Dialogue: 0,0:11:26.98,0:11:31.56,Default,,0000,0000,0000,,that the human being is depicted in\Ndifferent critical theories as the
Dialogue: 0,0:11:31.56,0:11:36.93,Default,,0000,0000,0000,,counterpart of technology. It is this\Nimage, actually, what right now seems to
Dialogue: 0,0:11:36.93,0:11:43.19,Default,,0000,0000,0000,,be increasingly challenged. For example,\Nwhen we think of technological operations
Dialogue: 0,0:11:43.19,0:11:48.67,Default,,0000,0000,0000,,on micro-temporal levels as sensor\Ntechnologies too, we are confronted with
Dialogue: 0,0:11:48.67,0:11:53.87,Default,,0000,0000,0000,,an entity that act beyond human beings'\Nsensational perception. When we first
Dialogue: 0,0:11:53.87,0:11:59.22,Default,,0000,0000,0000,,think of technology's power to control us,\Nmeaning the regulating sense of control,
Dialogue: 0,0:11:59.22,0:12:04.20,Default,,0000,0000,0000,,then we cannot but conclude that it's not\Njust a human being's action that makes
Dialogue: 0,0:12:04.20,0:12:08.82,Default,,0000,0000,0000,,sense to us. The existence and operations\Nof contemporary smart objects are
Dialogue: 0,0:12:08.82,0:12:14.75,Default,,0000,0000,0000,,increasingly unraveling the image of the\Nhuman as an exceptional sense maker. This
Dialogue: 0,0:12:14.75,0:12:21.40,Default,,0000,0000,0000,,is the technological condition that for\Nsome decades now challenges particularly
Dialogue: 0,0:12:21.40,0:12:27.46,Default,,0000,0000,0000,,the humanities to come to grasp with. And\Nit was Erich Hörl who described this
Dialogue: 0,0:12:27.46,0:12:32.43,Default,,0000,0000,0000,,ongoing basically technologically\Ninfluenced displacement of sense as a
Dialogue: 0,0:12:32.43,0:12:37.08,Default,,0000,0000,0000,,representational sense. He - Erich Hörl -\Nis a professor of media philosophy at
Dialogue: 0,0:12:37.08,0:12:42.14,Default,,0000,0000,0000,,Lüneburg Leuphana university in Germany.\NHe has claimed that after an organic and
Dialogue: 0,0:12:42.14,0:12:49.07,Default,,0000,0000,0000,,after a mechanical state of nature, we\Nwere entering a cybernetic state of nature
Dialogue: 0,0:12:49.07,0:12:56.73,Default,,0000,0000,0000,,by the end of the 18th century. As a\Nheuristic, the cybernetic state of nature
Dialogue: 0,0:12:56.73,0:13:03.97,Default,,0000,0000,0000,,finally describes an era where objects in\Ndifferent disciplines - academic
Dialogue: 0,0:13:03.97,0:13:09.45,Default,,0000,0000,0000,,disciplines - and theories are\Nincreasingly exposed as active,
Dialogue: 0,0:13:09.45,0:13:16.41,Default,,0000,0000,0000,,intelligent and communicating. A growing\Nobject-orientation proves the
Dialogue: 0,0:13:16.41,0:13:24.44,Default,,0000,0000,0000,,environmentalization of agency, as well as\Neven environmentalized ways of being. As a
Dialogue: 0,0:13:24.44,0:13:31.96,Default,,0000,0000,0000,,reminder, I should shortly say that\Nagainst this - this environmentalization
Dialogue: 0,0:13:31.96,0:13:38.14,Default,,0000,0000,0000,,of agency with those objects in our\Nenvironment are just an example of this
Dialogue: 0,0:13:38.14,0:13:43.29,Default,,0000,0000,0000,,environmentalization - against this\Nbackground, the hermeneutic tradition of
Dialogue: 0,0:13:43.29,0:13:48.70,Default,,0000,0000,0000,,critical theories that I mentioned - for\Nthem, objects are merely conceived as
Dialogue: 0,0:13:48.70,0:13:53.65,Default,,0000,0000,0000,,means which the human subject\Nintentionally uses to transform its
Dialogue: 0,0:13:53.65,0:13:59.95,Default,,0000,0000,0000,,reality. That means in those critical\Ntheories, human beings' tool use is
Dialogue: 0,0:13:59.95,0:14:07.22,Default,,0000,0000,0000,,conceptualized as a mean that serves\Ncertain ends. Of course, only the humans
Dialogue: 0,0:14:07.22,0:14:14.68,Default,,0000,0000,0000,,set up those ends. Tools are used in order\Nto supplement and to cope with the
Dialogue: 0,0:14:14.68,0:14:21.32,Default,,0000,0000,0000,,indigence and neediness of human beings.\NIt is in this way that technological
Dialogue: 0,0:14:21.32,0:14:27.81,Default,,0000,0000,0000,,artifacts are always conceived as the\Nother side, the outside of the human. So,
Dialogue: 0,0:14:27.81,0:14:33.40,Default,,0000,0000,0000,,and exactly from this point - I will come\Nto my end, to the end - and from exactly
Dialogue: 0,0:14:33.40,0:14:39.24,Default,,0000,0000,0000,,this point, we propose to rethink the role\Nof technology in health care and nursing
Dialogue: 0,0:14:39.24,0:14:44.70,Default,,0000,0000,0000,,science via a challenge to enlarge our\Nmethodological horizon, new forms and
Dialogue: 0,0:14:44.70,0:14:50.46,Default,,0000,0000,0000,,modes of interactions, which I just\Nsomehow point up as those
Dialogue: 0,0:14:50.46,0:14:54.54,Default,,0000,0000,0000,,environmentalizations, so new forms and\Nmodes and this environmentalizations,
Dialogue: 0,0:14:54.54,0:14:58.68,Default,,0000,0000,0000,,modes of interaction has to be\Nconceptualized. We might see
Dialogue: 0,0:14:58.68,0:15:04.38,Default,,0000,0000,0000,,technologically mediated relations between\Na patient and a nurse, which allows also
Dialogue: 0,0:15:04.38,0:15:09.06,Default,,0000,0000,0000,,for wellbeing, as, for example, Jeannette\NPols has put it in her book Care at a
Dialogue: 0,0:15:09.06,0:15:14.52,Default,,0000,0000,0000,,Distance from 2012. It would be ignorant\Nto think that phenomenons like, for
Dialogue: 0,0:15:14.52,0:15:20.28,Default,,0000,0000,0000,,instance, ubiquitous computing leave\Nalready established relations untouched.
Dialogue: 0,0:15:20.28,0:15:24.84,Default,,0000,0000,0000,,Additionally, taking relational operations\Nof technological artifacts and human
Dialogue: 0,0:15:24.84,0:15:33.12,Default,,0000,0000,0000,,entities not into account would be somehow\Nshortsighted and also anthropocentric. The
Dialogue: 0,0:15:33.12,0:15:38.88,Default,,0000,0000,0000,,new ecological paradigm, a term that also\NErich Hörl has coined, seems for us to be
Dialogue: 0,0:15:38.88,0:15:43.50,Default,,0000,0000,0000,,necessarily entered also by nudging\Nscience in order to conceptualize health
Dialogue: 0,0:15:43.50,0:15:47.76,Default,,0000,0000,0000,,care as taking place in social\Ntechnological environments, not at least
Dialogue: 0,0:15:47.76,0:15:53.16,Default,,0000,0000,0000,,to find a place from where also a capital\Nvaluarization of health care and
Dialogue: 0,0:15:53.16,0:15:57.96,Default,,0000,0000,0000,,everything might be rejected, a place\Nwhere technological systems might be
Dialogue: 0,0:15:57.96,0:16:03.00,Default,,0000,0000,0000,,conversed and used in an emancipatory and\Nself-determined way. So here I'd like to
Dialogue: 0,0:16:03.00,0:16:09.60,Default,,0000,0000,0000,,finish and ask Hanna to show us how\Ncontemporary ecologies of care would look
Dialogue: 0,0:16:09.60,0:16:13.08,Default,,0000,0000,0000,,like.\NHanna: Now we get to the second part of
Dialogue: 0,0:16:13.08,0:16:17.94,Default,,0000,0000,0000,,the presentation, which is quite different\Nfrom the first one because the first one
Dialogue: 0,0:16:17.94,0:16:24.06,Default,,0000,0000,0000,,was how we could think about technology\Nand what's going on in nursing science.
Dialogue: 0,0:16:24.06,0:16:31.56,Default,,0000,0000,0000,,And when I came to Osnabrück University, I\Nexperienced that - oh, technology, you
Dialogue: 0,0:16:31.56,0:16:37.62,Default,,0000,0000,0000,,should be careful. And before this, I\Nstudied business computer science, and I
Dialogue: 0,0:16:37.62,0:16:44.16,Default,,0000,0000,0000,,was just not used to the thinking. So it\Nstrikes me a lot. And now I'm working in a
Dialogue: 0,0:16:44.16,0:16:52.44,Default,,0000,0000,0000,,research project where these both sides\Nare struggling all the time. So it's like,
Dialogue: 0,0:16:52.44,0:16:59.88,Default,,0000,0000,0000,,be careful and try to think about how to\Nconceptualize technology and how this can
Dialogue: 0,0:16:59.88,0:17:05.52,Default,,0000,0000,0000,,change nursing and the daily work of\Nnurses, and at the same time, it's like
Dialogue: 0,0:17:05.52,0:17:12.06,Default,,0000,0000,0000,,you have this research project and you\Nhave kind of the goal of creating
Dialogue: 0,0:17:12.06,0:17:17.88,Default,,0000,0000,0000,,prototypes and evaluating them, and doing\Npractical research, empirical research,
Dialogue: 0,0:17:17.88,0:17:22.74,Default,,0000,0000,0000,,and bringing the technology into the\Npractice and look how it's going to work.
Dialogue: 0,0:17:23.58,0:17:30.18,Default,,0000,0000,0000,,So kind of the argumentation to do this is\Nthe demographical change. People claim
Dialogue: 0,0:17:30.18,0:17:37.14,Default,,0000,0000,0000,,that this change - people are getting\Nolder and there will be not enough carers
Dialogue: 0,0:17:37.14,0:17:44.76,Default,,0000,0000,0000,,- that could be solved by a technological\Nsolution. Just yesterday, in the talk
Dialogue: 0,0:17:44.76,0:17:50.10,Default,,0000,0000,0000,,about China's social credit system, we\Nalso heard just technological solutions
Dialogue: 0,0:17:50.10,0:17:54.78,Default,,0000,0000,0000,,for social problems that may be not the\Nbest solution, not the best way to do it.
Dialogue: 0,0:17:56.46,0:18:04.86,Default,,0000,0000,0000,,But we still do take a look at how could\Naugmented reality in nursing look like. An
Dialogue: 0,0:18:04.86,0:18:10.26,Default,,0000,0000,0000,,augmented reality, I think the most of you\Nmay know, it's like displaying virtual
Dialogue: 0,0:18:10.26,0:18:17.04,Default,,0000,0000,0000,,objects into the reality - this is one of\Nthe marketing pictures. They promise you a
Dialogue: 0,0:18:17.04,0:18:22.38,Default,,0000,0000,0000,,lot of things are possible and augmented\Nreality can be really useful in a lot of
Dialogue: 0,0:18:22.38,0:18:26.82,Default,,0000,0000,0000,,fields, you can community communicate with\Nyour colleague, you are in a different
Dialogue: 0,0:18:26.82,0:18:35.46,Default,,0000,0000,0000,,room and still work on the same virtual\Nartifacts. But we have the question - what
Dialogue: 0,0:18:35.46,0:18:44.82,Default,,0000,0000,0000,,can be into that for nursing? So we took\Nsome workshops with nurses and nursing
Dialogue: 0,0:18:44.82,0:18:53.04,Default,,0000,0000,0000,,managers, and we came up with a lot of use\Ncases and currently we are examining two
Dialogue: 0,0:18:53.04,0:19:02.52,Default,,0000,0000,0000,,prototypes. One is on wound care\Nmanagement. We have this with different
Dialogue: 0,0:19:02.52,0:19:11.04,Default,,0000,0000,0000,,devices as well. We are trying -\Nevaluating a prototype on the Vuzix M100
Dialogue: 0,0:19:11.04,0:19:16.38,Default,,0000,0000,0000,,and a prototype on the Microsoft HoloLens.\NAnd they both have in common that they
Dialogue: 0,0:19:16.38,0:19:22.86,Default,,0000,0000,0000,,should support the nurse and doing the\Ndocumentation for the wound. So the nurse
Dialogue: 0,0:19:22.86,0:19:28.74,Default,,0000,0000,0000,,can do the documentation while caring for\Nthe patient. That means the interaction
Dialogue: 0,0:19:28.74,0:19:33.60,Default,,0000,0000,0000,,between the nurse and the patient may\Nchange here, but it could be possible to
Dialogue: 0,0:19:33.60,0:19:40.56,Default,,0000,0000,0000,,save some time. And it also could enhance\Nthe quality of the documentation because
Dialogue: 0,0:19:40.56,0:19:46.86,Default,,0000,0000,0000,,the documentation is being done by the\Ntime the nurse is there and has to see the
Dialogue: 0,0:19:46.86,0:19:53.70,Default,,0000,0000,0000,,wound. This is what both prototypes have\Nin common. The HoloLens prototype allows
Dialogue: 0,0:19:53.70,0:20:01.44,Default,,0000,0000,0000,,to support the measuring of the wound as\Nwell. With the Vuzix prototype, you have
Dialogue: 0,0:20:01.44,0:20:07.56,Default,,0000,0000,0000,,to measure the length and the width of the\Nwound on your own, and then you can use
Dialogue: 0,0:20:07.56,0:20:12.54,Default,,0000,0000,0000,,voice commands to put it into the\Ndocumentation. With the HoloLens
Dialogue: 0,0:20:12.54,0:20:19.14,Default,,0000,0000,0000,,prototype, this is what you see right here\Nwhen you look through the glass, you get
Dialogue: 0,0:20:19.14,0:20:25.80,Default,,0000,0000,0000,,this image and you can make a point on the\Nedge of the wound and a point on the upper
Dialogue: 0,0:20:25.80,0:20:32.22,Default,,0000,0000,0000,,side edge, and the measurement is done\Nautomatically. So the number you see is
Dialogue: 0,0:20:32.22,0:20:38.82,Default,,0000,0000,0000,,the measured number, and the blue dots are\Nthe edges of the wound. Actually, this
Dialogue: 0,0:20:38.82,0:20:44.76,Default,,0000,0000,0000,,prototype cannot detect the edges of the\Nwound automatically, but this could be
Dialogue: 0,0:20:44.76,0:20:50.64,Default,,0000,0000,0000,,under further consideration. And the\Nsecond prototype we are actually
Dialogue: 0,0:20:50.64,0:21:02.40,Default,,0000,0000,0000,,evaluating is on drug management. So I\Nwill show you a short video (if it's going
Dialogue: 0,0:21:02.40,0:21:11.46,Default,,0000,0000,0000,,to work). Yeah,here you can see 10\Ndispensers, so dispensers for medication
Dialogue: 0,0:21:11.46,0:21:19.50,Default,,0000,0000,0000,,for 10 patients at the same time. It's\Nlike for morning, midday, noon and
Dialogue: 0,0:21:19.50,0:21:28.32,Default,,0000,0000,0000,,evening, or evening and night, I'm sorry.\NAnd you can put the pill into the right
Dialogue: 0,0:21:28.32,0:21:37.62,Default,,0000,0000,0000,,box by the app showing you how to do it.\NIf you can see here on the smartphone, the
Dialogue: 0,0:21:37.62,0:21:45.24,Default,,0000,0000,0000,,app shows you how many pills you have to\Nput into one box and you have to scan the
Dialogue: 0,0:21:45.24,0:21:50.94,Default,,0000,0000,0000,,medication first, and if you scan the\Nwrong one, you get this sign that it's the
Dialogue: 0,0:21:50.94,0:21:58.86,Default,,0000,0000,0000,,wrong one. So you have some way of error\Nprevention integrated as well. For this
Dialogue: 0,0:21:58.86,0:22:04.56,Default,,0000,0000,0000,,prototype, you could also think of a lot\Nof attention, like it could get the
Dialogue: 0,0:22:04.56,0:22:10.26,Default,,0000,0000,0000,,information which medication has to be\Ntaken automatically, or it could detect if
Dialogue: 0,0:22:10.26,0:22:17.16,Default,,0000,0000,0000,,the pill is taken into the right box. But\Nthis is actually not what we have right
Dialogue: 0,0:22:17.16,0:22:26.76,Default,,0000,0000,0000,,now. Yeah. So it looks a bit less fancy\Nthan the picture from the advertisements,
Dialogue: 0,0:22:26.76,0:22:33.18,Default,,0000,0000,0000,,but maybe it can save nurses some time and\Nmaybe it can do some error correctness.
Dialogue: 0,0:22:33.18,0:22:40.74,Default,,0000,0000,0000,,And for these prototypes and some more\Nwhich are currently evaluated by other
Dialogue: 0,0:22:40.74,0:22:46.02,Default,,0000,0000,0000,,researchers or which have been evaluated,\Nthere are still a lot of challenges like
Dialogue: 0,0:22:46.02,0:22:52.62,Default,,0000,0000,0000,,technical challenges and the challenge how\Nto deal with the small display size and
Dialogue: 0,0:22:52.62,0:23:02.58,Default,,0000,0000,0000,,short battery life, for sure. And it can\Nbe easy to focus in these details and
Dialogue: 0,0:23:03.24,0:23:10.50,Default,,0000,0000,0000,,forget the big picture, forget what - how\Ncan we think technology? How can we think
Dialogue: 0,0:23:11.82,0:23:19.26,Default,,0000,0000,0000,,the interaction of the technology and the\Nhumans? And what will this do with us? So
Dialogue: 0,0:23:19.26,0:23:27.78,Default,,0000,0000,0000,,this is part of what the research funding\Npolicy could lead us to do. I still think
Dialogue: 0,0:23:27.78,0:23:33.12,Default,,0000,0000,0000,,it's very interesting and maybe there will\Nbe some good things to do with this
Dialogue: 0,0:23:33.12,0:23:39.18,Default,,0000,0000,0000,,technology, and this technology can enable\Nus to change the structure of care work.
Dialogue: 0,0:23:40.80,0:23:49.08,Default,,0000,0000,0000,,But it cannot be. We shouldn't forget\Neverything else. So that's like our
Dialogue: 0,0:23:49.08,0:23:55.20,Default,,0000,0000,0000,,conclusion. We identified basically two\Nobstacles to think about emergent
Dialogue: 0,0:23:55.20,0:24:00.42,Default,,0000,0000,0000,,technology in the field of nursing science\Nright now. One is the way to think about
Dialogue: 0,0:24:00.42,0:24:09.54,Default,,0000,0000,0000,,technology these days. This is what Hanna\Nexplained. We had to struggle in nursing
Dialogue: 0,0:24:09.54,0:24:16.68,Default,,0000,0000,0000,,science to establish this discipline, and\Nthere had to be good arguments and the
Dialogue: 0,0:24:16.68,0:24:22.47,Default,,0000,0000,0000,,struggle is still going on. So a lot of\Nnursing science are still busy defending
Dialogue: 0,0:24:22.47,0:24:28.74,Default,,0000,0000,0000,,with nursing from medicine. And sometimes\Nthis is kind of projected on defending
Dialogue: 0,0:24:28.74,0:24:34.20,Default,,0000,0000,0000,,nursing from technology because technology\Nis also perceived to be naturalistic,
Dialogue: 0,0:24:34.20,0:24:43.26,Default,,0000,0000,0000,,binary, and doesn't feel the differences\Nin the touch or doesn't get all the small
Dialogue: 0,0:24:43.26,0:24:49.86,Default,,0000,0000,0000,,things. And yeah, the second thing is the\Nresearch funding policy, which should lead
Dialogue: 0,0:24:49.86,0:24:58.02,Default,,0000,0000,0000,,you to develop technological solutions,\Nbut in the best, you know, the solution
Dialogue: 0,0:24:58.02,0:25:08.76,Default,,0000,0000,0000,,before you really had the question,\Nbecause this is how you try to - how you
Dialogue: 0,0:25:08.76,0:25:15.06,Default,,0000,0000,0000,,argument that you need some money to do\Nsomething for this, you know, you know,
Dialogue: 0,0:25:15.06,0:25:21.72,Default,,0000,0000,0000,,which solution you want to have. So thank\Nyou for your attention.
Dialogue: 0,0:25:31.74,0:25:43.43,Default,,0000,0000,0000,,*applause*
Dialogue: 0,0:25:43.43,0:25:45.57,Default,,0000,0000,0000,,Herald: We have about 5 Minutes for Q&As,\Nso there are microphones *unintelligible*
Dialogue: 0,0:25:45.57,0:25:45.65,Default,,0000,0000,0000,,microphones, we'll take some questions\Nfrom listeners as well, *unintelligible*
Dialogue: 0,0:25:45.65,0:25:45.74,Default,,0000,0000,0000,,and the signal angel is 'Naughty'. We'll\Ntake questions from microphone number 4
Dialogue: 0,0:25:45.74,0:25:47.04,Default,,0000,0000,0000,,and then the signal angel.\NAudience member: Thank you for your
Dialogue: 0,0:25:47.04,0:25:58.14,Default,,0000,0000,0000,,presentation. If I get this right, you\Nsaid that there is a big research gap of
Dialogue: 0,0:25:58.14,0:26:04.86,Default,,0000,0000,0000,,how new technologies influence the\Nrelationships between caretakers and the
Dialogue: 0,0:26:04.86,0:26:12.06,Default,,0000,0000,0000,,persons who are being taken care of, who\Nneed help. And is there some research
Dialogue: 0,0:26:12.06,0:26:20.22,Default,,0000,0000,0000,,going on about this? Like what effects\Nhave you - caretaking technology
Dialogue: 0,0:26:20.22,0:26:25.08,Default,,0000,0000,0000,,introduced into nursing, yeah, on the\Nhuman side?
Dialogue: 0,0:26:25.08,0:26:30.60,Default,,0000,0000,0000,,Anne: Should I answer to this? Yeah, I\Nwill answer to this question. Thank you
Dialogue: 0,0:26:30.60,0:26:41.94,Default,,0000,0000,0000,,for this. I mentioned in the last part a\NDutch anthropologist who was also working
Dialogue: 0,0:26:41.94,0:26:49.02,Default,,0000,0000,0000,,in the field of nursing science. It was\NJeanette Pols. Her research on Telecare
Dialogue: 0,0:26:50.16,0:26:57.23,Default,,0000,0000,0000,,might be that what you're looking for. She\Nis - to continue the work, which was
Dialogue: 0,0:26:57.23,0:27:06.52,Default,,0000,0000,0000,,started by Annemarie Mol, which is also\Nquite important name in this field, and I
Dialogue: 0,0:27:06.52,0:27:12.73,Default,,0000,0000,0000,,recommend you to check this out because\Nher research, for example, is one of Janet
Dialogue: 0,0:27:12.73,0:27:19.96,Default,,0000,0000,0000,,Pol reports. It's just, it's kind of new,\Nand in the German context of nursing
Dialogue: 0,0:27:19.96,0:27:25.95,Default,,0000,0000,0000,,science, it is not really recognized,\Nespecially not in this hermeneutical
Dialogue: 0,0:27:25.95,0:27:33.91,Default,,0000,0000,0000,,tradition of nursing science that we refer\Nto that we also work with. But as far as I
Dialogue: 0,0:27:33.91,0:27:43.84,Default,,0000,0000,0000,,can tell from her research, there is the\Nidea of new modes of interaction and that
Dialogue: 0,0:27:43.84,0:27:50.53,Default,,0000,0000,0000,,the well-being, for example, of\Noncological patients that are cared at a
Dialogue: 0,0:27:50.53,0:27:57.64,Default,,0000,0000,0000,,distance by a telecare technology or by\Ncertain interactive technologies, that
Dialogue: 0,0:27:57.64,0:28:04.40,Default,,0000,0000,0000,,those well-being is always a question of\Nhow you measure well-being. I know, and
Dialogue: 0,0:28:04.40,0:28:09.78,Default,,0000,0000,0000,,she also knows this problem. But her first\Nresearch results, which are presented in
Dialogue: 0,0:28:09.78,0:28:16.72,Default,,0000,0000,0000,,that book, are not showing anything what\Nwe could - what should make us step back
Dialogue: 0,0:28:16.72,0:28:24.32,Default,,0000,0000,0000,,from this. So it more or less affirms that\Nthe well-being is like secured also by
Dialogue: 0,0:28:24.32,0:28:30.51,Default,,0000,0000,0000,,this care at a distance. Is that an answer\Nto your question?
Dialogue: 0,0:28:30.51,0:28:35.53,Default,,0000,0000,0000,,Audience member: Yeah, kind of. I cannot\Nask another question, so thank you.
Dialogue: 0,0:28:35.53,0:28:39.34,Default,,0000,0000,0000,,Herald: We'll take the question from the\Nsignal angel from the internet.
Dialogue: 0,0:28:39.34,0:28:44.08,Default,,0000,0000,0000,,Signal Angel: Hi. OK, so which parts of\Nnursing do you think will change first and
Dialogue: 0,0:28:44.08,0:28:47.33,Default,,0000,0000,0000,,how do you think elder people will adapt\Nto that?
Dialogue: 0,0:28:47.33,0:28:52.15,Default,,0000,0000,0000,,Herald: And would it be OK to take two\Nquestions at a time, because we have three
Dialogue: 0,0:28:52.15,0:28:54.96,Default,,0000,0000,0000,,more questions left?\N*people talking over each other*
Dialogue: 0,0:28:54.96,0:29:01.44,Default,,0000,0000,0000,,Herald: Microphone number one.\NAudience meber: Uh, hello. Thank you for
Dialogue: 0,0:29:01.44,0:29:07.68,Default,,0000,0000,0000,,your talk. I'm a nurse and I see the\Nproblem - I think technology is very
Dialogue: 0,0:29:07.68,0:29:11.100,Default,,0000,0000,0000,,important in nursing, but I see the\Nproblem in the network between the nurses.
Dialogue: 0,0:29:11.100,0:29:17.49,Default,,0000,0000,0000,,When you make the research of politics,\Nit's very difficult to reach the nurses to
Dialogue: 0,0:29:17.49,0:29:22.78,Default,,0000,0000,0000,,get a voice from them. Have you ideas also\Nto find a solution for this?
Dialogue: 0,0:29:22.78,0:29:26.26,Default,,0000,0000,0000,,Anne: Should I answer? Shall I answer\Nthis? Thank you for this really, really
Dialogue: 0,0:29:26.26,0:29:37.39,Default,,0000,0000,0000,,important question because that is kind of\Na basic problem that we see in that field
Dialogue: 0,0:29:37.39,0:29:45.72,Default,,0000,0000,0000,,of nursing science that is somehow even\Nkind of divided - we have nursing science
Dialogue: 0,0:29:45.72,0:29:52.86,Default,,0000,0000,0000,,and we have nursing practice, even though\Nour association is based on both. But the
Dialogue: 0,0:29:52.86,0:30:01.09,Default,,0000,0000,0000,,degree of organization and caring practice\Nis extremely low, which makes it really
Dialogue: 0,0:30:01.09,0:30:10.01,Default,,0000,0000,0000,,hard to reach them - to reach out to them.\NAs you said, we can see in the Lower
Dialogue: 0,0:30:10.01,0:30:18.23,Default,,0000,0000,0000,,Saxony, for example, a newly established\NPflegekammer come out, which is an
Dialogue: 0,0:30:18.23,0:30:25.77,Default,,0000,0000,0000,,organization form which is kind of step\Nforward, but it's also like controversial
Dialogue: 0,0:30:25.77,0:30:33.52,Default,,0000,0000,0000,,because of this centralistic structure. I\Nguess there's a lot of work to be done,
Dialogue: 0,0:30:33.52,0:30:40.07,Default,,0000,0000,0000,,organizing work, and we can learn, for\Nexample, from examples from Switzerland.
Dialogue: 0,0:30:40.07,0:30:46.83,Default,,0000,0000,0000,,They are kind of better organized.\NYeah, you're right with that hint that
Dialogue: 0,0:30:46.83,0:30:58.94,Default,,0000,0000,0000,,this should happen on the same time, this\Nquestion of organization to be really in
Dialogue: 0,0:30:58.94,0:31:06.63,Default,,0000,0000,0000,,the position to have a - to take a\Ncritical stance on technology and also to
Dialogue: 0,0:31:06.63,0:31:12.36,Default,,0000,0000,0000,,develop a self-determined way in order to\Nsay we want to use it like this and not
Dialogue: 0,0:31:12.36,0:31:18.13,Default,,0000,0000,0000,,like in another way, in a, like, in a\Nformalizing way only. So it just has to be
Dialogue: 0,0:31:18.13,0:31:22.73,Default,,0000,0000,0000,,done. Organization of care workers. Thank\Nyou. Thank you.
Dialogue: 0,0:31:22.73,0:31:28.06,Default,,0000,0000,0000,,Herald: We were basically out of time. So\Ndo you have like two second replies to the
Dialogue: 0,0:31:28.06,0:31:33.21,Default,,0000,0000,0000,,internet question as well?\NHanna: Yes. I think it's really difficult
Dialogue: 0,0:31:33.21,0:31:40.68,Default,,0000,0000,0000,,to answer how part of nursing is changing\Nfirst. There's a lot of change going on in
Dialogue: 0,0:31:40.68,0:31:48.82,Default,,0000,0000,0000,,doing the documentation, like on computers\Nand not on paper. And there's a lot of
Dialogue: 0,0:31:48.82,0:31:55.80,Default,,0000,0000,0000,,change. And what else is going on will -\Nmay happen on financial structures as
Dialogue: 0,0:31:55.80,0:31:58.04,Default,,0000,0000,0000,,well.\NHerald: Excellent. Thank you very much for
Dialogue: 0,0:31:58.04,0:32:01.50,Default,,0000,0000,0000,,both the presentation and the questions.\NFor the two questions that weren't able to
Dialogue: 0,0:32:01.50,0:32:05.40,Default,,0000,0000,0000,,be asked over the microphones, I'm sure\Nyou can find Hannah and Anna just next to
Dialogue: 0,0:32:05.40,0:32:08.05,Default,,0000,0000,0000,,the stage after the talk. Thank you very\Nmuch.
Dialogue: 0,0:32:08.05,0:32:33.74,Default,,0000,0000,0000,,Hanna: Thank you.
Dialogue: 0,0:32:33.74,0:32:37.17,Default,,0000,0000,0000,,*postroll music*