Dementia is the most common neurological disorder worldwide and is a life-limiting condition, but very often is not recognised as such. People with dementia, and their carers, have been shown to have palliative care needs equal in extent to those of cancer patients. However, many people with advanced dementia are not routinely being assessed to determine their palliative care needs, and it is not clear why this is so. An interdisciplinary workshop on “Palliative Care in Neurodegeneration, with a focus on Dementia”, was held in Cork, Ireland, in May 2016. The key aim of this workshop was to discuss the evidence base for palliative care for people with dementia, to identify ‘gaps’ for clinical research, and to make recommendations for interdisciplinary research practice. To lead the discussion throughout the day a multidisciplinary panel of expert speakers were brought together, including both researchers and clinicians from across Ireland and the UK. Targeted invitations were sent to attendees ensuring all key stakeholders were present to contribute to discussions. In total, 49 experts representing 17 different academic and practice settings, attended. Key topics for discussion were pre-selected based on previously identified research priorities (e.g. James Lind Alliance) and stakeholder input. Key discussion topics included: i. Advance Care Planning for people with Dementia; ii. Personhood in End-of-life Dementia care; iii. Topics in the care of advanced dementia at home. These topics were used as a starting point, and the ethos of the workshop was that the attendees could stimulate discussion and debate in any relevant area, not just the key topics, summarised under iv. Other priorities. The care experienced by people with dementia and their families has the potential to be improved; palliative care frameworks may have much to offer in this endeavour. However, a solid evidence base is required to translate palliative care into practice in the context of dementia. This paper presents suggested research priorities as a starting point to build this evidence base. An interdisciplinary approach to research and priority setting is essential to develop actionable knowledge in this area.
1 January 2015 in International Journal of Technology Management
The prospect of increased revenue and spillovers has influenced the mission of the university to reflect an increasingly commercial orientation. This paper focuses on university commercialisation in three countries (Ireland, New Zealand and the USA), through 58 semi-structured interviews with technology transfer officers and a quantitative assessment of university patenting trajectories. Using interviews with technology transfer office executives and university patent applications as proxies for commercial orientation, the study uncovers explanations to the heterogeneous commercial orientation apparent in all three regions. Findings indicate that path dependency; university leadership; technology transfer office scale and connectivity are critical determinants of commercial orientation. The paper concludes by surmising how path dependency might strongly dictate the other determinants and outlines some implications for literature and policy development.
Big Data promises benefits for society as well as business. Do policy makers know how best to use this scale of data driven decision-making in an effective way for citizens? Citizen participation is portrayed in literature as a key component in policy decision-making. Yet, this decision-making process to date is often driven by other stakeholders such as scientific experts, academic institutions, national and international governing bodies, to name but a few. Furthermore, there is scant literature on the best way to create policy for new technology, taking into consideration the voice of the citizen. The prevailing question, therefore, is what extent does citizen participation in decision-making make a difference to shaping policy for technology? Our paper explores an experimental method for citizens to make a difference to European policy decision-making on the future of technology and the impact on society. Employing a case study of Irish citizens as part of the CIMULACT (Citizen and Multi-Actor Consultation on Horizon 2020) project this paper reports a new methodology for gathering citizens’ perspectives on future decision-making policies on technology. The findings reveal key advantages and disadvantages to this methodology. This paper makes a number of contributions to both the academic and practitioner communities.
1 October 2021 in International Journal of Project Management