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Akademisierung der Pflege
(2023)
Akademisierung der Pflege
Überführungsprozess der sekundären Pflegeausbildung in den tertiären Bildungssektor
Hintergrund:
In der Entwicklung von tertiären Bildungsangeboten in der Pflege gelten angloamerikanische und
nordeuropäische Länder als Vorreiter. Im Vergleich dazu setzte die Tertiärisierung der Pflegeausbildung im deutschsprachigen Raum erst verzögert ein. In Österreich waren, ähnlich der Schweiz und Deutschland, berufsqualifizierende Abschlüsse der Pflegeausbildung traditionell nicht im Hochschulbereich verankert, sondern Gesundheits- und Krankenpflege-Schulen übernahmen die berufsqualifizierende Pflegeausbildung auf sekundärem Bildungsniveau. Mit der Novellierung des Gesundheits- und Krankenpflegegesetztes im Jahr 2016 dekretierte Österreich im Rahmen einer umfassenden Ausbildungsreform und mit einer Übergangsfrist bis 2024 die vollständige Ausbildungsüberführung der sekundären Pflegeausbildung (gehobener Dienst) in den tertiären Hochschulsektor. Bei diesem Transformationsprozess treffen nicht nur unterschiedliche Institutionen, Organisationen und Ausbildungskulturen aufeinander, sondern auch verschiedene Systempartner*innen mit divergierenden Interessen, Motiven und Erwartungshaltungen, die zur Dynamik und Komplexität der Ausbildungsüberführung beitragen.
Ziel:
Vor dem theoretischen Hintergrund der Professionssoziologie konzentriert sich diese Dissertation auf das empirische Phänomen des Überführungsprozesses der sekundären Pflegeausbildung (gehobener Dienst) in den tertiären Bildungssektor am Beispiel der Entwicklung in Vorarlberg (Österreich). Für die theoretische Einbettung bzw. Interpretation des empirischen Praxisbeispiels dient der professionstheoretische Ansatz von Andrew Abbott, um die Ausbildungstransformation als komplexen und dynamischen Prozess mit unterschiedlichen Perspektiven, Interessen und Ansprüchen jener Systempartner*innen zu verstehen, die den Transformationsprozess verantworten und intensiv in die Umsetzung der Ausbildungsüberführung involviert sind. Durch die Anwendung von Abbotts Theorieansatz auf den Fall der Akademisierung der Pflegeausbildung leistet diese Studie einen Beitrag zur Fachliteratur der Professionalisierung der Pflege.
Methodik:
Zur Exploration dient eine qualitative Einzelfallstudie, die sich über fünf Jahre erstreckt und multiple Datenquellen (Datentriangulation) nutzt, um unterschiedliche Daten, Informationen und Perspektiven aus Einzel- und Gruppeninterviews, Dokumenten und Forschungstagebuch zusammenzuführen. Die Verwendung unterschiedlicher Datenquellen dient der Strategie, ein tiefes und fundiertes Verständnis des untersuchten Forschungsphänomens zu erlangen.
Ergebnis:
Als Beitrag zur bestehenden Fachliteratur erläutert diese Studie nicht nur den Prozessverlauf mit seinen Meilensteinen, Merkmalen und Ereignissen, sondern zeigt, dass unterschiedliche Interessen, Ansprüche und Hintergründe der verantwortlichen Systempartner*innen den Transformationsprozess und dessen Ausrichtung wesentlich beeinflussen. Divergierende Erwartungshaltungen, Motive und Ansprüche prägen nicht nur Verlauf und Ausrichtung der Überführung, sondern dienen auch als Erklärungsansatz, wie die beteiligten Systempartner*innen agieren, ihre Entscheidungen bzw. Handlungen im Transformationsprozess verantworten und somit zur Dynamik und Komplexität der Ausbildungsüberführung beitragen. Des Weiteren zeigt diese Studie in Anbetracht des österreichischen Bildungskontextes, dass sich der Transformationsprozess der Bachelor-Einführung nicht nur isoliert, sondern eingebettet als Teil einer übergreifenden Ausbildungsreform analysieren lässt, da die Tertiärisierung der Pflegeausbildung weitere Mechanismen und Reaktionen auslöst, die den Ausbildungs- und Berufssektor der Pflege gesamthaft und langfristig betreffen.
Schlussfolgerung:
Die Tertiärisierung der Pflegeausbildung stellt einen langfristigen Transformationsprozess dar, der nicht mit dem Berufseinstieg der Bachelor-Absolvent*innen oder mit einer gesetzlich definierten Überführungsfrist abgeschlossen ist. Die Ausbildungsüberführung sollte im Sinne Abbotts als komplexen und dynamischen Transformationsprozess verstanden werden, der auf verschiedenen Handlungsebenen und mit unterschiedlichen Interessen, Motiven und Ansprüchen stattfindet. Die Akademisierung der Pflegeausbildung erfordert daher einen langfristigen Zeithorizont in der Umsetzung und Prozessbegleitung, um den Systemwechsel auf mehreren Ebenen im Bildungs- und Berufssektor umzusetzen und einen Bewusstseinswandel bei den involvierten Stakeholdergruppen zu erreichen. Dadurch zeichnen sich weiterführende Forschungspotenziale ab.
Schlagwörter:
Akademisierung, Akademisierungsprozess, Transformation, Überführung, Prozess Pflege, Pflegeausbildung, Pflegestudium, Professionalisierung, Professionssoziologie, Professionstheorien, Andrew Abbott,
Einzelfallstudie, Datentriangulation
Load shifting of resistive domestic hot water heaters has been done in Europe since the 1930s, primarily to ease the power supply during peak times. However, the pursued and already commenced energy transition in Europe changes the requirements for the underlying logic. In this more general context, demand side management is considered a viable approach to utilize the flexibility of thermal and electrochemical storage systems for buffering energy generated from renewables. In this work, an autonomous approach for demand side management of energy storage systems is developed, which is based on unidirectional communication of an incentive. This concept is then applied to the specific problem of resistive domestic hot water heaters.
The basic algorithms for an optimized operation are developed and evaluated based on simulation studies. The optimization problem considered, maps the search for the optimal heating schedule, while ensuring the temperature limits defined: Firstly, a maximum, which is defined by the hysteresis set point temperature; Secondly, during hot water draw offs, the outlet temperature should not fall below a set minimum. To establish this, the time series of hot water usage has to be predicted.
Depending on the complexity of the hot water heater model used, the formulation of the problem ranges from a linear to non-linear optimization with discontinuous constraints. The simulation studies presented, comprise a formulation as binary linear optimization problem, as well as a solution based on a heuristic direct method to solve the non-linear version. In contrast to the first linear approach, the latter takes stratification inside the tank into account. One-year simulations based on realistic hot water draw profiles are used to investigate the potentials with respect to load shift and energy efficiency improvements. Additional to assuming perfect prediction of user behavior, this work also considers the k-nearest neighbors algorithm to predict the time series. If compared to usual night-tariff switched operation, assuming perfect prediction shows 30 % savings on the electricity market when stratification is taken into account. The user prediction proposed leads to 16 % cost savings, while 6 % of the electric energy is conserved.
Based on the linear approach, a prototype is developed and used in a field test. A micro computer processes the sensor information for local data acquisition, receives electricity spot market prices up to 34 hours in advance, solves the optimization problem for this time horizon, and switches the power supply of the resistive heating element accordingly. Beside the temperature of the environment, the inlet and outlet temperatures, the temperature inside the tank is measured at five points, as well as the water volume flow rate and the electric power recorded. Two test runs of 18 days each, compare the night-tariff switched operation to the price-based optimization in a real-world environment. Results show a significant increase of 6 % in thermal efficiency during the operation based on the algorithm developed, which can be contributed to the optimization accounting for the usage expected.
To facilitate the technical and economic feasibility for retrofit-able implementations of the method proposed for autonomous demand side management, the sensors used must be kept to a minimum. A sufficiently accurate state estimation of the storage has to be achieved, to facilitate a useful model predictive control. Therefore, the last part of this work focuses on the aspect of automated system identification and state estimation of resistive domestic hot water heaters. To that end, real hot water usage profiles and schedules gathered in a field test are used in a lab setup, to collect data on the temperature distribution inside the tank during realistic operating conditions. Four different thermal models, common in literature, are considered for state estimation and system identification. Based on the data collected in the lab, they are evaluated with respect to robustness, computational costs, and estimation accuracy. Based on the observations made in the experiments, an extension of the one-node model by a single additional parameter is proposed. By this adaption, a linear temperature distribution in the lower part of the tank can be modeled during heating. The resulting model exhibits improved robustness and lower computational costs, when compared to the original model. At the same time, the average temperature in the storage tank is estimated nearly as accurate (6 % mean average percentage error) as in the case of the about 50 times more computationally expensive multi-layer model (4 % mean average percentage error).
Demand-side management approaches that exploit the temporal flexibility of electric vehicles have attracted much attention in recent years due to the increasing market penetration. These demand-side management measures contribute to alleviating the burden on the power system, especially in distribution grids where bottlenecks are more prevalent. Electric vehicles can be defined as an attractive asset for distribution system operators, which have the potential to provide grid services if properly managed. In this thesis, first, a systematic investigation is conducted for two typically employed demand-side management methods reported in the literature: A voltage droop control-based approach and a market-driven approach. Then a control scheme of decentralized autonomous demand side management for electric vehicle charging scheduling which relies on a unidirectionally communicated grid-induced signal is proposed. In all the topics considered, the implications on the distribution grid operation are evaluated using a set of time series load flow simulations performed for representative Austrian distribution grids. Droop control mechanisms are discussed for electric vehicle charging control which requires no communication. The method provides an economically viable solution at all penetrations if electric vehicles charge at low nominal power rates. However, with the current market trends in residential charging equipment especially in the European context where most of the charging equipment is designed for 11 kW charging, the technical feasibility of the method, in the long run, is debatable. As electricity demand strongly correlates with energy prices, a linear optimization algorithm is proposed to minimize charging costs, which uses next-day market prices as the grid-induced incentive function under the assumption of perfect user predictions. The constraints on the state of charge guarantee the energy required for driving is delivered without failure. An average energy cost saving of 30% is realized at all penetrations. Nevertheless, the avalanche effect due to simultaneous charging during low price periods introduces new power peaks exceeding those of uncontrolled charging. This obstructs the grid-friendly integration of electric vehicles.
Fabrication of interdigitated electrode arrays for biosensors by advanced mask aligner lithography
(2016)
Clathrate hydrates, or hydrates for short, are inclusion compounds in which water molecules form a hydrogen-bonded host lattice that accommodates the guest molecules. While vast amounts of hydrates are known to exist in seafloor sediments and in the permafrost on Earth, these occurrences might be dwarfed by the amounts of hydrates occurring in space and on celestial bodies. Since methane is the primary guest molecule in most of the natural occurrences on Earth, hydrates are considered a promising source of energy. Moreover, the ability of one volume of hydrate to store about 170 volumes of gas, make hydrates a promising functional material for various industrial applications. While the static properties of hydrates are reasonably well known, the dynamics of hydrate formation and decomposition are insufficiently understood. For instance, the stochastic period of hydrate nucleation, the memory effect, and the self-preservation phenomenon complicate the development of predictive models of hydrate dynamics. Additionally, the influence of meso- and macroscopic defects as well as the roles of mass and heat transport on different length scales remain to be clarified.
Due to its non-invasive and non-destructive nature and the high spatial resolution of approx. 1µm or even less, micro-computed X-ray attenuation tomography ( µCT ) seems to be the perfect method for the study of the evolving structures of forming or decomposing hydrates on the meso- and macroscopic length scale. However, for the naturally occurring hydrates of low atomic number guests the contrast between hydrate, ice, and liquid water is typically very weak because of similar X-ray attenuation coefficients. So far, good contrast was only restricted to synchrotron beamline experiments which utilize the phase information of monochromatic X-rays.
In this thesis it is shown that with the help of a newly developed sample cell, a contrast between the hydrate and the ice phase sufficiently good for the reliable segmentation of the materials can also be achieved in conventional tube-based µCT. An accurate pressure and temperature management, i.e., the added functionality of the cell, further allows for cross-correlation of structural and thermodynamic data. The capability of this µCT setup is demonstrated in a series of studies on the formation and decomposition of hydrates which yield new insights for the development of a novel route to hydrate synthesis. At last, this thesis points towards possibilities how better models of hydrate formation and decomposition can be developed with the aid of µCT and computer simulations.