The European Union Water Framework Directive (WFD) offers an unparalleled opportunity for improving river basin management. Active participation is essential for its delivery. "End-of-pipe" solutions will not deliver the improvements needed to achieve its ambitious goals. This research tested DesignWays, a toolkit for participatory planning, as a mechanism for maximizing the long-term social and environmental benefits of such stakeholder and community participation. It examined the emerging role of "planning for sustainability" in the context of river catchments. Sustainable management of water requires integration, and recognition of interconnections between systems at different levels of scale. This is an endeavour in which systems thinking provides useful tools. The development of DesignWays was a conscious attempt to embed 'new paradigm' living systems metaphors into a practical planning tool. This paper begins with a description of DesignWays and its development in Southern Africa. An outline of the context of the action research in North-West England is followed by a description of the stages of the process, with highlights of the outcomes. This research had two major outcomes: a contribution to theory through an in-depth exploration of the theoretical basis of participatory, ecologically informed design; and a contribution to practice through investigating DesignWays' potential to meet key challenges of the WFD. This research points to the importance of understanding participatory planning as a societal process, aiming to make the process engaging and meaningful. It has pointed to the need to see participatory planning and education for sustainability as an integrated process. It demonstrated the benefits of an iterative process in which planning at the landscape level of scale informs, and is informed by, work at the site level. It has shown that an approach consistent with a living systems paradigm can contribute to the development of more integrated, ecologically sound plans.
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J Particip Med
January 2025
Department of Ambulatory Care, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Background: Health authorities worldwide have invested in digital technologies to establish robust information exchange systems for improving the safety and efficiency of medication management. Nevertheless, inaccurate medication lists and information gaps are common, particularly during care transitions, leading to avoidable harm, inefficiencies, and increased costs. Besides fragmented health care processes, the inconsistent incorporation of patient-driven changes contributes to these problems.
View Article and Find Full Text PDFJ Clin Nurs
January 2025
Department for Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway.
Aims: (1) To codesign a health literacy intervention within a specialist healthcare setting to help the parents of children with epilepsy access, comprehend, use and communicate information and (2) to assess the intervention's feasibility by exploring stakeholders' perspectives on its usefulness, ease of use of trial methods and contextual factors impacting its execution.
Design: A codesign participatory approach followed by a feasibility approach inspired by the OPtimising HEalth LIteracy and Access to Health Services (Ophelia) process for health literacy intervention development.
Methods: (1) The codesign approach included workshops with (a) multidisciplinary personnel (n = 9) and (b) parents (n = 12), along with (c) an interview with one regional epilepsy specialist nurse (n = 1).
Advances in personalized medicine and Systems Biology have introduced probabilistic models and error discovery to cardiovascular care, aiding disease prevention and procedural planning. However, clinical application faces cultural, technical, and methodological hurdles. Patient autonomy remains essential, with shared decision-making (SDM) gaining importance in managing complex cardiovascular treatment options.
View Article and Find Full Text PDFGlob Public Health
December 2025
Office of Vice President, Equity, Diversity, Inclusion, University of Windsor (Ontario), Windsor, Canada.
African, Caribbean, and Black (ACB) women are overrepresented among new HIV diagnoses due to social and structural factors. This study seeks to create, implement, and evaluate a community-based peer-led intervention to improve access to HIV prevention and care for ACB women in Canada. This multisite, five-year project, using community-based participatory research, implementation science and evaluation frameworks, will be implemented in five non-iterative phases.
View Article and Find Full Text PDFBiol Aujourdhui
January 2025
UMR CNRS-UniCaen-MNHN-SU-UA-IRD BOREA, Biologie des Organismes et des Écosystèmes Aquatiques, Université de Caen-Normandie, CS 14032, 14000 Caen, France - France Énergies Marines, 53 rue de Prony, 76600 Le Havre, France.
In the anthropocene era, one of the greatest challenges facing trophic modeling applied to the marine environment is its ability to couple the multiple effects of both climate change and local anthropogenic activities, notably the development of offshore wind farms. The major challenge is to create scenarios to characterize their cumulative effects on the functioning of the entire socio-ecological system, in order to propose appropriate management plans. Although modeling cumulative impact on socio-ecological networks is not yet widely used, data reported in the present review article show that the relevance of this approach could be established in the context of offshore wind power.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!