High Touch Research Articles

Investigating the changing taxonomy and antimicrobial resistance of bacteria isolated from door handles in a new infectious disease ward pre- and post-patient admittance.

Healthcare-associated infections (HAIs) are a significant burden to health systems, conferring increased morbidity, mortality, and financial costs to hospital admission. Antimicrobial resistance (AMR) further compounds the issue as viable treatment options are constrained. Previous studies have shown that environmental cleaning interventions reduced HAIs. To ensure the effectiveness of these, it is important to analyze the hospital environment at a microbial level, particularly high-touch surfaces which see frequent human interaction. In addition to identifying infectious microorganisms, it is also beneficial to assess typically non-infectious organisms, as traits including AMR can be transferred between the two. Our study identified that there were high levels of antibiotic resistance in typically non-infectious organisms found on high touch surfaces on a hospital ward. However, the organisms identified suggested that the cleaning protocols in place were sufficient, with their presence being due to repeated recolonization events through human interaction after cleaning had taken place.

Efficacy of Disinfectants for Monkeypox Virus Inactivation on High Touch Surface Materials in Low-Resource Settings.

Disinfection efficacy tests were conducted on surface carriers inoculated with the monkeypox virus (MPXV) by applying six disinfectant solutions (and three controls) on six surfaces common in low-resource settings: four nonporous surfaces (stainless steel, glass, plastic, and latex) and two porous surfaces (ceramic and wood). Disinfectants were wiped on carriers in triplicate, with a 1 min contact time: 0.05 and 0.5% sodium hypochlorite, 70% ethanol, two quaternary ammonium compound (QAC)-based disinfectants, and 1.4% hydrogen peroxide. MPXV was then quantified, and log10 removal values were calculated. Sodium hypochlorite (0.05 and 0.5%) and ethanol (70%) removed MPXV to below detection level, ≥ 99.97% reduction for nonporous surfaces, and ≥99.40% for wood, QAC-based disinfectants were efficacious on nonporous surfaces (≥99.97% inactivation) but had diminished efficacy on wood, a porous surface, and 1.4% H2O2 had limited efficacy across all tested surfaces. Results varied by disinfectant type and surface type. Based on our results, we recommend using 0.05% sodium hypochlorite or 70% ethanol with 1 min contact time to inactive MPXV on clean nonporous and porous surfaces. As MPXV is evolving, future research with additional disinfectants, application methods, and environmental conditions and research to understand adsorption, disinfection efficacy, and transmission risk on porous surfaces are needed to develop practical disinfection recommendations.

Promoting student success and retention through care teams and case management at small institutions

AbstractCare teams, an important structure at most institutions of higher education, coordinate the work of various units to intervene with students who are at risk of attrition, academic failure, and/or are experiencing socio‐emotional struggles. The authors provide various examples of how case management and Care Teamwork is structured in the small institution setting. Using their institutions as case studies, the authors provide examples of various collaborative structures that coordinate case management and support at‐risk students; and situate this work in the small institution setting, with particular attention to the expectations that these institutions and students’ families have for high touch student success efforts; and discuss ways in which technology supports and contributes to case management and Care Team work.

In focus: Engaging Black and African American women in oncology supportive care interventions.

54 Background: For individuals navigating cancer, unaddressed psychosocial needs can adversely impact quality of life, treatment adherence, and healthcare expenditures. It is recognized that African American cancer survivors are more likely to experience distress, yet they are underrepresented in studies that evaluate interventions. Mind Over Matter (MOM) is a five-week psychoeducational program aimed at bolstering emotional coping skills. A previous study among predominantly White female-identifying breast cancer survivors revealed improvements from pre to post-MOM for anxiety, depression, and physical symptom severity and interference; no data exists for women who identify as Black and/or African American. This presentation will illustrate the strategies and processes implemented to recruit, consent, and retain Black and African American cancer survivors to test the feasibility and acceptability of MOM. Methods: In forming the research team, the diversity in institutions, experience, racial and cultural identities, and professional perspectives were prioritized. As a result of this process, team members were social workers and psychologists, one was at an HBCU institution, and another was a patient advocate from the Black community who was hired and trained enabling full participation in the research process. To improve access all aspects of the study were available online and the intervention was offered virtually in the evening to support participants' availability. Efforts were made to build relationships with non-profit organizations, then disseminating the study through emails, healthcare systems, and social media. Results: During the 3-month recruitment period, 79 individuals expressed interest in the study via email and the study website. Of these, 40 participants (50.6%) enrolled in the study, surpassing the goal of 27. Half of the enrolled survivors learned about the study through community, medical, and academic organizations, while 20% and 10% were referred via the home health system and social media, respectively. 17.5% were referred from unspecified sources. Conclusions: Through robust team development, strategic community partnerships, using a study design that addressed common barriers (e.g., program hours and delivery method, tech orientation, incentives) and a high touch approach, this study successfully enrolled half of the Black and African American female-identified cancer survivors who expressed interest in this mixed-methods study. Clinical trial information: NCT06168825 .

ATP-based assessments of recent cleaning and disinfection for high-touch surfaces in low-resource shared toilets

Quality improvements and reduction of disease risk for low-resource shared sanitation facilities require cleanliness assessment approaches that are both rigorous and practical. Using Adenosine Triphosphate (ATP) bioluminescence testing, we assessed contamination on high-touch (HT) surfaces (inner door handles) at 32 shared toilet sites in Kisumu, Kenya. In public toilets, contamination was lowest after cleaning and disinfection (C&D) with 0.5% chlorine solution (adjusted difference in mean log10 Relative Light Units per 100 cm2 (aDiff): −1.61; CI: −2.43, −0.59), followed by C&D with 0.1% chlorine solution (aDiff: −1.16; CI: −1.77, −0.55). ATP levels were not associated with overall observable toilet cleanliness and had poor agreement with visually assessed HT surface cleanliness. Our findings demonstrate the utility of this field-feasible method for detecting the impact of recent C&D in low-resource shared toilets, a novel setting for ATP cleanliness testing, while also highlighting the importance of using effective C&D procedures and addressing HT surfaces within cleaning protocols.

High Tech and Soft Touch: Mind-Body Medicine and Technology Can Be Co-Evolutionary Forces.

High Tech and Soft Touch: Mind-Body Medicine and Technology Can Be Co-Evolutionary Forces.

Using Social Media Analytics to Understand the Impact of Government Intervention on Consumer Behaviour During a Pandemic

The study aims to examine the impact of contagious disease cues and the government’s nonpharmaceutical interventions on customer sentiment related to perishable products with high touch frequency such as fresh fruits during a pandemic. Through social media analytics 659,537 individual tweets were collected from Twitter, by users based in two major cities in Australia (one of two major cities is the world’s longest COVID-19 lockdown). Our findings suggest that in general contagious disease cues will negatively affect consumer sentiment about fresh produce, and this effect is moderated by government interventions. In particular, except for customer sentiment related to the use of chemicals, daily case numbers had a significant negative impact on customer sentiment related to freshness, healthiness and contamination in both Sydney and Melbourne. Compared to contagious disease cues, the effect of government interventions is less consistent between Sydney and Melbourne. The findings offer significant implications for marketers and policymakers to effectively adapt to emerging customer demands and expectations. The results also confirm the effectiveness of non-pharmaceutical interventions, specifically lockdowns, in mitigating the negative effect of contagious disease cues on customer sentiment.

The Automated Heart: Digital Domesticity and Emotional Labour Saving

This article considers the relevance of domestic labour saving devices to emotional labour. Starting with an account of the ways in which household technologies failed to relieve the burdens of domestic drudgery in the twentieth century, it proceeds to consider the labour saving potential of the ‘smart home’, as well as the gendered ideologies it represents. By looking at social robots designed for use in the smart home, we see that, while manual housework is beyond the scope of today’s smart technologies, emotional labour is not. Thinking about the different forms that domestic automation can take allows us to recognise that there are qualitative as well as quantitative factors to consider when it comes to critically assessing domestic labour saving ambitions. The article concludes by exploring continuities with paid care work, and by developing a tri-partite approach to reproductive labour as high touch, high tech, and high talk.

Impact of terminal cleaning in rooms previously occupied by patients with healthcare-associated infections.

Healthcare associated infections (HAIs) are costly but preventable. A limited understanding of the effects of environmental cleaning on the riskiest HAI associated pathogens is a current challenge in HAI prevention. This project aimed to quantify the effects of terminal hospital cleaning practices on HAI pathogens via environmental sampling in three hospitals located throughout the United States. Surfaces were swabbed from 36 occupied patient rooms with a laboratory-confirmed, hospital- or community-acquired infection of at least one of the four pathogens of interest (i.e., Acinetobacter baumannii (A. baumannii), methicillin resistant Staphylococcus aureus (MRSA), vancomycin resistant Enterococcus faecalis/faecium (VRE), and Clostridioides difficile (C. difficile)). Six nonporous, high touch surfaces (i.e., chair handrail, bed handrail, nurse call button, desk surface, bathroom counter near the sink, and a grab bar near the toilet) were sampled in each room for Adenosine Triphosphate (ATP) and the four pathogens of interest before and after terminal cleaning. The four pathogens of interest were detected on surfaces before and after terminal cleaning, but their levels were generally reduced. Overall, C. difficile was confirmed on the desk (n = 2), while MRSA (n = 24) and VRE (n = 25) were confirmed on all surface types before terminal cleaning. After cleaning, only MRSA (n = 6) on bed handrail, chair handrail, and nurse call button and VRE (n = 5) on bathroom sink, bed handrail, nurse call button, toilet grab bar, and C. difficile (n = 1) were confirmed. At 2 of the 3 hospitals, pathogens were generally reduced by >99% during terminal cleaning. One hospital showed that VRE increased after terminal cleaning, MRSA was reduced by 73% on the nurse call button, and VRE was reduced by only 50% on the bathroom sink. ATP detections did not correlate with any pathogen concentration. This study highlights the importance of terminal cleaning and indicates room for improvement in cleaning practices to reduce surface contamination throughout hospital rooms.

O-239 Automation in the embryology laboratory

Abstract Most processes in an IVF laboratory are performed manually by technicians and embryologists, such as tracking and prepare dishes, pipetting of gametes and embryos from one dish to another, loading freezing straws, and operating micromanipulators for ICSI or biopsy. In most centres doctors manage hormonal stimulation based on their own learned experience or at most of their team. This results in significant variability in pregnancy outcomes from centre to centre and even operator to operator. For example, centres can be compared based on egg donor cycles, which are all young and fertile patients selected in similar ways in most centres. But even In egg donor cycles, embryo aneuploidy rates vary 20% to 60% (1) while pregnancy rates fluctuate from 10% to 80% depending on the clinic (2). Furthermore, although large amounts of data are generated from >2M procedures of IVF a year worldwide, most of it is siloed in each centre in a myriad of EMRs or worse, spreadsheets, impossible to query globally. The lack of a massive dataset to query and the absence of a constant baseline in pregnancy outcomes makes introducing new innovations harder to determine if they work or not. Automation should allow constant results with similar results clinic to clinic, especially desirable for networks to offer a consistent service across centres. By reducing the reliance on highly skilled manual labour, which is facing a global scarcity, automation has the potential to offer more people affordable treatment. Moreover, the utilization of automation generates vast amounts of data, with machines sharing information to inform medical decisions based on millions of standardized treatments, surpassing the insights of individual physicians. This data-driven approach also establishes a stable foundation for innovation by minimizing human variables. Advancements in Affordable Robotics, coupled with high precision and miniaturization, alongside the evolution of software, are transforming robots into versatile tools akin to smartphones. This transformation encompasses various fields, including microfluidics, miniaturized imaging systems, Artificial Intelligence, and the Internet of Things (IoT). Some automation has already occurred, such time-lapse incubators with imaging allowing for AI classification of embryos, or witness systems. Although historical lack of government funding and current trends of consolidation of clinics into networks, may slow innovation, numerous startup companies are actively developing automation solutions for IVF laboratory operations and patient management. These solutions range from tools for remote patient monitoring to automating processes such as egg denudation, sperm analysis, oocyte and embryo vitrification and warming, as well as procedures like automated ICSI and in vitro fertilization. Furthermore, artificial intelligence is being harnessed for tasks like embryo selection and hormonal stimulation, with groundbreaking concepts like artificial uterus also under exploration. Nonetheless, the objective of automation should be to enhance the abilities of the embryologist, not to reduce their need. Once the process has been standardized, it should pave the way for the creation of novel and more interesting tasks. This empowers the embryologist to engage in higher complexity or more high touch tasks, rather than merely replacing labor.

Connecting Pathogen Transmission and Performance of the WHO’s ‘My 5 Moments of Hand Hygiene’ in a High-Fidelity Simulation

Background: The World Health Organization launched ‘Your 5 moments for hand hygiene’ to identify when healthcare workers should perform hand hygiene to reduce healthcare-associated infections (HAIs). Performing hand hygiene correctly is necessary to decrease pathogen transfer, though little research has assessed the effectiveness of all 5 moments. Methods: Registered nurses (n=42) participated in a standardized, one-hour high-fidelity patient care simulation that were recorded via a head-mounted camera. The simulation involved two patients, each requiring four clinical care tasks (e.g., indwelling Foley catheter insertion, stool sample collection). Transmission data was obtained from the simulations using four genetic variants of bacteriophage λ. Before each simulation, variants were applied to unique locations on two manikins: patient A’s wound, patient A’s stool, patient B’s groin, and patient B’s stool. After each simulation, we sampled the patients, nurse, and high-touch environmental surfaces to determined bacteriophage identity of positive samples. For each moment, hand hygiene performance was the total time the nurse practiced hand hygiene across opportunities over the total recommended time (15 seconds per opportunity). Positive samples were categorized as 1) nurse contamination, 2) patient critical site(s) contamination, 3) high touch surface contamination from the same patient, or 4) high touch surface contamination from the other patient. To compare nurse’s performance of each of the 5 moments, we used a Friedman test and then a Wilcoxon test for pairwise comparisons. To assess the relationship between the four types of transmission outcomes and hand hygiene performance of the 5 moments, we performed linear regressions and calculated 95% confidence intervals by bootstrapping the original cases. Results: Performance of moments 1 (Before patient contact: 9.49%), 4 (After patient contact: 13.11%), and 5 (After contact with patient’s surroundings: 13.66%) were significantly higher than moments 2 (Before clean or aseptic task: 2.72%) and 3 (After bodily fluid exposure: 4.22%; p < 0 .05). Moment 2 perfomance, furthermore, was significantly lower than moment 3 (Figure 1). Only moment 2’s performance was significantly related to transmission; specifically, performance was negatively related to critical site contamination (B= -0.03, CI 95%: -0.06 – -0.01); Table 1. Conclusions: Moment 2performance was the lowest of all 5 moments and was the only moment that demonstrated evidence of relationship with pathogen transmission, specifically critical site contamination. Of all the 5 moments, this moment is most directly related to HAIs. Further research should investigate why moment 2 performance is so low.

Improving Cleaning Validation Utilizing Adenosine Triphosphate Technology

Background: Thorough cleaning and disinfection of high-touch surface areas in hospital inpatient rooms remain vital parts of effective strategies in reducing hospital-acquired infections (HAIs). Currently, Methodist Specialty & Transplant Hospital (MHST) inconsistently utilizes fluorescent marking for terminal cleaning validation. Without quantitative results, it’s difficult to measure the effectiveness of cleaning. To ensure MHST is maintaining a safe and clean environment for patients & staff, MHST implemented a comprehensive cleaning verification program to include adenosine triphosphate (ATP) technology. We aimed to establish the program with baseline readings, and an overall weekly passing score of 95% for all tested inpatient rooms. Methods: To achieve sustained improvement, we needed to monitor, educate, and have periodic performance feedback to individuals and stakeholders. Key stakeholders (IP, EVS, Operations Leadership, Nursing Leadership representative) were identified, and a weekly meeting was established to discuss the planning and implementation of the ATP program. Some key actions included: standardization of brand of luminometer- device to measure ATP for microbial contamination; establishment of 16 high surface touch points to be tested; partnership with IT to create a database & dashboard for ATP results & data analysis; training of ATP device to all personnel who will be utilizing ATP device; establishment of a threshold for a “pass” clean (relative light unit [RLU] less than or equal to 45). Summary of Results: After baseline testing, the average weekly pass score met goal at 95 percent for all tested rooms. The bedside table located on the 2W floor was the location that failed the most (3 instances). Conclusions: Our program implementation project aimed to improve terminal cleaning validation utilizing ATP technology in inpatient rooms, was successfully implemented. Equipped with quantitative results, the MHST team, was able to verify cleaning quickly and efficiently without any confusion, as it may have been with the previous verification method of fluorescent marking. The partnership between Infection Prevention (IP) & Environmental Services (EVS) was crucial in the implementation of this process improvement- from participating in training together to understanding and sharing ATP pass/fail score data.

Environmental Contamination in Relation to cDHP in Candida auris Patient Rooms as Measured by ATPase

Background: Candida auris (CA) is an urgent threat per Centers for Disease Control and Prevention with rapidly increasing cases across the US. Patient rooms recontaminate with CA within hours after daily cleaning due to skin shedding, persistence on environmental surfaces and resistance to commonly used disinfectants. Continuous dry hydrogen peroxide (cDHP) is a novel environmental technology augmenting daily room disinfection. cDHP reduces CA organism counts based on environmental cultures. Adenosine triphosphatase (ATPase) testing offers rapid results to monitor surface cleanliness. ATPase Testing Protocol: Upon identification of CA, cDHP was activated in the patient’s room. ATPase surface testing was performed in rooms of CA infected inpatients and nearby control rooms of inpatients without CA and thus no cDHP. Group A surfaces near the patient were nurse call handheld devices and/or bed rail. Group B surfaces were horizontal counter and/or computer keyboard, located >3 feet away from the patient. ATPase testing was to occur within one hour of daily room disinfection for CA patient Day0 (day of cDHP activation), Day1, Day7 and Day14 and controls. Daily room disinfection using quaternary disinfectants was replaced with EPA Class P chemicals upon CA identification. Nursing spot disinfects with Class P ready to use disinfectant wipes in all rooms. Results: Testing occurred among 13 CA and 22 control patients in 5 hospitals. In Table 1, pass rates are displayed by cumulative (Day0+1+7+14) test days for surfaces and patient room groups. Analysis applied Pearson’s Chi-squared test with Yates’ continuity correction. Conclusions: Surfaces further from the patient in rooms of CA patients exposed to cDHP had higher ATPase pass rates than controls. Surfaces close to the patient have a high ATPase failure rate, regardless of CA or cDHP. Strategies are needed to ensure disinfection occurs on high touch surfaces near patients. cDHP may have value in supplementing room disinfection. Contributing failure factors include surfaces missed for disinfection, delays in timely testing and known limitations with ATPase methods.

Design and performance evaluation of a novel parallel kinematic micromanipulator

The targeted placement of selected carbon nanotubes is associated with low throughput rates. Hence, this paper presents a novel stage design for the fully automatic assembly of carbon nanotube field-effect transistors (CNTFETs) via mechanical dry transfer. It constitutes the core module of an assembly machine for the precise deployment of nanotubes onto a prefabricated wafer. The mechanical dry transfer approach allows high level of carbon nanotube selectivity with the aim of enabling a high-volume fabrication of ultra-clean devices. The previous production rate of such ultra-clean devices is less than one per hour, which offers a high potential for improvement. The stage consists of a parallel kinematic mechanism (PKM) with 3 degrees of freedom (X2Y2C1) carrying two additional stacked axes (Z1C2). The PKM is suspended on a vacuum preloaded aerostatic bearing, voice coil motors (VCM) and flexure hinges. Together with a combination of high precision and resolution touch probe measurement systems close to its tool center point (TCP), high accuracy and low settling time can be achieved. Based on realistic manufacturing tolerances, a sensitivity analysis of the mechanism’s pseudo rigid body model (PRBM) suggests a theoretical closed-loop error below 0.15μm over the entire XY workspace of 20mm×2.8mm. Measurements of positioning motions show that the settling time can be decreased by the compensation of friction resistances inside the internal bearings of the VCMs.

Knowledge management is no more a gray area in the tourism industry in India – a study on transformation leadership and executive communication

PurposeConsidering the important role of knowledge management in the global growth of world economies, the importance of knowledge management in the tourism industry can hardly be overestimated. Knowledge management, empowering leadership and innovation can open new research prospects for online travel and tourism, thereby increasing organizational capacity. In this context, this study aims to investigate the relationship between knowledge management practices and transformational leadership, along with the mediating role in this relationship of leadership communication. Knowledge management practices are discussed through the lens of managers’/organizational perspectives working in the online travel and tourism industry.Design/methodology/approachUsing a descriptive research method, the data were collected from a total of 174 managers/senior executives working in the online travel and tourism sectors. The proposed conceptual framework was evaluated using structural equation modeling through AMOS 21 and Process Macro (SPSS-Plugin).FindingsThe results revealed a significant increase in the adoption of knowledge management practices in the online travel and tourism sector under transformative leadership. The results also highlighted that effective communication is a vital contributor and significant complementary mediator in the relationship between transformative leadership and knowledge management practices.Practical implicationsThe results of this study suggest that transformational leaders, who are equipped with the “high touch” nature of leadership and the “high tech” aspect of the contemporary workplace, are the best fit to manage online travel and tourism organizations. To have an adequate knowledge management system, knowledge managers should adopt a transformative leadership style and receive comprehensive training in developing leadership abilities such as effective communication competencies.Originality/valueTo the best of the authors’ knowledge, this study is the first to demonstrate that, in emerging online travel and tourism sectors, organizational knowledge can be managed through effective leadership communication.

Negative Impacts of the High-Tech Implementation in the Russian Higher Education Sector

Introduction. The institute of education in modern society is currently in the process of serious transformation associated with the large-scale introduction of high technologies, which is due to a similar process in post-industrial society as a whole. There is a growing understanding of the negative consequences of digitalization of society and education along with the understanding of the objective necessity of such transformation. The article contains an analysis of the negative consequences and problems arising in the course of the spread of digitalization of higher education in Russia. Methodology and sources. The methodology of the research is based on the methods of comparative analysis and extrapolation of transformations of social environment and anthropological factors under the influence of technological progress in the field of higher education. The signs of “high technology poisoning” considered by J. Naisbitt in his book “High Tech – High Touch: Technology and Our Search for Meaning” and the concept of extensive and intensive types of creativity formulated by A.I. Stoletov are a conceptual basis for analyzing the impact of high technology on education. Results and Discussion. Seven symptoms of technological poisoning in higher education, representing the main risks of the modern educational system, their manifestations in the educational process and prospects in case the existing trend persists, have been considered. One of the sources of manifestation of these symptoms is the extensive character of creativity inherent in scientific and technological activity of the society, which stakes on innovative development and mastering of material aspects of nature. The technogenic character of the emerging innovation process levels out the activities associated with the intensive type of creativity, aimed at the meaning-creating and existential aspects of human existence. Conclusion. Minimization of negative consequences presupposes the strengthening of the humanitarian component in education, allowing to form a culture of “pause of contemplation” (Grigory Pomerantz), in which technology will acquire, as it was suggested by J. Naisbitt himself, a fullness of meaning that goes beyond instrumental values into the realm of ethical and existential ones.

219 Engagement as a Spectrum: Co-Developing and Implementing a Training Series to Enhance Researcher Capacity for Engaging Community and Patient Partners

OBJECTIVES/GOALS: Community-based participatory research is a “gold standard” methodology, yet many researchers lack the experience or resources to implement this approach. To make engagement more accessible, we developed and implemented a 3-part training series highlighting engagement as a spectrum with many options to meaningfully engage partners. METHODS/STUDY POPULATION: Staff at UNC-Chapel Hill’s CTSA and Cancer Center collaborated with patient and community partners to co-develop training content, structure, and delivery. Sessions were free and open to the public and covered key components of research engagement and its benefits, debunked common myths and misconceptions about engagement, outlined specific methods along the spectrum of engagement (from low to high touch), and described nuances of building and maintaining partnerships. Partners determined how to best incorporate their perspectives, developed content (including videos, audio clips, and quotes), and co-presented with UNC staff. Evaluations were collected after each session and feedback was incorporated into future iterations. RESULTS/ANTICIPATED RESULTS: 194 individuals from over 20 institutions have participated in the training. Of all survey respondents to date (n=74), 93% were very or extremely satisfied, 77% felt the training was very or extremely relevant to their work, and 76% were very or extremely likely to use information learned in the next year. Most helpful parts of the training were differentiating research engagement from participation; explaining engagement as a spectrum with varied methodologies; providing tools and resources to implement different approaches; and hearing directly from community co-presenters about their experiences engaging in research. Based on feedback, we created a workshop for researchers to develop engagement plans and an additional training for partners to build capacity and knowledge about engaging in research. DISCUSSION/SIGNIFICANCE: Engaging partners who are impacted by research can be instrumental to the success of a study. This training can help researchers identify engagement approaches that align with their goals, experience, and resources, as well as the interests and capacity of potential partners, and can serve as a model for those interested in training co-development.

Hospital pastoral care service: promo-tion of “High Touch”

<p>作者探討了醫療保健環境中“高科技”背景下”個人化接觸” (high touch) 的重要性。這一主題對於病人患病期間的日常體驗至關重要。醫療照顧不僅僅是對疾病或病症的回應，而是對生命整全意義的終生參與，病人越來越意識到自己需要整體性照護，研究顯示，僅靠“高科技”無法滿足精神需求，精神的危機日益凸顯在病人期間。病人不再容忍“高科技”與非接觸式醫療保健。他們想要兩全其美——“高科技”和 ”個人化接觸” (high touch) 的照護。那麼，問題是如何更好地應對未來發展的特殊挑戰和需求？“個人化接觸” (high touch) 如何在醫療保健領域採取必要的前進步驟？</p> <p> </p><p>The author explores the importance of "high touch” in the context of “high technology” in settings for medical care. This theme is crucial in the daily experi-ence of patients in their time of illness. Health care is not simply a response to ill-ness or disease. It is a holistic, lifelong engagement with the meaning of life. Pa-tients are becoming more aware of their need for holistic care. Research indicates that “high technology” alone cannot satisfy the spiritual needs, and spiritual crises which become increasingly prominent during experiences of illness. Patients no longer tolerate “high-tech," no-touch health care. They want the best of both worlds — “high-tech” and “high-touch” care. The question, therefore, is how best to face special challenges and demands in light of future development? How can "high touch" take the necessary forward steps it needs to take in medical care?</p> <p> </p>

A framework for building comprehensive cancer center's capacity for bidirectional engagement.

Community engagement has benefits for cancer centers' work and for its researchers. This study examined the experiences and perceptions of community engagement by members of the Case Comprehensive Cancer Center (Case CCC) to create and implement a framework to meet the needs of the entire cancer center. This study included three phases: 1) Semi-structured interviews with 12 researchers from a basic science program to identify needs and suggestions for the support of community engagement; 2) Preliminary interview results informed the development of a survey of 86 cancer center members' about their awareness of and readiness to integrate community outreach and engagement into their research; and 3) The Case CCC Office of Community Outreach and Engagement reviewed the results from phases 1 and 2 to develop and then utilize a framework of engagement opportunities. In the interviews and surveys, cancer center members recognized the importance of community engagement and expressed an interest in participating in COE-organized opportunities for bidirectional engagement. While participation barriers include communication issues, limited awareness of opportunities, and competing priorities, members were open to learning new skills, changing approaches, and utilizing services to facilitate engagement. The framework outlines engagement opportunities ranging from high touch, low reach to low touch, and high reach and was used to develop specific services. This study identified varying needs around community engagement using an approach aimed at understanding the perspectives of a community of scientists. Implementing the framework enables reaching scientists in different ways and facilitates scientists' recognition of and engagement with opportunities.

High touch surface bioburden associated with the use of disinfectants with and without continuously active disinfection in ambulatory care settings.

A quaternary ammonium and alcohol-based disinfectant with reported continuous activity demonstrated reduced microbial buildup on surfaces over time compared to routine disinfectants without continuous activity in in vitro and hospital studies. We compared these disinfectants in ambulatory settings and found no difference in bioburden on high-touch surfaces over time.