 coming, we are about to start the next talk. Think big or care for yourself on the obstacles to think of emergent technologies in the field of nursing science. Speakers are Hannah Vula and Anna Kopenberger. They both work on the use and development of technology in nursing. Hannah is examining which parts of nursing should be supported by technological solutions. She does research on augmented reality used in nursing. Anna works on feminist science and technological studies as well as critique of the political economy. She is the editor of a book that just came out here in 2017, Cybernetic Capitalism Revolution, The Emancipatory Perspective in Technological Change. I hope you will listen to their talk with great interest. There is translations into English and German You will hear them on the side. Enjoy the talk. Think big or care for yourself from the 34th Chaos Communication Congress in the translation of Crystal and OS 10,000. OS 10,000. On the obstacles to think of emergent technologies in the field of nursing science. We are very proud to talk here. We are very proud to talk here. My name is Anna Kopenberger. Let me shortly say something about the objective that I'm going to do in this book that was just showed. I will do it again to write it down. I'm interested in the understanding of technologies and the understanding of the change. I'm interested in how different societal agents within this change, in that book, we did it with some different agents like DIY, technology-friendly initiatives, industrial players, or trade units from today, to do it yourself and the relation to technology. And we will do this in three steps. We will do this in three steps. We will do this in three steps. We will do this in three steps. And we will do this in three steps. And I should say that it will take around 25 minutes. I'm happy to get one or two questions from the audience. Those of you who have to get the possibility to talk to us or to contribute something to our team. Please come to us afterwards or to our university web pages and get our questions up. Okay, the following translation we will talk about the relation of nursing science and technology in the first 25 minutes. First, I will talk about nursing science and I can talk about it when you say nursing science and other reasons to the question of what we know and to the question of what we mean when we talk in nursing science about technology. And I would like to introduce you in a current research project on how to talk about what is going on right now in this research research research. Okay, I will start with the first part. I want to argue that social struggles for making people are a consequential requirement of the extraordinary work of feminist political activists, artists, writers, and teachers. And I want to share in this situation to talk about what is going on in this research research research project. And I would like to introduce you in a current research project on how to talk about what is going on as a structured and structuring activity at all. I mean, to talk about what is going on in the labor of love and in the labor of love and in the new methods of the movement in some countries around the world. From a materialist feminist, we are struggling to expose and these efforts the relationship between the productive labor and the exposed labor as independent and dependent as depend on each other as emancipatory struggles by denaturalizing that care work has been revealed as an essential precondition of the activities of capitalist production. It has been identified as an important part of the capitalist society. And still today care work and societal appreciation comes, for example, with low wages and poor conditions about the ongoing struggle is recommended to check out, for instance, who is a member of the technology friend at the Center of Feminist Collective, Laboria Cubonics. She's an associate professor for media and communication at the University of West London and she... Visible as a part, as a notable part, of social reproduction. She shows that it is visible as an important part of the domestic community. Therefore, she opens up a discussion on automatization of certain aspects of the world versus the rest of the world. And she opens to automatization as a refusal to naturalize this work. Okay, back to nursing science. And see how these social, political, economic movements and political movements they obviously affect the theoretical horizon with the influence of technology and care work settings. Speaking for a German context of nursing science, contemporary nursing scientists, they are still overwhelmingly busy with the professionalization of healthcare. In establishing nursing that describes and develops reasonable caring practice on the basis of independent nursing research. Distinguishing nursing science as independent from medicine is seen... of being pervaded by a strongly functionalist, partly mechanic, partly cybernetic paradigm. Formal and mathematical paradigm is a reflex of background against which this young discipline has constituted itself, at least in the German context. By drawing on critical theories, nursing scientists rejected a purely mathematical paradigm to bodily processes. The purely medical approach is rejected by experts and is considered a more physical approach. And... It's supposed to approach human beings' experiences of health in the mode of... re-understanding. In the beginning of the profession, there is less focus on medicine and... Medicine tries to describe and describe the illness by mimetic faculty and nursing care about the feelings and characterizes the illness or the condition by the feelings and needs. We have to make it visible what used to be invisible. And there will be certain technologies that are conceived as means of explanation. A technology is considered as a way to explain. It cannot comprehend the implicit part of human beings' experience. The difference is that both sides need each other to have a similar logic of capitalizing, technologizing. But it is difficult to bring rational and capitalist together. Or in order, which is an important work also, to include the excluded, to qualify, to quantify, and also to recognize the technologized parts. It is important to keep in mind that the academic struggle of establishing nursing science as a scientific discipline is the most interlinked. There is a special point that the academic education of nursing staff is problematic. And always mysteriously indeterminate part of the human being's existence as a result of technological formations. It is a basis for technological development. Technological formations. For this, let me tell you what technology means when we as a nursing science talk about it. Let's talk about it first. I have already said that the human being is a counter part of technology. It is this image actually what we are seeing increasingly challenged. For example, when we think of technological operations, think of sensor technologies, and we are confident in the technology beyond human being's sensational perception. We cannot but conclude that it's not just a human being's action that makes the existence and operations of contemporary smart objects are increasingly unraveling the image of the human as an exception. In the last decades it was Eric Hurl who described this ongoing technologically influenced the influence of technology on the perception of the body. He has claimed that after an organic and mechanical state of nature, we were entering the end of the 18th century. The cybernetic state of nature finally described where objects in different disciplines described a series of errors exposed as active, intelligent, and more and more parts as a growing object orientation as well as even an environmentalized ways of being. As well as the decision-making as well as the fact that more and more objects in our environment are just an example of this behind-the-scenes of critical theories that I mentioned. For them, objects are merely conceived by me which the humans have traditionally used to transform its reality. That means in those critical theories human being's tool used is conceptualized as a means to serve certain ends. Of course, those ends are used in order to supplement the hope of the indigenous and neediness of human beings. In this way, technological artifacts are always conceived outside the outside of the human. To my end, from exactly this point we propose rethink the role of technology in order to enlarge our methodological horizon in order to reflect on our point of view. So new forms and modes in these environmentalizations have to be conceptualized. For example, Janet Pohl has a book in which she talks about remote monitoring. She says that the existing relationships are not attacked and that they are not brought into account by the technology. The new ecological paradigm that also Eric Hurl has coined seems for us to be necessarily entered also by nursing science in order to conceptualize healthcare as taking place in social and political environments not at least to find the place where also a capital valorization of healthcare might be rejected, a place where technological systems might be conversed and used in an emancipatory and self-determined way. The technological systems could be used in such an environment in order to control and liberate people and to control them. Now we get to a part of the presentation which is quite different from the first one because the first one was about how to think about these things and look at them. The second part is quite different. I have been confronted with the idea that all technology should be looked at critically. I'm from the IT sector and that's why it has touched me a lot. Now I'm working on a research project where both aspects are struggling all the time to think about conceptualizing how to think about technology and conceptualize it. At the same time it's like you have this research project and you have kind of the goal of evaluating the research project and I have certain goals and I'm looking for answers in this area. A part of it is that I bring the technology into practice and a part of my motivation is the demography that the demography changes. People become older. The problem with the older people could help with technology. But purely technological ideas can't be a solution to the problem. We observe the possibilities like augmented reality and augmented reality is the technology that digital objects are projected into the real world. Augmented reality can be very useful in different fields. You can communicate with colleagues and you can talk about the same virtual objects. We have the question of what we can use for nursing. We have different workshops and we came up with a lot of use cases and currently we are examining two prototypes and one is care management. We are trying to evaluate the prototype on the physics M100 and prototype of the Microsoft HoloLens and they both have in common and they should support the nurse in doing the documentation for the patient. The intention being the nurse and the patient may change here but it could be possible to save some time and also potential attention quality of the patient as the time the nurse is there and has to see the wound. This is what both prototypes have in common. The HoloLens prototype allows for the measuring of the wound to be measured with the Wusex prototype you have to measure the length and the width of the wound on your own and then you use the Wusex to support the documentation with the HoloLens prototype because when you look through the gas you get this image and you can make a point on the edge of the wound and the point of the applied edge and the measurement is done automatically and the numbers are measured and the blue dots are the edges of the wound actually this prototype cannot detect the edges of the wound but this could be under further consideration and the second prototype that we have looked at is drug management so we will show you in the short video if it's going to work here you can see 10 dispensers so dispensers for medication for 10 pills at the same time it's like for morning midday and even in the night you can put a pill into the right box by the app showing you how to do it you can see here on the smartphone the app shows you how to do it and put into one box and you have to scan the medication first and if you scan the wrong one you have to find the wrong one so you have some way of having a wrong medication but this prototype you could also think of a lot of attention to get the information which medication has to be taken or it could detect if the pill is in the wrong box or if it's too much and the same so it looks a bit less fancy than the picture from the advertisements but maybe it can save us some time maybe we can use some time and for this prototype and some more which are currently evaluated by other researchers there are some technical challenges and the challenge how to deal with all these things is short battery life for sure and it can be easy to focus in these details and forget the big picture how can we think the interaction of the technology and the human interaction so this is part of the research I still think it's very interesting and there will be some good things to do with technology and it can enable us to change the structure but it cannot be and we shouldn't forget so this is like our conclusion we identified two obstacles to think about emerging technology in the field of nursing science technology from different directions this is what Anna explained we had a struggle to establish this discipline and have to have to be good argument and the struggle is still going on so a lot of nursing science are still busy with depending nursing for medicine and sometimes this kind of projected and try to be because technology is also passive to be naturalistic, binary and doesn't feel the difference in the passion doesn't get all the small things and the second thing is the research funding policy which should lead you to a solution this is how you try to how you argument that you need some money to do something for this solution you want to have so thank you for that thank you for that thank you for that thank you for your opportunity and with that I would like to say Oliver Seidel you heard the talk think big or think about yourself please use c3 lingo or c3 t on twitter thank you for your presentation if I get this right there is a big research gap of how influence the relations between caretakers and the persons who are taken care of and is there some research going on between the gap between the researchers and the caretakers and how new technologies can be introduced thank you for this I have mentioned a Dutch anthropologist it was Jeanette Poles the anthropologist in Jeanette Poles she might be that what you are looking for she can continue which was started by Anne-Marie Moll which is also a quite important name I recommend you to check this out because Jeanette Poles it's just it's kind of new in the German context not really recognized it's not recognized and it's not recognized in the analytical context I can tell from her research how I read this from her research is the idea of new interaction forms that are well equipped that are cared at a distance by caretakers or by caretakers that those well-being it's always a question of how you measure well-being and it's always a question of how you are well-being I understand that it's a problem but her first research results are not showing anything what we could, what should make us step back the well-being is secured also by these caretakers is that an answer to your question? Yes, kind of. I cannot ask another question so thank you. We'll take the question from the signal angel from the internet. Hi, okay, so which part of the youth they want to change first? Which areas of the caretaker will change first? Will it be okay to take two sheets at a time? Because we have three sheets at a time. Microphone number one. Thank you for your talk. I'm a nurse and I see the problem, I think technology is very important in nursing but I see the problem when you make research or politics it's very difficult to reach the nurses to get a voice. Thank you for this really, really important question. It's a basic problem that we see in this area in the caretaker. That on the one hand there are caretakers and on the other hand there are nurses and nurses who trust the caretakers based on both. The degree of organization caretakers is extremely low and it makes it really hard to reach them to reach them. We can see in the lower sex only for example we can do this finished where there is a new organization for nursing which is a step forward it is controversial because it is a central structure because it is a centralized structure and we can learn for example they are better organized in this area you are right with that hint that this should happen at the same time really in the position to take a critical stance on technology and also to develop a determined way in order to say in order to say that technology must be done and that must also be done by the organization of the caretaker. Yes, I think it is really difficult to answer this question there is a lot of change going on in the documentation on computers, not on paper and what else is going on will may happen on financial structure very much for both the presentation and the questions for the two questions I wanted to ask I am sure you can find Hannah and Anna just next to the stage after the talk thank you very much