Summary
A low‐carbon electricity supply for Australia was simulated, and the installed capacity of the electrical grid was optimized by shifting the electricity demand of residential electric water heaters (EWHs). The load‐shifting potential of Australia was estimated for each hour of the simulation period using a nationwide aggregate EWH load model on a 90 × 110 raster grid. The electricity demand of water heaters was shifted from periods of low renewable resource and high demand to periods of high renewable resource and low demand, enabling us to effectively reduce the installed capacity requirements of a 100%‐renewable electricity grid. It was found that by shifting the EWH load by just 1 hour, the electricity demand of Australia could be met using purely renewable electricity at an installed capacity of 145 GW with a capacity factor of 30%, an electricity spillage of 20%, and a generation cost of 15.2 ¢/kWh. A breakdown of the primary energy sources used in our scenario is as follows: 43% wind, 29% concentrated solar thermal power, and 20% utility photovoltaic. Sensitivity analysis suggested that further reduction in installed capacity is possible by increasing the load‐shifting duration as well as the volume and insulation level of the EWH tank.
Background: Hard-to-treat childhood cancers are those where
standard treatment options do not exist and prognosis is poor.
Healthcare professionals (HCPs) are responsible for communicating with
families about prognosis and complex experimental treatment. We aimed to
identify HCPs’ key challenges and skills required when communicating
with families about hard-to-treat cancers, and their perceptions of
communication-related training. Method: We interviewed
Australian HCPs who had direct responsibilities in managing
children/adolescents with a hard-to-treat cancer within the past 24
months. Interviews were analysed using qualitative content analysis.
Results: We interviewed 10 oncologists, 7 nurses, and 3 social
workers. HCPs identified several challenges for communication with
families including: balancing information provision while maintaining
realistic hope; managing their own uncertainty; and nurses and social
workers being under-utilised during conversations with families, despite
widespread preferences for multidisciplinary teamwork. HCPs perceived
that making themselves available to families, empowering them to ask
questions, and repeating information helped to establish and maintain
trusting relationships with families. Half the HCPs reported receiving
no formal training for communicating prognosis and treatment options
with families of children with hard-to-treat cancers. Nurses, social
workers, and junior oncologists supported the development of
communication training resources, more so than senior oncologists.
Conclusion(s): Resources are needed which support HCPs to
communicate with families of children with hard-to-treat cancers. Such
resources may be particularly beneficial for junior oncologists and
other HCPs during their training, and should aim to prepare them for
common challenges, and to foster greater multidisciplinary
collaboration.
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