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- Eriksson, Siw, 1962, et al.
(författare)
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Facilitating Users and Designers Towards a Shift of Perspective for True Participation in Co-creation in Health Care: A Holistic Activity Theoretical Approach
- 2020
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Ingår i: Proceedings of the 6th International Conference on Design4Health, Amsterdam, 2020. - 9781838111700 ; 1, s. 177-184
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Konferensbidrag (refereegranskat)abstract
- Modern healthcare is a complicated sociotechnical system where medical technology is a prerequisite for quality as well as cost-effectiveness. New and complex technologies for diagnosis and treatment are progressively developed to meet the challenge of future health care. However, this requires increasingly close cooperation by heterogeneous stakeholders with various views that must be heard and negotiated. Traditional participatory design approaches may not suffice to establish the needed close cooperation. This paper builds on the authors’ research over the last decades on eliciting stakeholders needs and requirements in the development of medical products by means of participatory design processes, analysed by Activity Theory (AT). By facilitating stakeholders’ interactions with mediating tools, the rules and relationships that shape behaviours and outcomes to become visible. AT reveals and supports our understanding from a holistic perspective of the need for a shift of perspectives to form a new and shared activity system in a collaborative space that bridges the gaps between participants and thus holistically allows individuals to bring their respective knowledge, experiences, and motivations into co- creation processes. This requires a meta-shift of perspective that needs to be facilitated in the co-creation process and can only occur if and when participants are enabled to understand the process and the role(s) they have.
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| 2. |
- Orre, Carl Johan, et al.
(författare)
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Implementation and involvement of a dynamic instrument as a practice support in rehabilitation processes of chronic diseases
- 2020
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Ingår i: Proceedings of the 6th International Conference on Design4Health. - Sheffield : Lab4Living, Sheffield Hallam University. - 9781838111700 ; , s. 28-35
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Konferensbidrag (refereegranskat)abstract
- In the rehabilitation of chronic and severe illnesses, it is common to use paper-based questionnaires to capture experiences of symptoms associated with illness or treatment. Managing such instruments consumes time, and offers care professionals a narrow space of possible actions toward the patients. The purpose of this paper was to report the initial concerns we encountered in the early phases involving a dynamic instrument in nursing practice. This project is based on the Self Management Assessment Scale (SMASc) with the purpose to provide digital support that enables personalized work methods with the patient. With SMASc, patients answer questions on a mobile phone, tablet or computer. The compiled result is provided instantly before the patient-nurse consultation. SMASc is here understood as an interactive artefact with dynamic affordances. A dynamic instrument manifests a theoretical foundation aligning to the use situation, is programmable and digitally distributed, and offers individually compiled datafied views that connect the person's situation and the theoretical apparatus - in this case, a person's need for self-management support. The data this report builds on was produced during two project meetings and throughout the design and development of the instrument prototype. Data analysis approach applied was an analysis focusing on emerging concerns surfacing from discussions that followed the introduction of the prototype. We found that the nurses cared for the development of their practice and strived to advance and steer it in a more nursing-oriented direction. They did not fully comply with the instrument's item formulations and how these should or could be used. Further work has to be done to involve more stakeholders in the future work so that everyone feels engaged and can put their views on the design of the instrument, and on the implementation work itself.
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