scholarly journals Increasing People’s Capabilities by Using Design Thinking in the Decision-Making Process

Author(s):  
Jane Elisabeth Frisk ◽  
Lisbeth Svengren Holm

AbstractA growing older population is placing new demands on the welfare system. Elder care has been criticised for its lack of resources, competence, or respect for older people. Caregiving needs to be transformed and based on older people’s real needs and what they perceive as important. However, both older people and service organisations have to be capable of participating in new development processes. Design thinking (DT) has emerged as a field of research that provides tools and processes that are helpful for supporting innovations and new ways of thinking about problems. The concept of capability (Nussbaum M. Creating capabilities: the human development approach. The Belknap Press of Harvard University Press, Cambridge, MA, 2011), and how design researchers have embraced it, is discussed. The results from two case studies show that DT can support increasing capabilities among both service recipients and service providers when developing new services and digital solutions. The DT process can generate valuable knowledge about users’ needs in a resource-efficient way, as well as balancing the economic and human perspectives when developing new services. By directing more time and attention towards relevant problems, the solution might end up as something other than initially contemplated, which can increase the capability of being innovative when developing new services.

2005 ◽  
Vol 25 (2) ◽  
pp. 215-227 ◽  
Author(s):  
CHERYL TILSE ◽  
DEBORAH SETTERLUND ◽  
JILL WILSON ◽  
LINDA ROSENMAN

Managing the assets of older people is a common and potentially complex task of informal care with legal, financial, cultural, political and family dimensions. Older people are increasingly recognised as having significant assets, but the family, the state, service providers and the market have competing interests in their use. Increased policy interest in self-provision and user-charges for services underline the importance of asset management in protecting the current and future health, care and accommodation choices of older people. Although ‘minding the money’ has generally been included as an informal care-giving task, there is limited recognition of either its growing importance and complexity or of care-givers' involvement. The focus of both policy and practice have been primarily on substitute decision-making and abuse. This paper reports an Australian national survey and semi-structured interviews that have explored the prevalence of non-professional involvement in asset management. The findings reveal the nature and extent of involvement, the tasks that informal carers take on, the management processes that they use, and that ‘minding the money’ is a common informal care task and mostly undertaken in the private sphere using some risky practices. Assisting informal care-givers with asset management and protecting older people from financial risks and abuse require various strategic policy and practice responses that extend beyond substitute decision-making legislation. Policies and programmes are required: to increase the awareness of the tasks, tensions and practices surrounding asset management; to improve the financial literacy of older people, their informal care-givers and service providers; to ensure access to information, advice and support services; and to develop better accountability practices.


1970 ◽  
pp. 18-21
Author(s):  
Irene Lorfing

Over the years, the focus of deve lopment has gradually changed from a purely economic emphasis to a multidimensional one. Development today is about theenhancement of economic, human and soc ial resources; the overall aim of the new development approach is to ensure sustainab le growth and to encourage human potential.


2018 ◽  
Author(s):  
Camilla Kao ◽  
Che-I Kao ◽  
Russell Furr

In science, safety can seem unfashionable. Satisfying safety requirements can slow the pace of research, make it cumbersome, or cost significant amounts of money. The logic of rules can seem unclear. Compliance can feel like a negative incentive. So besides the obvious benefit that safety keeps one safe, why do some scientists preach "safe science is good science"? Understanding the principles that underlie this maxim might help to create a strong positive incentive to incorporate safety into the pursuit of groundbreaking science.<div><br></div><div>This essay explains how safety can enhance the quality of an experiment and promote innovation in one's research. Being safe induces a researcher to have <b>greater control</b> over an experiment, which reduces the <b>uncertainty</b> that characterizes the experiment. Less uncertainty increases both <b>safety</b> and the <b>quality</b> of the experiment, the latter including <b>statistical quality</b> (reproducibility, sensitivity, etc.) and <b>countless other properties</b> (yield, purity, cost, etc.). Like prototyping in design thinking and working under the constraint of creative limitation in the arts, <b>considering safety issues</b> is a hands-on activity that involves <b>decision-making</b>. Making decisions leads to new ideas, which spawns <b>innovation</b>.</div>


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047247
Author(s):  
Emily J Tomlinson ◽  
Helen Rawson ◽  
Elizabeth Manias ◽  
Nicole (Nikki) M Phillips ◽  
Peteris Darzins ◽  
...  

ObjectivesTo explore factors associated with decision-making of nurses and doctors in prescribing and administering as required antipsychotic medications to older people with delirium.DesignQualitative descriptive.SettingTwo acute care hospital organisations in Melbourne, Australia.ParticipantsNurses and doctors were invited to participate. Semi-structured focus groups and individual interviews were conducted between May 2019 and March 2020. Interviews were audio-recorded and transcribed verbatim. Data were analysed using thematic analysis.ResultsParticipants were 42 health professionals; n=25 nurses and n=17 doctors. Themes relating to decisions to use antipsychotic medication were: safety; a last resort; nursing workload; a dilemma to medicate; and anticipating worsening behaviours. Nurses and doctors described experiencing pressures when trying to manage hyperactive behaviours. Safety was a major concern leading to the decision to use antipsychotics. Antipsychotics were often used as chemical restraints to ‘sedate’ a patient with delirium because nurses ‘can’t do their job’. Results also indicated that nurses had influence over doctors’ decisions despite nurses being unaware of this influence. Health professionals’ descriptions are illustrated in a decision-making flowchart that identifies how nurses and doctors navigated decisions regarding prescription and administration of antipsychotic medications.ConclusionsThe decision to prescribe and administer antipsychotic medications for people with delirium is complex as nurses and doctors must navigate multiple factors before making the decision. Collaborative support and multidisciplinary teamwork are required by both nurses and doctors to optimally care for people with delirium. Decision-making support for nurses and doctors may also help to navigate the multiple factors that influence the decision to prescribe antipsychotics.


Author(s):  
Gabriella Garcia Moura ◽  
Célia Regina Rangel Nascimento ◽  
Juliene Madureira Ferreira

AbstractWith a global extent, the pandemic of the new coronavirus and the resulting measures to contain the contagion imposed immediate changes in the routine of people and societies. In view of this historical event, the first part of this theoretical study discussed its relationship with the concept of crisis, while circumscribing human development processes, mobilizing reorganizations in life trajectories. In the second part, the intensification of the use of digital tools to support communication during social isolation was highlighted, particularly reflecting on new interactive arrangements and inter-corporeal experiences. The paper reflects on the proximal processes in the new interactive and contextual configurations through the bioecological theory of human development and, based on concepts of the enactive theory, discusses possible implications of the new perceptual fields and the production of meanings with the repositioning of the body and new modes of engagement. The study highlights that the changes, events, relationships, and effects that we are experiencing (trans)form our forms of sociability and bases of psyche.


2021 ◽  
Vol 1 ◽  
pp. 2991-3000
Author(s):  
Frank Koppenhagen ◽  
Tim Blümel ◽  
Tobias Held ◽  
Christoph Wecht ◽  
Paul Davin Kollmer

AbstractCombining agility and convergence in the development of physical products is a major challenge. Rooted in a design thinking approach, Stanford's ME310 process model attempts to resolve the conflicting priorities of these two design principles. To investigate how successful Stanford's hybrid process model is in doing so, we have used a qualitative case study approach. Our paper begins by outlining this process model's fundamental principles in terms of engineering design methodology. Subsequently, we present the results of our empirical analysis, which tracks the coevolution of problem and solution space by meticulously examining all prototype paths in ten of Stanford's ME310 student projects. We have discovered that convergence during solution finding does not correspond to the process model's theoretical specifications. Even in the phase of the final prototype, both the technical concept and the underlying problem formulation changed frequently. Further research should focus on combining the prototype-based ME310 approach with methods from systems engineering which allow for a more comprehensive theoretical exploration of the solution space. This could lead to improved convergence during solution development.


2015 ◽  
Vol 35 (5/6) ◽  
pp. 419-436 ◽  
Author(s):  
Sue Hollinrake ◽  
Will Thomas

Purpose – The purpose of this paper is to understand the nature of support that helps older people continue living in their own homes for as long as they wish to. Design/methodology/approach – The research made use of a participatory approach in which service users, service providers and commissioners were involved in the design of the approach in addition to contributing to the research as participants in their own right. Findings – This paper presents analysis from the research which focuses on the importance of caring relationships for providing a support mechanism. The authors question whether budget cuts and efficiency drives within statutory care providers preclude the notion of caring relationships. Practical implications – The authors suggest, in the light of the evidence presented, that statutory service providers should acknowledge the role that caring relationships play in providing support for older people. Whilst budget cuts make providing support for caring relationships more challenging, the authors suggest that there is scope for delivering services and support in ways which promote the types of interactions which better support older people living independently. Originality/value – The analysis presented here provides a distinctive, timely and thoughtful insight into support for older people at a time when public sector budgets are under increasing pressure.


Sign in / Sign up

Export Citation Format

Share Document