The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study

Abstract Background Routine screening for frailty at admission by nurses may be useful to detect geriatric risks and problems at an early stage. However, the added value of this screening is not clear yet. Information about the opinions and attitudes of nurses towards this screening is also lacking. As they have a crucial role in conducting this screening, an exploratory study was performed to examine hospital nurses’ opinions and perspectives about this screening and how it influences their daily work. Methods A qualitative, exploratory approach was employed, using semi-structured interviews with 13 nurses working on different general medical wards (surgical and internal medicine) in three Dutch hospitals. Frailty screening had been implemented for several years in these hospitals. Results The participating nurses reported that frailty screening can be useful to structure their work, create more awareness of frail older patients and as starting point for pro-active nursing care. At the same time, they assess their clinical view as more important than the results of a standard screening tool. The nurses hardly used the overall screening scores, but were particularly interested in information regarding specific items, such as delirium or fall risk. Screening results are partly embedded systematically and in daily nursing care, e.g., in team briefings or during transfer of patients to other wards. The majority of the nurses had received little training about the background of frailty screening and the use of screening tools. Conclusions Most nurses stated that frailty screening tools are helpful in daily practice. However, nurses did not use the frailty screening tools in the referred way; tools were particularly used to evaluate patients on separate items of the tool instead of the summative score of the tool. When frailty screening tools are implemented in daily practice, training needs to be focused on. Additional research in this field is necessary to gain more insight into nurses’ opinions on frailty screening.

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The Opinions and Experiences of Nurses on Frailty Screening Among Older Hospitalized Patients. An Exploratory Study

10.21203/rs.3.rs-478405/v1 ◽

2021 ◽

Author(s):

Ron MJ Warnier ◽

Erik Rossum van ◽

Monique Du Moulin ◽

Marjolein Lottum van ◽

Jos MGA Schols ◽

...

Keyword(s):

Nursing Care ◽

Exploratory Study ◽

Early Stage ◽

Daily Practice ◽

Screening Tools ◽

Added Value ◽

Structured Interviews ◽

Daily Work ◽

Starting Point ◽

Medical Wards

Abstract BackgroundRoutine screening for frailty at admission by nurses may be useful to detect geriatric risks and problems at an early stage. However, the added value of this screening is not clear yet. Information about the opinions and attitudes of nurses towards this screening is also lacking. As they have a crucial role in conducting this screening, an exploratory study was performed to examine hospital nurses’ opinions and perspectives about this screening and how it influences their daily work. MethodsA qualitative, exploratory approach was employed, using semi-structured interviews with 13 nurses working on different general medical wards (surgical and internal medicine) in three Dutch hospitals. Frailty screening had been implemented for several years in these hospitals.ResultsThe participating nurses reported that frailty screening can be useful to structure their work, create more awareness of frail older patients and as starting point for pro-active nursing care. At the same time, they assess their clinical view as more important than the results of a standard screening tool. The nurses hardly used the overall screening scores, but were particularly interested in information regarding specific items, such as delirium or fall risk. Screening results are partly embedded systematically and in daily nursing care, e.g., in team briefings or during transfer of patients to other wards. The majority of the nurses had received little training about the background of frailty screening and the use of screening tools. ConclusionsMost nurses stated that frailty screening tools are helpful in daily practice. However, nurses did not use the frailty screening tools in the referred way; tools were particularly used to evaluate patients on separate items of the tool instead of the summative score of the tool. When frailty screening tools are implemented in daily practice, training needs to be focused on. Additional research in this field is necessary to gain more insight into nurses’ opinions on frailty screening.

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A new approach to the Scoreboard

Journal of Economic Studies ◽

10.1108/jes-01-2014-0024 ◽

2015 ◽

Vol 42 (4) ◽

pp. 659-688

Author(s):

Cosimo Magazzino ◽

Francesco Felici ◽

Vanja Bozic

Keyword(s):

European Commission ◽

Design Methodology ◽

Early Stage ◽

Critical Issue ◽

Added Value ◽

Policy Makers ◽

New Approach ◽

Content Type ◽

Starting Point ◽

The Relationship

Purpose – The purpose of this paper is to investigate the information content of the variables that can help detecting external and internal imbalances in an early stage. The starting point is the Scoreboard, where nine indicators are chosen in order to increase macroeconomic surveillance of all member states. Design/methodology/approach – This paper provides an overview of the variables that could be informative for imbalances by focusing on EU-27 countries over the period 1960-2010. The number of chosen variables is 28, and they are aggregated in six macro-areas. Therefore, once an imbalance is observed in any of those areas, it is possible to detect in a simple way which specific variable is determining such outcome. Findings – In general, this approach provides reliable signal to the policy-makers about the indicators that can drive imbalances within the area, shedding light on the relationship among the variables included in the analysis, too. Research limitations/implications – In fact, the empirical results underline some well-known critical issue for several countries, and is largely in line with results obtained in a variety of EC and OECD studies. Originality/value – The main added value of the approach adopted in this paper is the introduction of more variables than those initially proposed by the European Commission in the construction of the Scoreboard. This provides more information about the macroeconomic situation in each country, preserving, however, the simplicity of the analysis as the variables are aggregated by homogeneous areas.

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Knowledge and practices of nursing professionals in caring for ostomates

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0018 ◽

2020 ◽

Vol 73 (suppl 5) ◽

Author(s):

Angélica Dalmolin ◽

Nara Marilene Oliveira Girardon-Perlini ◽

Margrid Beuter ◽

Eduardo da Silva Gomes ◽

Juliano Teixeira Moraes ◽

...

Keyword(s):

Data Collection ◽

Nursing Care ◽

Participant Observation ◽

Descriptive Study ◽

Care Process ◽

Work Experiences ◽

Structured Interviews ◽

Daily Work ◽

Nursing Professionals ◽

Intervening Factors

ABSTRACT Objective: to analyze the knowledge and practices of nursing professionals in caring for people with colostomy bag. Method: a qualitative and descriptive study conducted with 21 nursing professionals from a General Surgery Unit. Data collection used triangulation of techniques, based on non-participant observation, analysis of nursing records, and semi-structured interviews. Analysis followed the spiral technique assumptions. Results: it was possible to comprehend the theoretical and scientific knowledge that subsidize practice; identify contradictions related to statement and care in the profession’s daily work and the intervening factors, which can facilitate and/or make the nursing care process difficult. Final Considerations: knowledge and practices of professionals in caring for ostomates occur within work experiences, in which socialization of knowledge makes it possible to expand the perspectives of care.

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Meanings of nursing care for the family of patients in palliative care

Rev Rene ◽

10.15253/2175-6783.2015000400017 ◽

2015 ◽

Vol 16 (4) ◽

pp. 593 ◽

Cited By ~ 2

Author(s):

Marcos Paulo de Oliveira Lima ◽

Mônica Cordeiro Ximenes de Oliveira

Keyword(s):

Palliative Care ◽

Data Analysis ◽

General Hospital ◽

Nursing Care ◽

Exploratory Study ◽

Qualitative Approach ◽

Human Interaction ◽

Structured Interviews ◽

The Family ◽

Physical Presence

Objective: to understand the meaning of nursing care for the family of patients in palliative care. Methods: field, descriptive, and exploratory study with qualitative approach conducted in secondary general hospital in the State of Ceará, Brazil. The participants comprised eight family members of patients in palliative care, with the conduction of semi-structured interviews and direct observation. For data analysis, we used the thematic category analysis. Results: data revealed the construction of three thematic categories. The meaning of nursing care for the family of patients in palliative care is anchored in the physical presence of these professionals, the performance of technical procedures, and teamwork. Conclusions: we verified that the nursing care highlighted by families aims at a humanistic care, established in the presence and based on human interaction.

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Sustainability Practice at Hotels on the Island of Gotland in Sweden – an exploratory study

European Journal of Tourism Hospitality and Recreation ◽

10.2478/ejthr-2020-0018 ◽

2020 ◽

Vol 10 (3) ◽

pp. 203-212

Author(s):

Anette Oxenswärdh

Keyword(s):

Exploratory Study ◽

Knowledge Exchange ◽

Daily Practice ◽

Active Role ◽

Daily Basis ◽

Daily Work ◽

Sustainable Solutions ◽

Market Shares ◽

Hotel Managers ◽

The Way

Abstract This study aims to investigate ten hotels on the island of Gotland and their daily, practical work towards sustainability. An exploratory study was conducted at ten hotel establishments on the island of Gotland in Sweden. Ten hotel managers were interviewed about their daily practice and work towards sustainable solutions at their hotels. The results show that there are big differences between these hotels regarding the way in which knowledge about sustainability issues are implemented and shared to the personnel as well to the guests. In addition, there is a clear difference in the way in which sustainability is expressed in practice: the accountability is largely attributable to most of the hotels, but a few convey responsibility. Some of the managers seem to take a more active role in mediation of sustainability issues than is the case with the majority of the hotel managers. Also, anonymity between hotel guests and staff, large number of seasonal workers and insufficiently trained staff can be seen as a hindrance for knowledge exchange over the sustainability issues. Working with sustainability issues can also be seen as a way to win market shares in the hotel business. The study makes contribution to the knowledge of processes of co-creation of sustainable values by exploring how some hotel managers are working towards sustainability on a daily basis. The study can help to share knowledge of possibilities and hindrances in daily work towards sustainable hotels.

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Administração segura de medicamentos em neonatologia e pediatria: cuidados de enfermagem

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i12a235858p3239-3246-2018 ◽

2018 ◽

Vol 12 (12) ◽

pp. 3239

Author(s):

Cristiane Martins Da Rocha ◽

Giovana Calcagno Gomes ◽

Juliane Portella Ribeiro ◽

Marlise Capa Verde Almeida de Mello ◽

Adriane Maria Netto De Oliveira ◽

...

Keyword(s):

Patient Safety ◽

Nursing Care ◽

Thematic Analysis ◽

Exploratory Study ◽

Medication Administration ◽

Care Plan ◽

Structured Interviews ◽

Nursing Team ◽

Medication Dose ◽

Qualitative Descriptive

RESUMO Objetivo: conhecer os cuidados de Enfermagem relacionados à administração segura de medicamentos em Neonatologia e Pediatria. Método: trata-se de estudo qualitativo, descritivo e exploratório com 23 trabalhadores das equipes de Enfermagem por meio de entrevistas semiestruturadas, submetendo-as à técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: referiram-se, como cuidados, à supervisão pelo enfermeiro da equipe de Enfermagem, à identificação dos cinco certos preconizados (criança, leito, medicação, dose e horário), ao registro da medicação administrada em uma planilha de cuidados, à realização do cálculo milimétrico das doses, à checagem da validade da medicação, à não aplicação, no mesmo horário, de medicamentos incompatíveis quimicamente, à garantia da assepsia do local da administração, ao cuidado com a temperatura adequada para o armazenamento, à utilização dos medicamentos e ao esclarecimento das dúvidas existentes antes da administração dos fármacos. Conclusão: conclui-se que a segurança do paciente em relação à administração de medicamentos nas Unidades de Neonatologia e Pediatria é complexa exigindo, dos profissionais da equipe de Enfermagem, habilidades e competências para o seu enfrentamento. Descritores: Segurança do Paciente; Criança; Erros de Medicação; Enfermagem; Cuidado de Enfermagem; Sistemas de Medicação.ABSTRACT Objective: to know Nursing care related to the safe administration of medications in Neonatology and Pediatrics. Method: it is a qualitative, descriptive and exploratory study with 23 workers of the Nursing teams through semi-structured interviews, subjecting them to the technique of Content Analysis in the Thematic Analysis modality. Results: they referred to the supervision by the Nursing staff of the Nursing team, the identification of the five recommended ones (child, bed, medication, dose and schedule), the registration of the medication administered in a care plan, the millimetric calculation of doses, checking the validity of the medication, non-application of chemically incompatible drugs at the same time, ensuring the asepsis of the administration site, taking care of the temperature appropriate for storage, use of medicines and doubts prior to the administration of the drugs. Conclusion: it is concluded that patient safety in relation to medication administration in the Neonatology and Pediatrics Units is complex, requiring the professionals of the Nursing team, skills and competencies to cope with them. Descriptors: Patient Safety; Child; Medication Errors; Nursing; Nursing Care; Medication Systems.RESUMENObjetivo: conocer los cuidados de enfermería relacionados con la administración segura de medicamentos en Neonatología y Pediatría. Método: se trata de un estudio cualitativo, descriptivo y exploratorio con 23 trabajadores de los equipos de Enfermería por medio de entrevistas semiestructuradas, sometiéndolos a la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se refirieron, como cuidados, a la supervisión por el enfermero del equipo de Enfermería, a la identificación de los cinco ciertos preconizados (niño, lecho, medicación, dosis y horario), al registro de la medicación administrada en una hoja de cuidados, el cálculo milimétrico de las dosis, el chequeo de la validez de la medicación, la no aplicación, al mismo tiempo, de medicamentos incompatibles químicamente, a la garantía de la asepsia del local de la administración, al cuidado de la temperatura adecuada para el almacenamiento, la utilización de los medicamentos y aclaración de las dudas existentes antes de la administración de los fármacos. Conclusión: se concluye que la seguridad del paciente en relación con la administración de medicamentos en las Unidades de Neonatología y Pediatría es compleja exigiendo, de los profesionales del equipo de Enfermería, habilidades y competencias para su enfrentamiento. Descriptores: Seguridad del Paciente; Niño; Errores de Medicación; Enfermería; Atención de Enfermería; Sistemas de Medicación.

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Physicians’ learning in the workplace: use of informal feedback cues in daily practice

10.1101/19010926 ◽

2019 ◽

Author(s):

Carolin Sehlbach ◽

Pim W Teunissen ◽

Erik W Driessen ◽

Sharon Mitchell ◽

Gernot GU Rohde ◽

...

Keyword(s):

Clinical Practice ◽

Daily Practice ◽

Learning Opportunities ◽

Outpatient Setting ◽

Constructivist Grounded Theory ◽

Adaptive Expertise ◽

Structured Interviews ◽

Daily Work ◽

Patient Interactions ◽

Informal Feedback

ABSTRACTPurposeWe expect physicians to be lifelong learners. Learning from clinical practice is an important potential source for that learning. To support physicians in this process, a better understanding of how they learn in clinical practice is necessary. This study investigates how physicians use informal feedback as learning cues to adjust their communication from interactions with patients in the outpatient setting.MethodsTo understand physicians’ use of informal feedback, we combined non-participant ethnographic observations with semi-structured interviews. We enrolled 10 respiratory physicians and observed 100 physician-patient interactions at one academic and one non-academic hospital in the Netherlands. Data collection and analysis were performed iteratively according to the principles of constructivist grounded theory. Our conceptual model describes how physicians use cues to reflect on and adjust their communication as well as to further develop their adaptive expertise.ResultsIn addition to vast variations within and across patient encounters, we observed recurring patterns in physicians’ communications in reaction to specific learning cues. Physicians had learnt to recognise and use different cues to adjust their communication in patient encounters. They established a ‘communication repertoire’ based on multiple patient interactions, which many saw as learning opportunities, contributing to the development of adaptive expertise. Our findings show differences in physicians’ sensitivity to recognising learning opportunities in daily practice which was further influenced by contextual, personal and interpersonal factors. Whereas some reported to have little inclination to change, others used critical incidents to fine-tune their communication repertoire, while others constantly reshaped it, seeking learning opportunities in their daily work.ConclusionsThere is a large variation in how physicians use learning cues from daily practice. Learning from daily practice is a collaborative effort and requires a culture that promotes lifelong learning. Raising physicians’ awareness of experiences as potential learning opportunities might enhance their development of adaptive expertise.

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Percepção do familiar numa unidade pediátrica acerca do cuidado de enfermagem

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i12a238298p3279-3286-2018 ◽

2018 ◽

Vol 12 (12) ◽

pp. 3279

Author(s):

Silvana Possani Medeiros ◽

Aline Rodrigues Costa ◽

Camila Magroski Goulart Nobre ◽

Giovana Calcagno Gomes ◽

Pamela Kath de Oliveira Nornberg ◽

...

Keyword(s):

Content Analysis ◽

Nursing Care ◽

Thematic Analysis ◽

Exploratory Study ◽

Structured Interviews ◽

Analysis Technique ◽

The Family ◽

Qualitative Descriptive ◽

Health Nursing ◽

Positive Factor

RESUMO Objetivo: conhecer a percepção do familiar acerca do cuidado de enfermagem numa unidade pediátrica. Método: trata-se de estudo qualitativo, descritivo, exploratório, com 21 familiares. Coletaram-se os dados por meio de entrevistas semiestruturadas, analisadas pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: considera-se, pela família, a equipe atenciosa e sempre disposta a dedicar auxílio e informações necessárias. Referiu-se, também, que é cuidadosa no momento de lidar com a família. Citou-se, nas reinternações, principalmente de crianças com doenças crônicas, a criação do vínculo como fator positivo. Relataram-se, também, o carinho e o bom acolhimento como demonstrações dos demais profissionais. Conclusão: entende-se que o enfermeiro se deve fazer presente e fornecer um cuidado humanizado à criança e à sua família, visto que se encontram em um período de fragilidade. Descritores: Criança Hospitalizada; Família; Saúde da Criança; Cuidado de Enfermagem; Enfermagem Pediátrica; Enfermagem.ABSTRACTObjective: to know the family's perception about nursing care in a pediatric unit. Method: This is a qualitative, descriptive, exploratory study with 21 relatives. The data were collected through semi-structured interviews, analyzed by the Content Analysis technique in the Thematic Analysis modality. Results: the family considers the staff attentive and always ready to dedicate the necessary help and information. She also mentioned that she is careful when dealing with the family. It was mentioned, in the readmissions, mainly of children with chronic diseases, the creation of the bond as a positive factor. The affection and the welcome were also reported as demonstrations of other professionals. Conclusion: it is understood that the nurse should be present and provide humanized care to the child and his family, as they are in a period of fragility.Descriptors: Hospitalized Child; Family; Child Health; Nursing Care; Pediatric Nursing; Nursing.RESUMEN Objetivo: conocer la percepción del familiar acerca del cuidado de enfermería en una unidad pediátrica. Método: se trata de un estudio cualitativo, descriptivo, exploratorio, con 21 familiares. Se recogen los datos por medio de entrevistas semiestructuradas, analizadas por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se considera, por la familia, el equipo atento y siempre dispuesto a dedicar ayuda e informaciones necesarias. Se refirió, también, que es cuidadosa en el momento de lidiar con la familia. Se ha citado, en las reinternaciones, principalmente de niños con enfermedades crónicas, la creación del vínculo como factor positivo. Se relataron, también, el cariño y la buena acogida como demostraciones de los demás profesionales. Conclusión: se entiende que el enfermero se debe hacer presente y proporcionar un cuidado humanizado al niño y a su familia, ya que se encuentran en un período de fragilidad. Descriptores: Niño hospitalizado; La Familia; Salud del Niño; Atención de Enfermería; Enfermería Pediátrica; Enfermería.

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Nutrition and hydration during labor: a nursing care

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0503201107 ◽

2011 ◽

Vol 5 (3) ◽

pp. 604

Author(s):

Israel Esteves Dias ◽

Silvana Regina Rossi Kissula Souza ◽

Marilene Loewen Wall ◽

Juliana Taques Pessoa da Silveira

Keyword(s):

Content Analysis ◽

Nursing Care ◽

Exploratory Study ◽

Qualitative Approach ◽

Structured Interviews ◽

Analysis Technique ◽

Gastric Contents ◽

Nutrition And Hydration ◽

Controversial Topic ◽

Investigación Cualitativa

ABSTRACTObjective: to verify how nursing care, related to nutrition and hydration in labor, is provided to laboring women. Method: this is about an exploratory study from qualitative approach developed at the obstetric ward of a school hospital in Curitiba city, from August to November 2007, with 10 low risk primiparous, semi-structured interviews were conducted with puerperal women, and analyzed according to Bardin content analysis technique, and five categories emerged. Results: nutrition and hydration during labor is still a controversial topic. Fasting during labor has been considered necessary for many years, due to the fear of gastric contents aspiration during anesthesia, but this is being reassessed by the humanization movement. Conclusion: The humanization of labor care is still a challenge in many hospitals, and nutrition during labor is a caution that should be implemented aiming the improvement of the care for women during childbirth as part of humanized care. Descriptors: labor; nursing care; nutrition; hydration; humanization.RESUMO Objetivo: verificar como ocorre o cuidado de enfermagem à parturiente frente às necessidades de nutrição e hidratação no trabalho de parto. Método: foi realizada uma pesquisa qualitativa exploratória, desenvolvida no centro obstétrico de uma maternidade escola no município de Curitiba, no período de agosto a novembro de 2007, com 10 primíparas de baixo risco, e as entrevistas semi-estruturadas, foram realizadas no puerpério e analisadas segundo Bardin, emergindo 5 categorias. Resultados: a alimentação e hidratação no trabalho de parto é ainda um tema controverso. O jejum durante o trabalho de parto foi considerado durante muito tempo, devido ao receio da aspiração do conteúdo gástrico na anestesia, porém com o movimento de humanização, esta prática está sendo reavaliada. Conclusão: A humanização no trabalho de parto ainda é um desafio em muitas instituições hospitalares e a prática da alimentação no trabalho de parto é um cuidado que deve ser implementado buscando a melhoria da assistência à parturiente como parte do cuidado humanizado. Descritores: trabalho de parto; cuidado de enfermagem; alimentação; hidratação; humanização.RESUMENObjetivo: determinar cómo ocurre el cuidado de la enfermaje a la parturienta frente las necesidades de la nutrición y la hidratación en el trabajo del parto. Método: una investigación cualitativa, de carácter exploratorio, desarrollado en un centro obstetricio de una escuela maternidad en el municipio de Curitiba, en el periodo de agosto hasta septiembre de 2007, con diez primiparas de bajo riesgo. Las encuestas semi-estructuradas, se realizaron en el puerperio y, analisadas según Bardin, surgieron cinco categorías. Resultados: la alimentación y la hidratación en el trabajo del parto sigue siendo un tema controvertido. El ayuno durante el trabajo de parto fue considerado por mucho tiempo, debido al miedo de la aspiracion del contenido gastrico de la anestesia, pero con el movimiento de la humanización, esta pratica sigue en revalorización. Conclusión: la humanización en el trabajo del parto sigue siendo un reto en muchos hospitales y la práctica de la alimentacion en el trabajo del parto es todavia una precaución que se deben implementar con el objetivo de mejorar la assistência y la atención a la parturienta como parte del cuidado humanizado. Descriptores: trabajo del parto; cuidado de enfermería; alimentación; hidratación; humanización.

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A design contribution to the entrepreneurial experience

Conference Proceedings of the Academy for Design Innovation Management ◽

10.33114/adim.2019.c11.115 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Juan David ROLDAN ACEVEDO ◽

Ida TELALBASIC

Keyword(s):

Product Development ◽

Qualitative Analysis ◽

Design Research ◽

Recent Literature ◽

Early Stage ◽

Entrepreneurial Activity ◽

Value Proposition ◽

Structured Interviews ◽

User Centric ◽

Constant Growth

In recent history, different design approaches have been entering fields like management and strategy to improve product development and service delivery. Specifically, entrepreneurship has adopted a user-centric mindset in methodologies like the business canvas model and the value proposition canvas which increases the awareness of the users’ needs when developing solutions. What happens when a service design approach is used to understand the entrepreneurs’ experience through the creation of their startups? Recent literature suggests that entrepreneurial activity and success is conditioned by their local entrepreneurship ecosystem. This study investigates the Entrepreneurship Ecosystem of Medellín, Colombia - an ecosystem in constant growth but that lacks qualitative analysis. The sample consists of 12 entrepreneurs in early-stage phase. The data was gathered with two design research methods: Cultural Probes and Semi-structured interviews. The analysis of the information collected facilitated the development of 4 insights about the entrepreneurs and an experience map to visualise and interpret their journey to create a startup. The results of this study reflected the implications of the ecosystem, the explanation of the users’ perceptions and awareness and propose a set of ideas to the local government to improve the experience of undertaking a startup in Medellín.

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