REVISÃO DE FORMA SISTEMÁTICA DO DESIGN THINKING APLICADO EM DISPOSITIVOS MÉDICOS

Objetivo: Analisar estudos baseados na aplicação do Design Thinking envolvendo dispositivos médicos para discutir a importância das necessidades dos usuários na resolução de problemas relacionados às tecnologias em saúde. Design⏐Metodologia⏐Abordagem: Neste artigo é apresentada uma revisão de forma sistemática da literatura, através do método Systematic Search Flow (SSF), por meio de uma pesquisa nas bases de dados Scopus, IEEE, Pubmed e Scielo. Foram encontradas 161 publicações segundo os critérios de busca e as palavras-chaves definidas. Por fim, foram selecionados seis artigos para a análise dos resultados. Resultados: Os resultados da revisão de forma sistemática mostraram diversas possibilidades de aplicação do Design Thinking no desenvolvimento de dispositivos médicos, desde em dispositivos de classe de risco mais elevado, até mesmo em equipamentos menos complexos, para uso domiciliar, e software para aporte clínico para melhorar a experiência de recém-nascidos, crianças, quanto também para auxiliar o envelhecimento saudável de idosos. Originalidade⏐Valor: O desenvolvimento de novas soluções tecnológicas centradas nos usuários e voltadas para a saúde permitem a aplicação do Design Thinking; especialmente aquelas que envolvem dispositivos médicos para melhorar a segurança e a qualidade das tecnologias de saúde para os usuários, proporcionando melhor usabilidade e compreensão do contexto atual dessas tecnologias na perspectiva dos usuários. Referências Abookire, S., Plover, C., Frasso, R., & Ku, B. (2020). Health Design Thinking: An Innovative Approach in Public Health to Defining Problems and Finding Solutions. Front Public Health, 8(459). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7484480/ Altman, M., Huang, T. T., & Breland, J. Y. (2018). Design Thinking in Health Care. Prev Chronic Dis. Ayah, R., Ong'ech, J., Mbugua, E. M., Kosgei, R. C., Waller, K., & Gathara, D. (2020). Responding to maternal, neonatal and child health equipment needs in Kenya: a model for an innovation ecosystem leveraging on collaborations and partnerships. BMJ Innov, 6. https://doi.org/10.1136/bmjinnov-2019-000391 Brown, T. (2008). Design Thinking. Harvard Business Review. Brown, T. (2010). Design Thinking - Uma metodologia poderosa para decretar o fim das velhas ideias (Traduzida - 2017 ed.). Starlin Alta. Ferenhof, H. A., & Fernandes, R. F. (2016). Desmistificando a revisão de literatura como base para redação científica: método SFF. Revista ACB, 21(3). https://revista.acbsc.org.br/racb/article/view/1194 Flewwelling, C., Easty, A., Vicente, K., & Cafazzo, J. (2014). The use of fault reporting of medical equipment to identify latent design flaws. J Biomed Inform. Jiang, J., Liu, T., Zhang, Y., Song, Y., Zhou, M., Zheng, X., & Yan, Z. (2017). Design and development of an intelligent nursing bed - a pilot project of "joint assignment". Annu Int Conf IEEE Eng Med Biol Soc, 38–41. https://doi.org/10.1109/EMBC.2017.8036757 Marko-Holguin, M., Cordel, S. L., Voorhees, B., Fogel, J., Sykes, E., Fitzgibbon, M., & Glassgow, A. (2019). A Two-Way Interactive Text Messaging Application for Low-Income Patients with Chronic Medical Conditions: Design-Thinking Development Approach. JMIR Mhealth Uhealth, 7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658312/ Organização Mundial da Saúde. (2020). Dispositivo Médico - Definição Completa. Organização Mundial da Saúde. https://www.who.int/medical_devices/full_deffinition/en/ Poncette, A.-S., Spies, C., Mosch, L., Schieler, M., Weber-Carstens, S., Krampe, H., & Balzer, F. (2019). Clinical Requirements of Future Patient Monitoring in the Intensive Care Unit: Qualitative Study. JMIR Med Inform, 7. https://doi.org/10.2196/13064 Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2020). Medical Error Prevention. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK499956/ Shepherd, M. (2004). Clinical Engineering Handbook (1st ed.). Elsevier Academic. Sherman, J., Lee, H. C., Weiss, M. E., & Kristensen-Cabrera, A. (2018). Medical Device Design Education: Identifying Problems Through Observation and Hands-On Training. Des Technol Educ, 23, 154-174. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759072/ Tosi, F., & Rinaldi, A. (2017). Design and Usability of the Next Medical Devices for the Home Care. The Design Journal. https://doi.org/10.1080/14606925.2017.1352722 Van der Cammen, T. J., Albayrak, A., Voûte, E., & Molenbroek, J. F. (2016). New horizons in design for autonomous ageing. Oxford Academic, 46, 11-17. https://doi.org/10.1093/ageing/afw181

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A Two-Way Interactive Text Messaging Application for Low-Income Patients with Chronic Medical Conditions: Design-Thinking Development Approach

JMIR mhealth and uhealth ◽

10.2196/11833 ◽

2019 ◽

Vol 7 (5) ◽

pp. e11833 ◽

Cited By ~ 1

Author(s):

Monika Marko-Holguin ◽

Stephanie Luz Cordel ◽

Benjamin William Van Voorhees ◽

Joshua Fogel ◽

Emily Sykes ◽

...

Keyword(s):

Low Income ◽

Text Messaging ◽

Design Thinking ◽

Chronic Medical Conditions ◽

Medical Conditions ◽

Interactive Text ◽

Development Approach

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Eating NAFTA

10.1525/california/9780520291805.001.0001 ◽

2018 ◽

Cited By ~ 21

Author(s):

Alyshia Gálvez

Keyword(s):

Public Health ◽

Chronic Disease ◽

Low Income ◽

Food System ◽

Dietary Habits ◽

Trade Agreement ◽

Well Being ◽

Health Crisis ◽

The North ◽

The World

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.

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COVID-19 pandemic: the implications of the natural history, challenges of diagnosis and management for care in sub-Saharan Africa

Beni-Suef University Journal of Basic and Applied Sciences ◽

10.1186/s43088-021-00106-x ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Lawrence Omo-Aghoja ◽

Emuesiri Goodies Moke ◽

Kenneth Kelechi Anachuna ◽

Adrian Itivere Omogbiya ◽

Emuesiri Kohworho Umukoro ◽

...

Keyword(s):

Public Health ◽

Natural History ◽

Low Income ◽

Sub Saharan Africa ◽

Low Income Countries ◽

Diagnosis And Management ◽

Severe Acute Respiratory Infection ◽

Identification Technique ◽

Sub Saharan ◽

Policies And Programs

Abstract Background Coronavirus disease (COVID-19) is a severe acute respiratory infection which has afflicted virtually almost all nations of the earth. It is highly transmissible and represents one of the most serious pandemics in recent times, with the capacity to overwhelm any healthcare system and cause morbidity and fatality. Main content The diagnosis of this disease is daunting and challenging as it is dependent on emerging clinical symptomatology that continues to increase and change very rapidly. The definitive test is the very expensive and scarce polymerase chain reaction (PCR) viral identification technique. The management has remained largely supportive and empirical, as there are no officially approved therapeutic agents, vaccines or antiviral medications for the management of the disease. Severe cases often require intensive care facilities and personnel. Yet there is paucity of facilities including the personnel required for diagnosis and treatment of COVID-19 in sub-Saharan Africa (SSA). It is against this backdrop that a review of key published reports on the pandemic in SSA and globally is made, as understanding the natural history of a disease and the documented responses to diagnosis and management is usually a key public health strategy for designing and improving as appropriate, relevant interventions. Lead findings were that responses by most nations of SSA were adhoc, paucity of public health awareness strategies and absence of legislations that would help enforce preventive measures, as well as limited facilities (including personal protective equipment) and institutional capacities to deliver needed interventions. Conclusion COVID-19 is real and has overwhelmed global health care system especially low-income countries of the sub-Sahara such as Nigeria. Suggestions for improvement of healthcare policies and programs to contain the current pandemic and to respond more optimally in case of future pandemics are made herein.

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The Arab region’s contribution to global COVID-19 research: Bibliometric and visualization analysis

Globalization and Health ◽

10.1186/s12992-021-00690-8 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Sa’ed H. Zyoud

Keyword(s):

Public Health ◽

Saudi Arabia ◽

Population Size ◽

Low Income ◽

Research Output ◽

Arab World ◽

The United States ◽

Arab Countries ◽

Public Health Issue ◽

Global Research

Abstract Background At the global level and in the Arab world, particularly in low-income countries, COVID-19 remains a major public health issue. As demonstrated by an incredible number of COVID-19-related publications, the research science community responded rapidly. Therefore, this study was intended to assess the growing contribution of the Arab world to global research on COVID-19. Methods For the period between December 2019 and March 2021, the search for publications was conducted via the Scopus database using terms linked to COVID-19. VOSviewer 1.6.16 software was applied to generate a network map to assess hot topics in this area and determine the collaboration patterns between different countries. Furthermore, the research output of Arab countries was adjusted in relation to population size and gross domestic product (GDP). Results A total of 143,975 publications reflecting the global overall COVID-19 research output were retrieved. By restricting analysis to the publications published by the Arab countries, the research production was 6131 documents, representing 4.26% of the global research output regarding COVID-19. Of all these publications, 3990 (65.08%) were original journal articles, 980 (15.98%) were review articles, 514 (8.38%) were letters and 647 (10.55%) were others, such as editorials or notes. The highest number of COVID-19 publications was published by Saudi Arabia (n = 2186, 35.65%), followed by Egypt (n = 1281, 20.78%) and the United Arab Emirates (UAE), (n = 719, 11.73%). After standardization by population size and GDP, Saudi Arabia, UAE and Lebanon had the highest publication productivity. The collaborations were mostly with researchers from the United States (n = 968), followed by the United Kingdom (n = 661). The main research lines identified in COVID-19 from the Arab world are related to: public health and epidemiology; immunological and pharmaceutical research; signs, symptoms and clinical diagnosis; and virus detection. Conclusions A novel analysis of the latest Arab COVID-19-related studies is discussed in the current study and how these findings are connected to global production. Continuing and improving future collaboration between developing and developed countries will also help to facilitate the sharing of responsibilities for COVID-19 in research results and the implementation of policies for COVID-19.

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A Framework for a New Approach to Empower Users Through Low-Cost and Do-It-Yourself Assistive Technology

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063039 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3039

Author(s):

Thais Pousada García ◽

Jessica Garabal-Barbeira ◽

Patricia Porto Trillo ◽

Olalla Vilar Figueira ◽

Cristina Novo Díaz ◽

...

Keyword(s):

Assistive Technology ◽

Outcome Measures ◽

Design Thinking ◽

Low Cost ◽

Well Being ◽

Pilot Project ◽

Assistive Device ◽

Preliminary Results ◽

Do It Yourself ◽

Principles Of Design

Background: Assistive Technology (AT) refers to “assistive products and related systems and services developed for people to maintain or improve functioning and thereby to promote well-being”. Improving the process of design and creation of assistive products is an important step towards strengthening AT provision. Purpose: (1) to present a framework for designing and creating Low-Cost AT; (2) to display the preliminary results and evidence derived from applying the framework. Methodology: First, an evidence-based process was applied to develop and conceptualize the framework. Then, a pilot project to validate the framework was carried out. The sample was formed by 11 people with disabilities. The measure instruments were specific questionnaire, several forms of the Matching Person-Technology model, the Psychosocial Impact of Assistive Device Scale, and a tool to assess the usability and universal design of AT. Results: The framework integrates three phases: Identification (Design), Creation (Making the prototype), and Implementation (Outcome Measures), based on the principles of Design Thinking, and with a user-centered perspective. The preliminary results showed the coherence of the entire process and its applicability. The matching between person and device was high, representing the importance of involving the user in the design and selection of AT. Conclusions: The framework is a guide for professionals and users to apply a Low-Cost and Do-It-Yourself perspective to the provision of AT. It highlights the importance of monitoring the entire procedure and measuring the effects, by applying the outcome measures.

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USE INTERACTIVE MEDIA TO ENHANCE CREATIVITY OF DESIGNERS BY STIMULATING THE SENSES IN THE CONTEXT OF ART DESIGN EDUCATION

Proceedings of the Design Society ◽

10.1017/pds.2021.593 ◽

2021 ◽

Vol 1 ◽

pp. 3319-3328

Author(s):

Xiaoxiao Liu ◽

Yukari Nagai ◽

Kumi Yabuuchi ◽

Xiuxia Cui

Keyword(s):

Design Education ◽

Design Thinking ◽

Interactive Media ◽

Media Technology ◽

Education Environment ◽

The Senses ◽

Art Design ◽

To Receive ◽

Core Issues

AbstractCreativity is very important for designers, and methods to stimulate designers' creativity are the long-term focus of art design education. The senses are an important channel for designers to receive information and define core issues. Stimulating the designer's senses can help enhance their perception and creativity, and is of great benefit for the quality and efficiency of the design outcome. Today's interactive media technology provides more possibilities and advantages for designers' perception and sensation. The purpose of this research is to explore a way to stimulate the designer's senses through the use of interactive media, thereby improving the designer's design thinking and creativity, and providing designers with innovative design support. By means of interactive ground projection and experiments, and discussion of the advantages of interactive media to stimulate designers' senses, this research proposes innovations in art design educational media, which is valuable for the training and learning of designers and the development of virtual education environment in the future.

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Birth companionship in a government health system: a pilot study in Kigoma, Tanzania

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03746-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Paul Chaote ◽

Nguke Mwakatundu ◽

Sunday Dominico ◽

Alex Mputa ◽

Agnes Mbanza ◽

...

Keyword(s):

Low Income ◽

Pilot Project ◽

Low Income Countries ◽

Respectful Maternity Care ◽

Health Providers ◽

Structured Interviews ◽

Government Officials ◽

Government Health ◽

Project Data ◽

Birth Companion

Abstract Background Having a companion of choice throughout childbirth is an important component of good quality and respectful maternity care for women and has become standard in many countries. However, there are only a few examples of birth companionship being implemented in government health systems in low-income countries. To learn if birth companionship was feasible, acceptable and led to improved quality of care in these settings, we implemented a pilot project using 9 intervention and 6 comparison sites (all government health facilities) in a rural region of Tanzania. Methods The pilot was developed and implemented in Kigoma, Tanzania between July 2016 and December 2018. Women delivering at intervention sites were given the choice of having a birth companion with them during childbirth. We evaluated the pilot with: (a) project data; (b) focus group discussions; (c) structured and semi-structured interviews; and (d) service statistics. Results More than 80% of women delivering at intervention sites had a birth companion who provided support during childbirth, including comforting women and staying by their side. Most women interviewed at intervention sites were very satisfied with having a companion during childbirth (96–99%). Most women at the intervention sites also reported that the presence of a companion improved their labor, delivery and postpartum experience (82–97%). Health providers also found companions very helpful because they assisted with their workload, alerted the provider about changes in the woman’s status, and provided emotional support to the woman. When comparing intervention and comparison sites, providers at intervention sites were significantly more likely to: respond to women who called for help (p = 0.003), interact in a friendly way (p < 0.001), greet women respectfully (p < 0.001), and try to make them more comfortable (p = 0.003). Higher proportions of women who gave birth at intervention sites reported being “very satisfied” with the care they received (p < 0.001), and that the staff were “very kind” (p < 0.001) and “very encouraging” (p < 0.001). Conclusion Birth companionship was feasible and well accepted by health providers, government officials and most importantly, women who delivered at intervention facilities. The introduction of birth companionship improved women’s experience of birth and the maternity ward environment overall.

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Towards a signature pedagogy for design and technology education: a literature review

International Journal of Technology and Design Education ◽

10.1007/s10798-021-09667-5 ◽

2021 ◽

Author(s):

Matt McLain

Keyword(s):

Technology Education ◽

Professional Education ◽

Design Education ◽

Design Thinking ◽

Deep Structure ◽

Project Based Learning ◽

Design And Technology ◽

Environment Design ◽

Design And Technology Education ◽

Signature Pedagogy

AbstractDrawing on the work of Lee Shulman, this article reviews literature exploring the concept of signature pedagogies, which are described as having have surface, deep and implicit structures. These structures are complex and changing; concerned with habits of head, hand and heart. Emerging from professional education and now being explored in STEM and Humanities education, they are characteristic forms of teaching and learning that are common across a sector. Common themes emerge from within a range of disciplines including art, built environment, design, music, religious, social work and teacher education. These include the roles of the curriculum, the teacher, the learning environment, as well as capability, uncertainty and the challenges associated with signature pedagogies. Focusing on literature from design education, the paper explores the nature of signature pedagogy in design and technology, as a tool for professional discourse. The conclusions propose a discursive framework for design and technology education in which the structures are tied together by the three fundamental activities of ideating, realising and critiquing; more commonly thought of as designing, making and evaluating. The deep structure being project-based learning, undergirded by the implicit values and attitudes associated with design thinking; including collaboration, creativity, empathy, iteration and problem solving. Design and technology education has something unique to offer the broad and balanced curriculum through its signature pedagogies and the way that knowledge is experienced by learners.

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