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Design as a Change Agent in Care - 2021 presentation
Professor Evonne Miller leads the QUT Design Lab, focusing on using design as a change agent in healthcare. The lab collaborates on various projects that address complex health challenges through innovative design methods, particularly after the impacts of COVID-19. Their work includes designing for health, cultural safety, and enhancing the rehabilitation experience, aiming to meet the evolving needs of a growing and aging population.
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Design as a Change Agent in Care - 2021 presentation
- 1. Professor Evonne Miller DirectorQUT Design Lab Faculty of Creative Industries, Education & Social Justice Design as a Change Agent in Care @evonnephd
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- 3. Forging a NewPath - Prof of Design Psychology? • BA(Hons) & PhD – Psychology (University of Otago, NZ) • BCom (Marketing) • QUT – 2004, Centre for Social Change Research • School of Design, QUT – 2007 – present (14 years) Human- Centered Systems Perspective Change DESIGN PSYCHOLOGY Future Comfortable with Uncertainty Creative / Intuition Engagement Co-Design Quantitative – Trad. not qualitative Predictive Hypothesis Experimental / Science LIFE-LONG LEARNER!!! MARKETING Creation & Communication of Value Consumers
- 4. CRICOS No.00213J MANAGEMENT TEAM ProfEvonne Miller – Centre Director 4 PROGRAMS • Emerging Technologies • Dr Jared Donovan • A/Prof Glenda Caldwell • Design Robotics & Digital Fabrication • A/Prof Markus Rittenbruch • A/Prof Veronica Garcia Hansen • Designing for Health • A/Prof Marianella Chamorro-Koc • Dr Lindy Osborne Burton • Resilient Communities • A/Prof Debra Cushing • A/Prof Sean Maher “change by design" QUT Design Lab We are a collaborative, cross-disciplinary community of designers, engineers, roboticists, creative thinkers, makers, artists, health practitioners and innovators, who work together to speculate, imagine, design, and innovate – to reimagine and co-create a better future.
- 5. use design tosolve complex, wicked problems
- 6. How do arts-anddesign-led methods respond to the complexity of human experiences, enhance models of care, and promote healthcare innovation in our post-COVID world—locally, regionally and globally? Designing for Health Program HEAL – The Heathcare Excellence AcceLerator
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- 8. 01. Design Thinking,Design Doing, Design Visioning in HEAL
- 9. THE ORIGINS: ENGAGINGHEALTHCARE WITH DESIGN - 2019 QUT Design Week (SAVE THE DATE: 6-9 July - 2021) 2019 1. Immersion in Design Methods & Mindsets 2. Rapid COLLABORATION & Co-Design Pitches https://research.qut.edu.au/heal/
- 10. 20+ HEAL Projects; 6HHS ACROSS QLD INDUSTRIAL DESIGN: • Paediatric Pain Assessment & PPE, Interactive CPR Mannequin; Podiatry Footwear VISUAL COMMUNICATION & INTERACTION: • QCH Entertainment Precinct; Project RedUCE (REDucing Urine Contamination in Emergency) Cultural Safety; Telehealth Uptake. INTERIOR ARCHITECTURE & ARCHITECTURE: Co-designing a healing environment for families and staff in the PICU; Birth Suite Entry and Main Corridor; Emergency Department Entrances and Exits DESIGN THINKING: CEQ Fellows’ Design Thinking Training Program; The Pain Pressure Cooker; The Rehabilitation Journey Designers are creative thinkers, makers and creators, innovators, and agents of change – comfortable with uncertainty, we traverse multiple ‘disciplinary edges’ to create innovative interventions for systemic and behavioural change https://research.qut.edu.au/heal/
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- 12. PROJECT 1: Connecting RehabServices Across West Moreton WMH have the fastest growing population in Queensland – doubling to 587,000 by 2036, with an ageing population – so models of care need to evolve THE CHALLENGE - WMH have the fastest growing population in Queensland – doubling to 587,000 by 2036, with an ageing population – so models of care need to evolve
- 13. Connecting Rehab ServicesAcross West Moreton Using arts and design methods to raise awareness, knowledge, and dialogue about the rehabilitation journey at West Moreton HHS 1. Co-Design Workshop (March) 2. Photovoice and Rehab Experience Video (April) 3. Exhibition - Ipswich Hospital (May) ORG CULTURE ON THE WALLS: This picture is just outside the patient rehab room - what do you see? “Sometimes, we play a little game – and put this picture upside down, until another staff member notices.. which can take weeks. Look – it’s upside down"
- 14. PART ONE Understanding theSystem ACTIVITY ONE: Individual “Exceptional Moments” 10 mins 1. Sketch a Moment of Exceptional Practice (4 mins) Recall a special moment of exceptional practice when you were really engaged, excited, & proud of your work. Take 4 mins to remember & draw this experience. Add a title, key descriptors (dot points) & your name (optional) 2. Table Share (3 mins) Share your exceptional experience with the group: what were the common themes? Pick one story that illustrates the shared themes. 3. Joint Analysis (3 mins): Each table shares one story to the other groups. As a table respond to the question - What does a great rehab experience look like? - Write it down on a sheet for the research team to collect with your drawings to pin to the walls. End of Activity: Project Team - Stick Activity Sheets to the Walls.
- 17. Critical Step of Design Thinking: Empathize Wemust understand the rehab experience from the perspective of our patients, and their families – enter - Don & Ruby and Clara
- 18. PART ONE Understanding theSystem ACTIVITY TWO: Empathy Journey Mapping through Storyboard 30 mins 1. Create a Comic (~ 20 mins) – on Don/Ruby or Clara’s Rehab Journey: what do they THINK / FEEL / DO / SAY (THEIR PAINS/ GAINS) As a group select one of the two personas (or develop your own) to develop into a patient journey of transitioning between facilities through the medium of a comic strip. Spend 5-10 mins developing a storyline which considers journey of chosen persona: - best case / worst case scenario (or combination); and - the different stages of engaging with rehab system (Before, During, After) Spend 10 mins creating and drawing storyboard/comic. Create name & pin-up 2. Gallery (10 mins): Using callout cards - add scenes or comments to other groups Components of a Comic Strip: Sequence of Scenes ● i.e. moments in a story. Narration Captions ● Thought Clouds ● Speech Bubbles OMG - a lion!!! Pete! There’s a lion chasing me - run! Looks like a house cat to me... Adam takes himself for a leisurely stroll around his neighbourhood.
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- 21. SYSTEM ANALYSIS Surfacing Hopes, Fears,Myths & Legends – from staff & patient perspective
- 22. PROJECT 2: VirtualOutpatient Integration for Chronic Disease (VOICeD) Allows patients with chronic disease to see multiple healthcare providers at one appointment via telehealth – while telehealth is increasingly common, this is the first-time patients could virtually see multiple specialists (Diabetes–Renal–Cardiac) in one multi-specialist virtual cliinc - true care integration. - journey mapping of the experience - co-design workshop with potential users in Cairns - tested the tele-health experience with these users, - advised on process & design of communication materials (eg booking letter) TEAM: Dr Gaurav Puri (Cairns & Hinterland HHS), Jessica Cheers, Prof Evonne Miller
- 23. DREAM BIG FESTIVAL:One-hour rapid design workshop - the Pain Pressure Cooker
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- 25. Driving Innovation - DesignDoing Personal Protective Equipment (PPE) has become ubiquitous in 2020 due to COVID-19 - but PPE can be scary, unfriendly, and confronting for children. Working with Sunshine Coast University Hospital and Queensland Children’s Hospital, this project aims to develop less frightening PPE for the staff to wear, so that the children they interact with are less afraid. INDUSTRIAL DESIGN - A/Prof Marianella Chamorro-Koc
- 26. QCH: Playful Placemaking & Wayfinding– Level 6 Entertainment Precinct Driving Innovation - Design Doing QUT LED: Dr Jen Seevinck, Interaction Design & Visual Communication
- 27. Driving Innovation - DesignDoing QCH: Playful Placemaking & Wayfinding. Level 6 Entertainment Precinct QUT LED: Dr Jen Seevinck, Interaction Design & Visual Communication
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- 29. • Site Audit& Observation • Parent and Staff Engagement & Storytelling Patient/Staff Foyer Interactive Static Display Station Shadow Safaris/Day-in-the-Life Parent Pack (Videos, Photovoice, etc) Co-Design Workshop with Staff & Past Parents • 3) Interior Redesign Concept Proposal • 4) Placemaking & Wayfinding Redesign Concept Proposal PICU - Co-designing a healing environment for families and staff QUT LED: Dr Natalie Wright Interior Design
- 30. Animating Cultural Safety- working with the Aboriginal and Torres Strait Islander Leadership Team at Metro North Hospital and Health Service to create a series of short, provocative animated videos on cultural safety for clinicians – cultural awareness, cultural sensitivity and cultural safety QUT LED: Dr Manuela Taboada Visual Communication
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- 32. Miller, E &Polson, D. (2019). Apps, Avatars, and Robots: The Future of Mental Healthcare. Issues in Mental Health Nursing, 40(3), 208-214.
- 33. METHODS / TOOLS- one new approach THEORY – STORMING IN PARTICIPATORY WORKSHOPS Cushing, D.& Miller, E. (2020). Creating Great Places: Evidence- based urban design for health and wellbeing. Routledge.
- 34. Cushing, D.& Miller,E. (2020). Creating Great Places: Evidence- based urban design for health and wellbeing. Routledge.
- 35. Inspired by deBono’s Six Thinking Hats How can we make engaging with theory – evidence-based design – fun?
- 36. PUT ON THEHAT OF EACH THEORY
- 37. Theory-Storming in Action– ‘Design a Utopian Place’ Cushing, D.& Miller, E. (2020). Creating Great Places: Evidence- based urban design for health and wellbeing. Routledge. QLD DEPART. OF HOUSING, HOMELESSNESS & SPORT (HHS)
- 38. Theory-Storming Innovative, Health-PromotingPlaces Miller, E. & Cushing, D. (in press). Theory-Storming in the Urban Realm: Using Nudge Theory to inform the design of health- promoting places for all ages. The Journal of Design Strategies.
- 39. 02. Arts-based researchis memorable storytelling Arts-Based Research (ABR) is the process of integrating creative arts into research
- 40. Shocking revelations inthe media about abuse and neglect of vulnerable older people living in aged care triggered a 2019 Royal Commission into Aged Care Quality and Safety. Interim Report Neglect states: ”As a nation, Australia has drifted into an ageist mindset that undervalues older people…. Left out of sight and out of mind, these important services (aged care) are floundering. … All to often, they are unsafe and seemingly uncaring. This must change” Mandate for Rapid Change: 2019-2021. Royal Commission into Aged Care Quality and Safety
- 41. AGED CARE DURINGCOVID-19 a period of isolation with parallels to living in aged care
- 42. PROJECT 1. InsideAged Care 2013-17 Australian Research Council Linkage Project (LP130100036) & Ballycara Chief Investigators: Prof Evonne Miller, Prof Laurie Buys & Nicole Devlin. Research Fellow: Geraldine Donoghue Photographer/PhD Student: Tricia King Research Team: Dr Lorraine Bell; Dr Deborah Oxlade; Dr Kirralie Houghton insideagedcareproject.wordpress.com nsight & empathy via my P3 method: photovoice, documentary photography & research poetry
- 43. Method INTERVIEWS OBSERVATION PHOTOVOICE POETIC INQUIRY FOCUS GROUPS WORKSHOPS/ ARTS DAY Includes in-situ interviews combination of repeated in-depth semi structured and open ended Cohort RESIDENTIAL (NURSING HOME) RESIDENTIAL WITH DEMENTIA RETIREMENT VILLAGE RESPITE CARE COMMUNITY FAMILY STAFF THE “INSIDE AGED CARE” PROJECT - QUALITATIVE CASE STUDY 180+ formal & informal interviews and photovoice meetings 6 PV workshops & 150 hours observation
- 44. powerful combination ofphotovoice & research poetry WHY PARTICIPATORY CREATIVE ARTS-BASED RESEARCH METHODS? THEIR POWER, IMPACT, COMMUNATIVE & PARTICIPATORY PROCESSES insideagedcareproject.wordpress.com
- 45. Poetic Inquiry –creating poem-like prose from interview transcripts
- 46. You could screamthe place down My family said I was too old to be on my own, that I needed organizing. You lose everything you lose everything to come in here. You only have the barest minimum there’s not much here. It is not nice, not nice at all. It is not good for me. I can’t get out. That’s what you lose, when you come in. All your independence is taken away from you. I’m not able to do it myself. That’s very hard to take, you get so frustrated at times you could scream the place down ‘Scream the place down’ insideagedcareproject.wordpress.com
- 47. The Power ofa Photograph – Pearl’s Room
- 48. “Oh it’s amess, but I know where everything is. I’ve got all my secrets in here” Pearl
- 49. ARC DISCOVERY GRANT– 2021-2023 Amplifying voices from the Royal Commission into Aged Care
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- 51. Professor Evonne Miller DirectorQUT Design Lab Faculty of Creative Industries, Education & Social Justice Design as a Change Agent in Care @evonnephd
- 52. Idris Mootee (2013)..Design Thinking for Strategic Innovation : What They Can't Teach You at Business or Design School. John Wiley & Sons. p.95.