Designing for the Complex Ecology of Care
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Transcript of Designing for the Complex Ecology of Care
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Objectives: participants will be able to:
Identify interpretations of models of care (MC). Discuss how MC can be integrated into hospital design. Discuss how MC and design can accommodate clinical
complexity.
Articulate how MCs and design can create or constrain workpractice.
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Outcomes: participants will be able to:
Articulate how a Model of Care (MC) may be interpreted bydifferent groups involved in the development/ design phase.
Discuss what these interpretations might mean for hospital design. Formulate a design solution that is congruent with a MC. Articulate the links between a MC, design, and work practices.
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Define services to be provided and the manner of deliveryArticulate clinical, staff, and patient requirementsIdentify resources required for implementation and ongoing review
Davidson, P., Halcomb, E. Hickman, L. Phill ips, J. Graham, B. (2006). Beyond the Rhetoric: What do
we mean by model of care? Australian Journal of Advance Nursing. 23:3
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Structure work
Requires an understanding of work
Improve performance
Requires an understanding of goals
Shape, and reflect corporate and
social identities
Requires reflection on who we are
and who we want to become
Assessment of need
Incorporate evaluation
Optimal, equitable utilisation ofhealth resources
Inclusive of all stakeholders
Reflection & Translation
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Where and when do MCs sit in the development & design phases?
How are they applied?
OccupancyConstructionArchitectualinput,
building
design
ProjectDefinition
Plans
FunctionalRequirements
MC 1 Implement MCMC 2 MC 3
Project timeline & relationto MC development
Case Study 1 & 2 Case Study 3
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Objective (1) Identify interpretations of models of care (MC).
In your groups formulate a definition offamily centered care
What does your definition offamily centered care mean for a pediatric
intensive care service?
Services provided?Patient characteristics?Principles of care?
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Television ad, of architectural practice
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Objective (2) Discuss how MCs can be integrated into hospital design.
Using your group definitions offamily centered care, plan and design a
PICU/ single room.
How would your group incorporate stakeholder feedback (provided on your
work sheets) into the following issues?
What amenities could you provide?How would you organise this space?How does your design relate to your MC?
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Where and when do MCs sit in the development & design phases?
How are they applied?
OccupancyConstruction
Architectual
input,building
design
ProjectDefinition
Plans
FunctionalRequirements
MC 1 Implement MCMC 2 MC 3Project timeline & relationto MC development
Case Study 1 & 2 Case Study 3
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Objective (3) Discuss how MC and design can accommodate clinical
complexity.
Objective (4) Articulate how MCs and design can create or constrain workpractice.
After viewing the footage of a intensive care service think about the mostpervasive factors in clinical practice.
How might these factors be accommodated into yourdesign?
Where are services provided?Where is care coordinated?Who is this space designed for?
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Film of Busy ICU
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Models of Care:
Can inform the development and design of health facilities.Can foster understanding between professional groups.
Design:
Can be a reflection of organisational/ care philosophyCan enable or constrain opportunities for care planning, coordination,and delivery
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Where the rubber meets the road
There is a need to understand how health facilities are populatedand operate.
This understanding can marry the realities of service provision andour aspirations for health facility architecture.
Today you have:
Articulated how models of care can be interpreted.Integrated your interpretations in the design of PICU.Discussed how our aspirations for a space can impact on therealities of service provision.
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At each point in the planning/ design process there is a need for
communication between:PlannersArchitects/ designersCliniciansPotential end users
Throughout the process there is also the need to:
Examine how clinical work is currently undertakenArticulate and evaluate our expectations for the future of clinicalservice delivery
How can these objectives be achieved?
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Raising expectations and firing theimagination
Images of historical and contemporary hospitals.
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