Designing For The Complex Ecology Of Care
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- Words: 685
- Pages: 27
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 MC’s and design can create or constrain work practice.
Outcomes: participants will be able to: – Articulate how a Model of Care (MC) may be interpreted by different 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.
• Define services to be provided and the manner of delivery • Articulate clinical, staff, and patient requirements • Identify resources required for implementation and ongoing review
Davidson, P., Halcomb, E. Hickman, L. Phillips, J. Graham, B. (2006). Beyond the Rhetoric: What do we mean by ‘model of care’? Australian Journal of Advance Nursing. 23:3
Reflection & Translation
Structure work Requires an understanding of work
Assessment of need Incorporate evaluation
Improve performance Requires an understanding of goals
Optimal, equitable utilisation of health resources
Shape, and reflect corporate and social identities Requires reflection on who we are and who we want to become
Inclusive of all stakeholders
Where and when do MCs sit in the development & design phases? How are they applied? Case Study 1 & 2
Functional Requirements
Project timeline & relation to MC development
Project Definition Plans
MC 1
Architectual input, building design
MC 2
MC 3
Construction
Case Study 3
Occupancy
Implement MC
Objective (1) Identify interpretations of models of care (MC). In your groups formulate a definition of ‘family centered care’ What does your definition of family centered care mean for a pediatric intensive care service? • Services provided? • Patient characteristics? • Principles of care?
Television ad, of architectural practice
Objective (2) Discuss how MCs can be integrated into hospital design. Using your group definitions of ‘family 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?
Where and when do MCs sit in the development & design phases? How are they applied? Case Study 1 & 2
Functional Requirements
Project timeline & relation to MC development
Project Definition Plans
MC 1
Architectual input, building design
MC 2
MC 3
Construction
Case Study 3
Occupancy
Implement MC
Objective (3) Discuss how MC and design can accommodate clinical complexity. Objective (4) Articulate how MC’s and design can create or constrain work practice. After viewing the footage of a intensive care service think about the most pervasive factors in clinical practice. How might these factors be accommodated into your design? • Where are services provided? • Where is care coordinated? • Who is this space designed for?
Film of Busy ICU
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 philosophy • Can enable or constrain opportunities for care planning, coordination, and delivery
Where the rubber meets the road… • There is a need to understand how health facilities are populated and operate. • This understanding can marry the realities of service provision and our 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 the realities of service provision.
At each point in the planning/ design process there is a need for communication between: • Planners • Architects/ designers • Clinicians • Potential end users Throughout the process there is also the need to: • Examine how clinical work is currently undertaken • Articulate and evaluate our expectations for the future of clinical service delivery How can these objectives be achieved?
Raising expectations and firing the imagination
Images of historical and contemporary hospitals.
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 MC’s and design can create or constrain work practice.
Outcomes: participants will be able to: – Articulate how a Model of Care (MC) may be interpreted by different 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.
• Define services to be provided and the manner of delivery • Articulate clinical, staff, and patient requirements • Identify resources required for implementation and ongoing review
Davidson, P., Halcomb, E. Hickman, L. Phillips, J. Graham, B. (2006). Beyond the Rhetoric: What do we mean by ‘model of care’? Australian Journal of Advance Nursing. 23:3
Reflection & Translation
Structure work Requires an understanding of work
Assessment of need Incorporate evaluation
Improve performance Requires an understanding of goals
Optimal, equitable utilisation of health resources
Shape, and reflect corporate and social identities Requires reflection on who we are and who we want to become
Inclusive of all stakeholders
Where and when do MCs sit in the development & design phases? How are they applied? Case Study 1 & 2
Functional Requirements
Project timeline & relation to MC development
Project Definition Plans
MC 1
Architectual input, building design
MC 2
MC 3
Construction
Case Study 3
Occupancy
Implement MC
Objective (1) Identify interpretations of models of care (MC). In your groups formulate a definition of ‘family centered care’ What does your definition of family centered care mean for a pediatric intensive care service? • Services provided? • Patient characteristics? • Principles of care?
Television ad, of architectural practice
Objective (2) Discuss how MCs can be integrated into hospital design. Using your group definitions of ‘family 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?
Where and when do MCs sit in the development & design phases? How are they applied? Case Study 1 & 2
Functional Requirements
Project timeline & relation to MC development
Project Definition Plans
MC 1
Architectual input, building design
MC 2
MC 3
Construction
Case Study 3
Occupancy
Implement MC
Objective (3) Discuss how MC and design can accommodate clinical complexity. Objective (4) Articulate how MC’s and design can create or constrain work practice. After viewing the footage of a intensive care service think about the most pervasive factors in clinical practice. How might these factors be accommodated into your design? • Where are services provided? • Where is care coordinated? • Who is this space designed for?
Film of Busy ICU
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 philosophy • Can enable or constrain opportunities for care planning, coordination, and delivery
Where the rubber meets the road… • There is a need to understand how health facilities are populated and operate. • This understanding can marry the realities of service provision and our 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 the realities of service provision.
At each point in the planning/ design process there is a need for communication between: • Planners • Architects/ designers • Clinicians • Potential end users Throughout the process there is also the need to: • Examine how clinical work is currently undertaken • Articulate and evaluate our expectations for the future of clinical service delivery How can these objectives be achieved?
Raising expectations and firing the imagination
Images of historical and contemporary hospitals.
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