‘Legacy: Participatory Music Practices with Elderly People as a Resource for the Well-being of Healthcare Professionals’ was a qualitative research project into the learning and well-being of hospital nurses and nursing home caregivers working with vulnerable elderly people and participating in live music practices Meaningful Music in Healthcare (MiMiC) and Music and Dementia in the Netherlands.The data collection (2016-2019) employed an ethnographic approach and data triangulation of participant observation, episodic interviews and group discussions. The constructivist grounded theory approach to data analysis proceeded from sensitising concepts to initial and focused coding, ultimately reconstructed into a thick description merging empirical data, theory and the researcher’s interpretations. The emerging core categories, Participation, Experience and Learning Benefits, were conceptualised within an epistemological framework of philosophical pragmatism.The findings suggest that, through an emerging community of practice, healthcare professionals could collaborate with musicians to connect with patients or residents. The collaboration enabled the use of shared musical experiences as a resource for compassionate care. Still, allowing oneself to participate musically and showing emotional vulnerability were challenging. The accumulation of ‘experiencing’ and collegial encouragement supported healthcare professionals’ participation beyond their professional performance.Person-centred music-making resonated with the values of person-centred care. It enabled healthcare professionals to take time and become engaged with patients or residents in musical situations. Healthcare professionals described gaining new understandings of the patients or residents and each other, which could be seen promoting a cultural shift from task-centredness towards relationship-focused person-centred care.Musicians’ communication provided new professional insights into teamwork. Also, observing patients and residents’ responses to the music evoked sympathetic joy in healthcare professionals. Looking through the eyes of ‘the other’ was central for nurses and caregivers’ meaning-making of the value of music-making and awareness of its impact on patients, residents and themselves. The perceived benefits of the music practices for healthcare professionals’ job resources and satisfaction seemed connected to changes in care relationships, work atmosphere, sense of mindfulness and recognition.The conclusions of the research suggest that participatory music practices might be considered as supportive of delivering person-centred care. The findings could be applied in training programmes and professional development of musicians, nurses and caregivers.
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Designers have grown increasingly interested in social consequences of new technologies. As social impacts become increasingly important it might be fruitful to understand how social impacts develop and how a designer can anticipate these consequences. In health care practices, for instance, it is important to control unintended social impacts at forehand. Social impact is an outcome of the mediating effect of a technology with its social environment. Human behaviour in a social environment can be analysed from the perspective of a social ecological system. To anticipate social impacts simulations of social practices are needed. To simulate practices the persona approach has been adapted to a screenplay approach in which the elements of a social ecology are used to gain a rich description of a social environment. This has been applied for a 'Heart Managers' case. It was concluded that the screenplay approach can be used for a systematic simulation of future social impacts.
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This study examines how philanthropic foundations develop innovative approaches to grant-making by collaborating with social entrepreneurs who are embedded in marginalized communities. Traditionally, foundations award grants that meet predetermined strategic objectives that support their theories of change. However, this study explores an alternative approach known as participatory grant-making, in which philanthropic foundations cede control over strategy and finance by adopting an innovative approach that is based more on trust and collaboration. By analyzing in-depth interviews from 16 executives, directors, and social entrepreneurs in the United States, we demonstrate how participatory grant-making constitutes a social innovation that inverts traditional power dynamics in the philanthropic field by enhancing legitimacy, and thereby facilitating a more interconnected, inclusive, and equitable approach to solving social problems. This article demonstrates how the implementation of participatory grant-making programs can help to counter the increasing criticisms levied at traditional approaches to grant-making.
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The pace of technology advancements continues to accelerate, and impacts the nature of systems solutions along with significant effects on involved stakeholders and society. Design and engineering practices with tools and perspectives, need therefore to evolve in accordance to the developments that complex, sociotechnical innovation challenges pose. There is a need for engineers and designers that can utilize fitting methods and tools to fulfill the role of a changemaker. Recognized successful practices include interdisciplinary methods that allow for effective and better contextualized participatory design approaches. However, preliminary research identified challenges in understanding what makes a specific method effective and successfully contextualized in practice, and what key competences are needed for involved designers and engineers to understand and adopt these interdisciplinary methods. In this proposal, case study research is proposed with practitioners to gain insight into what are the key enabling factors for effective interdisciplinary participatory design methods and tools in the specific context of sociotechnical innovation. The involved companies are operating at the intersection between design, technology and societal impact, employing experts who can be considered changemakers, since they are in the lead of creative processes that bring together diverse groups of stakeholders in the process of sociotechnical innovation. A methodology will be developed to capture best practices and understand what makes the deployed methods effective. This methodology and a set of design guidelines for effective interdisciplinary participatory design will be delivered. In turn this will serve as a starting point for a larger design science research project, in which an educational toolkit for effective participatory design for socio-technical innovation will be designed.
Climate change adaptation has influenced river management through an anticipatory governance paradigm. As such, futures and the power of knowing the future has become increasingly influential in water management. Yet, multiple future imaginaries co-exist, where some are more dominant that others. In this PhD research, I focus on deconstructing the future making process in climate change adaptation by asking ‘What river imaginaries exist and what future imaginaries dominate climate change adaptation in riverine infrastructure projects of the Meuse and Magdalena river?’. I firstly explore existing river imaginaries in a case study of the river Meuse. Secondly, I explore imaginaries as materialised in numerical models for the Meuse and Magdalena river. Thirdly, I explore the integration and negotiation of imaginaries in participatory modelling practices in the Magdalena river. Fourthly, I explore contesting and alternative imaginaries and look at how these are mobilised in climate change adaptation for the Magdalena and Meuse river. Multiple concepts stemming from Science and Technology Studies and Political Ecology will guide me to theorise the case study findings. Finally, I reflect on my own positionality in action-research which will be an iterative process of learning and unlearning while navigating between the natural and social sciences.
Participatieve methoden zijn een steeds meer erkende vorm om sociale, technische en politieke maatschappelijke uitdagingen te onderzoeken. Kunst, design en digitale media hebben potentieel voor het ontwikkelen van positieve relaties tussen verschillende belanghebbenden en nieuwe perspectieven op gedeelde (publieke) ruimtes. Een van die methoden is het creëren en faciliteren van gemedieerde dialogen. Dit instrument wordt gezien als belangrijk instrument om in gezamenlijkheid onze toekomst te bepalen en ruimte te maken voor diversiteit en verschillende perspectieven in gesprek. In dit project onderzoek ik hoe dit instrument optimaal vormgegeven en ingezet kan worden, en hoe digitale technologie daarin kan mediëren. In dit onderzoek verhoud ik me met name tot de participatory design aanpak en dialogic art aanpak. Hoewel deze aanpakken uit kunst en design zeer krachtig kunnen zijn, roepen het ontwerp en de inzet van digitaal gemedieerde dialogen ook vragen op. De centrale vraag is: Hoe kan de digitaal gemedieerd dialoog op een inclusieve manier gefaciliteerd worden in dialogic art practices en hoe kan gedeeld eigenaarschap gestimuleerd worden in het ontwerp van deze gemedieerde dialoog?
