Closing the loop of products and materials in Product Service Systems (PSS) can be approached by designers in several ways. One promising strategy is to invoke a greater sense of ownership of the products and materials that are used within a PSS. To develop and evaluate a design tool in the context of PSS, our case study focused on a bicycle sharing service. The central question was whether and how designers can be supported with a design tool, based on psychological ownership, to involve users in closing the loop activities. We developed a PSS design tool based on psychological ownership literature and implemented it in a range of design iterations. This resulted in ten design proposals and two implemented design interventions. To evaluate the design tool, 42 project members were interviewed about their design process. The design interventions were evaluated through site visits, an interview with the bicycle repairer responsible, and nine users of the bicycle service. We conclude that a psychological ownership-based design tool shows potential to contribute to closing the resource loop by allowing end users and service provider of PSS to collaborate on repair and maintenance activities. Our evaluation resulted in suggestions for revising the psychological ownership design tool, including adding ‘Giving Feedback’ to the list of affordances, prioritizing ‘Enabling’ and ‘Simplification’ over others and recognize a reciprocal relationship between service provider and service user when closing the loop activities.
DOCUMENT
Extending the lifespan of products can be approached in several ways. One promising way is to give users a greater sense of ownership of the products that are used. In the context of Product Service Systems (PSS), products are often used temporarily, shared with others, and offered through a technology-mediated environment. Not much is known about psychological ownership in this context. To evaluate psychological ownership affordances as an intermediate knowledge tool in the context of PSS, we started a case study focused on a bicycle sharing service of The Student Hotel (TSH). The central question was how a design approach, based on psychological ownership, can help to redesign the bicycle-service of TSH to contribute to extended lifespans of the bicycles. This resulted in ten exemplary designs as project outcomes and two implemented design interventions in a TSH branch. All project members and stakeholders (app supplier X-bike and Roetz-bikes mechanics) and students of Eindhoven University of Technology (TU/e) and Utrecht University of Applied Sciences (HU) (n=42) were interviewed on process efficiency, process quality and design quality at the end of the collaboration. We performed a qualitative analysis to identify when and how the team members applied the design tool, how these obstructed or supported the design process, and if the team members show shared understanding of the behavioral and/or social consequences of their decisions. The results show both top-down and bottom-up insights, leading to four suggestions for adapting the existing model as an intermediate knowledge tool: (1) being more goal-oriented, (2) consider a hierarchy of affordances, (3) consider to add a new affordance and (4) recognize a more active role of the service provider.
DOCUMENT
DOCUMENT
Survivors of father–daughter incest often suffer from complex trauma and sensory insensitivity, making it difficult to decipher the sensations in the body and experience body ownership, self-location and agency. This case study illustrates how sensory focused, Trauma-Centred Developmental Transformations can help restore or develop a bodily self, desensitize fear-based schemas, revise deeply buried beliefs and extend repertoire.
DOCUMENT
In 2023 heeft de gemeente Leiden een burgerberaad over de energietransitie georganiseerd. In dit rapport leest u de bevindingen van het onderzoek naar dit burgerberaad. Het beraad bestond uit een serie bijeenkomsten waarin een gelote, vaste groep deelnemers adviezen formuleerde, waarbij de volgende vraag centraal stond: Hoe kunnen we als gemeente en bewoners sneller stappen zetten richting minder en schonere energie? Het doel van dit onderzoek is leren van de ervaringen die met het burgerberaad zijn opgedaan. Het onderzoek heeft drie doelstellingen; 1) het beschrijven van de opzet (methodiek) van het burgerberaad, 2) inzicht verkrijgen in de ervaringen van deelnemers aan het burgerberaad en 3) inzicht verkrijgen in de veranderingen in betrokkenheid bij het vraagstuk van het burgerberaad. Dataverzameling heeft plaatsgevonden door middel van enquêteonderzoek onder deelnemers voorafgaande aan en na afloop van het burgerberaad. In aanvulling hierop is bij een klein aantal deelnemers een online interview afgenomen. De resultaten laten zien dat de gestratificeerde loting heeft geleid tot een goede afspiegeling wat betreft geslacht en leeftijd. Verder bestond het burgerberaad voor het merendeel uit bewoners die niet eerder deelnamen aan een door de gemeente georganiseerde vorm van participatie. Deelnemers vormden geen goede afspiegeling wat betreft opleidingsniveau; er was een oververtegenwoordiging van theoretisch opgeleiden. Deelnemers aan het burgerberaad kijken (zeer) positief terug op hun deelname aan het burgerberaad. Deelnemers waren positief over de manier waarop het beraad is georganiseerd en over de mogelijkheden om invloed uit te oefenen. De meeste deelnemers gaven aan dat als het onderwerp hun interesse zou hebben en de gemeente opnieuw een burgerberaad zou organiseren, ze opnieuw deel zouden nemen. Deelnemers hebben zich eigenaar gevoeld van het burgerberaad. Dit heeft echter niet geleid tot meer betrokkenheid bij de energietransitie. Een verklaring hiervoor kan zijn dat deelnemers zich voorafgaande aan het burgerberaad al zeer betrokken voelden bij het klimaatvraagstuk. De bijdrage van de gespreksleiders (met name wat betreft neutraliteit) werd minder positief beoordeeld door deelnemers. Ten slotte bestond er onder deelnemers twijfel over de opvolging van de adviezen door de gemeente.
DOCUMENT
Abstract Background: Nurses are consistently present throughout the rehabilitation of older patients but are apprehensive about performing goal-centred care in the multidisciplinary team. Objectives: The aim of this review was to explore working interventions on setting goals and working with goals designed for nurses in geriatric rehabilitation, and to describe their distinctive features. Methods: We performed a scoping review. We searched MEDLINE and CINAHL through August 4, 2021. Search terms related to the following themes: nurses, rehabilitation, geriatric, goal and method. We used snowballing to find additional. From the selected studies, we systematically extracted data on means, materials and the nursing role and summarized them in a narrative synthesis, using intervention component analysis. Results: The study includes 13 articles, describing 11 interventions which were developed for six different aims: improving multidisciplinary team care; increasing patient centredness; improving disease management by patients; improving the psychological, and emotional rehabilitation; increasing the nursing involvement in rehabilitation; or helping patients to achieve goals. The interventions appeal to four aspects of the nursing profession: assessing self-care skills incorporating patient's preferences; setting goals with patients, taking into account personal needs and what is medically advisable; linking the needs of the patient with multidisciplinary professional treatment and vice versa; and thus, playing an intermediate role and supporting goal achievement. Conclusions: The interventions show that in goal-centred care, the nurse might play an important unifying role between patients and the multidisciplinary team. With the support of nurses, the patient may become more aware of the rehabilitation process and transfer of ownership of treatment goals from the multidisciplinary team to the patient might be achieved. Not many interventions were found meant to support thenursing role. This may indicate a blind spot in the rehabilitation community to the additional value of its contribution.
DOCUMENT
This study aimed to evaluate outcomes and support use in 12- to 25-year-old visitors of the @ease mental health walk-in centres, a Dutch initiative offering free counselling by trained and supervised peers.
MULTIFILE
Emergency care (from ambulance to emergency room) is focused on somatic care: fixing the body. When a patient with mental dysregulation who experiences ‘disproportionate feelings like fear, anger, sadness or confusion, possibly with associated behaviours’ (Van de Glind et al. 2023) does not get appropriate attention, this can result in the disruption of treatment and even psychological trauma upon trauma. To improve the emergency care process, the authors of this paper - health researchers and design researchers engaged in a project based on the experience-based co-design (EBCD) approach (Donetto et al. 2015; Bate and Robert 2007). EBCD is a method used to design better experiences in healthcare settings, in cooperation with (former) patients and healthcare professionals. The process of EBCD involves partnerships between stakeholders and the discovery and sensemaking of experiences through specialized methods to gain an understanding of the interface between user and service, to design new experiences (Bate and Robert 2007, 31). There is, however, an interesting challenge in bringing patients and care professionals together. In emergency care, patients depend greatly on their healthcare providers. The patients in this study had existing mental vulnerabilities and may have been traumatized by previous visits. We needed to enable these stakeholders to be equal partners with ownership and power, one of the characteristics of co-design in EBCD (Donetto et al. 2015). In this paper, we describe how we adapted and applied the EBCD method, with a focus on creating equal partnerships. We also reflect on the extent of our success and the diBiculties we encountered in attaining this objective.
DOCUMENT
Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants’ contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice.
DOCUMENT
