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Exploring opportunities to design for decision-making in palliative care contexts: A rapid overview of recent literature reviews in healthcare and design fields
No full textWhen facing serious illnesses, patients and their caregivers encounter complex decisions throughout the care journey. Assisting in these decision-making pro-cesses has been a longstanding topic in palliative medicine, however, healthcare providers still face challenges in practice. Design contributions to healthcare have emerged in recent years. This overview focuses on the past decades’ litera-ture reviews in healthcare and design fields, examining interventions that foster communication and enhance informed decision-making in palliative care (PC), and investigating the design impacts in this context. This review of reviews uses thematic analysis to identify future opportunities for collaboration between de-sign and healthcare researchers to develop innovative interventions that address these issues in PC. The following themes were discussed: recommended practic-es, moments of conversation and caregiving, the dearth of design work, dissemi-nation, and implementation barriers. Findings urge more collaborations and bal-anced contributions from healthcare and design researchers in designing patient decision-making aids in PC
Head and heart — An ethical tightrope
No full textNavigating ethical considerations in participatory design is complex and ever-changing. The Co-production Project explores the use of co-production methods (co-discover, co-plan, co-design, co-deliver, co-evaluate) via a case study of women’s health in Aotearoa New Zealand. Based in an Arts and Design University, ‘academic ethics’ influence the project in tangible ways that are often procedural and prescriptive, with a focus on productivity. However, co-production methods — underpinned by principles of power-sharing and prioritisation of relationships — call for softer and less tangible considerations aligned with an ethics of care. These tangible and intangible ethical considerations are frequently in tension with each other while also being responsive to indigenous cultural requirements. Through our practice-based project we’ll demonstrate how taking time to create conditions conducive to participatory approaches gives us cause for early and cautious optimism
Can Simulated Nature be as Effective as Actual Nature in Promoting Health and Wellbeing in Healthcare Settings?
No full textSimulated nature has been widely implemented to healthcare settings to create spaces that promote positive emotional responses and support overall health and wellbeing. The notion of indirect experience refers to the integration of natural elements into the design of built environments to allow occupants to experience nature indirectly. However, the question of whether simulated nature are satisfactory substitutes for actual nature has hardly been addressed. In this study, we examined whether the outcomes of Mindfulness-Based Stress Reduction (MBSR) enhanced when it was carried out in simulated nature as opposed to actual one. Two focus groups provided information about participants’ experiences of MBSR in both types of exposures. We found that both nature settings boosted MBSR outcomes. However, the actual nature resulted in greater increases in nature connectedness compared to the simulated nature. These findings demonstrate the potential value of both simulated and actual nature as settings for enhancing healthcare delivery
Embedding Ethics in Practice: Preempting Ethical Issues in the Field by Reflecting on the Methodology of Shadowing Within Cancer Care Services
No full textDesigners have been conducting research within healthcare with a limited ethical reflections, only considering aspects to get the approval from the corresponding ethics committee. That fails to reflect on the issues that may arise during fieldwork (ethics in the field), especially since designs involvement is precisely to understand intangible aspects such as personal values and experiences. In view of this and responding to the DRS 2022 conversation on Design+Ethics, we explore the knowledge gap in the intersection of ethics, design and healthcare, and present a case study in the context of service design within oncology carepath. Upon reviewing the existing literature, we identify a set of ethical principles and use them to redefine the tools and protocols we plan to use in our service exploration, during shadowing specifically. Our paper responds to the need of bridging procedural ethics in the field, by anticipating and reflecting on ethical dilemmas and issues
Research through Designers: A Pictorial Reflection on Engagements, Encounters, and Environments at a Design Research Jamboree
No full textWe picture design researchers’ engagement with the task of capturing the value of Research through Design during a week-long event. The images are selected to document set and setting, hands-on activities, human and more-than-human encounters, and material engagements with the theories, methods, and practices of design research. The text is deliberately minimal, offering contextualization from the photographer and the organizer of the event, as well as commentary from attendees on material outcomes and bodily presences; context and environment, disciplinary esthetics; and social commentary from two non-attendees. We offer this record of process to inspire design researchers to further engage with practical, hands-on, personal, bodily reflective engagements of what it means to do design research. We also aim to advance further the form of primarily photographic pictorials in design research
Cultural Product Design Concept Generation with Symbolic Semantic Information Expression Using GPT
No full textProducts imbued with traditional cultural semantic information hold significance in commerce, culture, and the dissemination of information. However, the integration of implicit cultural semantics into the design process of cultural products poses a significant challenge. Key issues include the inaccurate expression of implicit semantics and the inadequacy of semantic information retrieval and inspi-ration. Therefore, we adopt a datadriven approach to achieve symbolic semantic expression in generating and inspiring design concepts for cultural products. In this paper, we utilize the generative pretrained transformer (GPT-3.5) as the base language model (PLM). By analyzing semantic information features in layers and mapping, we identify two design concept generators, fine-tuning them for the automatic retrieval and expression of semantic information. This is undertaken to generate cultural product designs in a natural language form. The method under-goes experimental evaluation, and the results demonstrate that our approach can generate cultural product design concepts containing accurate cultural information