关键词: community health design theory nursing research participatory design rural healthcare stakeholder engagement

来  源:   DOI:10.1177/19375867241250323

Abstract:
UNASSIGNED: This article describes the development of the rural community-based participatory design framework to guide healthcare design teams in their integration of rural community and clinical voice during the planning, design, and construction of a healthcare facility.
UNASSIGNED: Rural communities are facing an alarming rate of healthcare facility closures, provider shortages, and dwindling resources, which are negatively impacting population health outcomes. A prioritized focus on rural care access and delivery requires design teams to have a deeper understanding of the contextual considerations necessary for a successful healthcare facility project, made possible through engagement and partnership with rural dwelling community members and healthcare teams.
UNASSIGNED: The rural community participatory design framework is adapted from the rural participatory research model, selected due to its capture of key concepts and characteristics of rural communities. Underpinning theories included rural nursing theory and theory of the built environment.
UNASSIGNED: The framework encompasses healthcare facility project phases, key translational concepts, and common traits across rural communities and cultures. As a middle-range theoretical framework, it is being tested in a current healthcare project with a Critical Access Hospital in Montana to facilitate design team and stakeholder collaboration.
UNASSIGNED: The rural community participatory design framework may be utilized by design teams as a means of familiarization with rural cultures, norms, values, and critical needs, which relate to meaningful design. The framework further enables design teams to critically appraise best practices of stakeholder engagement throughout the project lifecycle.
摘要:
本文介绍了基于农村社区的参与式设计框架的开发,以指导医疗设计团队在规划过程中整合农村社区和临床声音,设计,和建设医疗设施。
农村社区正面临惊人的医疗保健设施关闭速度,供应商短缺,资源日益减少,这对人口健康结果产生了负面影响。优先关注农村护理的获取和交付需要设计团队更深入地了解成功的医疗保健设施项目所需的上下文考虑因素。通过与农村居民社区成员和医疗团队的参与和合作,成为可能。
农村社区参与式设计框架借鉴了农村参与式研究模式,选择是因为它抓住了农村社区的关键概念和特点。基础理论包括农村护理理论和建筑环境理论。
该框架包括医疗保健设施项目阶段,关键的翻译概念,以及农村社区和文化的共同特征。作为一个中观理论框架,它正在与蒙大拿州的关键访问医院一起在当前的医疗保健项目中进行测试,以促进设计团队和利益相关者的协作。
设计团队可以利用农村社区参与式设计框架来熟悉农村文化,规范,值,和关键需求,这与有意义的设计有关。该框架进一步使设计团队能够在整个项目生命周期中批判性地评估利益相关者参与的最佳实践。
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