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1 A Design Thinking, Systems Approach to Well-Being
Pages 1-14

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From page 1...
... To explore this topic, the Global Forum on Innovation in Health Professional Education (the Forum) held a 1.5-day workshop, titled A Systems-Approach to Alleviating Work-Induced Stress and Improving Health, Well-Being, and Resilience of Health Professionals Within and Beyond Education.
From page 2...
... First, whether health professionals are working in an urban hospital in the United States or a rural health clinic in the mountains of Tajikistan, stress and burnout are ubiquitous. Second, even in disparate settings with varying resources, the issues faced by health professionals around the world are similar, including financial stresses, problems with infrastructure, moral stress and compassion fatigue, and difficulties with power and hierarchy among professionals.
From page 3...
... This is why it is important to look at each component of the system and how one profession or work unit interacts with other parts of the system so an intervention in one part of an organization does not negatively affect other parts, Kreitzer continued. By identifying the root causes of problems, and teasing out dynamics that could be shifted, organizations can avoid or minimize the potential for unintended consequences.
From page 4...
... By contrast, design thinkers work with multiple stakeholders who actively engage in identifying the problems and remedies so the resulting solutions are the product of a collaborative, thoughtful, and iterative effort from various perspectives. As described by Tim Brown (2009)
From page 5...
... University Medical Center Amsterdam van de Grift, psychiatry resident at the Vrije Universiteit (VU) University Medical Center Amsterdam, talked about his experiences in applying design thinking as a tool for interprofessional education in health care.
From page 6...
... van de Grift emphasized points made earlier by Kreitzer that design thinking requires collaboration, empathy, creativity, agency, and problem solving. He defined design thinking as "a method to structurally assess situations, to reduce the uncertainty, and to work towards a certain focus, design prototypes, and finally design specific solutions." "The best way to predict the future is to design it." -- R.
From page 7...
... After researchers have made conclusions based on the initial information gathered during this phase, it is critical they return to the stakeholders in order to ensure they have correctly interpreted the information and made appropriate conclusions. As an example of the research performed by students at the University of Amsterdam, van de Grift described the efforts of students who had been tasked with designing a more humane psychiatric ward.
From page 8...
... Implementation No matter how carefully planned a solution is, it cannot be put into place and sustained without a thought-out implementation plan, said van de Grift. An implementation plan can resemble a business plan, with the
From page 9...
... In conclusion, van de Grift said the design thinking process provides a structure for interdisciplinary and interprofessional partners and stakeholders to collaborate on solving problems, and it does so while giving stakeholders agency and the ability to influence their own environment. In response to van de Grift's presentation, workshop participants shared their own experiences with stakeholder-based problem solving.
From page 10...
... George Chair and professor in the Stewart School of Industrial Engineering at the Georgia Institute of Technology, and director of the Center for Health and Humanitarian Systems, spoke about using a systems approach to improve the well-being of health professionals. First, Keskinocak emphasized the complexity of health systems: there are multiple stakeholders, different types of physical spaces, limited resources, objectives and incentives that are sometimes misaligned, and uncertainty around patients' arrival times to their appointments, surgery durations, staff availability, and the volume and types of patients arriving at an emergency department.
From page 11...
... Evaluation is critical for addressing unforeseen consequences, scaling up a program, and adding to the knowledge base of what does and does not work. With this systems approach in mind, Keskinocak told workshop participants about four different initiatives that made broad modifications directed at changing the environment, rather than individuals.
From page 12...
... Keskinocak's third example of an initiative drew from the Carilion Clinic, a large health system in Virginia with 7 hospitals, 1 medical school, 240 health care facilities, and more than 12,000 employees. A survey of the health workers uncovered high rates of burnout among members of their staff: 59 percent of physicians, 65 percent of residents in specialty training, and 50 percent of medical students, physician assistants, and nurse practitioners (AMA Wire, 2018)
From page 13...
... . van de Grift, T


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