Vereycken Anselm Yennef, De Kort Leen, Vanhootegem Geert, Dessers Ezra
Centre for Sociological Research, Faculty of Social Sciences, Katholieke Universiteit Leuven , Leuven, Belgium.
Department of Sociology, UAntwerpen, Antwerpen, Belgium.
Int J Health Care Qual Assur. 2019 May 13;32(4):709-719. doi: 10.1108/IJHCQA-03-2018-0069.
There is a growing interest in living labs (a research concept in which innovations are co-created with end-users and tested in practice) as a method to test and develop health and social care innovations. However, little is known about their effect on the care organization and care providers' quality of working life. By using the Flanders Care Living Labs program (Belgium) as a case study, the purpose of this paper is to explore how innovations in a living lab context may affect those issues.
DESIGN/METHODOLOGY/APPROACH: This qualitative study combined data from document analysis, in-depth interviews and focus groups involving 23 care innovation projects. Deductive category application was used for analyzing data.
Outcomes indicate that 22/23 care innovation projects resulted in organizational changes, and that 22 affected at least one care provider's quality of working life. Surprisingly, no project deliberately intended to affect the care organization and quality of working life. Future care innovation projects should focus on actual innovation and its implications for specific end-users, and on the broader organizational consequences and the possible effect on the care providers' work.
ORIGINALITY/VALUE: This is the first study that specifically focused on care innovation's effect on the care organization and on the quality of working life within a living labs context.
作为一种测试和开发健康与社会护理创新的方法,生活实验室(一种与终端用户共同创造创新并在实践中进行测试的研究概念)正受到越来越多的关注。然而,对于它们对护理组织和护理提供者工作生活质量的影响却知之甚少。本文以比利时弗拉芒护理生活实验室项目为例,旨在探讨生活实验室背景下的创新如何影响这些问题。
设计/方法/途径:这项定性研究结合了来自文件分析、深度访谈和焦点小组的数据,涉及23个护理创新项目。采用演绎类别应用法进行数据分析。
结果表明,23个护理创新项目中有22个导致了组织变革,22个至少影响了一名护理提供者的工作生活质量。令人惊讶的是,没有一个项目有意影响护理组织和工作生活质量。未来的护理创新项目应关注实际创新及其对特定终端用户的影响,以及更广泛的组织后果和对护理提供者工作的可能影响。
原创性/价值:这是第一项专门关注生活实验室背景下护理创新对护理组织和工作生活质量影响的研究。