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Int J Environ Res Public Health. 2018 Jun 5;15(6). pii: E1182. doi: 10.3390/ijerph15061182.

Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture.

Author information

1
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. m.ward@ucd.ie.
2
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. aoife.debrun@ucd.ie.
3
Integrated Care Team Older Persons, Community Healthcare Organisation 6, Clonskeagh, Dublin 6, Ireland. deirdrebeirne@gmail.com.
4
Midlands Regional Hospital Mullingar, Longford Road, Mullingar, Co. Westmeath, Ireland. ClaireConway1@hse.ie.
5
Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. ucunningham@mater.ie.
6
Patient Representative, Dublin, Ireland. alanenglish6@gmail.com.
7
Quality Improvement Division HSE & Our Lady of Lourdes Hospital, Drogheda, Co. Louth, Ireland. fitzsimonsQID@gmail.com.
8
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. eileen.furlong@ucd.ie.
9
Midlands Regional Hospital Mullingar, Longford Road, Mullingar, Co. Westmeath, Ireland. yvonne.kane@hse.ie.
10
Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. akelly1@mater.ie.
11
Integrated Care Team Older Persons, Community Healthcare Organisation 6, Clonskeagh, Dublin 6, Ireland. sinead.mcdonnell4@hse.ie.
12
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. mcginleysinead@gmail.com.
13
Our Lady's Hospital, Navan, Co. Meath, Ireland. brenda.monaghan@hse.ie.
14
Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. amyler@mater.ie.
15
Integrated Care Team Older Persons, Community Healthcare Organisation 6, Clonskeagh, Dublin 6, Ireland. emer.nolan2@hse.ie.
16
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. roisin.o-donovan@ucdconnect.ie.
17
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. marie.oshea@ucd.ie.
18
School of Medicine, Trinity College Dublin, Dublin 2, Ireland. ashuhaib@tcd.ie.
19
School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. eilish.mcauliffe@ucd.ie.

Abstract

While co-design methods are becoming more popular in healthcare; there is a gap within the peer-reviewed literature on how to do co-design in practice. This paper addresses this gap by delineating the approach taken in the co-design of a collective leadership intervention to improve healthcare team performance and patient safety culture. Over the course of six workshops healthcare staff, patient representatives and advocates, and health systems researchers collaboratively co-designed the intervention. The inputs to the process, exercises and activities that took place during the workshops and the outputs of the workshops are described. The co-design method, while challenging at times, had many benefits including grounding the intervention in the real-world experiences of healthcare teams. Implications of the method for health systems research are discussed.

KEYWORDS:

co-design; co-production; collective leadership; safety culture; team performance

PMID:
29874883
PMCID:
PMC6025638
DOI:
10.3390/ijerph15061182
[Indexed for MEDLINE]
Free PMC Article

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