Developing the Linker/Navigator Service Blueprint: Evaluating Domains of Power Following Concept Co-Design Through to Readiness for Prototyping

IF 2.3 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Helen McLaren, Ros Wong, Emi Patmisari, Michelle Jones, Jane Fischer, Keren Sutton, Yasmin Sinclair
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Abstract

This paper analyses the experiences and management of power during the co-production of a service blueprint for The Linker Service—a service aimed to assist women over 50 years old, sole parents and carers experiencing financial hardship to navigate service systems and supports in South Australia. We specifically focus on the co-production of the service blueprint. In the timeline of events, co-production was facilitated between (1) co-design of the initial service concept/theory of change; and (2) prototyping of a service blueprint. To understand the experiences and management of power, we applied a sequential mixed-method design involving observation of co-production, documentation, and iterative reflective notetaking, which informed survey design. Surveys seeking co-production experiences, e.g., being heard, feeling safe to contribute, being valued, sharing of power, and contributions leading to action, were completed by living experience participants (n = 22) and organisational participants (staff, NGO representatives, and evaluators, n = 12). Descriptive statistical analysis was performed on quantitative data and mixed with qualitative responses. To assist interpretation of results, a theoretical framework on the dimensions of power in ‘co-’processes and a realist social theory lens were applied. Results showed how timeline processes and strategic facilitation during co-production led to a disruption of professional power relations. This disruption was particularly evident because participants with lived experience had already established their presence prior to NGO workers joining the workshops, generating feelings of uncertainty around professional hierarchies. Weighting in favour of living experience power led to the emergence of collective power as human capacity evolved. Ideas morphed and actors worked together in co-production, leading to the development of a blueprint collectively agreed upon and ready for prototyping.

Abstract Image

开发链接器/导航器服务蓝图:评估从概念协同设计到原型准备的能力领域
本文分析了在联合制作linkker服务蓝图期间的经验和权力管理-该服务旨在帮助50岁以上的妇女,单亲父母和照顾者在南澳大利亚遇到经济困难的服务系统和支持。我们特别关注服务蓝图的联合生产。在事件时间轴上,促进了(1)初始服务概念/变革理论的共同设计;(2)服务蓝图的原型。为了了解电力的经验和管理,我们采用了顺序混合方法设计,包括观察联合生产、记录和迭代反思笔记,这为调查设计提供了信息。寻求共同生产经验的调查,例如,被倾听,贡献的安全感,被重视,分享权力,以及导致行动的贡献,由生活经验参与者(n = 22)和组织参与者(工作人员,非政府组织代表和评估人员,n = 12)完成。对定量数据进行描述性统计分析,并与定性反应混合。为了帮助解释结果,我们采用了“共同”过程中权力维度的理论框架和现实主义社会理论视角。研究结果表明,在合作制作过程中,时间流程和战略促进如何导致专业权力关系的中断。这种破坏尤其明显,因为有实际经验的参与者在非政府组织工作人员加入研讨会之前已经建立了自己的存在,产生了对专业等级的不确定感。随着人类能力的进化,对生活经验权力的重视导致了集体权力的出现。想法不断变化,演员们在合作制作中一起工作,最终形成了大家一致同意的蓝图,并准备好制作原型。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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