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HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester

Demenslandsby som samskaping

Alternative title: Dementia Village as co-creation

Awarded: NOK 7.9 mill.

The project "Dementia village as co-creation (DEMSAM)" is a collaboration between Bærum municipality and Inland Norway University of Applied Sciences. The project is about developing services for dementia care in new ways, based on the development of a "dementia village" in Bærum municipality. The aim is a village where people suffering from dementia are able to continue living their lives as they used to, in a safe environment. The buildings consist of several small units, and there will be access to a shop, café and areas for recreation and activities inside the village. The village was officially opened on the 21st of September 2020. However, due to the Covid19 Pandemic, the village has so far not fully implemented the planned and intended care concept. Inspiration for the village comes from the Netherlands, but the Dutch village-model is being "translated" and adapted to Norwegian conditions. The DEMSAM project uses service design methods in these translation processes. Service design is a specialization within the design field, and it focuses on designing services based on the residents' needs and perspectives. Service design in the village can be described as "co-creation" by involving future residents, relatives, employees and other relevant stakeholders in the development of new the services. The research part of the project studies opportunities and constraints in using service design when developing services aimed at vulnerable groups, like people with dementia. There is little systematic knowledge on the use of service design in the public sector in general, and in relation to vulnerable groups in particular. DEMSAM will contribute to this kind of knowledge through studies of co-creation and service design in the dementia village in Bærum. The project started in June 2018, and during the first period, the work has focused on the insight phase of the service design processes. That is, obtaining knowledge about the status and functioning of the present services, and investigating desires and visions for new services, based on observation and interviews with residents and close to kin in elderly care institutions. There has also been organized two workshops with broad involvement of stakeholders, and a five-day design sprint involving four groups working with different themes regarding the life in the village. The work focuses on further developing the concept and the «life in the village» through several workshops. The research team has followed the design processes closely through observations, interviews and document studies. Interviews have also been conducted with employees in nursing homes, in addition to observations. In the fall 2019, employees from Bærum municipality and a research team visited the Dutch dementia village, the Hogeweyk. Recent work on the dementia village has focused on detailing the concept for the new care services, and on meeting choices regarding different ideas and potential solutions discussed so far. The recruitment and hiring of staff were supposed to be central in the processes up until the opening. However, this process has been hampered by Covid19 and several plans were set on hold. The Pandemic also affected many of the plans for developing the new services, and consequently affected the research following the processes. The next, central phase of the research was supposed to cover studies of how the new services would work in practice for residents, next of kin, employees, management and other stakeholders. Due to the delays caused by the covid-19, this work was postponed. However, on November 1st, 2021, the implementation of the new care concept for the village started. The data collection has now commenced, and involves, among other things, observation of the training of the new employees. The midway conference in the project was organized as an online event on the 27th of May 2021.

Innovasjonen i dette prosjektet er knyttet til en ny måte å tenke og utvikle demensomsorg på, med utgangspunkt i etablering av en «demenslandsby» i Bærum kommune. Bærum kommune er først ute i Norge med å bygge en demenslandsby fra grunnen av. Flere kommuner er i planleggingsfasen med tilsvarende prosjekter, og i Oslo har fire sykehjem testet ut arbeidsprinsippene fra de Hogeweyk i eksisterende bygg. Bærum skal bygge og utvikle demenslandsbykonseptet på en mer omfattende måte. Prosjektet fokuserer på utvikling av demenslandsbyen etter en samskapingsmodell, hvor tjenestedesign vil tas i bruk som verktøy for samskaping. Det vil si at prosjektet tar utgangspunkt i at utvikling av en demenslandsby forutsetter at aktuelle beboere og pårørende høres og involveres, og at innhold utvikles i tråd med deres forutsetninger ønsker og behov. Et krevende spørsmål er imidlertid hvem man skal lytte til og hvordan man skal gjøre det. Prosjektet vil ta i bruk metodikk og tenkning fra tjenestedesign for å involvere brukere og pårørende, og for å se de nye tjenestene fra brukerne, pårørende og ansattes perspektiv. Tjenestedesign vil også brukes for å avdekke hvordan eksterne ressurser i lokalsamfunnet kan bidra med å fylle demenslandsbyen med innhold. Tjenestedesign fremheves i mange sammenhenger som en egnet tilnærming for å styrke brukernes påvirkning på utforming og utvikling av offentlige tjenester etter helhetlige modeller. Samtidig er det lite systematisk kunnskap om muligheter og begrensninger ved bruk av tjenestedesign i utvikling og innovasjon av offentlige tjenester. FoU-delen i prosjektet vil bidra med slik kunnskap som vil ha overføringsverdi til andre offentlige tjenester, særlig de som er rettet mot sårbare grupper.

Activity:

HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester