Exploring liminality in the co-design of rehabilitation environments: the case of one acute stroke unit

Sara Donetto; Fiona Jones; David  Clarke; Geoffrey C Cloud; Karolina Gombert-Waldron; Ruth Harris; Alastair Macdonald; Christopher McKevitt; Glenn Robert

Exploring liminality in the co-design of rehabilitation environments: the case of one acute stroke unit

Sara Donetto, Fiona Jones^*, David Clarke, Geoffrey C Cloud, Karolina Gombert-Waldron, Ruth Harris, Alastair Macdonald, Christopher McKevitt, Glenn Robert

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

This paper describes an Experience-based Co-design (EBCD) project that aimed to increase patient activity within an acute stroke unit. We apply the concept of liminality to explore ways in which the EBCD process, a form of Participatory Action Research, may dilute or even dissolve social hierarchies and challenge assumptions about practices and constraints in this care setting, thereby opening up possibilities for transformation that enhances the therapeutic value of the space for patients and care providers alike. By occasioning a liminal phase of possibility for change, the work of one co-design group explored in detail here suggests that, in this process, the sociomaterial interactions involving patients, family members, staff, and the physical space are refashioned and re-inscribed in transformed ‘emplaced’ relationships of care.

Original language	English
Number of pages	25
Journal	Health and Place
Early online date	10 Nov 2021
Publication status	E-pub ahead of print - 10 Nov 2021

Keywords

Co-design
Stroke
liminality

Access to Document

Liminality paper_revised 300821Accepted author manuscript, 2.31 MB
Donetto2021liminalityFinal published version, 4.02 MBLicence: CC BY-NC-ND

Cite this

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abstract = "This paper describes an Experience-based Co-design (EBCD) project that aimed to increase patient activity within an acute stroke unit. We apply the concept of liminality to explore ways in which the EBCD process, a form of Participatory Action Research, may dilute or even dissolve social hierarchies and challenge assumptions about practices and constraints in this care setting, thereby opening up possibilities for transformation that enhances the therapeutic value of the space for patients and care providers alike. By occasioning a liminal phase of possibility for change, the work of one co-design group explored in detail here suggests that, in this process, the sociomaterial interactions involving patients, family members, staff, and the physical space are refashioned and re-inscribed in transformed {\textquoteleft}emplaced{\textquoteright} relationships of care. ",

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AU - Donetto, Sara

AU - Jones, Fiona

AU - Clarke, David

AU - Cloud, Geoffrey C

AU - Gombert-Waldron, Karolina

AU - Harris, Ruth

AU - Macdonald, Alastair

AU - McKevitt, Christopher

AU - Robert, Glenn

PY - 2021/11/10

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N2 - This paper describes an Experience-based Co-design (EBCD) project that aimed to increase patient activity within an acute stroke unit. We apply the concept of liminality to explore ways in which the EBCD process, a form of Participatory Action Research, may dilute or even dissolve social hierarchies and challenge assumptions about practices and constraints in this care setting, thereby opening up possibilities for transformation that enhances the therapeutic value of the space for patients and care providers alike. By occasioning a liminal phase of possibility for change, the work of one co-design group explored in detail here suggests that, in this process, the sociomaterial interactions involving patients, family members, staff, and the physical space are refashioned and re-inscribed in transformed ‘emplaced’ relationships of care.

AB - This paper describes an Experience-based Co-design (EBCD) project that aimed to increase patient activity within an acute stroke unit. We apply the concept of liminality to explore ways in which the EBCD process, a form of Participatory Action Research, may dilute or even dissolve social hierarchies and challenge assumptions about practices and constraints in this care setting, thereby opening up possibilities for transformation that enhances the therapeutic value of the space for patients and care providers alike. By occasioning a liminal phase of possibility for change, the work of one co-design group explored in detail here suggests that, in this process, the sociomaterial interactions involving patients, family members, staff, and the physical space are refashioned and re-inscribed in transformed ‘emplaced’ relationships of care.

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KW - Stroke

KW - liminality

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