By Jaakko Virkkunen, Denise Shelley Newnham
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Additional info for The Change Laboratory: A Tool for Collaborative Development of Work and Education
A new model of a flexible system of planning and following up the distributed care of a patient called a Care Agreement was created in this intervention. The model is based on the idea of object-oriented knotworking in which the patient’s “own doctor” in the primary health care, the involved specialists of specialized care, the patient, and members of patient’s family meet to define the needs of care and to create, through mutual negotiation, a shared care plan and agreement on the division of labor and responsibility in carrying out and following up on the patient’s health and care.
It was 7 created as a compromise to have somebody to check the stories earlier. 8 F: There is always the rush [in the evening]. 9 D: Helping to prepare the main story. 10 C: We don’t have too few copyeditors but they use too little time for copyediting. 11 A: I admit, but – we speak of this specific story [points to the wall to a page of 12 the newspaper] – it was my mistake that the copy editor was sent 13 [to a press conference]. I should have understood that he did not have time to 14 do anything else – nobody did [understand].
Combining research and the development of work practices is difficult because of the different time span and rhythm of these two activities. The first DWR projects took several years. Because of the time researchers needed for the analyses, the time intervals between workshops with the practitioners could be so long that the practitioners had already forgotten much of the content of the discussions in the previous workshop with the researchers when they came to the next one. 2. The first DWR study in the early 1980ss DWR were evident in the firsst DWR study of cleaners’ woork in a The bbasic ideas of D comm mercial cleaningg firm (Engeströöm & Engeström m, 1984): 11.
The Change Laboratory: A Tool for Collaborative Development of Work and Education by Jaakko Virkkunen, Denise Shelley Newnham