{"id":15162,"date":"2025-11-20T13:33:30","date_gmt":"2025-11-20T13:33:30","guid":{"rendered":"https:\/\/8d.nl\/?p=15162"},"modified":"2025-12-17T13:11:06","modified_gmt":"2025-12-17T13:11:06","slug":"co-designing-for-accessible-healthcare","status":"publish","type":"post","link":"https:\/\/8d.nl\/en\/co-designing-for-accessible-healthcare\/","title":{"rendered":"Co-designing for accessible healthcare"},"content":{"rendered":"\n<div class=\"wp-block-columns alignfull is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n\n\n<div id=\"block_67346995d7614\" data-block-name=\"schaduwkader\"\n    class=\"alignfull bg-light\" data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/schaduwkader' data-vscode-file='block.php:50:0'>\n  \n\n    <div class=\"content\">\n        \n\n<p><strong><strong><strong>In the Netherlands, one in three adults struggles to understand medical information or to use digital healthcare tools. The result is unequal access to care and reduced patient autonomy. To help close this gap, nurse researcher and PhD candidate Eline Dijkman (Isala) and Petra Lankhorst, lecturer in Nursing at Windesheim University of Applied Sciences, are working on the ZonMw-funded project Empowering Nurses to Empower their Patients. Their aim is to equip nurses with the skills to better recognize limited (digital) health literacy among patients and respond effectively.<\/strong><\/strong><\/strong><\/p>\n\n\n    <\/div>\n    \n\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>\u201cNurses play a key role in identifying limited health literacy, but there are very few practical guidelines on how to do that,\u201d Dijkman explains. \u201cWithin ENEP we are researching how to address this challenge, and we are developing a training programme that fits real-world practice.\u201d<br\/>Co-creation is central to this approach. \u201cIn several sessions, nurses, students and lecturers helped shape the desired content, format and application of the training,\u201d says Dijkman. \u201cThat gave us a broad picture of daily practice. Clear communication is essential in every care setting, so we wanted an intervention that works across departments, not just in one specific context.\u201d<br\/><\/p>\n\n\n\n<p>This same principle guided the link to education. Lankhorst explains: \u201cCommunication with patients is covered in the curriculum, but there is little focus on recognizing low health literacy. A training module that addresses this explicitly is very welcome, and a chance to firmly embed this knowledge within the profession.\u201d<\/p>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-e69eaab9f1a602ba210306774360249e\"><strong>\u201cClear communication is essential in every care setting, so we wanted an intervention that works across departments, not just in one specific context.\u201d<\/strong><\/p>\n<\/blockquote>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n<\/div>\n\n<div id=\"block_6853de6fc58b3\" data-block-name=\"gallery-slider\" class=\"alignwide style-carousel\"\n    data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/gallery-slider' data-vscode-file='block.php:104:0'>\n   \n    <div class=\"swiper-container\">\n        <div class=\"swiper-wrapper\">\n\n                        <div class=\"swiper-slide\">\n                                  <div data-trigger=\"lightbox:https:\/\/8d.nl\/wp-content\/uploads\/proces-ENEP.png,block_6853de6fc58b3\"><\/div>\n                                <img src='https:\/\/8d.nl\/wp-content\/uploads\/proces-ENEP.png' \/>\n                                \n            <\/div>\n\n                        <div class=\"swiper-slide\">\n                                  <div data-trigger=\"lightbox:https:\/\/8d.nl\/wp-content\/uploads\/20241002_135735-800x600.webp,block_6853de6fc58b3\"><\/div>\n                                <img src='https:\/\/8d.nl\/wp-content\/uploads\/20241002_135735-800x600.webp' \/>\n                                \n            <\/div>\n\n                        <div class=\"swiper-slide\">\n                                  <div data-trigger=\"lightbox:https:\/\/8d.nl\/wp-content\/uploads\/Foto_Edit_Interview_Marcom-1067x600.webp,block_6853de6fc58b3\"><\/div>\n                                <img src='https:\/\/8d.nl\/wp-content\/uploads\/Foto_Edit_Interview_Marcom-1067x600.webp' \/>\n                                \n            <\/div>\n\n                        <div class=\"swiper-slide\">\n                                  <div data-trigger=\"lightbox:https:\/\/8d.nl\/wp-content\/uploads\/1000069838-796x600.webp,block_6853de6fc58b3\"><\/div>\n                                <img src='https:\/\/8d.nl\/wp-content\/uploads\/1000069838-796x600.webp' \/>\n                                \n            <\/div>\n\n            \n        <\/div> <!-- swiper-wrapper -->\n    <\/div> <!-- swiper-container -->\n\n    <div class=\"swiper-button-prev block_6853de6fc58b3-prev\"><\/div>\n    <div class=\"swiper-button-next block_6853de6fc58b3-next\"><\/div>\n\n<\/div>\n\n\n<script>\n$ = jQuery;\n$(document).ready(function() {\n\n    var swiper_block_6853de6fc58b3 = new Swiper('#block_6853de6fc58b3 .swiper-container', {\n        \n    simulateTouch:false,\n    disableOnInteraction: true,\n    loop:true,\n\n    stopOnLast: false,\n    speed: 1000,\n    freeMode: false,\n    autoplay: {\n      delay: 5000,\n    },\n    breakpoints: {\n        1200: {\n          slidesPerView: 3,\n          spaceBetween: 20\n        },\n    \n        992: {\n          slidesPerView: 2,\n          spaceBetween: 20\n        },\n  \n        576: {\n          slidesPerView: 1,\n          spaceBetween: 10\n        }\n    }\n    ,\n\n        navigation: {\n            nextEl: '.block_6853de6fc58b3-next',\n            prevEl: '.block_6853de6fc58b3-prev',\n        },\n\n\n    });\n\n   \n\n});1<\/script>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-99aabe78285a9ae406e86546bdd0d2a4\">Shaping the training and its implementation<\/h2>\n\n\n\n<p>Early in the co-creation process, it became clear that the training should not become a traditional standalone e-learning. Dijkman: \u201cE-learning alone often doesn\u2019t give nurses enough support to put new knowledge into practice. Ideally, you want to apply new skills directly on the work floor, in everyday situations. The challenge is that it also has to fit into an already busy schedule without adding pressure.\u201d<br\/><br\/>Participants expressed enthusiasm for learning together and raised important implementation questions. \u201cSome departments have a fixed moment each day when they can pause for training, others don\u2019t,\u201d says Dijkman. \u201cIf we wanted something truly department-agnostic, we had to take that into account: no long instructions or meetings, but a format you can use quickly and easily.\u201d<br\/><\/p>\n\n\n\n<p>When the needs and conditions became clear, 8D was brought in to translate \u201cideas and requirements\u201d into a tangible product. \u201cBy then we knew we wanted to create short, practice-based assignments that nurses could complete throughout the day,\u201d Dijkman says, \u201cbut we still had to figure out how to offer those assignments in a low-threshold way.\u201d<\/p>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-a4f983c085261c88c75b9cd292e1ec5c\"><strong>&#8220;We knew we wanted to create short, practice-based assignments that nurses could complete throughout the day, but we still had to figure out how to offer those assignments in a low-threshold way.\u201d<\/strong><\/p>\n<\/blockquote>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-d097624609d187b3b6454108840c39c2\">From idea to product<\/h2>\n\n\n\n<p>Gradually, the idea of a card set emerged. A seemingly simple format that turned out to involve many design choices. Questions arose such as: What size works best? How long can the texts be while remaining usable? Should additional information be available, and if so, how do we make it accessible? How can we add a playful element without requiring extensive instructions or team meetings?<br\/>8D designer Giel Hekkert helped map out these choices. \u201cBy showing different prototypes of the cards, the co-creation group could make well-informed decisions,\u201d he explains. \u201cPrototyping forces you to think concretely about your goals, your users and the context in which the product will be used. That is the essence of strategic design: you consider the entire system around the product.\u201d<br\/><\/p>\n\n\n\n<p>This phase also revealed new constraints. The challenge was to create one design that could work both in education and in the hospital, something that proved nearly impossible once the content and depth were explored. Lankhorst explains: \u201cStudents need to practise the same principles, but at a level and in a context suited to their stage of learning. And the practice itself differs: students practise mostly with one another, while nurses work with real patients in established teams. That requires different content and a different dynamic.\u201d<\/p>\n\n\n\n<p>This tension sparked the idea not to create one fixed product but a flexible framework. Hekkert: \u201cWe designed a base template and guidelines that allow users to create new cards or adaptations themselves. Not a static product, but a foundation that departments, researchers and educators can build on. This way they do not need to return to us for every small change, saving time, energy and budget for research and implementation.\u201d<\/p>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-975cc947489da85d3dcfb65a1ab7c7ad\"><strong>\u201cPrototyping forces you to think concretely about your goals, your users and the context in which the product will be used.<\/strong><\/p>\n<\/blockquote>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-0298ea11d3cf75bca1e7d20173f72803\">Testing and building support<\/h2>\n\n\n\n<p>Two versions of the card set have now been fully developed with practical assignments: one for use in hospitals and one for use in education. Examples include: applying the teach-back method with a patient, or logging into the digital patient portal together. Once completed, the cards can be placed on the team board in the correct spot, gradually forming a picture that colleagues complete together. Each card includes a QR code linking to additional information.<\/p>\n\n\n\n<p>\u201cIt was wonderful to see how enthusiastic participants were when creating assignments and supporting materials,\u201d says Lankhorst. \u201cThe content now aligns closely with what they encounter in their daily work.\u201d<br\/><\/p>\n\n\n\n<p>In the coming period, the card sets will be tested in both settings. In the hospital, Dijkman is studying how the assignments affect nurses\u2019 skills and attitudes and their communication with patients. In vocational education, the focus is on strengthening students\u2019 knowledge and awareness. According to Lankhorst, the motivation to participate is high. \u201cParticipants who joined the earlier co-creation sessions are now genuinely excited to start using the cards.\u201d<\/p>\n\n\n\n<p>Hekkert finds that remarkable: \u201cWe often hear how difficult it is to find enough engaged participants for evaluation. The time invested in co-creation is now paying off through stronger support and genuine willingness to use the product.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-470cff39c8ebf54e181434e70bc1d49b\">Ambitions for the future<\/h2>\n\n\n\n<p>Dijkman hopes the training will ultimately make a tangible difference. \u201cIf nurses can more quickly recognize when someone needs extra explanation, or feel more confident exploring digital tools together, that contributes to better care. Ideally, we would eventually see a decrease in things like medication errors or readmissions because professionals offer better support to patients who struggle to access and understand healthcare information. This project is our contribution to making that possible.\u201d<br\/><br\/>She also sees opportunities for broader application of this learning approach. \u201cThere is a lot of interest from other departments and colleagues, and people are already exploring how this method could work in different contexts. If the approach proves effective, we will have a powerful example of how to support learning on the work floor in a simple and accessible way.\u201d<br\/><\/p>\n\n\n\n<p><em>Empowering Nurses to Empower their Patients (ENEP) is a collaboration between Isala, Windesheim University of Applied Sciences, University of Twente, Drenthe College, Pharos and 8D | Research + Design = Impact. The project is funded by ZonMw.<\/em><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:10px\"><\/div>\n<\/div>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"block_6853dca35132c\" data-block-name=\"kader\"\n    class=\"alignfull bg-primary  \" data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/kader' data-vscode-file='block.php:54:0'>\n  \n\n    <div class=\"content\">\n        \n\n<h4 class=\"wp-block-heading has-text-align-center has-secondary-color has-text-color has-link-color wp-elements-35cba7746495e8d27d39756d53796948\">Further reading tips for researchers interested in design<\/h4>\n\n\n\n\n<div id=\"block_6853dcb45132d\" data-block-name=\"mogelijkheden\"  class=\"alignfull style-card \"  data-vscode-dir='\/var\/www\/vhosts\/8d.nl\/httpdocs\/wp-content\/themes\/8dgames\/blocks\/mogelijkheden' data-vscode-file='block.php:54:0' >\n\n  \n      <script>\n    jQuery(document).ready(function($){ \n      const stijlen =[{\"id\":13499,\"title\":\"Effective knowledge transfer: turning research findings into societal value\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/effective-knowledge-transfer\\\/\"},{\"id\":13841,\"title\":\"Design thinking in healthcare\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/design-thinking-in-healthcare\\\/\"},{\"id\":13770,\"title\":\"Dissemination strategies for researchers\",\"url\":\"https:\\\/\\\/8d.nl\\\/en\\\/mogelijkheden\\\/dissemination-strategies-for-researchers\\\/\"}];\n          init_mogelijkheden(\n          \"#block_6853dcb45132d\", stijlen\n         \n          );    \n      \n     });\n    <\/script>\n  \n  <div class=\"posts\">\n                <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/effective-knowledge-transfer\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/DSC01814_edit_kleiner-990x660.jpg'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Effective knowledge transfer: turning research findings into societal value<\/h5>\n        <div><p>How can research findings be shared effectively with society? This article explores how participatory design supports effective knowledge transfer by aligning form, content and context. Real-world examples illustrate how design enhances the practical usability of academic insights.  <\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n                  <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/dissemination-strategies-for-researchers\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/1732011094424-990x743.webp'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Dissemination strategies for researchers<\/h5>\n        <div><p>How do you disseminate research results in a way that truly lands in policy and practice? Our vision: dissemination is an integral and substantive part of the research process, not a box to tick at the end.<\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n                  <a href=\"https:\/\/8d.nl\/en\/mogelijkheden\/design-thinking-in-healthcare\/\" class=\"post-card\">\n    <div class=\"post-img\">\n        <img src='https:\/\/8d.nl\/wp-content\/uploads\/IMG_0007-1-660x990.webp'>\n    <\/div>\n    <div class=\"post-body\">\n        <h5 class=\"titel\">Design thinking in healthcare<\/h5>\n        <div><p>Many healthcare innovations don\u2019t fail due to poor design, but because of inadequate implementation. Design thinking often ends at the prototype, while rollout demands human-centered design just as much.<\/p>\n<p>This article explores how co-creation, empathy, and iteration can make a real difference during implementation \u2013 and argues for using design thinking to shape change, not just solutions.<\/p>\n<\/div>\n \n    <\/div>\n    <i class=\"fa fa-chevron-right text-right text-red\"><\/i>\n    <div class=\"shadow\"><\/div>\n<\/a> \n          <\/div>\n\n<\/div> \n\n    <\/div>\n    \n    \n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u201cNurses play a key role in identifying limited health literacy, but there are very few practical guidelines on how to do that,\u201d Dijkman explains. \u201cWithin ENEP we are researching how&#8230;<\/p>\n","protected":false},"author":7,"featured_media":15148,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[67],"tags":[],"sector":[],"class_list":["post-15162","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - 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