Transaction Management in Database Management System
Miller Arts & Design Innovation_2020
1. Professor Evonne Miller
Director QUT Design Lab - Creative Industries
(Arts) & Design-Led Innovation -
Transforming Thinking, Transforming Spaces, Transforming Health
@evonnephd
2. Queensland University of Technology (QUT) acknowledges the Turrbal and Yugara, as the First Nations owners of the
lands where QUT now stands. We pay respect to their Elders, lores, customs and creation spirits. We recognise that
these lands have always been places of teaching, research and learning.
QUT acknowledges the important role Aboriginal and Torres Strait Islander people play within the QUT community.
4. AGED CARE DURING COVID-19
a period of isolation with parallels to living in aged care
5. Shocking revelations in the media about abuse and neglect of
vulnerable older people living in aged care triggered a 2019
Royal Commission into Aged Care Quality and Safety. Interim
Report Neglect states: ”As a nation, Australia has drifted into an
ageist mindset that undervalues older people…. Left out of sight and
out of mind, these important services (aged care) are floundering. …
All to often, they are unsafe and seemingly uncaring. This must change”
Mandate for Rapid Change: 2019 Royal Commission into Aged Care Quality and Safety
6. You could scream the place down
My family said
I was too old
to be on my own,
that I needed organizing.
You lose everything
you lose everything
to come in here.
You only have the barest minimum
there’s not much here.
It is not nice, not nice at all.
It is not good for me.
I can’t get out.
That’s what you lose, when you come in.
All your independence is taken away from you.
I’m not able to do it myself.
That’s very hard to take,
you get so frustrated at times
you could scream the place down
Miller, E., Donoghue, G., & Holland-Batt, S. (2015). “You could scream the place down”:
Five poems on the experience of aged care. Qualitative Inquiry, 21(5), 410-417
‘Scream the place down’
insideagedcareproject.wordpress.com
7. We must radically re-design aged care to improve the experience for residents, families & staff
(Arts) & Design-Led
Innovation
Transforming Thinking,
Transforming Spaces,
Transforming Health
8. Design Thinking
Arts-Based
Research (ABR)
is the process of
integrating creative
arts into the research
context
1. Photovoice – joining of
photography with voice
2. Research poetry – form of
found poetry, creating poems
from interview transcripts
3. Art – drawing & cartoons
(participants & research team)
9. PROJECT 1. Inside Aged Care 2013-17
Australian Research Council Linkage
Project (LP130100036) & Ballycara
Chief Investigators: Prof Evonne Miller,
Prof Laurie Buys & Nicole Devlin.
Research Fellow: Geraldine Donoghue
Photographer/PhD Student: Tricia King
Research Team: Dr Lorraine Bell; Dr
Deborah Oxlade; Dr Kirralie Houghton
insideagedcareproject.wordpress.com
Miller, E., Buys, L, & Donoghue G.
(2019). Photovoice in aged care:
What do residents value?
Australasian Journal of Ageing, 38(3
10. powerful combination of photovoice & research poetry
WHY PARTICIPATORY CREATIVE ARTS-BASED RESEARCH METHODS?
THEIR POWER, IMPACT, COMMUNATIVE & PARTICIPATORY PROCESSES
insideagedcareproject.wordpress.com
11. In her 2007 book Agamemnon’s Kiss, Australian anthropologist Inga Clendinnen
describes how she works to ‘seduce an intelligent, non-specialist audience... into
thinking about the issues that I cared most about’ (p.36). ).
Arts-Based Research should be
“emotional, evocative, provocative,
illuminating , educational, and
transformative”
(p. 213, Leavy, 2017 - Handbook of Arts-Based Research)
13. Before the accident: Pearl’s room full of autonomous spatial identity
Inside Aged Care (image credit: Tricia King)
Risk & Regulation in Aged Care – Pearl
14. “Oh it’s a mess, but I know
where everything is. I’ve
got all my secrets in here”
Pearl
15. After the accident: Pearl’s room stripped of her previous spatial identity
“Oh I’m not sure who I am”
GD: field notes
16. Before and after
Inside Aged Care (image credit: Tricia King)
“Oh I’m not sure who I am”
GD: field notes
17. Russell Belk (1988) famously argued our possessions are our
extended self: we know who we are by -
“observing what we have… our accumulation of possessions
provides a sense of past and tells us who we are, where we have
come from, and perhaps where we are going” (p.146 & 161)
Belk, R. (1988). Possessions and the Extended Self. Journal of
Consumer Research, 15, 139–68.
18. Isobel: ‘Oh, I don’t want to come out
for a walk this morning’, although
she normally does.
Jane: ‘Oh, you don’t look happy’.
Isobel: ‘I’m just tired’.
Jane saw her beautiful crotched rug
on her bed and said, ‘This is
beautiful. I haven’t seen this’.
Isobel: ‘I made that.’
Jane: ‘Oh, wow, do you crochet
now?’
Isobel: ‘No, but I would like to.’
Jane: ‘Yes! Right, we need little rugs
when people go out in wheelchairs,
just small squares. Do you think you
would be able to do that?’
Isobel: ‘Oh, yes, I could definitely do
that.’
awareness of personal possessions triggers conversation & activity
Miller, E., Devlin, N., Buys, L, & Donoghue G. (2019). The
happiness initiative: Changing organizational culture to
make ‘brilliance’ mainstream in aged care. Journal of
Management and Organization
20. Arts-based research
helps us see differently
Note: My forthcoming Routledge Book
(late 2020/early 2021) tentatively titled:
Creative Arts-Based Research in Aged Care
21. Design Thinking
Co-Design
Design Doing
Radical Innovation / Research Through Design
Design-Led Innovation
Design Thinking
Design is the process
of imagining and
planning the creation
of objects, systems,
buildings and streets–
it is creative
problem solving!
Design Based Research – Making the Change
22. “Design-Led Innovation” –
businesses/sectors are forward-
thinking and problem-solving,
evaluating radically new
propositions from multiple
perspectives – embracing design
thinking and a willingness to
experiment
25. Co-Design - Our Care Journal App
Industry Partner: The Ageing Revolution
Chief Investigators: Prof Evonne Miller,
Dr Oksana Zelenko, Geraldine Donoghue
& Aleksandra Staneva
Artist: Stephanie Bonson
Cartoonist: Simon Kneebone
Photographer: Tricia King
https://ourcarejourney.wordpress.com/DESIGN METHOD
26. “Design Doing”
‘From the Entrance’:
Redesigning Emergency
Rooms to be Inclusive,
Salutogenic, Playable &
Biophilic
“Actually I’ve been making an argument that
I’m sick and tired of design thinking. It’s time
we started doing design doing” DON
NORMAN – AUTHOR, THE DESIGN OF
EVERYDAY THINGS
30. slowly transitioning from ‘hospital-like’ design
to smaller-scale domestic models of care:
Eden Alternative, Small House Model, Green House Model, Dementia Care Village
Dyer S, et al. (2018). Clustered domestic
residential aged care in Australia: fewer
hospitalisations and better quality of life.
Med J Aust.
31. Ageism, Risk & Design
• Ashton Applegate: Casual Ageism -
Is Ageism the "Last Acceptable Prejudice?
• Design of aged care enacts “ideologies – of care,
health and wellbeing – through the social
practices they enable and encourage” (p. 436).
• Planer over-ruled idea to introduce a ‘pedestrian
bridge’ to better connect facility with local
community - felt bridges were too risky for
people with dementia
Buse,C., Nettleton, S., Martin, D. & Twigg, J. (2017). Imagined bodies:
architects and their constructions of later life. Ageing & Society, 37.
32. “Once finished, a new
urban area or park or
building will likely outlast
every person who
designed, engineered and
built it. It will survive too
the people who wrote and
adjudicated the codes that
dictated its permitting. And
it will remain in use long
after those who
commissioned and paid for
it are gone…. every element
– building, landscape, urban
area, infrastructure – ought,
accordingly, be designed to
help us thrive”
p. 269-272, Goldhagen, 2017
33. Redesigning healthcare and aged care
with a biophilic lens
Miller, E & Burton, L. (2020).
Redesigning aged care with a
biophilic lens: A call to action.
Cities & Health.
34. • Biophilia is a conscious acknowledgment
that people need contact with nature to
thrive - bio means ‘life or living things’;
philia means ‘love’
• Our historically close connection to
nature has been broken by rapid,
unprecedented urbanization – and
we are sicker because of that % of World Population Living in Urban Areas
1800: 3% / 2000: 50% / 2050: 68%
35. • 94,879 participants across UK: residential
greenness linked with lower odds of
depression, even when controlling for other
physical, built and social environment
variables (Sarkar, e al., 2018)
• brain scans: a 90-minute nature walk reduced
neural activity in brain area linked to mental
illness (Bratman, et al., 2015).
• thirty elderly women in hospital setting
assessed for 12 MINUTES in two experimental
areas: a hospital rooftop forest and outdoor
parking lot. Heart rate changed, entering a
physiologically relaxed state in simulated
rooftop forest (Matsunga et al., 2011).
Biophilic Design Theory: The Healing Power of Nature
Beatley, T. (2010). Biophilic Cities. Island Press
36. Compared to matched patients
with a view of an exterior brick
wall, patients with a view of trees
from their bed had statistically
shorter hospitalization time,
reduced pain medication, and
fewer negative comments in
nurses’ notes
HOSPITAL ROOM WITH A VIEW
Roger Ulrich’s (1984) study of surgical
patients in a Pennsylvanian hospital
37. Most hospital patients and aged
care residents only receive a few
minutes of focused attention from
health care staff, but are in their
room, bed or chair for hours –
can we make the space
salutogenic, health-promoting?
This Photo by Unknown Author is licensed under CC BY-ND
38. Browning, W., Ryan, C., & Clancy, J. (2014). 14 Patterns of
Biophilic Design. New York: Terrapin Bright Green, LL
• NATURE IN THE SPACE
Integrating the ‘direct, physical and ephemeral presence’ of
nature in the built environment, via movement, diversity, and
multi-sensory interactions. Examples includes gardens, plants,
(internal and external), green roofs and living walls, water
features (fountains, aquariums).
• NATURAL ANALOGUES
Using organic, non-living and indirect evocations (patterns,
materials) of nature
• NATURE OF THE SPACE
Awareness that humans respond, psychologically and
physiologically, to different spatial configurations
value of redesigning healthcare & aged care
with a biophilic lens
Miller, E & Burton, L. (2020). Redesigning aged care
with a biophilic lens: A call to action. Cities & Health.
41. Biophilic + Sustainable =
Good for People & Planet
By living in a sustainable
green building, an older adult
positively enriches their life
and “also the lives of others—
from next door neighbours to
people living on the other
side of the globe”
p. 193. Chmielewski, E. & Hoglund, J. (2018). Design for Ageing: New
models in senior living (pp. 186-204). In HealthyEnvironments,HealingSpaces:
Practicesand Directionsin Health,Planning,andDesign.T. Beatley, C. Jones, & R.
Rainey (Eds.). University of Virginia Press.
This Photo by Unknown Author is licensed under CC BY-SA
42. A biophilic workplace
might tackle the aged care
workforce problem – and
assist in attracting staff,
help to mitigate stress, and
creating a more positive
workplace environment.
ethic of care towards residents (person-
centred, consumer-directed care
philosophies), organisations need to
demonstrate an ethic of care towards
their workforce (Petriwskyj et al., 2014)
Amazon's Spheres
In Seattle
47. Theory-Storming in Action – ‘Design a Utopian Place’
Cushing, D.& Miller, E. (2020). Creating Great Places: Evidence-
based urban design for health and wellbeing. Routledge.
QLD DEPART. OF HOUSING, HOMELESSNESS & SPORT (HHS)
48. Theory-Storming Innovative, Health-Promoting Places
Miller, E. & Cushing, D. (in press). Theory-Storming in the Urban Realm: Using Nudge Theory to inform the design of health-
promoting places for all ages. The Journal of Design Strategies.
49. We must think differently about the design and use of
space – the physical environment – and purposively
DESIGN IN health, wellness, autonomy and activity
51. Co-Locate Men’s Sheds (Communal Maker Spaces) in Aged Care
Men’s Shed’s slogan: “Shoulder to Shoulder"—shortened from
"Men don't talk face to face, they talk shoulder to shoulder”.
52. Men’s Shed’s slogan: “Shoulder to Shoulder"—shortened from
"Men don't talk face to face, they talk shoulder to shoulder”.
Co-Locate Artists Spaces (& Activities) in Aged Care
53. McGregor Home has the largest air-conditioned the auditorium
in East Cleveland. This popular space– known as The
Community Room – hosts monthly town hall meetings and an
annual “Senior-Senior Prom”, for older residents and local
high school students
Co-Locate Library / Community Centre / Art Gallery in Aged Care
55. Winner of the World Architecture
Festival Health category and Best of the Best
award 2015 Sustainability Award in Australia
AGED CARE
Walumba Elders Centre –
East Kimberly Region WA
integrate sustainability and culture into design of aged care
57. Co-Locate Childcare in Aged Care
Vacation Childcare
for Children & Grandchildren
of Staff
58. NHMRC Project: The GrandSchools Project -
Inter-Generational Living and Learning
https://grandschoolsproject.wordpress.com
Co-Locate High Schools & Senior Living (RV & Aged Care)
59. we must radically innovate and re-design aged care
to improve the experience for residents, families & staff
• value of art-based research (photography, poems) to
raise empathy and awareness
• value of design-led innovation to trigger change
• using BIOPIHLC DESIGN and the process of THEORY-
STORMING to improve the design of places
• think differently, and act collectively - with creativity
and courage
60. Professor Evonne Miller
Director QUT Design Lab - Creative Industries
(Arts) & Design-Led Innovation -
Transforming Thinking, Transforming Spaces, Transforming Health
@evonnephd
