Co-creation Workshops Research Articles

사용자 중심의 감성안전디자인 개발 및 적용 사례 연구

While the number of industrial fatalities has been declining in recent years, companies' safety and health management systems are still inadequate, and more than half of industrial accidents are caused by failure to follow basic safety rules. It is important to raise safety awareness among workers and create a safety culture in the workplace. Especially in large-scale, complex environments with many inherent risks, such as power plants, it is necessary to develop solutions specific to power plant sites, such as an emotional design approach that improves worker awareness of safety rules and drives user behavior. To this end, we used user-centered service design techniques to diagnose potential risk factors for each process in the power plant, identify problems from the worker's perspective, and conduct idea competitions and co-creation workshops to develop solutions. The final nine solutions were designed and demonstrated, and received positive evaluations through satisfaction and effectiveness analysis. Through this, it was confirmed that in power plants where risk factors are scattered in various places, an approach that enhances the effectiveness of problem discovery through worker participation and co-development of solutions is necessary. In the future, if safety design considering user characteristics is further developed to minimize potential safety factors and risks by considering the user's lifecycle, it will contribute to improving the safety achievement of power plants.

CO-CREATE FINANCIAL PLANNING SERVICES FOR AN AGING POPULATION: DESIGNERS' PERSPECTIVES

AbstractThe purpose of the study is to understand the design considerations for creating a provocative financial planning toolkit with services to help facilitate more constructive and meaningful conversations to build trust and empathy between financial advisors and senior people. We conducted four rounds of 60-minute co-creation workshops with eight invited participants from various design disciplines to work in pairs to generate four preliminary concepts suggesting design considerations. We used ATLAS.ti to do qualitative research analysis under an NCT (notice, collecting, thinking) model to identify 22 codes synthesized from verbal and behavioral data. The study concluded with three design principles: 1) the concept of financial planning is about people's expectation management, 2) a financial planning toolkit is designed under service systems, and 3) the tailor-made and modular design features can give financial advisors more flexibility to engage with senior people and enable them to share more about their life stories and needs to recommend financial planning packages precisely according to personal preference, health conditions, and financial status.

GenderJourney: Participatory development of an ethics support tool to foster dialogue and reflection on shared decision-making in gender-affirming medical care

ObjectiveTo describe and reflect on the development process of GenderJourney: an ethics support tool that seeks to foster (dialogue and reflection on) shared decision-making (SDM) in gender-affirming medical care (GAMC). MethodsPart of a larger project, this study used a participatory design. We included transgender and gender diverse (TGD) clients and healthcare professionals (HCPs) throughout the study in co-creation workshops. In an iterative process, we (1) established stakeholders’ needs, (2) reached a consensus on the aims, content, and design, (3) developed and tested successive renditions, and (4) presented the final version of the tool. ResultsThe final tool aims to (A) elucidate the client’s care request and corresponding treatment preferences, (B) foster an explicit dialogue between TGD client and HCP about expected/preferred decisional roles and collaboration, (C) stimulate a systematic joint reflection on and handling of SDM-related ethical challenges. ConclusionThe GenderJourney provides non-directive ethics support to jointly reflect on and foster good SDM, including its inherent ethical challenges. Future studies should focus on its implementation and actual contribution to good SDM. Practice implicationsGenderJourney may be used in GAMC to support the dialogue on what good SDM entails and the identification, discussion, and handling of SDM-related ethical challenges.

P38 The AMR Patient Shield (APS) project: patient empowerment in the fight against antimicrobial resistance

Abstract Background Pfizer and the Patient’s Association (PA) collaborated on the AMR Patient Shield project, which aimed to explore the role of patients in responding to antimicrobial resistance (AMR) and empower them to work with their clinicians to support appropriate use of antibiotics in their care. The project had two phases, with a focus on engagement and education of patients, culture change and education of healthcare professionals (HCPs). Methods In Phase I, patients were convened for a patient advisory board in 2021, and Phase II involved two subsequent resource co-creation workshops in 2022. PA recruited nine patients for each phase, and the meetings were co-facilitated by PA and Pfizer medical representatives. Two antimicrobial pharmacists also served as advisors in Phase II to provide input on the applicability of the proposed resources within the clinical setting. Outcomes The project resulted in a range of tailored resources for both patients and HCPs, aimed at supporting patients to also become stewards of appropriate antibiotic use. These resources included educational leaflets, a template patient-held microbiology record, an HCP antibiotic consent checklist, and audio-visual content. The resources developed for patients improved their literacy on AMR at both the population and individual health levels, enabling them to utilize the incorporated tools for shared decision-making conversations with their HCPs. The content designed specifically for HCPs aimed to improve their ability to obtain informed consent, maintain accurate records and support clinical decision making when prescribing antimicrobials. Conclusions The AMR Patient Shield project highlights the shift from working for patients to working with patients, emphasizing the vital importance of shared decision making between HCPs, industry, policy makers and patients in the stewardship agenda. By involving patients as active partners in the AMR response strategies, the project aims to empower them to participate in their own care, improve their understanding of AMR and engage in SDM discussions with their clinicians. In conclusion, the AMR Patient Shield project, a collaboration between Pfizer and the Patient’s Association, has resulted in tailored resources for patients and HCPs to support their engagement in appropriate antibiotic use. These resources aim to improve patient literacy on AMR and enhance HCPs’ ability to obtain informed consent and exercise clinical judgement. The project highlights the importance of shared decision making and collaboration among stakeholders in addressing AMR, placing patients as fundamental partners in the collective response to this global health challenge.

Accessibility, Retention and Interactivity of Online Co-Creation Workshops: A Qualitative Post-Hoc Analysis

Introduction: Co-creation is becoming increasingly popular to develop interventions that can achieve results beyond scientific findings. Workshops are one of the main ways to collect data and generate ideas in co-creation, which traditionally have been conducted at a fixed, physical location. However, organising face-to-face workshops is considered challenging, due to the transportation time, low flexibility and high costs. This study aims to investigate the online format of co-creation workshops and to discuss methodological considerations. Methods: Co-creation workshops were organised with 78 medical students, general practitioner (GP) trainees and specialist trainees from five Belgian universities. The study included four different cohorts, namely first-year bachelors ( n = 12), first-year masters ( n = 13), first-year GP trainees ( n = 14) and first-year specialist trainees ( n = 39). Three consequential online workshops were organised for each cohort, resulting in 12 workshops in total. The collected data included qualitative data (video-and audio recordings, notes from interdisciplinary team discussions, Miro boards) and quantitative data (registrations and actual attendance rates). All workshops were transcribed verbatim and thematically analysed using NVivo. Results: The participants reported increased flexibility and reduced costs as main benefits of the online format. In addition, the online platforms Miro and Microsoft Teams were considered dynamic and inspiring, facilitating high levels of engagement and interactivity. However, the online format also showed some challenges, such as the need for a digitally educated population and a stable internet connection. Conclusion: This study has shown that online workshops, also in the highly interactive method of co-creation, provide a viable alternative to collect data and generate ideas. This is particularly the case, when the target population is geographically dispersed, has a high workload and is digitally educated. Online workshops, however, also face limitations and challenges that need to be considered when choosing this format.

Effective Co-Creation Tool Development for Shared Understanding and Active Communication for Patients with Head and Neck Cancer.

To improve the quality of life of cancer patients, patient experience (PE) must be improved along with the overall treatment process. This study aimed to develop an effective and practical co-design tool to improve the healthcare service experience of patients with head and neck cancer (HNC) in various factors. The research consisted of four phases: (1) HNC PE categories for healthcare improvement were identified through systematic review, user interviews, and observation; (2) a focus group meeting was held to materialize the card design; (3) a structured and visual card set was developed for stakeholders to share the content and discuss improvements in PE effectively; (4) to evaluate the feasibility of the developed cards, a co-creation workshop with HNC medical staffs was conducted. From the workshop using insight cards, we identified the differences in the medical staff's and patients' perspectives on the factors for improving HNC PE in each stage of the treatment journey. Pat Exp Insight Cards as experience-based co-design (EBCD) tools can be useful for stakeholders to empathize with the specific pain points and needs of patients with HNC and to discuss improvement plans efficiently.

Smart clothing and furniture for supporting participation-co-creation concepts for daily living

Participation and social inclusion influence individuals’ health and well-being. These factors can be easily disturbed, especially for those with disabilities. Designers and engineers have tried harnessing technology to assist people via producing prototypes of assistive devices, such as smart clothing and furniture. This study approaches that user surface and inspects the user’s needs for participation through clothing and furniture. We thus arranged two similar workshops with student participants (n = 37) from four different educational units, creating 10 innovative concepts to support participation and social inclusion. All aimed to support participation via improved self-regulation, increased safety, or environmental control. Most of the concepts were connectible to another device, such as a mobile phone. All devices were made adjustable to meet personal preferences. This study aligns with previous ones by concluding that assistive technology should be unobtrusive, give timely responses, and interact with other devices. These initial concepts are ready to be turned into tangible prototypes.Article highlightsParticipation and social inclusion have remarkable meaning for an individual’s well-being and health. Commonly, assistive technology aims to solve challenges in daily living by promoting health and well-being. For this reason, we arranged two similar co-creation workshops and asked the participants to innovate smart clothing and furniture concepts that will promote greater participation and more social inclusion.This study also identified users’ needs, such as increased safety and independence, supported communication, self-regulation and awareness, and an effective learning tool.The majority of the concepts were designed to be adjustable to meet personal preferences, let individuals interact with other devices (such as a mobile phone), and give timely responses.

Uncovering the Drivers of Childhood Immunization Inequality with Caregivers, Community Members and Health System Stakeholders: Results from a Human-Centered Design Study in DRC, Mozambique and Nigeria

The importance of immunization for child survival underscores the need to eliminate immunization inequalities. Few existing studies of inequalities use approaches that view the challenges and potential solutions from the perspective of caregivers. This study aimed to identify barriers and context-appropriate solutions by engaging deeply with caregivers, community members, health workers, and other health system actors through participatory action research, intersectionality, and human-centered design lenses. This study was conducted in the Demographic Republic of Congo, Mozambique and Nigeria. Rapid qualitative research was followed by co-creation workshops with study participants to identify solutions. We analyzed the data using the UNICEF Journey to Health and Immunization Framework. Caregivers of zero-dose and under-immunized children faced multiple intersecting and interacting barriers related to gender, poverty, geographic access, and service experience. Immunization programs were not aligned with needs of the most vulnerable due to the sub-optimal implementation of pro-equity strategies, such as outreach vaccination. Caregivers and communities identified feasible solutions through co-creation workshops and this approach should be used whenever possible to inform local planning. Policymakers and managers can integrate HCD and intersectionality mindsets into existing planning and assessment processes, and focus on overcoming root causes of sub-optimal implementation.

Influencing Motivations Linked to the Adoption of Improved Flame-Based Cookstoves among Indigent South African Households: A Behaviour-Centred Design Approach

The adoption of energy-efficient, clean, and safe cookstoves can improve the health of poor sub-Saharan households and reduce mortality and poverty, as identified in the United Nations’ Sustainable Development Goals (SDGs). Despite multiple interventions to increase the adoption of improved stoves and clean fuels, few interventions have borne fruit on a significant scale. The lack of adoption is shared in South Africa. (1) Background: The deleterious health hazards associated with flame-based cooking mainly affect women and children due to using portable and cheap paraffin (kerosene) cookstoves or self-constructed metal barrel wood stoves. A shift to improved cookstoves requires significant changes in users’ behaviour. Understanding and addressing the motivations for cookstove adoption and long-term use is critical for successfully implementing behavioural change campaigns. (2) Methods: A case study methodology is employed to evaluate the effectiveness of a behaviour-centred design (BCD) approach aimed at influencing cookstove-related motivations among low-income households in Dunoon, South Africa; the study gathers data via structured observations, co-creative workshops, and card-based choice questionnaires before and after a pilot intervention. (3) Results: The survey conducted before and after the abridged BCD intervention implementation in Dunoon indicates that the majority of touchpoints achieved significant success in influencing the selected cookstove-related motivations of the sampled households, further corroborated by an observed shift in household cookstove ownership patterns targeted by the intervention. (4) Conclusions: A BCD approach suggests possible methods for understanding and influencing the complex motivations determining cookstove use in a context similar to South Africa. The results suggest that linking pertinent motivations to a selected set of touchpoints as part of a cookstove-related campaign can influence cookstove-related motivations linked to the adoption of improved flame-based cookstoves in a localised South African low-income context.

Registered nurse mentors' experiences from co-creation in higher education targeting enhancement of mentorship practices in nursing homes: A qualitative study.

To explore registered nurse (RN) mentors' experiences of participating in the co-creation of a digital educational resource intended to enhance mentorship practices of first-year nursing students in clinical placement in nursing homes. An interpretive, descriptive qualitative study design. Data were collected through two focus group interviews with 15 RN mentors (n=15) participating in co-creative workshops. The co-creative process entailed four co-creative workshops conducted over a 17-month period (June 2019 to end of Oct 2020). Focus group interviews were conducted following the second and third workshops (i.e., in Dec 2019 and in Oct 2020) and data were analysed using thematic analysis. The consolidated criteria for reporting qualitative research (COREQ) checklist was used to report the findings. The analysis identified three themes: (1) co-creative reflective dialogues contributed to knowledge development and increased motivation among mentors; (2) the co-creative approach facilitated and validated the nursing academic-practice tripartite partnership; and (3) effectiveness of workshop structure in facilitating collaboration and mitigating power inequities. A co-creative process provides notable opportunities to advocate for mentorship needs and to enhance mentorship practices in nursing homes. Our study adds to the evidence on co-creation in nursing education, providing insights on the co-creative process and methodology. Higher Education Institutions are uniquely positioned to act as a co-creative arena for the academic-practice collaboration and for the development of educational resources within nursing education. Co-creation may facilitate stronger academic-practice partnership that may more effectively impact mentorship practices in nursing homes and health care system effectiveness. The RNs included in the study were involved in the co-creative process as active contributors informing the digital educational resource content and design.

Preferences for an eHealth tool to support physical activity and exercise training in COPD: a qualitative study from the viewpoint of prospective users

BackgroundDespite well-known positive effects of pulmonary rehabilitation, access is limited. New strategies to improve access are advocated, including the use of eHealth tools.ObjectivesThe aim of this study was to explore prospective users’ preferences for an eHealth tool to support the self-management of physical activity and exercise training in COPD.MethodsA qualitative research design was applied. Data was collected in six, audio recorded, digital co-creation workshops, which were guided by a participatory and appreciative action and reflection approach. A total of 17 prospective users took part in the process, including people with COPD (n = 10), relatives (n = 2), health care givers (n = 4) and a patient organization representative (n = 1). During the workshops, pre-selected relevant topics to exploring end-users’ preferences for eHealth support in self-management in COPD were discussed. The workshops were recorded and transcribed. Data was analysed using inductive qualitative content analysis.ResultsThe overarching theme “fusing with, rather than replacing existing support structures” was uncovered when the two-sided relationship between positive expectations towards digital solutions and the fear of losing access to established rehabilitation systems, emerged in the discussions. Three categories were identified, focused on wishes for an evidence-based support platform of information about COPD, a well-designed eHealth tool including functionalities to motivate in the self-management of physical activity and exercise training, and requirements of various forms of support. Co-creators believed that there were clear benefits in combining the best of digital and existing support systems.ConclusionsCo-creators viewed an eHealth tool including support for physical activity and exercise training as a valuable digital complement to the now existing rehabilitation services. A future eHealth tool needs to focus on user-friendliness and prospective users’s requests.

Intergenerational Esthetic Co-Creation Program for Promotion of Community Creative Aging

The world is facing rapid global aging. Global countries are concerned about the development of aging societies and related topics ranging from successful, healthy, and active aging in the past to the current creative aging (CA) perspective. However, in-depth research on applying esthetics to promote community CA in Taiwan is lacking. To address this deficiency, the Hushan community in Douliu City, Yunlin County was selected as the research area, and the CA perspective was adopted to promote community CA through multi-stage intergenerational esthetic co-creation (IEC) workshops. A model for applying IEC workshops to promote CA was constructed. Using the action research approach, community CA enabled the elderly to identify with their inherent values, opening new possibilities for the provision of elderly social care. This study explored the psychological impacts of implementing IEC workshops on the elderly, analyzed their interactions with peers and youth, helped the elderly review their lives, analyzed relevant data to construct a practical model for applying IEC workshops to promote CA, and provided the data collected during the multi-stage applications of CA and an IEC model for promoting CA as a reference for future researchers, thereby opening new possibilities for sustainable care in aging societies.

Co-creating a Brass Band Dance Number for a Large-scale Community Opera Project with the Aid of Improvisatory Techniques: Co-creativity within an Operatic Context

Community opera projects have often integrated bands of varying types to involve participants in ways other than singing and acting. Although many community opera projects incorporate co-creative elements and improvisation techniques in their composition, there is little coverage of how bands, in practice, can be involved as participants in the co-creative process of shaping a new community opera. This paper documents a practice research project that took place with Waterbeach Brass Band based in Cambridgeshire, UK. It records in detail the process whereby aspects of a brass band dance number were devised during co-creative improvisation workshops, and provides both audio-visual recordings and notated examples that capture the emergent creative process, alongside a commentary explaining the processes and methodological approaches employed. The paper discusses the different ways in which members of the brass band responded to improvisational workshops, and how this fed into the co-creative process. It subsequently examines how such co-creative elements can form part of a larger musical-dramatic presentation, demonstrating how they can be developed during an extended operatic scene.

Ensuring inclusive and accessible digital mobility through universal design

The proliferation of smartphones and digital technologies have produced a quickly expanding array of innovative and disruptive digital mobility and logistics services, but with a varying degree of resulting benefits to different sections of the society. This paper presents the novel approach adopted by Inclusive Digital Mobility Solutions (INDIMO), a Horizon 2020 project to digital inclusion in mobility and logistics based on universal design principles adapted to such services and complemented by socioeconomic equity, cybersecurity and private data protection. Challenges and opportunities have been identified. A Universal Design Manual and a Service and Policy Evaluation Tool have been developed through a series of interviews and co-creation workshops with users, non-users and stakeholders as well as real-life testing of the manual on the (re)development of five pilot services.

A review of the (potential) implications of climate change for policing practice worldwide

AbstractClimate change is now considered more than just an environmental issue, with far-reaching effects for society at large. While the exact implications of climate change for policing practice are still unknown, over the past two decades criminologists have anticipated that climate change will have a number of effects that will result in compromised safety and security. This article is informed by the outcome of a co-creation workshop with 16 practitioners and scholars of diverse backgrounds based in The Netherlands, who sought to conceptualize and systematize the existing knowledge on how climate change will most likely impact the professional practice of the Dutch (or any other) police. These challenges, with varying degrees of intensity, are observable at three main levels: the societal, organizational, and individual level. These levels cannot be separated neatly in practice but we use them as a structuring device, and to illustrate how dynamics on one level impact the others. This article aims to establish the precepts necessary to consider when exploring the intersection between climate change and policing. We conclude that much still needs to be done to ensure that the implications of climate change and the subject of policing are better aligned, and that climate change is recognized as an immediate challenge experienced on the ground and not treated as a distant, intangible phenomenon with possible future impacts. This starts with creating awareness about the possible ways in which it is already impacting the functioning of policing organizations, as well as their longer-term repercussions.

Conceptual development in face-to-face interaction: creating knowledge in a co-creation workshop

In this study, conceptual development and interactive practices related to it in face-to-face discussions of a working community to find out, how new knowledge on an issue important for the working community is created in organizational settings. Ethnographic approach is used to examine the process of knowledge creation. Videotaped face-to-face discussions are analysed in a detail to analyse the conceptual development and interactive practices related to it. Face-to-face discussions are analysed in the light of conversation analysis and the relevance of the discussions in the longer knowledge creation process is analysed by using ethnographic knowledge of the work in the community. The results indicate, that the new conceptual combinations, extensions and reframings were used frequently especially to build bridges between people coming from different backgrounds. In addition, their use allowed the participants to develop ideas concerning new technological solutions. Examining dialogues is essential in understanding knowledge processes in organizations. However, it is concluded, that longer phases of discussions and other knowledge processes in organizations should be included in the analysis, to be able to understand the relevance of the face-to-face discussions.

Public and Patient involvement and engagement in research design. Co-create a toolkit that enables quality time together across the Dementia journey.

Public and Patient involvement and engagement in research design: Co-create a toolkit that enables quality time together for Dementia. There is a growing consensus in the U.K. that public and patient involvement and engagement (PPIE) - e.g. people living with dementia (PLWD), their families, carers, professionals and community - in dementia research is instrumental in improving the quality of research projects and strengthening its relevance and impact. However, publications on PPIE during dementia design research is lacking knowledge and learning exchange within research communities. This project fills in this knowledge gap by involving and engaging 12 family caregivers, care workers and professionals who care for PLWD aged 65 and above at any stage (mild, moderate, and severe) as well as relevant stakeholders. The participants contributed in the research design to co-create an easy access, supportive toolkit that could be used by both PLWD as well as their in/formal carers to promote person centredness care in dementia. This was achieved through participatory approaches with dementia carer focus group workshops and a stakeholder engagement workshop to: (a) generate the ideas and research questions by spending meaningful/quality time together face-to-face and digitally across the dementia journey, (b) using an experience-based co-design approach to design the research methodology for co-creation workshops, (c) co-produce a research funding proposal which has strong PPIE in all stages. d) feedback on the experience with the design research. We argued a participatory approach to PPIE during design research can be time consuming and costly though critical. Firstly, the primary strength of participatory approach was the target population trying our initial research design, then design the research collaboratively. Secondly, it developed a sense of ownership and ongoing commitment among the PPIE groups. Thirdly, it helped us to ensure culturally and logistically appropriate design research. Fourthly, it helped participants to be more meaningfully engaged in research, which in turn concluded with a co-created research design that could have greater potential to produce relevant, meaningful research findings translated to care practice and policy.

A justice and responsible research and innovation exploration of marine renewables and green hydrogen in island communities

<h2>Abstract</h2> Both marine renewables and hydrogen are being tested by the European Marine Energy Centre in the Orkney Islands, Scotland. Given their emerging nature, there is opportunity, and risk, pertaining to their development and deployment. This research will contribute conceptually and methodologically through the integration of energy justice and responsible research and innovation (RRI) frameworks, strengthening justice analyses in relation to emerging energy technologies. This integrated model will be mobilized to critically scrutinize marine energy and green hydrogen as two future energy sources within the energy system. Following exploration of these technologies, this work will then contextualise them into place-based considerations of Orkney's just energy transition. Placing the energy sources and technologies at the centre of justice analyses, insights will have the potential to inform their development and deployment in Orkney and beyond. Exploring them within the local Orkney context will initiate an essential and important discussion of energy futures in the archipelago. This publication sets out the empirical and conceptual context for this work and presents a novel conceptual and methodological model combining energy justice and RRI frameworks. Preliminary methods are also discussed, including methods and outcomes from co-creation workshops held at research design phase.

A tangible interface approach to the codesign of a literacy platform for deaf users

We report initial results of the codesign process of a software platform aimed to support the development of reading and writing skills among deaf students at the elementary level. This platform is one of the main outcomes set out for a broad multi-institutional, multi-disciplinary deaf literacy project. As one of the initial user research activities, we held a co-creation workshop with six deaf participants, one sign language interpreter, and four hearing researchers. In this workshop we explored the application of a design technique intended to enhance participation and communication by relying on low-tech tangible representations of interface components that can be combined to generate interaction designs. Through observation during the workshop and analysis of video recordings we have derived adaptations and adjustments to our approach for its application in upcoming codesign activities.

9.L. Workshop: A motivated, healthy and high-performing workforce: Innovation in health workforce research in Europe

Abstract Background Hospitals and their health care staff were severely impacted by the Covid-19 pandemic. Many health professionals faced high levels of stress and burn-out due to unfavorable work environments, limited staffing and highly pressured workloads. Yet, even prior to the pandemic, health professionals in many countries faced challenging work environments with often limited resources and support. At the same time, the roles of health professionals are changing across Europe, with new roles, task-shifting and sharing happening in teams, also driven by the Covid-19 pandemic. From a health system and management perspective, recruitment and retention is critical to ensure that there is a sufficient and well-educated health workforce capable to perform high-quality care. Multiple innovations have been implemented across Europe, these will be presented and discussed with a view towards evaluating complex interventions, sustaining innovations, ensuring the scalability and transferability of proven interventions for the benefit of health professionals and wider society. Objectives This workshop will address innovative strategies at the micro (team level), meso (healthcare setting) and macro level (policy) to ensure that health professionals are motivated, perform high-quality care in teams and are sufficiently supported by enabling work environments and recruitment and retention policies. Innovations to improve work environments, task-shifting as well as recruitment and retention will be discussed, based on the findings from four EU-funded research projects: Magnet4Europe, H-Work, TASHI and METEOR. The format is a ‘round table’ with 5 panel discussants. The Magnet4Europe project focuses on the reorganization of hospital work environments for nurses and physicians in hospitals in five European countries. Innovative elements include a system-, inter-professional, organization-wide change management, structural empowerment of clinical staff and one-on-one twinning of European hospitals with U.S. twinning partners. Innovations in the EU projects The H- WORK project aims to design, implement and validate psychosocial interventions to promote mental health and well-being in SMEs and the public sector. Innovative elements are the evaluation of interventions at multiple levels (individual, team, manager and organisational level) and the development of the H-Work innovation platform with toolkits, policy briefs and novel digital solutions. The TaSHI project provides a novel and up-to-date knowledge on task shifting and transferability of good practices in implementation. Through a cross-national and -sectoral perspective, the focus is on task shifting as an innovation towards more effective organisation of care and workforce, to improve efficient and sustainable systems. METEOR aims to enhance scientific knowledge on the predictors of job retention for healthcare workers and develops evidence-based policy recommendations through stakeholder engagement and co-creation workshops. Key messages • Innovations to improve work environments include system-wide, integrated approaches spanning individual, team, management and organisational levels. • Elements of effective implementation of innovations are effective leadership at highest level, empowerment, evidence-informed action and tailored strategies on recruitment and retention of staff. Speakers/Panellists Walter Sermeus KU Leuven, Leuven, Belgium Ronald Batenburg NIVEL, Utrecht, Netherlands Lode Godderis KULeuven - IDEWE, Leuven, Belgium Rudolf Kubik Qedgroup, Prague, Czechia Claudia Maier Department of Healthcare Management, Technische Universität Berlin, Berlin, Germany