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Session Overview
Session
Short Presentation17: Frugal innovation in a healthcare education context. Case study of an eco-sustainable approach in simulation (Favez, Pierre André; Becerril Ortega, Raquel)
Time:
Friday, 02/Sept/2022:
2:45pm - 4:15pm

Location: CHUV auditorium Auguste Tissot


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Presentations

Frugal innovation in a healthcare education context. Case study of an eco-sustainable approach in simulation

Pierre André Favez1, Raquel Becerril Ortega1,2

1HESAV Haute Ecole de Santé Vaud, HES-SO Haute école spécialisée de Suisse occidentale, Switzerland; 2Université de Lille, ULR 4354, CIREL, France

This paper is a contribution to an eco-sustainable approach in training systems, particularly those that use simulation.

- Frugal innitiatives

First, we will discuss the definition of frugal innovation (jugaad innovation). Born in 2015 by N. Radjou and J. Prabhu, this Hindu word synthesizes the pursuit of ingenious solutions or the ability to do better with less. In light of these perspectives, anthropologists challenged technical innovation differently. They used criterias that are based less on the sophistication of manufacturing processes and more on their capacity to be recomposed in contexts characterized by heterogenous needs and issues (Grimaud, Tastevin & Vidal, 2017). Other perspectives, such as Responsible Research Innovation (RRI), advocate citizen’s participation throughout all phases supportof the development of technological innovations. They also support an openness to scientific and ethical principles as well as to gender equality (Reber, 2018).

In simulation, low-tech innovations are seen in initiatives that mobilize low-fidelity, low-cost simulators. In the field of technical skills, simple resources are used to learn gestures such as punctures or sutures with, for example, different fruits (tomatoes, oranges, bananas, etc.). Others, mobilize animal parts, but sometimes their use face logistical problems, related to contamination or ideological or religious convictions from the learners or teachers/ trainers (Bazin & Péan, 2013).

- Different criteria of frugality in innovation

In order to determine the frugal character of an innovation, the qualitative analysis is based on four criterias: i. The first criteria is didactical: the adopted solution, must respond to a functional representation of a situation that is sufficiently faithful and aims at the reproducibility of a technical gesture during the simulation. ii. The second criteria is technological: because the proposed innovation uses (or recycles) pre-existing materials in new configurations. At the end, it is a matter of meeting this double requirement of novelty and low-tech. Iii. The third criteria is economic: to guarantee an eco-responsable positioning, short circuits, sustainable and affordable solutions are sought. iv. The fourth criteria is social: considers the participation of stakeholders (consumers) in the innovation process.

The data, in the form of observations and interviews, reveal the stages in the innovation process.

The situation of reference, is the removal of stitches and/or staples. A priori analysis of the removal of stitches. identifies three successive operations: mobilizing the thread with forceps (to detach it from the skin); cutting the thread (under the knot flush with the skin); and removing the thread. The main performance indicator is the presence of three strands of thread under the forceps after the operation is completed. For staple removal, the technique is similar, a staple forceps is used to generate the opening of the staple. The performance indicator here is the presence of the complete staple.

- A low tech and low cost wound simulator for an eco-responsible approach in health education context

The simulation device represents a rectangle cut from a nylon material of dimensions 11 cm by 17 cm. A brownish line represents the healing wound. Five staples followed by five stitches are placed on this line, at a distance of about 1 cm from each other. This simulation device, thus, concentrates two distinct removal operations.

This case study can be seen as a trend as well as an exception to an eco-responsible approach to simulation. Within the simulation field in healthcare , we aim at mirroring the same situations that occur in regards to waste and energy consumption. Before describing the case, we identify the criteria of frugality in innovation. Finally, we insist on the social criterion: the innovator knew how to put in place the constraints and needs of the users who, in one way or another, largely contributed to improve this wound simulator.



 
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