Experience-Based Co-Creation in Hospitals: Negotiating Roles, Evidence and Value
Author
Andersen, Jonathan Laulund Grau
Term
4. term
Education
Publication year
2026
Abstract
This thesis investigates how experience-based co-creation with clinical staff in hospital settings both enables and limits value creation. The case is PlayLab at Mary Elizabeths Hospital (Rigshospitalet, Copenhagen). The study uses an abductive approach and structures the process through the ADGE framework (Align, Discover, Generate, Evaluate), drawing on observations, interviews, workshops, and iterative design activities. The literature review situates the work at the intersection of experience-based design research, co-creation, and service design in hospitals, highlighting tensions between experience- and evidence-based logics. Empirical findings show that co-creation is shaped by recurring negotiations about why it is done, who participates, where it happens, how it is carried out, and which kinds of value are prioritized; these negotiations influence how knowledge is recognized, how roles are distributed, and how experiential, social, and organizational values are understood. Based on this, the thesis develops a value framework and a scenario-based role-play to support reflection and negotiation in co-creation projects; evaluation indicated that the role-play was most effective because it stayed close to the discovered problem and made tensions easier to discuss in practice. Overall, the thesis argues that experience-based co-creation in hospitals is an ongoing alignment of perspectives, practices, and values rather than a straightforward path to added value.
Denne afhandling undersøger, hvordan erfaringsbaseret samskabelse med klinisk personale i hospitalskontekster både muliggør og begrænser værdiskabelse. Casen er PlayLab på Mary Elizabeths Hospital (Rigshospitalet, København). Studiet anvender en abduktiv tilgang og strukturerer processen gennem ADGE-rammen (Align, Discover, Generate, Evaluate), med empiri fra observationer, interviews, workshops og iterative designaktiviteter. Litteraturgennemgangen placerer arbejdet i krydsfeltet mellem erfaringsbaseret designforskning, samskabelse og servicedesign i hospitaler og fremhæver spændinger mellem erfarings- og evidensbaserede logikker. Empirien viser, at samskabelse formes af tilbagevendende forhandlinger om hvorfor samskabes, hvem deltager, hvor det foregår, hvordan det gennemføres, og hvilken værdi der prioriteres; disse forhandlinger påvirker anerkendelsen af viden, rollefordelingen og forståelsen af oplevelsesmæssige, sociale og organisatoriske værdier. På den baggrund udvikles en værdiramme og et scenariebaseret rollespil til at støtte refleksion og forhandling i samskabelsesprojekter; evaluering peger på, at rollespillet var mest virkningsfuldt, fordi det lå tæt på det identificerede problem og gjorde spændinger lettere at drøfte i praksis. Afhandlingen argumenterer for, at erfaringsbaseret samskabelse i hospitaler er en løbende afstemning af perspektiver, praksisser og værdier frem for en lige vej til øget værdi.
[This apstract has been generated with the help of AI directly from the project full text]