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Introduction: Design thinking is a thinking process that involves a deeper understanding of problems with a user-centered approach. It brings creativity and various perspectives to develop a solution to the problem. In this paper, the authors present the concept of applying design thinking in advanced practice nurse’s roles (community nursing) for developing the nursing innovation “balsa wood topical steroids applicator in psoriasis patients.” Design thinking includes a five-step process: (1) empathize (2) define (3) ideate (4) prototype and (5) test. There were three prototype developments, of which the 3rd design was tested in 30 patients with psoriasis. The study found that the incidence of side effects from steroid application was 0% and the overall satisfaction level was 89.70%. In addition, in terms of the satisfaction with each aspect, it was found that the innovation: (1) enabled medicine to be well absorbed into the skin rash, reducing drug loss by 83%. In addition, it was: (2) light weight and easy to carry by 100%, (3) a suitable size, easy to use by 98%, (4) easy to clean and maintain by 96%, and (5) a product that prevents contamination of the medication in the cartridge by 90%. Conclusion: Development of the balsa wood topical steroids applicator innovation applied the design thinking method to solve problems and develop new ideas in order to solve psoriasis patient’s problems effectively.
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Institute of Dermatology Thailand. Statistics for common outpatient diseases in fiscal year 2016-2019 [internet]. Bangkok: Institute of Dermatology Thailand. [cited 2023 Feb 4]. Available from: https://www.iod.go.th/wp-content/uploads/2021. Thai.
Prasunnakarm P. Prevalence and incidence of psoriasis in Udonthani hospital. udhhosmj. 2017; 25(2): 143-50. Thai.
Keeratimahat A. Clinical factors associated with metabolic syndrome in psoriasis patients at Mahasarakham hospital. Mahasarakham hospital Journal. 2019; 16(3): 203-14. Thai.
Pothisat P, Nadoo W, Nettippawan I, et al. Psoriasis: Knowledge from Thai traditional medicine. J Thai Trad Alt Med. 2021; 19(3): 646-58. Thai.
Kittichaiyakorn A, Tamdee D, Namporm N, et al. Factors related to quality of life among psoriasis patients at the outpatient department, Maharaj Nakorn Chiang Mai hospital. Nursing Journal CMU. 2022; 49(2): 298-312. Thai.
Bandansin J. Develop the creativity toward the nursing service innovation. JRTAN. 2014; 15(3): 9-17. Thai.
Ekthamasuth C, Sawekngam W, Prachusilpa G. Development of instructional model based on design thinking and reflective practice approaches to enhance nursing innovation abilities of nursing students. JHNR. 2020; 36(2): 1-14. Thai.
Hormniam N. Health care innovative leadership in the nursing profession. udhhosmj. 2020; 28(2): 244-53. Thai.
Eines TF, Vatne S. Nurses and nurse assistants’ experiences with using a design thinking approach to innovation in a nursing home. J Nurs Manag. 2018; 26(4): 425-31. doi: 10.1111/jonm.12559.
Thailand Nursing and Midwifery Council. Official announcements: Scope and competencies of advanced practice nurses [internet]. Nonthaburi: Thailand Nursing and Midwifery Council. [cited 2023 Jan 17]. Available from: https://www.tnmc.or.th/images/userfiles/files/H014.pdf
Tungpunkorm P, Hanucharurnkul S, Panpakdee O. Supportive and barrier factors in practice role of Thai advanced practice nurse. TJNMP. 2016; 3(2): 25-43. Thai.
Jidjawan N. Design thinking process: New perspective in Thai healthcare system. JTNMC. 2018; 33(1): 5-14. Thai.
Roddy L, Polfuss M. Employing design thinking methods in nursing to improve patient outcomes. Nurs Forum. 2020; 55(4): 553-8. doi: 10.1111/nuf.12461.
Paiva ED, Zanchetta MS, Londoño C. Innovation in thinking and scientific action: The method of design thinking for nursing. Escola Anna Nery. 2020; 24(4): 1-5. doi: 10.1590/2177-9465-EAN-2019-0304.
Snow F. Creativity and innovation: An essential competency for the Nurse Leader. Nurs Adm Q. 2019; 43(4): 306-12. doi: 10.1097/NAQ.0000000000000367.
Kelly CJ, Young AJ. Promoting innovation in healthcare. Future Healthc J. 2017; 4(2): 121-5. doi: 10.7861/futurehosp.4-2-121.
Altman M, Huang TTK, Breland JY. Design thinking in health care. Prev Chronic Dis. 2018; 15: E117. doi: 10.5888/pcd15.180128.
O’Hara S, Ackerman MH, Raderstorf T, et al. Building and sustaining a culture of innovation in nursing academics, research, policy, and practice: Outcomes of the national innovation summit. Journal of Professional Nursing. 2022; 43: 5-11. doi: 10.1016/j.profnurs.2022.08.001.
Cox M. Design thinking in healthcare [Internet]. Brighton: University of Sussex; 2015 [cited 2023 Jan 18]. Available from: https://www.researchgate.net/publication/281408556_Design_Thinking_in_Healthcare
The Wood Database. Balsa [Internet]. [place unknown]: [publisher unknown]; [date unknown] [cited 2023 Feb 3]. Available from: https://www.wood-database.com/balsa/