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Design, institutional complexity and compromises: exploring the role of design in transforming dementia care

PMR pp. 1-27 2026-05-01

Original

Design, institutional complexity and compromises: exploring the role of design in transforming dementia care

Maria Taivalsaari Røhnebæk, Marit Engen

Abstract

This article examines how studies of compromises provide valuable insights into the role of design in fostering societal transformations. Based on a study in dementia care, we demonstrate how design processes dealing with wicked problems must navigate competing institutional demands and value conflicts. The article zooms in on how construction and maintenance of compromises become key in fostering transformations, while also highlighting how compromising implies that transformations may become less radical than anticipated. By integrating institutional complexity theory with justification theory, we explore how design for societal transformations evokes value conflicts and compromises anchored in discourses, practices and materiality.

中文

设计、制度复杂性与妥协:探索设计在痴呆症照护转型中的作用

Maria Taivalsaari Røhnebæk, Marit Engen

摘要

本文考察关于妥协的研究如何为理解设计在促进社会转型中的作用提供有价值的见解。基于一项痴呆症照护研究,我们展示处理棘手问题的设计过程如何必须应对相互竞争的机构需求和价值冲突。文章聚焦于妥协的建构与维持如何成为促进转型的关键,同时也强调妥协意味着转型可能不如预期那样激进。通过将制度复杂性理论与正当性理论相结合,我们探讨面向社会转型的设计如何引发植根于话语、实践和物质性之中的价值冲突与妥协。

关键词

设计、制度复杂性、妥协、痴呆症照护、社会转型、价值冲突、正当性理论