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This paper aims to focus on the involvement of mental healthcare professionals in a co-design process of a digital healthcare platform. Many people with severe mental disorders need constant support and monitoring, and with long waiting lists and scarce resources in mental healthcare, there is a dire need for innovative digital solutions to counteract those issues. This paper elaborates on a co-design process of a digital platform and mobile app designed for people with mental disorders. The platform primarily considers two perspectives: i) the patients and ii) the healthcare professionals.

This paper is based on canonical action research, where the co-design involvement with 13 healthcare professionals is analyzed and their interactions with three primary scenarios are focused.

The main contribution of this paper is three co-design principles: i) clarity and information accessibility regarding the patient's side, ii) efficiency and flexibility when it comes to the healthcare professional's side and iii) a notification function in the mobile application.

The theoretical contribution is the conceptualization of the three co-design principles that others can use when designing digital platforms in healthcare in general and psychiatric care in particular. The practical contributions are firstly outlined through the co-design process itself, where scenarios to guide the work are used, and secondly, the improvements made in the digital platform derived from the results of the co-design process.

Paramedics became nationally registered in 2018 in Australia. Prior to this, there was no central regulation of the profession with reliance on organisational regulation through employers. As paramedics expanded their scope, role and range of employers, especially outside statutory agencies, there was increasing need to engage in professional regulation. Regulation is more than a legal and bureaucratic framework. The purpose of the paper states that the way paramedics interact with their new regulatory environment impacts and is influenced by the professionalisation of the discipline. Regulation also redefines their positionality within the profession.

Two mixed-method surveys were undertaken. A pre-registration survey occurred in the month prior to regulation commencing (N = 419) followed by the second survey 31 months later (N = 407). This paper reports the analysis of qualitative data from the post-registration survey and provides comparison to the pre-registration survey which has been previously reported. Analysis was undertaken using interpretive phenomenological analysis (IPA).

Themes from the pre-registration survey continued however became more nuanced. Participants broadly supported registration and saw it as empowering to the profession. Some supported registration but were disappointed by its outcome, others rejected registration and saw it as divisive and oppressive.

Paramedics are beginning to come to terms with increasing professionalisation, of which regulation is one component. Changes can be seen in professional identity and engagement with professional practice; however, this is nascent and is deserving of additional research to track the profession as it continues to evolve.

Interprofessional collaboration and coordination are critical to developing solutions to complex problems, and many workplaces engage in coordination and collaboration across organizational boundaries. This development changes work conditions and workplaces for many people. The ethnographic study of workplaces needs to re-configure the toolbox to adjust to such changes. The purpose of this study was to explore how the ethnographic study of dispersed workplaces can benefit from the analytical concept of boundary work.

A multi-sited ethnographic study was conducted in two health promotion programs, introducing new collaborative relations across sectors and professions. The concept of boundary work was applied as the conceptual frame and introduced the diagnosis of gestational diabetes mellitus (GDM) as a boundary object.

Professional boundaries are key to understanding interorganizational and interprofessional collaborations. The ethnographic study of complex, multi-sited settings using boundary work as a conceptual framework can enrich workplace ethnographies by demonstrating how professions position themselves through framing. Such framing strategies are used to construct, defend or contest boundaries. Boundary objects may potentially bridge devices connecting people across boundaries.

The traditional ethnographic notion of “following” an object or a subject is difficult in a workplace environment dispersed across multiple sites and involving many different actors. This suggests that workplace ethnographies studying interorganizational workplaces would benefit from a shift in focus from place-based or group-based ethnography to a field-level ethnography of relations using boundary work as an analytical frame.