Evaluation of a Pilot Radical Care Kit: Report for Sydney Children’s Hospitals Foundation by Monash Arts Creativity Education Faculty Research and Scholarship Group, Faculty of Education, Monash University

This report provides an evidence-based evaluation of the delivery of the Radical Care Kit pilot developed and implemented by the Art Program at Sydney Children’s Hospital at Randwick and The Children’s Hospital at Westmead. This resource must be utilised with Artist Educators, as the value of their tailored and flexible approach is crucial when working in such a sensitive and important space.Over the period of eight weeks from September to November 2023, four Artist Educators at Sydney Children's Hospitals Foundation Art Program worked primarily bedside with a range of patients at two paediatric hospital sites: Randwick and Westmead. Throughout the pre-pilot, during the pilot itself and at the culmination of the pilot the Artist Educators were interviewed by members of a team of research academics from the Arts Creativity Education Research Group (ACE) from the Faculty of Education at Monash University. Each interaction and interview were conducted using a SWOT matrix: strengths, weaknesses, opportunities, and threats to capture teaching artists experiences and observations of the pilot program. In addition, participants/teaching artists completed weekly reflections online in response to a 5-minute read on an emergent topic relevant to their work with patients through the pilot program.This evaluative research was conducted for the Art Program Lead Lleah Smith and Art Program Manager Timothy Talty, the Artist Educators, and funding providers: Sydney Children's Hospitals Foundation, BIC Corporate Foundation, The Page Family Endowment, and Desmond Prentice Charitable Fund via the Perpetual 2023 Impact Philanthropy Grants. It is intended that this report be used for future planning and development of the Radical Care Kit and its potential benefit to facilitate the work of the Arts Program in the hospitals. It is our belief that the Radical Care Kit should be expanded in accordance with the recommendations provided.The report is structured in the following way: Section 1 outlines the impetus for the pilot and is supported with insights from previous research and scholarly literature. Section 2 describes the research design, including a brief overview of the design and participants – artists, Artist Educators and researchers involved in the evaluation of the pilot Radical Care Kit. Section 3 describes the Artist Educators’ perceptions and experiences throughout the pilot. Section 4 is an analysis of interview data, evaluating the impact of the pilot and highlighting strengths and areas for further considerations as Sydney Children's Hospitals Foundation Art Program management contemplate the future of the Radical Care Kit across sites and the expansion of the Kit. Section 5 contains the recommendations are made for how the pilot might be expanded and enhanced.The key recommendations are:· Artist Educators are key to the success of the Radical Care Kit. Recognising the central role of educators in Kit delivery is crucial, requiring training and providing multi-entry points for activities. The Kit is deemed most effective when facilitated by Artist Educators.· Artist Educators require additional preparation time and discussions with Kit artists.· The Kit should carefully balance artist-led and child-led possibilities and provide opportunities for differentiation, considering varied student capabilities.· Instructions in the Kit should be visually oriented, incorporating technology-based methods for patient and educator ease.· Ongoing contributions from Artist Educators should be encouraged, and the Kit should intentionally involve patient-partners to share experiences.· Exercise commissioning should consider age, context, patient conditions, and language, ensuring thoughtful categorisation.We are grateful for the opportunity to conduct this valuable research and extend our thanks to the Sydney Children’s Hospitals Foundation for their trust. It was a pleasure to collaborate with a dedicated and professional team of esteemed arts practitioners.

本报告基于实证评估，对兰德威克悉尼儿童医院（Sydney Children’s Hospital at Randwick）与韦斯特米德儿童医院（The Children’s Hospital at Westmead）的艺术项目所开发并推行的根治性护理套件（Radical Care Kit）试点项目的落地情况展开分析。本资源需配合艺术教育工作者（Artist Educators）使用——在这类兼具敏感性与重要性的医疗场景中开展工作时，艺术教育工作者量身定制且灵活多变的工作方法具备不可替代的核心价值。

2023年9月至11月的八周周期内，悉尼儿童医院基金会艺术项目的四名艺术教育工作者主要在病床旁，为兰德威克与韦斯特米德两家儿科医院的多名患者提供服务。在试点前期、试点实施期间及试点收尾阶段，蒙纳士大学（Monash University）教育学院艺术创意教育研究小组（Arts Creativity Education Research Group, ACE）的学术研究团队成员对艺术教育工作者进行了访谈。每次交流与访谈均采用SWOT矩阵（SWOT Matrix）框架开展，即围绕优势、劣势、机遇与威胁四个维度，以记录艺术教育工作者参与试点项目的亲身经历与观察结果。此外，参与本次研究的艺术教育工作者每周需在线完成反思报告，内容围绕一份时长5分钟的阅读材料，该材料聚焦于试点期间其患者护理工作相关的新兴议题。

本次评估研究由艺术项目负责人莉娅·史密斯（Lleah Smith）、艺术项目经理蒂莫西·塔尔蒂（Timothy Talty）、艺术教育工作者以及资助方委托开展：资助方包括悉尼儿童医院基金会、BIC企业基金会（BIC Corporate Foundation）、佩奇家族捐赠基金（The Page Family Endowment）以及德斯蒙德·普伦蒂斯慈善基金（Desmond Prentice Charitable Fund），相关资助经由珀佩图尔（Perpetual）2023年度影响力慈善拨款项目拨付。本报告旨在为根治性护理套件的后续规划与开发提供参考，以及评估其助力医院内艺术项目开展的潜在价值。我们认为，根治性护理套件应根据本次报告提出的建议进行拓展优化。

本报告结构如下：
1. 第一章阐述试点项目的发起动因，并辅以既往研究与学术文献的观点作为支撑；
2. 第二章介绍研究设计，包括对设计方案与参与人员的简要概述——参与人员包括参与根治性护理套件试点评估的艺术家、艺术教育工作者与研究人员；
3. 第三章阐述艺术教育工作者在试点全程的认知与经历；
4. 第四章对访谈数据展开分析，评估试点项目的影响，同时结合悉尼儿童医院基金会艺术项目管理层对根治性护理套件跨院区推广与套件扩容的未来规划，点明试点项目的优势及有待进一步优化的方向；
5. 第五章提出关于试点项目拓展与优化的具体建议。

核心建议如下：
· 艺术教育工作者是根治性护理套件项目成功的核心要素。需充分认识到教育工作者在套件落地过程中的核心作用，为相关活动提供培训支持与多维度参与路径。经实践验证，由艺术教育工作者主导的套件使用方式效果最佳。
· 艺术教育工作者需额外预留筹备时间，并与套件创作艺术家开展协同讨论。
· 套件需在艺术家主导与患儿主导的活动形式间保持合理平衡，并结合不同患者的能力水平提供差异化参与选项。
· 套件内的操作指南应以可视化形式呈现，并融入基于技术的辅助方式，以降低患者与教育工作者的使用难度。
· 应鼓励艺术教育工作者持续参与套件的迭代优化，并主动邀请患者伙伴参与，分享自身使用体验。
· 套件内活动的配置需综合考量患者年龄、场景、病情与语言差异，确保分类逻辑严谨合理。

我们衷心感谢获得本次开展此项富有价值的研究的机会，并感谢悉尼儿童医院基金会给予的信任。同时，能与一支敬业且专业的顶尖艺术从业者团队合作，令我们倍感荣幸。