What is System Archetypes

Patients admitted to the orthopaedic ward often present with injuries post involvement in pedestrian vehicle accidents with little investigation into the context of injury. This chapter intends to portray the ecological framework behind admissions linked to the mechanism of injury and underlying psycho-social circumstances of the pedestrians. The PAR methodology is located within the epistemological realm of critical theory and constructivism, whereby facilitating positive social change is viewed to be the key outcome of such research. This outcome has been confirmed by the study prioritising the necessity for a departure from the traditional expert-led health system, evolving into one which supports the empowerment of patients and healthcare workers as a necessity. However, the implementation of the improvements has not been as straightforward as initially projected. Some of the challenges included the slow assimilation of proposed solutions for planned care and paucity of key engagement from upstream stakeholders.