Are Pediatric Practice Settings Adolescent Friendly? An Exploration of Attitudes and Preferences

Tivorsak, Tanya L.; Britto, Maria T.; Klostermann, Brenda K.; Nebrig, Dawn; Slap, Gail B.

doi:10.1177/000992280404300107

Cited by 31 publications

(48 citation statements)

References 14 publications

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“…Similar findings are reflected in a British study undertaken with patients aged 11–15 years26 and in a study of paediatric practice settings in the USA with patients aged 11–19 years 27. Siberry relied not on the interior application of graphics and decorative elements but used architectural strategies to articulate the hospital environment as a space that was deliberately unique.…”

Section: Paediatric Hospitals and The Suspension Of Disbelief: On Entsupporting

confidence: 59%

Evidence and speculation: reimagining approaches to architecture and research within the paediatric hospital

McLaughlan

Pert

2017

Med Humanities

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As the dominant research paradigm within the construction of contemporary healthcare facilities, evidence-based design (EBD) will increasingly impact our expectations of what hospital architecture should be. Research methods within EBD focus on prototyping incremental advances and evaluating what has already been built. Yet medical care is a rapidly evolving system; changes to technology, workforce composition, patient demographics and funding models can create rapid and unpredictable changes to medical practice and modes of care. This dynamism has the potential to curtail or negate the usefulness of current best practice approaches. To imagine new directions for the role of the hospital in society, or innovative ways in which the built environment might support well-being, requires a model that can project beyond existing constraints. Speculative design employs a design-based research methodology to imagine alternative futures and uses the artefacts created through this process to enable broader critical reflection on existing practices. This paper examines the contribution of speculative design within the context of the paediatric hospital as a means of facilitating critical reflection regarding the design of new healthcare facilities. While EBD is largely limited by what has already been built, speculative design offers a complementary research method to meet this limitation.

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Section: Paediatric Hospitals and The Suspension Of Disbelief: On Entsupporting

confidence: 59%

Evidence and speculation: reimagining approaches to architecture and research within the paediatric hospital

McLaughlan

Pert

2017

Med Humanities

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“…[22][23][24] Data for this study were extracted from the transcripts of focus groups convened in phase 1 of the larger study.…”

Section: Methodsmentioning

confidence: 99%

Adolescents' Needs for Health Care Privacy

2010

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WHAT'S KNOWN ON THIS SUBJECT:Confidentiality is very important to adolescents, and limitations on it can affect health care behaviors. Little is known about other aspects of privacy, such as the psychological, social, and physical dimensions, and how they might affect adolescent health care experiences. WHAT THIS STUDY ADDS:Adolescents expect and value all aspects of health care privacy. Informational privacy (or confidentiality) is most salient, but psychological, social, and physical privacy also affect adolescents' experience of and willingness to participate in care. abstract OBJECTIVE: To understand adolescents' preferences for multidimensional aspects of privacy, including psychological, social, and physical, and confidentiality (informational privacy) in the health care setting. PATIENTS AND METHODS:Fifty-four adolescents with and without chronic illness participated in 12 focus groups composed of participants of the same age (11-14 or 15-19 years), gender, and health status. Health care preferences, including privacy and confidentiality, were discussed, and themes were determined. On the basis of a literature review, Burgoon's framework best represented participant feedback. The data were categorized as representations of informational, psychological, social, or physical privacy. RESULTS:Maintaining informational privacy (ie, keeping information confidential) was most salient to the adolescents. Younger adolescents were concerned with information being disclosed to others (ie, health care providers), whereas older adolescents worried more about information being disclosed to parents. Other privacy aspects (psychological, social, and physical) also were important. To protect psychological privacy, adolescents were cautious about revealing sensitive information for fear of being judged by providers. To protect social privacy, they were reluctant to talk with unfamiliar or multiple providers, and they did not want to discuss issues they perceived as unrelated to their health care. Adolescents who commented about physical privacy said that they thought about their physical safety during physical examinations, as well as their visibility to others, and said that they were more comfortable when examinations were performed by female rather than male providers. CONCLUSIONS:Adolescents value all aspects of privacy. Providers should address not only informational but also psychological, social, and physical privacy to improve the care of adolescent patients.

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“…In environments for adolescents, it has been found to be important that the artwork is age-appropriate and does not include blatant emblems of childhood such as cartoon characters, clowns, balloons and teddy bears (Blumberg & Devlin, 2006;Liabo, Curtis, Jenkins, Roberts et al, 2002;Tivorsak, Britto, Klosterman, Nebrig & Slap, 2004). Adolescents require less permanently fixed art and more provision to add their own posters and artwork to their areas in healthcare settings (Blumberg & Devlin, 2006).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Adolescents require less permanently fixed art and more provision to add their own posters and artwork to their areas in healthcare settings (Blumberg & Devlin, 2006). Research with children and young people in or about healthcare settings consistently shows their appreciation for bright, colourful décor and artwork is usually part of this assessment (Blumberg & Devlin, 2006;Hutton, 2002Hutton, , 2003Hutton, , 2005Sharma & Finlay, 2003;Tivorsak et al, 2004). A growing body of research also indicates that the arts can play a significant role in providing psychological and emotional support for children who are in hospice care or who are experiencing the death of a family member in hospice care (Bertman, 1999;Graham-Pole, 2000;Samuels & Lane, 1998;Rollins, 2002;Silverman, 2000;Sourkes, 1995).…”

Section: Literature Reviewmentioning

confidence: 99%

Considering Art in a Hospital Environment from Children's and Young People's Perspectives

Bishop

2017

ajE-Bs

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In response to research evidence, (predominantly research with adults) the need for artwork in healthcare environments is now regularly part of the initial design briefs for hospitals. The resulting artwork can be a collection of commissions; it can also be included as a seamless extension of the interior design concept. In the case of paediatric hospitals, it is unlikely that "art" which is simply a graphic treatment applied to key surfaces throughout the hospital environment, could function in the ways that children and young people have identified in research as being valuable in their experience of hospitalisation. This one environmental attribute will be used to understand some of the key components of a hospital environment involved in children"s feeling of well-being from their perspectives.Keywords: children; hospitals; art; health Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. https://doi.org/10.21834/aje-bs.v2i5.219 Bishop, 2(5) Oct / Dec 2017 (p.15-25) 16 This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for EnvironmentBehaviour Studies), Faculty of IntroductionThe therapeutic effects of art and the arts on individual well-being have been recognised for many centuries. Art has been installed in hospitals since the 14th century (Baron, 1995) and the need for artwork in healthcare environments is now regularly part of the initial design briefs for hospitals. Currently, art is often included as specific commissions for a new hospital or as touring exhibitions which are installed in the public spaces of the hospital environment (MacNaughton, 2007). It can also be included as a seamless extension of the interior design concept. Increasingly there is a sense that the role of art in a hospital may be more than a therapeutic one; it may also function as a cultural resource for the surrounding community (MacNaughton, 2007).What constitutes art has been the subject of debate for as long as art has existed and in modern hospitals it varies enormously from commissioned works by many individual artists to graphic treatments of key surfaces carried out by one artist and spanning the whole hospital. The reality of the final effect will necessarily be very different. One is likely to be full of quirkiness and dissimilarity whilst the other approach will lead to a seamless veneer that blends well with the surrounding context. A key question is how does this variation in approach to what constitutes art in healthcare settings potentially impact on patient experience? Is there likely to be a difference in the role of the art resulting from both approaches in patient satisfaction and well-being? This paper will examine the findings from a qualitative study carried out with children and young people in a paediatric setting in which art was one o...

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Are Pediatric Practice Settings Adolescent Friendly? An Exploration of Attitudes and Preferences

Cited by 31 publications

References 14 publications

Evidence and speculation: reimagining approaches to architecture and research within the paediatric hospital

Evidence and speculation: reimagining approaches to architecture and research within the paediatric hospital

Adolescents' Needs for Health Care Privacy

Considering Art in a Hospital Environment from Children's and Young People's Perspectives

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