Older adults’ activity on a geriatric hospital unit: A behavioral mapping study

Ariza‐Vega, Patrocinio; Shu, Hattie; Amarasekera, Ruvini; Edwards, Nicola; Filipski, Marta; Langford, Dolores; Madden, Kenneth M.; Ashe, Maureen C.

doi:10.3934/medsci.2019.1.33

Cited by 2 publications

(6 citation statements)

References 43 publications

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“…which can be difficult to measure with other methods, such as accelerometry. 5 Behavioural mapping also provides important contextual information for activities observed (e.g. time and place).…”

Section: Methodsmentioning

confidence: 99%

“…The data collection form (Supplemental material 1) was adapted from a previous study and pilot tested prior to use. 5 The observers moved through each location on the ward in a pre-determined circuit, commencing a new circuit every 15 min. One patient room was also observed on each circuit, until all rooms had been observed once.…”

Section: Data Collectionmentioning

confidence: 99%

“…The behavioural mapping method enabled the evaluation of a diverse range of activities and interactions that would have otherwise been difficult to detect. 5…”

Section: Introductionmentioning

confidence: 99%

“…3,4 For example, greater physical activity and engagement in usual activities of daily living (ADLs), may better prepare patients for discharge and the physical challenges of community living. 5 Additionally, greater opportunities for social interaction and mental stimulation in hospital, with less time spent alone, has been shown to improve psychological outcomes in a range of patient groups. 3,6,7 There is also growing evidence the design of the physical ward environment can enhance therapeutic opportunities, including opportunities for both selfdirected therapeutic activities and those undertaken with staff.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can a new ward environment and intensive allied health staffing model enhance therapeutic opportunities in trauma care? A behavioural mapping study of patients’ activities and interactions

et al. 2022

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Objective The aim of this study was to assess changes in patient activities and interactions observed in response to a new trauma ward at a level 1 trauma centre, and subsequently, a new allied health staffing model. Design Explorative case study using behavioural mapping. Setting Level 1 trauma centre in Melbourne, Australia. Participants Hospitalised trauma patients. Main measures Behavioural mapping of patients’ activities and interactions was conducted by two observers over three 4-day observation phases: (i) at baseline, (ii) on the new ward and (iii) with the new staffing model. Changes in activities and interactions were assessed via negative binomial regression models and reported as incident rate ratios. Results In total, 1264 patient observations were recorded over an 18-month period. After moving to the new ward, patients were observed performing activities of daily living at a 2.1-fold higher rate than at baseline (95% confidence interval: 1.18, 3.81) but walking/standing/climbing stairs 54% less (95% confidence interval: 0.22, 0.94). Subsequent to the new staffing model, patients were observed in the gym at a 4.1-fold higher rate (95% confidence interval: 1.60, 10.32) and interacting with allied health professionals at a 9.1-fold higher rate (95% confidence interval: 4.88, 16.98), than at baseline. After COVID-19 restrictions were introduced, patients were observed lying down 22% more (95% confidence interval: 1.04, 1.43), with 73% fewer visitor interactions (95% confidence interval: 0.17, 0.43). Conclusions Greater engagement in physical and social activities was observed following the implementation of the new allied health staffing model at a level 1 trauma centre. Whether these changes translate to improved trauma outcomes is important to investigate.

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Section: Methodsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

“…The behavioural mapping method enabled the evaluation of a diverse range of activities and interactions that would have otherwise been difficult to detect. 5…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can a new ward environment and intensive allied health staffing model enhance therapeutic opportunities in trauma care? A behavioural mapping study of patients’ activities and interactions

et al. 2022

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Mapping Healthcare Spaces: A Systematic Scoping Review of Spatial and Behavioral Observation Methods

Lipson-Smith

McLaughlan

2022

HERD

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Objective: To provide a taxonomy of spatial observation methods that are commonly used in healthcare environments research and to describe their relative success. Background: Spatial observation is a valuable but resource intensive research method that is often used in healthcare environments research, but which frequently fails to deliver conclusive results. There is no existing catalog of the different spatial and behavioral observation methods that are used in healthcare design research and their benefits or limitations. Methods: The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Ten key databases were searched, and articles were screened by both authors. Results: Across 67 included studies, 79 observation methods were reported. We categorized those into four, distinct methodological approaches, outlining the benefits, limitations, and suitability of each for obtaining different types of results. Common limitations included difficulty generalizing to other contexts and a lack of detailed description during data collection which led to key environment variables not being recorded. More concrete conclusions were drawn when observation methods were combined with complimentary methods such as interview. Conclusions: The relative success of spatial observation studies is dependent on the fit of the method selected relative to the research question, approach, and healthcare setting; any complimentary methods delivered alongside it; and the analysis model employed. This article provides researchers with practical advice to guide the appropriate selection of spatial observation methods.

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Older adults’ activity on a geriatric hospital unit: A behavioral mapping study

Cited by 2 publications

References 43 publications

Can a new ward environment and intensive allied health staffing model enhance therapeutic opportunities in trauma care? A behavioural mapping study of patients’ activities and interactions

Can a new ward environment and intensive allied health staffing model enhance therapeutic opportunities in trauma care? A behavioural mapping study of patients’ activities and interactions

Mapping Healthcare Spaces: A Systematic Scoping Review of Spatial and Behavioral Observation Methods

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