Qualities of Inpatient Hospital Rooms

Devlin, Ann Sloan; Andrade, Cláudia Campos; Carvalho, Diana

doi:10.1177/1937586715607052

Cited by 49 publications

(71 citation statements)

References 27 publications

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“…In recent years, several studies have highlighted the complexity of the issues related to single rooms [30, 32, 38]. While some patients have reported that they preferred single rooms because the rooms allowed them to create a personal and private environment [32], staff have reported disadvantages related to visibility, surveillance, teamwork, monitoring and keeping patients safe [30].…”

Section: Discussionmentioning

confidence: 99%

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

et al. 2017

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Early mobilization and rehabilitation, multidisciplinary stroke expertise and comprehensive therapies are fundamental in a stroke unit. To achieve effective and safe stroke care, the physical environment in modern stroke units should facilitate the delivery of evidence-based care. Therefore, the purpose of this study was to explore patients’ activities and interactions in a stroke unit before the reconstruction of the physical environment, while in a temporary location and after reconstruction. This case study examined a stroke unit as an integrated whole. The data were collected using a behavioral mapping technique at three different time points: in the original unit, in the temporary unit and in the new unit. A total of 59 patients were included. The analysis included field notes from observations of the physical environment and examples from planning and design documents. The findings indicated that in the new unit, the patients spent more time in their rooms, were less active, and had fewer interactions with staff and family than the patients in the original unit. The reconstruction involved a change from a primarily multi-bed room design to single-room accommodations. In the new unit, the patients’ lounge was located in a far corner of the unit with a smaller entrance than the patients’ lounge in the old unit, which was located at the end of a corridor with a noticeable entrance. Changes in the design of the stroke unit may have influenced the patients’ activities and interactions. This study raises the question of how the physical environment should be designed in the future to facilitate the delivery of health care and improve outcomes for stroke patients. This research is based on a case study, and although the results should be interpreted with caution, we strongly recommend that environmental considerations be included in future stroke guidelines.

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Section: Discussionmentioning

confidence: 99%

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

et al. 2017

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“…This development mirrors recent interest within the field of architecture and design in the effect of man-made structures on the human central nervous system. 3 Positive distractions include stimuli that foster well-being, such as artwork, music, physical exercise, pets, and views of or access to nature (e.g. 1 Several functions have been the focus of investigation, including sensation and perception, movement, navigation, decision-making, learning and memory, and emotion.…”

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confidence: 99%

“…1 Several functions have been the focus of investigation, including sensation and perception, movement, navigation, decision-making, learning and memory, and emotion. 3 Application of these principles is recommended for the patient and their family in order to enhance recovery. It may also serve to inform architectural requirements for the optimization of functioning of certain groups, such as typically developing children and those with developmental challenges.…”

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confidence: 99%

“…They also emphasize 'positive distraction' provided by environmental features that attract individuals' attention away from the stressful aspects of an experience while eliciting positive affects. 3 Positive distractions include stimuli that foster well-being, such as artwork, music, physical exercise, pets, and views of or access to nature (e.g. therapeutic or healing gardens).…”

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confidence: 99%

“…4 Such distractions have the potential to mitigate environmental stressors as well as provide patients with opportunities for social interaction and a sense of control. 3 Application of these principles is recommended for the patient and their family in order to enhance recovery. However, benefits for staff and caregivers have also been observed in terms of satisfaction, effectiveness, and staff retention, following environmental arrangements such as appropriate lighting, direct access to daylight, noise reduction, or provision of respite areas.…”

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confidence: 99%

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