‘Re-socialisation' in isolated spaces: A case study on the social organisation of Fangcang shelter hospital patients under extreme spatial conditions

Li, Jie; Shu, Yeshuo; Chen, Ningkang; Wang, Fang; Li, Hui

doi:10.1177/1420326x20973745

Cited by 7 publications

(5 citation statements)

References 29 publications

(37 reference statements)

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“… 49–52 Previous studies in the contexts of SARS 53 and COVID-19 40 indicated that social isolation exacerbated the disease-associated mental distress in hospitalised patients. Our findings mirrored those of Li et al , 54 suggesting that, in contrast to single-room isolation, the shared space in the Fangcang hospital promoted peer interaction and support within the patient community, which mitigated the unintended negative mental health impacts of isolation. According to WHO, 55 health is defined as a state of physical, psychological and social well-being.…”

Section: Discussionsupporting

confidence: 86%

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

et al. 2022

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ObjectivesThis study aimed to examine COVID-19 patients’ experiences in a Fangcang shelter hospital in China, to provide insights into the effectiveness of this centralised isolation strategy as a novel solution to patient management during emerging infectious disease outbreaks.DesignThis study adopted a qualitative descriptive design. Data were collected by individual semistructured interviews and analysed using thematic analysis.SettingThis study was undertaken in 1 of the 16 Fangcang shelter hospitals in Wuhan, China between 28 February 2020 and 7 March 2020. Fangcang shelter hospitals were temporary healthcare facilities intended for large-scale centralised isolation, treatment and disease monitoring of mild-to-moderate COVID-19 cases. These hospitals were an essential component of China’s response to the first wave of the COVID-19 pandemic.ParticipantsA total of 27 COVID-19 patients were recruited by purposive sampling. Eligible participants were (1) COVID-19 patients; (2) above 18 years of age and (3) able to communicate effectively. Exclusion criteria were (1) being clinically or emotionally unstable and (2) experiencing communication difficulties.ResultsThree themes and nine subthemes were identified. First, COVID-19 patients experienced a range of psychological reactions during hospitalisation, including fear, uncertainty, helplessness and concerns. Second, there were positive and negative experiences associated with communal living. While COVID-19 patients’ evaluation of essential services in the hospital was overall positive, privacy and hygiene issues were highlighted as stressors during their hospital stay. Third, positive peer support and a trusting patient–healthcare professional relationship served as a birthplace for resilience, trust and gratitude in COVID-19 patients.ConclusionsOur findings suggest that, while sacrificing privacy, centralised isolation has the potential to mitigate negative psychological impacts of social isolation in COVID-19 patients by promoting meaningful peer connections, companionship and support within the shared living space. To our knowledge, this is the first study bringing patients’ perspectives into healthcare service appraisal in emergency shelter hospitals.

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Section: Discussionsupporting

confidence: 86%

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

et al. 2022

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“…It shows that providing interaction spaces for social life can facilitate salutogenic environments in hospitals. Li et al (2022) and Forooraghi et al (2022) addressed that the spaces for families and others can reduce patients’ anxiety and affect meaningfulness. The strong positive impact of intelligibility on SOC suggests that using adequate signage and color lines to find departments easily while providing a home-like and familiar environment facilitates orientation in public spaces.…”

Section: Resultsmentioning

confidence: 99%

“…Relationability also predicts SOC in public areas, such as the open space, buffets and the waiting room. It shows that providing interaction spaces for social life can facilitate salutogenic environments in hospitals Li et al (2022). andForooraghi et al (2022) addressed that the spaces for families and others can reduce patients' anxiety and affect meaningfulness.…”

mentioning

confidence: 99%

Salutogenic environment: the effect of environmental quality of hospital public spaces (EQHPS) on patients’ sense of coherence

Ghaffari,

Shabak,

Norouzi

et al. 2023

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Purpose This study aims at identifying the key perceived environmental attributes that can influence patients’ sense of coherence (SOC) in hospital public spaces and can improve hospital quality to create a salutogenic environment. Design/methodology/approach In total, 205 patients from the two hospitals in Sari City, Iran, participated in a questionnaire survey. The data were analyzed through structural equation modeling using partial least squares to investigate the impact of environmental qualities of public spaces on patients’ SOC. Findings Results confirmed that public spaces’ quality is positively associated with patients’ SOC. Accessibility has the most effective role in patients’ SOC, closely followed by relationability and intelligibility indicators. Environmental comfort also influences patients’ SOC in hospital public spaces. In comparison, the quality of the visibility is less important to patients’ SOC. Practical implications Findings will help hospital managers and designers to identify influential factors to improve the quality of health-care environments. Furthermore, the study will provide a picture of patients’ views and SOC intentions regarding public spaces in health-care environments. Originality/value To the authors’ knowledge, there is a lack of studies on the relationship between hospital public spaces and users’ SOC. Thus, this study investigates the experiences and perceptions of patients toward the quality of public spaces in hospital environments in physical, social and psychological aspects to find out its effects on patients’ SOC.

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“… 33 ‘Fang Cang’ shelter hospitals, erected by installing medical equipment in large public venues, played an essential role during the COVID-19 pandemic in China. 34 …”

Section: Covid-19 Response and Residents’ Perception In Informal Sett...mentioning

confidence: 99%

“…33 'Fang Cang' shelter hospitals, erected by installing medical equipment in large public venues, played an essential role during the COVID-19 pandemic in China. 34 At the social and public management level, it is important to recognise that residents of informal settlements are individuals and not just numbers in case statistics. Management measures that can be taken to protect these residents and urban citizens include the establishment of emergency planning committees in informal settlements, deployment of community health workers, provision of financial and in-kind grants and implementation of solid waste collection strategies, which all contribute to the longterm well-being of the poor.…”

Section: Classification and Characteristics Of Measures To Prevent An...mentioning

confidence: 99%

Informal settlements in the context of COVID-19: Pandemic restrictions and the building of community resilience

Wang

Lin

2022

Indoor and Built Environment

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As the fundamental unit of urban governance, communities are the grassroots for responding to and facing disasters directly, and their resilience to disaster risks has garnered increasing consideration. Despite the large body of community resilience research that now exists, few studies have considered the resilience of informal settlements such as ‘urban villages’. In fact, the high density of building facilities in informal settlements, the diversity and mobility of their populations, their lack of public space and infrastructure and all kinds of managerial problems have become more prominent in the context of the COVID-19 pandemic. This study aimed to analyse the characteristics of the migrant populations and healthy living environments of informal settlements, sum up the pandemic prevention measures and their effects, study the community resilience of informal settlements during the COVID-19 pandemic and summarise the strategies to build resilience. Our research results can be utilised to (1) enrich the content of existing community resilience research and promote the resilience of the whole city system in the face of public health events, and (2) provide a scientific basis for comprehensive management of informal settlements and optimise the living environments of migrant populations from the perspective of resilience.

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‘Re-socialisation' in isolated spaces: A case study on the social organisation of Fangcang shelter hospital patients under extreme spatial conditions

Cited by 7 publications

References 29 publications

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

Salutogenic environment: the effect of environmental quality of hospital public spaces (EQHPS) on patients’ sense of coherence

Informal settlements in the context of COVID-19: Pandemic restrictions and the building of community resilience

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