Room Design—A Phenomenological-Hermeneutical Study

Sundberg, Fredrika; Fridh, Isabell; Olausson, Sepideh; Lindahl, Berit

doi:10.1097/cnq.0000000000000267

Cited by 8 publications

(6 citation statements)

References 35 publications

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“…In a survey of 42 families of ICU patients, Ulrich et al (2019) found that access to and breaks in a flowery hospital garden reduced stress, and promoted relaxation and well-being for the visiting family to a higher degree than when they had a break in the hospital café or waiting area. These findings have also been endorsed in a study investigating the connection between acts of caring and the design of the ICU patient room (Sundberg et al, 2019). In this study, the authors stress the importance of a supportive environment and of nurses acquiring an attentive and attuned gaze and attention to the suffering person.…”

Section: Discussionmentioning

confidence: 60%

“…In a review of literature collected from nursing, medicine, psychology, architecture and environmental science, Minton and Batten (2016) and sound reduction, facilitating access to daylight and placing the bed to give the patient a view of natural scenery. These components were among those taken into consideration in a Swedish ICU complex intervention programme focussing on healing environments and evidence-based design in ICUs (Engwall et al, 2015;Johansson et al, 2017;Sundberg et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Such interventions could include noise and sound reduction, facilitating access to daylight and placing the bed to give the patient a view of natural scenery. These components were among those taken into consideration in a Swedish ICU complex intervention programme (Lindahl & Bergbom, 2015) focussing on healing environments and evidence‐based design in ICUs (Engwall et al, 2015; Johansson et al, 2017; Sundberg et al, 2019). These findings relating to environmental aspects correspond with findings in several of the studies in this review where, for example, noise, environmental stressors, room and bed position were relevant to the absence of well‐being (Abuatiq, 2015; Eakin et al, 2017; Rose et al, 2014; Samuelson, 2011).…”

Section: Discussionmentioning

confidence: 99%

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Patients' experiences of well‐being when being cared for in the intensive care unit—An integrative review

Halvorsen

Jensen

Collet

et al. 2021

Journal of Clinical Nursing

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Objective: The aim of this integrative review was to identify facilitators and barriers to patients' well-being when being cared for in an ICU setting, from the perspective of the patients. Background:To become critically ill and hospitalised in an ICU is a stressful, chaotic event due to the life-threatening condition itself, as well as therapeutic treatments and the environment. A growing body of evidence has revealed that patients often suffer from physical, psychological and cognitive problems after an ICU stay. Several strategies, such as sedation and pain management, are used to reduce stress and increase well-being during ICU hospitalisation, but the ICU experience nevertheless affects the body and mind.Design; Methods: Since research exploring patients' sense of well-being in an ICU setting is limited, an integrative review approach was selected. Searches were performed in CINAHL, Medline, Psych Info, Eric and EMBASE. After reviewing 66 studies, 12 studies were included in the integrative review. Thematic analysis was used to analyse the studies. The PRISMA checklist for systematic reviews was used. Results:The results are presented under one main theme, 'Well-being as a multidimensional experience-interwoven in barriers and facilitators' and six sub-themes representing barriers to and facilitators of well-being in an ICU. Barriers identified were physical stressors, emotional stressors, environmental disturbances and insecurity relating to time and space. Facilitators were meeting physical needs and activities that included dimensions of a caring and relational environment. Conclusion:Our main findings were that experiences of well-being were multidimensional and included physical, emotional, relational and environmental aspects, and they were more often described through barriers than facilitators of well-being.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patients' experiences of well‐being when being cared for in the intensive care unit—An integrative review

Halvorsen

Jensen

Collet

et al. 2021

Journal of Clinical Nursing

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“…ICUs are shared places in terms of being places for care, treatment, rest and recovery for the patient while also being a workplace and a visiting room [ 54 , 55 ]. Due to their high‐tech character, ICUs can be overwhelming places.…”

Section: Place Space and Icumentioning

confidence: 99%

On photovoice—Applications and reflections to an intensive care context

Olausson

Lindahl

2022

Scandinavian Caring Sciences

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Background:In this paper, we share our experiences of using 'photovoice' methodology as a way to generate data in intensive care units concerning the place and space of care. We have adapted and modified 'photovoice' in researching people's lived experiences of ICU. Researching lived experiences in an intensive care context is challenging because of the complex nature of critical care.Aim: This study aims to explore and discuss photovoice methodolgy in ICU as a data collection method. Materials and Methods: Photos and interviews collected from patients, loved ones and staff collected in a previous research proejct.Results: Although there are challenges in using cameras and photographing the environment in the ICU, due to ethics and the voiceless patients therein, many advantages are presented to the researchers in capturing the meaning of lived experiences of various phenomena in the lifeworld in general and in the meaning of place and space. This paper offers applications and reflection over ontological, epistemological and methodological concerns and also offers a detailed approach on how to employ photovoice for successful and rich data generation.Discussion: developing and adapting scientific methods and methodologies contributes to knowledge development in caring science and is therefore an important subject of matter. Conclusions: Photovoice also presents a powerful tool in disseminating the findings as it opens up the closed world of ICU to the public and increases people's understanding of the significance of place and space of caring practice.

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“…10,15 Ultimately, it is recommended that a balance exist between fixed items standardized for consistency and mobile elements to support rapid reconfiguration of the caregiving environment. 17 The FGI guidelines state that each patient shall have access to a toilet room without having to enter the general corridor area. 14 Moreover, the inclusion, positioning, and configuration of the bathroom within the patient room are primary issues to consider.…”

Section: Patient Room Configurationsmentioning

confidence: 99%

Patient Room Design

Fay

Santiago

Real

et al. 2021

Critical Care Nursing Quarterly

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The focus of this research was to identify what attributes of patient room designs are most beneficial to health care professionals and to explore whether particular professionals hold certain beliefs about patient room attributes. Acute care, progressive care, and intensive care patient room designs were analyzed through the use of pre-and postoccupancy evaluations of a cardiovascular service line. Fourteen focus groups and 1 interview among 74 health care professionals were conducted. Qualitative analysis of the data was guided by a multidimensional framework. A descriptive quantitative assessment was additionally made to reveal positive, negative, or neutral trends and determine the frequency of attributes discussed. The findings revealed outcomes in 4 primary areas: (1) clearance around the bed; (2) visibility; (3) access to the bathroom/bathroom configuration; and (4) access to daylight/views of the exterior. This study identified 8 additional categories. Outcomes illustrate perceptions from a myriad of health care professionals, but the nurses, therapists, and interdisciplinary members of the care team station offered the greatest depth of information. As patient room designs continue to evolve, building on evidence gathered as new or established models are evaluated will become increasingly important.

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Room Design—A Phenomenological-Hermeneutical Study

Cited by 8 publications

References 35 publications

Patients' experiences of well‐being when being cared for in the intensive care unit—An integrative review

Patients' experiences of well‐being when being cared for in the intensive care unit—An integrative review

On photovoice—Applications and reflections to an intensive care context

Patient Room Design

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