Room for caring: patients' experiences of well‐being, relief and hope during serious illness

Timmermann, Connie; Uhrenfeldt, Lisbeth; Birkelund, Regner

doi:10.1111/scs.12145

Cited by 23 publications

(41 citation statements)

References 20 publications

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“…One of the obvious but often overlooked factors in clinical room design is the importance of aesthetics in patient rooms to aid healing. Timmermann et al () look at how seriously ill hospitalised patients’ experience and assign meaning to their patient room. They describe how, in open wards, while there may be a lot of technical equipment around, there is also a lot of activity to act as a distraction.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the studies in this review were from international healthcare systems. Two of the studies used patient interviews (Tan et al, ; Timmermann et al, ) with the latter also collecting some observational data. The other two studies sought the views of both patients and staff, but this was focused on a very explicit intervention (Bradley & Mott, ; Persson et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Second, the increasing acuity of patients within acute care has been recognised within different healthcare systems. Palliative care patients (Timmermann, Uhrenfeldt, and Birkelund, 2015), patients with dementia (Knight & Singh, 2016) and patients undergoing major surgery (Nahas et al, 2016) illustrate the breadth of knowledge and skills currently required by staff in acute care settings. The introduction of single rooms for the management of these patients is reportedly beneficial to recovery, facilitating undisturbed sleep and a quiet restorative environment (Persson, Anderberg, & Kristensson, 2015).…”

Section: Mixed Methodsmentioning

confidence: 99%

See 2 more Smart Citations

The experience of person‐centred practice in a 100% single‐room environment in acute care settings—A narrative literature review

Kelly¹,

Brown²,

McCance³

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To review published research into the staff and adult patient experience of person‐centred practice in a 100% single‐room environment in acute care. Background There has been a significant move towards the 100% single‐room environment within healthcare systems. Furthermore, there has been a global move for developing person‐centred practice in a range of healthcare settings. Some studies have linked the role of the physical environment to patient outcomes and improved patient satisfaction; however, these are limited. Overall, there is little evidence in the international literature of the experience of care in single rooms in adult, acute care settings. Design A narrative description was developed using the major constructs of the person‐centred practice framework (PcPF). The PRISMA checklist provided additional rigour. Method Problems, Exposure, Outcomes (PEO) refined the search terms to: person‐centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, Psycinfo, Embase, Web of Science and Scopus were searched for full‐text English language papers of empirical studies published between 2012–2017. PRISMA illustrated final paper determination, and the CASP/EPHPP frameworks were used for a critical appraisal of the 12 selected papers. Results The literature recognises the increasing complexity of health care in the acute care environment globally. The international literature available identifies staffs’ desire to practise person‐centredness, but much of the evidence is focused on care delivery. The impact of the single‐room environment on person‐centred practice links mainly to the constructs of the care environment and person‐centred processes within the PcPF. Conclusion This review focuses on empirical studies relating to person‐centred practice in the single‐room environment published in the last 5 years. While there is a significant body of work relating to person‐centredness and the delivery of person‐centred practice, and the impact of the environment on care delivery, there appears to limited evidence linking person‐centred practice, staff and patient experience and the single‐room environment. Relevance to clinical practice By understanding the context in which care is delivered, multiprofessional teams can explore how the delivery of person‐centred practice may be influenced by the physical environment and what changes to culture, systems and processes may be required to enhance the experience of care for patients and the delivery of care for staff.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Mixed Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The experience of person‐centred practice in a 100% single‐room environment in acute care settings—A narrative literature review

Kelly¹,

Brown²,

McCance³

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…The study by Timmermann et al . () shows that ‘moments of presence’ (e.g. experiences of time standing still) allow patients to feel a sense of relief when hospitalized.…”

Section: Comprehensive Understanding and Discussionmentioning

confidence: 99%

“…Our study showed that they had the power to create a moment of rest and, at the same time, an experience of possibilities. The study by Timmermann et al (2015) shows that 'moments of presence' (e.g. experiences of time standing still) allow patients to feel a sense of relief when hospitalized.…”

Section: Comprehensive Understanding and Discussionmentioning

confidence: 99%

Supporting existential care with protected mealtimes: patients' experiences of a mealtime intervention in a neurological ward

Beck

Birkelund

Poulsen

et al. 2017

Journal of Advanced Nursing

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Patients experienced mealtimes as meaningful events that nourished them in an existential manner because the calming and aesthetically pleasing environment made them feel embraced and allowed them to reflect on the day for a while. The mealtime change, influenced by protected mealtimes, made the patients feel recognized as humans and established positive mealtime experiences that were considered professional and trust bearing.

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Shades of hope: Marcel’s notion of hope in end-of-life care

Szabat

Knox

2021

Med Health Care and Philos

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This article examines the compatibility and relevance of Gabriel Marcel’s phenomenology of hope in interdisciplinary research on the role of hope in end-of-life (EOL) care. Our analysis is divided into three thematic topics which examine the various shades of hope observed in Marcel’s phenomenology of hope and in the collection of 20 EOL studies on hope as experienced by adult palliative care (PC) patients, health care professionals (HCP) and parents of terminally ill children. The three topics defining the shades of hope are: the meaning of hope in its dynamic aspects, the dialectics of hope and despair, and the transcendent facets of hope. We analyse how Marcel’s understanding of hope is reflected in EOL studies, and how this perception can enrich the philosophy of PC and significantly deepen and broaden HCPs’ understanding of hope. Our findings prove that despite terminological differences between Marcelian phenomenology and the concepts of hope in the 20 EOL studies, hope emerges as a resourceful movement towards being. Implementing Marcelian hope within communication in EOL care could help in HCPs’ interpersonal approach to patients as his concept harbors a holistic perception of the existential situation of a person. Equally, introducing Marcel’s phenomenology of hope into the clinical encounter could play a beneficial role in improving the ability of patients to adapt to the difficult conditions of their disease and PC treatment.

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Room for caring: patients' experiences of well‐being, relief and hope during serious illness

Cited by 23 publications

References 20 publications

The experience of person‐centred practice in a 100% single‐room environment in acute care settings—A narrative literature review

The experience of person‐centred practice in a 100% single‐room environment in acute care settings—A narrative literature review

Supporting existential care with protected mealtimes: patients' experiences of a mealtime intervention in a neurological ward

Shades of hope: Marcel’s notion of hope in end-of-life care

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