Understanding healing environments : effects of physical environmental stimuli on patients' health and well-being

Dijkstra, Karin

doi:10.3990/1.9789036527958

Cited by 27 publications

(36 citation statements)

References 159 publications

(250 reference statements)

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“…For this, we started with a guided tour, followed by the main field research methods: shadowing stakeholders, doing observations, environmental analysis, and interviewing stakeholders. Immediately after each activity, the data were analyzed and visualized in an experienceflow [12]. We concluded both field studies with a multi stakeholder session where we confronted all the stakeholders with the initial user requirements that were derived as outcomes of our analyses.…”

Section: Introductionmentioning

confidence: 99%

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Adaptable Healing Patient Room for Stroke Patients

Daemen

Flinsenberg²,

Loenen³

et al. 2014

Methods Inf Med

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SummaryIntroduction: This article is part of the Focus Theme of Methods of Information in Medicine on “Pervasive Intelligent Technologies for Health”.Background: This paper addresses the evaluation with hospital staff of an in-patient environment that supports patients, family, nursing staff and medical specialists during the recovery process of neurology patients and especially patients recovering from a stroke. We describe the methods that were used to evaluate the Adaptive Daily Rhythm Atmospheres (ADRA), Artificial Skylight (AS) and Adaptive Stimulus Dosage (ASD) concepts.Objectives: The goal of this evaluation was to gather qualitative and quantitative feedback from hospital staff about the usefulness, the usability and desirability of the Adaptive Daily Rhythm Atmospheres (ADRA), Artificial Skylight (AS) and Adaptive Stimulus Dosage (ASD) concepts that were implemented as different phases of a novel healing patient room. This paper reports the effects of these concepts with regard to 1) the healing process of the patient and 2) the workflow of the staff. These results are part of a larger R&D project and provide the initial feedback in an iterative user-centered design methodology.Methods: After signing informed consents, the group of participants was taken to the laboratory environment where they were introduced to the Adaptive Healing Environment Patient Room and where they could also experience the room. Then, the participants were seated next to the patient bed so they had a similar viewing angle as the patients. The participants received a booklet with questionnaires. The items on this questionnaire addressed the influence on the healing process (i.e., the possible effect the concept/phase has on the healing process of the patient, meaning faster recovery, better sleep and enhanced well-being) and influence on the workflow (i.e., the possible effect of such a concept/ phase on the working activities of the staff in the ward). We presented every concept (AS and ASD) and all the phases of ADRA. After every presentation of the concept or phase of the ADRA system the participants rated the concept or phase anonymously on a 7-point Likert scale. In addition to rating the phase in the therefore designed booklets, they were also asked to motivate their ratings in writing. Subsequently, a focus group discussion took place. During the discussion the two note takers wrote down all the comments. Afterwards the quantitative results were analyzed with the non-parametric Kruskal-Wallis test. Significant effects were further analyzed in a post-hoc Mann-Whitney test.Results: The results show that hospital staff expects a positive effect on the healing process of the patient for the Artificial Skylight, the Adaptable Stimulus Dosage concept and the different ADRA phases that provide a clear daily rhythm structure during the day. In fact the staff members from different healthcare institutions and with different professional roles agreed on most aspects. In addition, the staff also expected a positive effect for almost all phases on the efficiency of the clinical workflow, also for the AS and ASD concepts. This is a very promising result as the phases were designed primarily with the healing effect of the patient in mind.Conclusions: The hospital staff evaluation in the laboratory setting gave us an indication of the likely impact of the Adaptive Healing Environment Patient Room on the healing progress of patients. Furthermore, this laboratory evaluation of the concepts was an important step that enabled to improve the shortcomings of the current concept before starting clinical trials. In addition, we generated feedback from different departments from different institutions, which suggest that they all see similar added values for the patient room

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Section: Introductionmentioning

confidence: 99%

“…This knowledge and understanding resulted in a collection of initial user needs and requirements that can be used to develop potential solutions addressing the needs of both patients and staff. This process and the methods that were used to collect these initial user needs and requirements are reported in [12].…”

Section: Introductionmentioning

confidence: 99%

Adaptable Healing Patient Room for Stroke Patients

Daemen

Flinsenberg²,

Loenen³

et al. 2014

Methods Inf Med

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“…People on deserted railway platforms feel safer when light intensities are high and when stimulating music is played, whereas on crowded platforms the same measures increase stress levels (van Hagen, 2011). Also, patients treated in a room with white walls (compared with green walls) disclose more information and have more faith in their practitioner, whereas rooms with white walls may increase patients' stress levels (Dijkstra, 2009). Hence, interventions that induce a desired effect in one environment may have less-or even counterproductive-effects in another environment.…”

Section: Introductionmentioning

confidence: 99%

Emotional Responses to Multisensory Environmental Stimuli

Schreuder¹,

Erp²,

Toet³

et al. 2016

Sage Open

139

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How we perceive our environment affects the way we feel and behave. The impressions of our ambient environment are influenced by its entire spectrum of physical characteristics (e.g., luminosity, sound, scents, temperature) in a dynamic and interactive way. The ability to manipulate the sensory aspects of an environment such that people feel comfortable or exhibit a desired behavior is gaining interest and social relevance. Although much is known about the sensory effects of individual environmental characteristics, their combined effects are not a priori evident due to a wide range of non-linear interactions in the processing of sensory cues. As a result, it is currently not known how different environmental characteristics should be combined to effectively induce desired emotional and behavioral effects. To gain more insight into this matter, we performed a literature review on the emotional effects of multisensory stimulation. Although we found some interesting mechanisms, the outcome also reveals that empirical evidence is still scarce and haphazard. To stimulate further discussion and research, we propose a conceptual framework that describes how environmental interventions are likely to affect human emotional responses. This framework leads to some critical research questions that suggest opportunities for further investigation.

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“…Healing environment adalah lingkungan fisik fasilitas kesehatan yang dapat mempercepat waktu pemulihan keseha tan pasien atau mempercepat proses adaptasi pasien dari kondisi kronis serta akut dengan melibatkan efek psikologis pasien di dalamnya [2]. Pendekatan healing environment didapatkan melalui perpaduan pendekatan architectural healing environment dan healing garden yang terintegrasi (Gambar 5).…”

Section: A Pendekatan Desainunclassified

Rumah Singgah untuk Penderita Kanker dengan Konsep Healing Environment

Clarissa¹,

Defiana²

2019

JSSITS

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Kanker menjadi salah satu permasalahan kesehatan di Indonesia. Pengobatan kanker membutuhkan waktu yang lama dan mahalnya biaya pengobatan. Bagi penderita kanker asal luar Jakarta harus mengeluarkan biaya tambahan untuk transportasi maupun penginapan. Rumah singgah didesain untuk para penderita kanker yang berasal dari luar daerah Jakarta, yang sedang melakukan pengobatan atau menunggu jadwal kemoterapi di Rumah Sakit Kanker Dharmais. Rumah singgah mampu memberikan pengaruh positif pada proses penyembuhan bagi penderita kanker, dan menghadirkan interaksi sosial antar penderita kanker. Interaksi ini akan memberikan sebuah dukungan psikis. Sebuah teori yang menyatakan bahwa faktor lingkungan merupakan faktor yang paling berpengaruh dalam proses pengobatan dibandingkan dengan faktor medis. Oleh karena itu, rumah singgah dirancang dengan konsep healing environment agar dapat menciptakan lingkungan positif. Metode merancang dengan menggunakan metode Multi-Sensory Experience. Multi-Sensory Experience memberikan pengalaman sense seperti visual, pendengaran, peraba dan penciuman yang dapat memberikan efek healing bagi pengguna. Kriteria perancangan secara keseluruhan merujuk pada konsep healing environment. Dalam aspek arsitektur, rancangan dapat memperhatikan bentuk, sirkulasi, tata ruang dan perletakkan bukaan, pencahayaan, penghawaan, warna dan tekstur material. Aspek non-arsitektural dapat dihadirkan melalui rancangan taman merujuk pada kriteria healing garden. Sebuah hasil penelitian bahwa suara alam, alam terbuka dengan suasana hijau dapat memberikan dampak positif bagi pikiran dan tubuh walau hanya beberapa menit.

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Understanding healing environments : effects of physical environmental stimuli on patients' health and well-being

Cited by 27 publications

References 159 publications

Adaptable Healing Patient Room for Stroke Patients

Adaptable Healing Patient Room for Stroke Patients

Emotional Responses to Multisensory Environmental Stimuli

Rumah Singgah untuk Penderita Kanker dengan Konsep Healing Environment

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