Högskolan i Skövde

his.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • apa-cv
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Visitor’s Experiences of an Evidence-Based Designed Healthcare Environment in an Intensive Care Unit
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.ORCID iD: 0000-0002-7400-6574
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.ORCID iD: 0000-0002-9828-961X
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.
Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden.
2020 (English)In: Health Environments Research & Design Journal, ISSN 1937-5867, E-ISSN 2167-5112, Vol. 14, no 2, p. 178-191Article in journal (Refereed) Published
Abstract [en]

Objectives: The objective of the research was to study the visitors’ experiences of different healthcare environment designs of intensive care unit (ICU) patient rooms.

Background: The healthcare environment may seem frightening and overwhelming in times when life-threatening conditions affect a family member or close friend and individuals visit the patient in an ICU. A two-bed patient room was refurbished to enhance the well-being of patients and their families according to the principles of evidence-based design (EBD). No prior research has used the Person-centred Climate Questionnaire—Family version (PCQ-F) or the semantic environment description (SMB) in the ICU setting.

Methods: A sample of 99 visitors to critically ill patients admitted to a multidisciplinary ICU completed a questionnaire; 69 visited one of the two control rooms, while 30 visited the intervention room.

Results: For the dimension of everydayness in the PCQ-F, a significantly better experience was expressed for the intervention room (p < .030); the dimension regarding the ward climate general was also perceived as higher in the intervention room (p < .004). The factors of pleasantness (p < .019), and complexity (p < 0.049), showed significant differences favoring the intervention room in the SMB, with borderline significance on the modern factor (p < .061).

Conclusion: Designing and implementing an enriched healthcare environment in the ICU setting increases person-centered care in relation to the patients’ visitors. This could lead to better outcomes for the visitors, for example, decreasing post-traumatic stress disorder symptoms, but this needs further investigations.

Place, publisher, year, edition, pages
Sage Publications, 2020. Vol. 14, no 2, p. 178-191
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:his:diva-23549DOI: 10.1177/1937586720943471ISI: 000554380000001PubMedID: 32734781Scopus ID: 2-s2.0-85088835842OAI: oai:DiVA.org:his-23549DiVA, id: diva2:1830237
Funder
Swedish Research Council, 521-2013-969
Note

CC BY 4.0

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Swedish Research Council, Stockholm, Sweden (grant number 521-2013-969).

Available from: 2024-01-22 Created: 2024-01-22 Last updated: 2024-07-15
In thesis
1. A room designed for caring: Experiences from an evidence-based designed intensive care environment
Open this publication in new window or tab >>A room designed for caring: Experiences from an evidence-based designed intensive care environment
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of this doctoral thesis was to examine and evaluate if and how an intensive care unit (ICU) room, which had been designed using the principles of evidence-based design (EBD), impacted the safety, wellbeing and caring for patients, their family members and staff.

Methods: Paper I explored the nursing staff experiences of working in an EBD intensive care patient room through 13 interviews that were analysed by qualitative content analysis. Paper II focussed on the meaning of caring and nursing activities performed in two patient rooms—one EBD refurbished and one standard. Ten non-participant observations were conducted, which were followed by interviews. The data were analysed using a phenomenological hermeneutical approach. Paper III evaluated the relationship between a refurbished intensive care room and adverse events (AE) in critically ill patients. A total of 1,938 patients’ records were included in the analysis. Descriptive statistics and binary logistic regressions were conducted. Paper IV studied visitors’ (N = 99) experiences of different healthcare environmental designs of intensive care patient rooms through questionnaires. Descriptive statistics and linear regressions were conducted for the analysis.

Main results: The refurbished intervention room was reported as a positive experience for the working nursing staff and the visiting family members. The nursing staff additionally indicated the intervention room strengthened their own wellbeing as well as their caring activities. Although there were no observed, objective differences regarding the caring and nursing activities due to the different environments, the differences were instead interpreted as being due to different developed nursing competencies. The visitors reported the enriched healthcare environment to have a higher everydayness and a feeling that it was a safer place compared to the control rooms. The findings revealed a low incident of AEs in both the intervention room as well as in the control rooms, lower than previous described in literature. The likelihood for adverse events were not significantly lower in the intervention room compared to the control rooms.

Conclusion: This dissertation contributed to the existing knowledge on how a refurbished patient room in the ICU was experienced by nursing staff and visiting family members. The dissertation also showed the complexity of conducting interventional research in high-tech environments. The new knowledge on the importance of the healthcare environment on wellbeing, safety and caring must be considered by stakeholders and decision-makers and implemented to reduce suffering and increase health and wellbeing among patients, their families and staff.

Place, publisher, year, edition, pages
Borås: Högskolan i Borås, 2020. p. 61
Keywords
intensive care units, critical care, caring, hospital design and construction, evidence-based facility design, built environment, health facility environment, patient rooms, critical illness, patients, family, nurses
National Category
Nursing Anesthesiology and Intensive Care
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:his:diva-24375 (URN)978-91-88838-74-2 (ISBN)978-91-88838-75-9 (ISBN)
Public defence
2020-06-11, M 404, Sandgärdet, Järnvägsgatan 5, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2024-07-15 Created: 2024-07-15 Last updated: 2024-07-16Bibliographically approved

Open Access in DiVA

fulltext(856 kB)56 downloads
File information
File name FULLTEXT01.pdfFile size 856 kBChecksum SHA-512
a92ab3289200f13f1ebf436077744ad3c4bd17f1e2e0a239bc39be4ceccba342ca052cb7983adfa25cce51f749b71128cadbdec86ab55b564895e6cfd1ce1f67
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Sundberg, Fredrika

Search in DiVA

By author/editor
Sundberg, FredrikaFridh, Isabell
In the same journal
Health Environments Research & Design Journal
NursingAnesthesiology and Intensive Care

Search outside of DiVA

GoogleGoogle Scholar
Total: 56 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 169 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • apa-cv
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf