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Room Design - A Phenomenological-Hermeneutical Study : A Factor in Creating a Caring Environment

Sundberg, Fredrika ; Fridh, Isabell ; Olausson, Sepideh and Lindahl, Berit LU (2019) In Critical Care Nursing Quarterly 42(3). p.265-277
Abstract

Medical technology has progressed tremendously over the last few decades, but the same development cannot be seen in the design of these intensive care unit environments. Authors report results of a study of evidence-based room design, emphasizing the impact on conveying a caring attitude to patients. Ten nonparticipant observations were conducted in patient rooms with 2 different designs, followed by interviews. The data were analyzed using a phenomenological-hermeneutical approach. The results did not reveal that it was obvious that redesigned spaces resulted in a more caring attitude. The meanings of caring displayed during nursing activities were interpreted by interpreting gazes. Some of the nursing staff had an instrumental gaze,... (More)

Medical technology has progressed tremendously over the last few decades, but the same development cannot be seen in the design of these intensive care unit environments. Authors report results of a study of evidence-based room design, emphasizing the impact on conveying a caring attitude to patients. Ten nonparticipant observations were conducted in patient rooms with 2 different designs, followed by interviews. The data were analyzed using a phenomenological-hermeneutical approach. The results did not reveal that it was obvious that redesigned spaces resulted in a more caring attitude. The meanings of caring displayed during nursing activities were interpreted by interpreting gazes. Some of the nursing staff had an instrumental gaze, interpreted as caring with a task-orientated approach, while others communicated their caring with an attentive and attuned gaze, where the needs of the patients regulated the working shift. The study findings indicated that caring may not be perceived when nurses use a task-oriented approach. However, when nurses practice a person-centered approach, using an attentive and attuned gaze, caring is conveyed. Caring in intensive care contexts needs to be assisted by a supportive environment design that cultivates the caring approach.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
caring, critical care nursing, evidence-based design, intensive care units, qualitative research
in
Critical Care Nursing Quarterly
volume
42
issue
3
pages
265 - 277
external identifiers
  • scopus:85066944981
  • pmid:31135477
ISSN
0887-9303
DOI
10.1097/CNQ.0000000000000267
language
English
LU publication?
no
id
a65882a3-150e-49ec-9b65-6a34e7c2f3c5
date added to LUP
2020-03-25 16:45:11
date last changed
2020-03-26 01:57:18
@article{a65882a3-150e-49ec-9b65-6a34e7c2f3c5,
  abstract     = {<p>Medical technology has progressed tremendously over the last few decades, but the same development cannot be seen in the design of these intensive care unit environments. Authors report results of a study of evidence-based room design, emphasizing the impact on conveying a caring attitude to patients. Ten nonparticipant observations were conducted in patient rooms with 2 different designs, followed by interviews. The data were analyzed using a phenomenological-hermeneutical approach. The results did not reveal that it was obvious that redesigned spaces resulted in a more caring attitude. The meanings of caring displayed during nursing activities were interpreted by interpreting gazes. Some of the nursing staff had an instrumental gaze, interpreted as caring with a task-orientated approach, while others communicated their caring with an attentive and attuned gaze, where the needs of the patients regulated the working shift. The study findings indicated that caring may not be perceived when nurses use a task-oriented approach. However, when nurses practice a person-centered approach, using an attentive and attuned gaze, caring is conveyed. Caring in intensive care contexts needs to be assisted by a supportive environment design that cultivates the caring approach.</p>},
  author       = {Sundberg, Fredrika and Fridh, Isabell and Olausson, Sepideh and Lindahl, Berit},
  issn         = {0887-9303},
  language     = {eng},
  number       = {3},
  pages        = {265--277},
  series       = {Critical Care Nursing Quarterly},
  title        = {Room Design - A Phenomenological-Hermeneutical Study : A Factor in Creating a Caring Environment},
  url          = {http://dx.doi.org/10.1097/CNQ.0000000000000267},
  doi          = {10.1097/CNQ.0000000000000267},
  volume       = {42},
  year         = {2019},
}