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Visitor’s Experiences of an Evidence-Based Designed Healthcare Environment in an Intensive Care Unit

Sundberg, Fredrika ; Fridh, Isabell ; Lindahl, Berit LU and Kåreholt, Ingemar (2020) In Health Environments Research & Design Journal p.1-14
Abstract
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:
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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. (Less)
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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
family-centered care, intensive care unit (ICU), interior design, access to nature, design research, evidence-based design (EBD), nursing research, patient-/person-centered care, patient room design
in
Health Environments Research & Design Journal
pages
1 - 14
publisher
Center for Health Design
external identifiers
  • pmid:32734781
  • scopus:85088835842
ISSN
2167-5112
DOI
10.1177/1937586720943471
language
English
LU publication?
no
id
f4ac18cc-da2b-43b5-a862-46d464d7301e
date added to LUP
2021-03-02 15:33:23
date last changed
2022-04-27 00:32:49
@article{f4ac18cc-da2b-43b5-a862-46d464d7301e,
  abstract     = {{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.<br>
Methods:<br>
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.<br>
Results:<br>
For the dimension of everydayness in the PCQ-F, a significantly better experience was expressed for the intervention room (p &lt; .030); the dimension regarding the ward climate general was also perceived as higher in the intervention room (p &lt; .004). The factors of pleasantness (p &lt; .019), and complexity (p &lt; 0.049), showed significant differences favoring the intervention room in the SMB, with borderline significance on the modern factor (p &lt; .061).<br>
Conclusion:<br>
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.}},
  author       = {{Sundberg, Fredrika and Fridh, Isabell and Lindahl, Berit and Kåreholt, Ingemar}},
  issn         = {{2167-5112}},
  keywords     = {{family-centered care, intensive care unit (ICU), interior design, access to nature, design research, evidence-based design (EBD), nursing research, patient-/person-centered care, patient room design}},
  language     = {{eng}},
  pages        = {{1--14}},
  publisher    = {{Center for Health Design}},
  series       = {{Health Environments Research & Design Journal}},
  title        = {{Visitor’s Experiences of an Evidence-Based Designed Healthcare Environment in an Intensive Care Unit}},
  url          = {{http://dx.doi.org/10.1177/1937586720943471}},
  doi          = {{10.1177/1937586720943471}},
  year         = {{2020}},
}