Analysis of The Environmental Effective Factors Determining for Treatment Process of Hospitalized Patients in Urban Hospitals of Tehran Province
Subject Areas : Urban and Regional Planning Studies
Mohammad Sadegh Taher Tolou Del
1
,
Shahnaz Pournaseri
2
,
Bahram Saleh Sadeghpour
3
,
Seyede Samine Samiee Kashi
4
*
1 - Department of Architecture, Faculty of Architectural and Urban Engineering, Shahid Rajaee Teacher Training University, Tehran, Iran
2 - Department of Architecture, Faculty of Architectural and Urban Engineering, Shahid Rajaee Teacher Training University, Tehran, Iran
3 - Department of Educational Sciences, Faculty of Humanities, Shahid Rajaee Teacher Training University, Tehran, Iran
4 - Department of Architecture, Faculty of Architectural and Urban Engineering, Shahid Rajaee Teacher Training University, Tehran, Iran
Keywords: Environmental Factors, Urban Hospitals, In-Patients’Recovery, Physical Planning, Design of Medical Centers, Tehran City,
Abstract :
Researches have shown that hospitals; environment and inpatient rooms affect patients’ physical, mental and spiritual health. This article seeks to determine environmental factors of urban hospitals of Tehran province rooms that can foster patients’ recovery process. After literature review, a Delphi method and Q-type factor analysis were used to extract experts’ views. The geographical area of this research is Tehran province’s Hospitals. It is revealed that the experts believe there are seven factors that can positively affect in-patients’ recovery process. According to specialists, seven environmental factors in hospital rooms play a crucial role and can positively influence the recovery process of patients admitted to urban hospitals. These factors, ranked from the most to the least significant, are as follows: interior design, privacy of the patient space, physical comfort, positive distractions, responsiveness of the patient environment, environmental hygiene, and visual comfort. Based on the results of this study, it is necessary to prioritize environmental factors affecting the treatment process during the planning and policy-making, as well as the design, construction, and operation stages. This research indicated that specialists consider 25 sub-factors (variables) to have a positive impact on the treatment process of hospitalized patients. These include: window design and placement, interior design, patient privacy, furniture and room arrangement, access to open space and nature, natural light, color, window views, the role of family in the room, bed standards, appropriate restroom facilities, form, decorations and decor, artificial lighting, number of beds in the room, proper acoustics, heating system, ventilation system, environmental graphics and appearance, proper execution, selection of suitable materials, simulated nature, room automation, in-room equipment, bedside equipment, and maintenance of environmental hygiene. In the final words, in the physical planning of buildings for the design of medical centers and hospitals, the criteria of the research should be considered and observed from the theoretical or strategic aspects and the implementation or solutions.
طاهرطلوع دل، محمد صادق و حیدری پور، امید. (1403). مدل ارزیابی رضایتمندی سکونتی آپارتمانهای مسکونی (مطالعه موردی: محدوده کوه آتشگاه-ناژوان در شهر اصفهان). مطالعات برنامه¬ریزی سکونتگاه¬های انسانی، 2(19)، 216-201.
https://sanad.iau.ir/Journal/jshsp/Article/1032043
عطائی، آذین، سهیلی، جمال الدین، ارمغان، مریم، حیدری، علی اکبر. (1402). تبیین اثرپذیری کیفیتهای تجربی محیط از پیکرهبندی فضایی باغشهر (مطالعه موردی: باغشهر مهرشهر). مطالعات برنامهریزی سکونتگاههای انسانی، 4(18)، 112-99.
https://dorl.net/dor/20.1001.1.25385968.1402.18.4.8.1
مولائی هشجین، مهسا، کریمی آذری، امیررضا، کریمی، باقر، مهدی نژاد، جمال الدین. (1400). تحلیل و ارزیابی شاخص های کالبدی موثر بر سرزندگی (مطالعه موردی: مجتمع های مسکونی شهر رشت). مطالعات برنامه¬ریزی سکونتگاه¬های انسانی، 1(16)، 138-125. https://dorl.net/dor/20.1001.1.25385968.1400.16.1.9.2
Alerby, E., & Engström, Å. (2021). The pine tree, my good friend’: The other as more‐than‐human. Nursing Philosophy, 22(4), e12366. https://doi.org/10.1111/nup.12366
Alfa, M. T., & Öztürk, A. (2019). Perceived indoor environmental quality of hospital wards and patients’ outcomes: A study of a general hospital, Minna, Nigeria. Appl. Ecol. Environ. Res, 17, 8235-8259. https://doi.org/10.15666/aeer/1704_82358259
Anåker, A., von Koch, L., Sjöstrand, C., Bernhardt, J., & Elf, M. (2017). A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment. PLoS One, 12(7), e0177477. https://doi.org/10.1371/journal.pone.0177477
Andrade, C. C., & Devlin, A. S. (2015). Stress reduction in the hospital room: Applying Ulrich's theory of supportive design. Journal of environmental psychology, 41, 125-134.
https://doi.org/10.1016/j.jenvp.2014.12.001
Andrade, C. C., & Devlin, A. S. (2016). Who wants control in the hospital room? Environmental control, desirability of control and stress/¿ Quién desea control en la habitación del hospital? Control ambiental, deseo de control y estrés. Psyecology, 7(3), 236-261.
https://doi.org/10.1080/21711976.2016.1238069
Arbel, I., Ye, B., & Mihailidis, A. (2020). Stroke patients’ experiences in an adaptive healing room in a stroke rehabilitation unit. HERD: Health Environments Research & Design Journal, 13(2), 170-185. https://doi.org/10.1177/1937586719879060
Bae, S. (2019). The Impact of Ambient Scent Environment on Residents’ Wellness and Their Perception of Interior Environments in Long-Term Care Facilities. (Dissertation. University of Minnesota Twin Cities). https://hdl.handle.net/11299/206341
Bae, S., & Asojo, A. O. (2020). Ambient scent as a positive distraction in long-term care units: theory of supportive design. HERD: Health Environments Research & Design Journal, 13(4), 158-172.
https://doi.org/10.1177/1937586720929021
Bogaert, B. (2022). Moving Toward Person-Centered Care: Valuing Emotions in Hospital Design and Architecture. HERD: Health Environments Research & Design Journal, 15(2), 355-364.
https://doi.org/10.1177/19375867211062101
Chen, H., Li, M., Wang, J., Xue, C., Ding, T., Nong, X., ... & Zhang, L. (2016). Factors influencing inpatients’ satisfaction with hospitalization service in public hospitals in Shanghai, People’s Republic of China. Patient preference and adherence, 469-477. https://doi.org/10.2147/PPA.S98095
Clinton-McHarg, T., Paul, C., Sanson-Fisher, R., Turon, H., Butler, M., & Lindeman, R. (2021). Are the physical environments of treatment centres meeting recommendations for patient-centred care? Perceptions of haematological cancer patients. International journal of environmental research and public health, 18(9), 4892. https://doi.org/10.3390/ijerph18094892
Dan, B. (2016). Rehabilitative and therapeutic neuroarchitecture. Developmental Medicine & Child Neurology, 58(11), 1098-1098. https://doi.org/10.1111/dmcn.13246
Daniel, E. M. (2017). The Mediation Effect of Amenities on Customer Satisfaction and Overall Hospital Ratings: A Quantitative Analysis. (Doctoral dissertation, Northcentral University).
https://www.proquest.com/openview/9edcc0687b755f6eb2e13e2f5455dff0/1?pq-origsite=gscholar&cbl=18750
Dantes, A. (2021). Applying Design Theory to Reimagine Adult Oncology Waiting Rooms. (bachelor thesis, The Florida State University). Retrieved from
https://purl.lib.fsu.edu/diginole/FSU_libsubv1_scholarship_submission_1638565218_2b6a7bed
Delaney, L. J., Currie, M. J., Huang, H. C. C., Lopez, V., & Van Haren, F. (2018). They can rest at home”: an observational study of patients’ quality of sleep in an Australian hospital. BMC health services research, 18(1), 1-9. https://doi.org/10.1186/s12913-018-3201-z
Devlin, A. S., Andrade, C. C., & Carvalho, D. (2016). Qualities of inpatient hospital rooms: patients’ perspectives. HERD: Health Environments Research & Design Journal, 9(3), 190-211.
https://doi.org/10.1177/1937586715607052
Jamshidi, S., Parker, J. S., & Hashemi, S. (2020). The effects of environmental factors on the patient outcomes in hospital environments: A review of literature. Frontiers of Architectural Research, 9(2), 249-263. https://doi.org/10.1016/j.foar.2019.10.001
Kalhor, R., Zolghadr, S., Darba, M., & Aghababaei, A. (2018). Exploring the concept of quality in hospital services from the viewpoint of patients and companions: A qualitative study. Evidence Based Health Policy, Management and Economics, 2(1), 42-50. http://jebhpme.ssu.ac.ir/article-1-129-fa.html
Lawal, L. (2020). Towards restorative spaces for postnatal recovery in urban tertiary hospitals (Doctoral dissertation, Open Access Te Herenga Waka-Victoria University of Wellington).
https://openaccess.wgtn.ac.nz/articles/thesis/Towards_restorative_spaces_for_postnatal_recovery_in_urban_tertiary_hospitals/17147624?file=31706342
Iyendo, T. O. (2017). Sound as a supportive design intervention for improving health care experience in the clinical ecosystem: A qualitative study. Complementary therapies in clinical practice, 29, 58-96. https://doi.org/10.1016/j.ctcp.2017.08.004
MacAllister, L., Zimring, C., & Ryherd, E. (2016). Environmental variables that influence patient satisfaction: A review of the literature. HERD: Health Environments Research & Design Journal, 10(1), 155-169. https://doi.org/10.1177/1937586716660825
MacAllister, L., Zimring, C., & Ryherd, E. (2019). Exploring the relationships between patient room layout and patient satisfaction. HERD: Health Environments Research & Design Journal, 12(1), 91-107. https://doi.org/10.1177/1937586718782163
Mahmood, F. J., & Tayib, A. Y. (2020). The role of patients’ psychological comfort in optimizing indoor healing environments: a case study of the indoor environments of recently built hospitals in Sulaimani City, Kurdistan, Iraq. HERD: Health Environments Research & Design Journal, 13(2), 68-82. https://doi.org/10.1177/1937586719894549
Mahmood, F. J., & Tayib, A. Y. (2021). Healing environment correlated with patients’ psychological comfort: Post-occupancy evaluation of general hospitals. Indoor and Built Environment, 30(2), 180-194. https://doi.org/10.1177/1420326X19888005
Martin, K., Nanu, L., Kwon, W. S., & Martin, D. (2021). Small garden, big impact: Emotional and behavioral responses of visitors to a rooftop atrium in a major hospital. HERD: Health Environments Research & Design Journal, 14(3), 274-287. https://doi.org/10.1177/1937586721992799
Nash, D., O’Rourke, T., Memmott, P., & Haynes, M. (2021). Indigenous preferences for inpatient rooms in Australian hospitals: A mixed-methods study in cross-cultural design. HERD: Health Environments Research & Design Journal, 14(1), 174-189. https://doi.org/10.1177/1937586720925552
Nourmusavi Nasab, S., Karimi Azeri, A. R., & Mirbazel, S. (2020). Ideal physical features of environmental design in children’s hospital: Using children’s perspectives. Facilities, 38(5/6), 445-466. https://doi.org/10.1108/F-03-2019-0032
Pereira, P. F. D. C., Broday, E. E., & Xavier, A. A. D. P. (2020). Thermal comfort applied in hospital environments: a literature review. Applied Sciences, 10(20), 7030. https://doi.org/10.3390/app10207030
Perovic, Z., & Perovic, S. (2017). Influence of hospital room environment on the reduction of anxiety and depression in the early stage of stroke. Journal of Environmental Protection and Ecology, 18(2), 710-719. https://www.researchgate.net/publication/318653101_Influence_of_hospital_room_environment_on_the_reduction_of_anxiety_and_depression_in_the_early_stage_of_stroke
Sadek, A. H., & Willis, J. (2020). Ways to harness the built environment of ambulatory cancer facilities for comprehensive patient support: A review of the literature. International Journal of Nursing Studies, 101, 103356. https://doi.org/10.1016/j.ijnurstu.2019.05.004
Selami Cifter, A., & Cifter, M. (2017). A review on future directions in hospital spatial designs with a focus on patient experience. The Design Journal, 20(sup1), S1998-S2009.
https://doi.org/10.1080/14606925.2017.1352719
Sundberg, F., Fridh, I., Lindahl, B., & Kåreholt, I. (2021). Visitor’s experiences of an evidence-based designed healthcare environment in an intensive care unit. HERD: Health Environments Research & Design Journal, 14(2), 178-191. https://doi.org/10.1177/1937586720943471
Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S., ... & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. HERD: Health Environments Research & Design Journal, 1(3), 61-125. https://doi.org/10.1177/193758670800100306
Ulrich, R. S., Cordoza, M., Gardiner, S. K., Manulik, B. J., Fitzpatrick, P. S., Hazen, T. M., & Perkins, R. S. (2020). ICU patient family stress recovery during breaks in a hospital garden and indoor environments. HERD: Health Environments Research & Design Journal, 13(2), 83-102.
https://doi.org/10.1177/1937586719867157
Verderber, S., Gray, S., Suresh-Kumar, S., Kercz, D., & Parshuram, C. (2021). Intensive care unit built environments: A comprehensive literature review (2005–2020). HERD: Health Environments Research & Design Journal, 14(4), 368-415. https://doi.org/10.1177/19375867211009273
Wichrowski, M. J., Corcoran, J. R., Haas, F., Sweeney, G., & Mcgee, A. (2021). Effects of biophilic nature imagery on indexes of satisfaction in medically complex physical rehabilitation patients: An exploratory study. HERD: Health Environments Research & Design Journal, 14(3), 288-304. https://doi.org/10.1177/19375867211004241
Williams, K. (2021). The Efficacy of a Communication Guide on Stress Experienced by Family Members of Patients Admitted in the Intensive Care Unit with COVID-19. The Eleanor Mann School of Nursing Student Works. Retrieved from https://scholarworks.uark.edu/nursstudent/7
Yar, M. A., & Kazemi, F. (2020). The role of dish gardens on the physical and neuropsychological improvement of hospitalized children. Urban Forestry & Urban Greening, 53, 126713.
https://doi.org/10.1016/j.ufug.2020.126713
Yuan, F., Yao, R., Sadrizadeh, S., Li, B., Cao, G., Zhang, S., ... & Short, C. A. (2022). Thermal comfort in hospital buildings–A literature review. Journal of Building Engineering, 45, 103463.
https://doi.org/10.1016/j.jobe.2021.103463
Zhou, T., Wu, Y., Meng, Q., & Kang, J. (2020). Influence of the acoustic environment in hospital wards on patient physiological and psychological indices. Frontiers in Psychology, 11, 1600.
https://doi.org/10.3389/fpsyg.2020.01600