Architecture and health care: a place for sociology

Martin, Daryl; Nettleton, Sarah; Buse, Christina; Prior, Lindsay; Twigg, Julia

doi:10.1111/1467-9566.12284

Cited by 105 publications

(106 citation statements)

References 62 publications

(59 reference statements)

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“…Respecto a ello, la investigación se alinea con los resultados de otros estudios que relacionan los elementos arquitectónicos de los espacios donde se lleva a cabo la atención perinatal con la calidad asistencial y las emociones que experimenta la mujer, argumentando que intimidad, seguridad y privacidad solo se consiguen cuando la mujer da a luz en entornos arquitectónicamente adaptados para ello (35,36).…”

Section: Discussionunclassified

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

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Objetivo: explorar las emociones que emergen en la mujer durante el embarazo, parto y el puerperio a lo largo del itinerario asistencial de atención primaria y hospitalaria. Método: estudio cualitativo basado en la Teoría Fundamentada. Se realizaron dos grupos de discusión a profesionales: obstetras, matronas y enfermeras. Igualmente, se desarrollaron entrevistas en profundidad a mujeres en el puerperio. Resultados: las emociones de la mujer en la atención perinatal aparece como categoría central. A partir de ésta, las emociones negativas emergen por la interacción de cinco metacategorías: a) Miedo: dolor al parto y desajuste de expectativas, b) Ansiedad e incertidumbre: enfrentándose a la amenaza del riesgo y la desinformación, c) Vergüenza: comprometiendo la privacidad, d) Ira y Desamparo: asimetría en la estructura relacional, e) Soledad: discontinuidad en la atención asistencial. Las emociones positivas surge de la metacategoría: f) Tranquilidad y confianza: construyendo una interacción clínica simétrica y humanizada. Conclusiones: se constata una variabilidad emocional debido a la coexistencia de los modelos tecnocrático y biopsicosocial. Este proyecta humanidad en los cuidados perinatales, frente a un modelo biomédico marcado por una estructura relacional paternalista y asistencia fragmentada; ambos serán determinantes en la emergencia de emociones en la atención perinatal.

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Section: Discussionunclassified

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

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“…The ongoing refutation of a purely medical model evidences an emancipation process of older people who want to avoid institutionalization (i.e., avoid subjection to institutional rules and routines, and to restrictions of activities, mobility and social contacts), and instead want their voice to be heard, continue their own daily lives, and stay involved in society as much as possible (Mens & Wagenaar, 2009). The physical environment plays an important role in realizing care visions (Elf, Fröst, Lindahl, & Wijk, 2015;Kearns, 2007;Martin, Nettleton, Buse, Prior, & Twigg, 2015;Mens & Wagenaar, 2009;Van Steenwinkel, Verstraeten, & Heylighen, 2016).…”

Section: Introductionmentioning

confidence: 99%

How architectural design affords experiences of freedom in residential care for older people

Steenwinkel

Casterlé

Heylighen

2017

Journal of Aging Studies

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Human values and social issues shape visions on dwelling and care for older people, a growing number of whom live in residential care facilities. These facilities' architectural design is considered to play an important role in realizing care visions. This role, however, has received little attention in research.This article presents a case study of a residential care facility for which the architects made considerable effort to match the design with the care vision. The study offers insights into residents' and caregivers' experiences of, respectively, living and working in this facility, and the role of architectural features therein.A single qualitative case study design was used to provide in-depth, contextual insights. The methods include semi-structured interviews with residents and caregivers, and participant observation. Data concerning design intentions, assumptions and strategies were obtained from design documents, through a semi-structured interview with the architects, and observations on site.Our analysis underlines the importance of freedom (and especially freedom of movement), and the balance between experiencing freedom and being bound to a social and physical framework. It shows the architecture features that can have a role therein: small-scaleness in terms of number of residents per dwelling unit, size and compactness; spatial generosity in terms of surface area, room to maneuver and variety of places; and physical accessibility. Our study challenges the idea of familylike group living. Since we found limited sense of group belonging amongst residents, our findings suggest to rethink residential care facilities in terms of private or collective living in order to address residents' social freedom of movement. Caregivers associated 'hominess' with freedom of movement, action and choice, with favorable social dynamics and with the building's residential character. Being perceived as homey, the facility's architectural design matches caregivers' care vision and, thus, helped them realizing this vision.

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“…Using work from both the sociology of health and illness (SHI) and science and technology studies (STS), Martin et al (2015) argued that the built environment shapes medical practice, embodies its ideologies, and affects 'the efficacy of care' on offer in hospitals and clinics. In this article we wish to respond to their challenge but do not consider 'the home' as another site for health work and care.…”

mentioning

confidence: 99%

Thinking with Care Infrastructures: People, Devices and the Home in Home Blood Pressure Monitoring

Weiner¹,

Will²

2018

Materialities of Care

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The growing consumer market in health monitoring devices means that technologies that were once the preserve of the clinic are moving into spaces such as homes and workplaces. We consider how one such device, blood pressure monitors, comes to be integrated into everyday life. We pursue the concept of 'care infrastructure', drawing on recent scholarship in STS and medical sociology, to illuminate the work and range of people, things and spaces involved in selfmonitoring. Drawing on a UK study involving observations and interviews with 31 people who have used a consumer blood pressure monitor, we apply the concept beyond chronic illness, to practices involving consumer devices -and develop a critical account of its value. We conclude that the care infrastructure concept is useful to highlight the socio-material arrangements involved in selfmonitoring, showing that even for ostensibly personal devices, monitoring may be a shared practice that expresses care for self and for others. The concept also helps draw attention to links between different objects and spaces that are integral to the practice, beyond the device alone. Care infrastructure draws attention to the material, but ensures that analytic attention engages with both material and social elements of practice and their connections.

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Architecture and health care: a place for sociology

Cited by 105 publications

References 62 publications

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

How architectural design affords experiences of freedom in residential care for older people

Thinking with Care Infrastructures: People, Devices and the Home in Home Blood Pressure Monitoring

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