Are the Physical Environments of Treatment Centres Meeting Recommendations for Patient-Centred Care? Perceptions of Haematological Cancer Patients

Abstract

The physical environment of a treatment centre may impact the well-being of patients and their perceptions of care. Outpatients with haematological cancer may be in contact with the treatment centre over long periods and could be particularly affected. This study aimed to identify haematological cancer patients’ perceptions of supportive design elements in the hospital they attended and associations with self-reported mood or well-being. Outpatients from three large metropolitan hospitals in Australia were mailed a self-report questionnaire and responded to statements about the treatment centre concerning their sense of control over the physical surroundings; access to social support; and access to positive distractions. Participants also reported whether they felt the overall environment affected their mood or wellbeing. Of the outpatients who returned the questionnaire (n = 165), almost one-quarter (24%) agreed that the physical environment of the hospital affected their mood or well-being. Patients who disagreed that the hospital was a comfortable temperature or agreed that waiting rooms were crowded had significantly higher odds of reporting that the treatment environment affected their mood or wellbeing. Implementing systems to reduce overcrowding in waiting rooms and increasing patient control over personal temperature in clinics may be the most effective strategies to improve patient wellbeing.

Establishing an Intravesical Doublet Chemotherapy Clinic for Nonmuscle-Invasive Bladder Cancer Patients

“…The comfort and compliance of patients with cancer may be impacted by a crowded waiting space. 41 Well-trained advanced practice providers, such as nurse practitioners, physician assistants, and dedicated pharmacists, are essential to running the SDC clinic efficiently. It has been shown that granting advanced practice providers the ability to write prescriptions for chemotherapy and supportive care drugs can further improve cancer care and guarantee the highest level of safety while administering these drugs.…”

Optimerad fysisk vårdmiljö på akutmottagning: ur patienters, närståendes och personals perspektiv

“…förvärra den upplevda stressen genom att främja en känsla av kontroll över den fysiska och sociala omgivningen, möjlighet till socialt stöd samt att ha tillgång till positiva distraktioner. Minskad stress främjar hälsa och välbefinnande (47) Fysiska faktorer såsom tillgång till dagsljus, möjligheten att se ut mot naturen, god ventilation och en enkel och begriplig design har visats ha positiva effekter på vården och hälsoprocesserna (37,52). Effekter i vårdmiljön kan uppnås genom att tillhandahålla fönster och belysning, att använda sig av färger, kontrollera temperatur och att ljudnivåer är lämpliga.…”