Are we measuring what we ought to measure? A review of tools assessing patient perception of the healthcare built environment and their suitability for oncology spaces

Sadek, Ahmed H.; Willis, Julie

doi:10.1016/j.jenvp.2020.101486

Cited by 6 publications

(5 citation statements)

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“…The purpose of this study is to explore the effects of biophilic imagery in hospital rooms on patient perceptions of their room, indexes of satisfaction, and perception of care, using a mixed methods design. There is a current lack of evidence in research evaluating healthcare settings and fewer evaluations of specialized and sensitive healthcare settings (Sadek & Willis, 2020). Due to the lack of highly tested methodologies and scales and a lack of a "good fit" in choosing a scale with the potential of assessing the goals of this project, qualitative information was also collected.…”

Section: Purpose Of Studymentioning

confidence: 99%

Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study

Wichrowski

Corcoran

Haas

et al. 2021

HERD

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Objective: Exposure to nature has been shown to influence various dimensions of human experience in the healthcare environment. This mixed method study explores the effects of the presence of biophilic, nature-based imagery on patient perceptions of their hospital room and aspects of their experience in rehabilitation. Background: In settings where patients have high degrees of medical acuity and infection control is a major concern, exposure to the benefits of real nature may be precluded. This is also true in many older healthcare facilities which were not designed with salutatory nature exposure in mind. In these settings, the presence of nature imagery may provide benefits which positively impact patient experience. Method: Seventy-six physical rehabilitation patients on a medically complex/cardiopulmonary rehabilitation unit filled out questionnaires assessing their perceptions of their room and various indexes of patient satisfaction. Data were collected from 47 patients in enhanced room containing nature imagery and 29 patients in standard rooms which served as controls. Results: Scores on the Environmental Assessment Scale (EAS) indicated a significant difference between experimental and control group in the rating of their rooms ( p = .0071). Ratings of quality of room, quality of stay, quality of sleep, and overall care trended in the direction of the hypothesis but were not significant. Data from qualitative questionnaires supported the results of the EAS. Conclusion: We conclude that the presence of biophilic nature imagery in the hospital rooms had a significant effect on patients’ room ratings and positively influenced indexes of patient satisfaction.

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Section: Purpose Of Studymentioning

confidence: 99%

Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study

Wichrowski

Corcoran

Haas

et al. 2021

HERD

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“…20 , 21 , 22 Audit tools have been developed to assess consumer engagement, but these tools are limited to the assessment of the process of engagement, outcomes of engagement, and health services compliance with the accreditation requirements, such as provision of information to consumers informing them of their healthcare rights. 23 , 24 , 25 Further tools assess patient experience and satisfaction with care 25 , 26 , 27 but they do not assess the physical environment within the health service as a factor that may create opportunities for consumer engagement. To support health service providers and researchers to evaluate the opportunities for consumer engagement in health services environments, we aimed to develop and validate an environmental audit tool designed to assess the extent to which the physical environment in health services creates and supports opportunities for consumer engagement.…”

Section: Introductionmentioning

confidence: 99%

Assessing the environment for engagement in health services: The Audit for Consumer Engagement (ACE) tool

Chauhan

Newman

Walpola

et al. 2022

Health Expectations

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Introduction Although it is widely accepted that the physical environment can impact health quality and care outcomes, its impact on consumer engagement with health services has not been examined. Currently, no tools exist that assess the opportunities for consumer engagement offered within the physical environment. We aimed to develop and validate an environmental audit tool to assist health services and researchers to assess the extent to which the physical environment in health services creates and supports opportunities for consumer engagement. Method An iterative, team‐based approach in partnership with diverse stakeholders was used to develop the Audit for Consumer Engagement (ACE) tool. A four‐stage process consisting of desktop review, concept clarification, identification of domains and validation was implemented. The tool was validated in one cancer service via face and content validation and inter‐rater reliability was also assessed. Results The ACE tool was demonstrated to comprise four main domains (access and signage information; resources for consumers; resources to support diversity; and consumer engagement events or activities) measured with 17 items. Face and content validity was achieved, and preliminary reliability analysis indicated substantial agreement between the two researchers for all four domains with an average of 86% agreement. Conclusion The ACE is a novel tool that is practical, relevant and reliable, and developed in partnership with consumers and health service providers. The tool can be used by health service providers, researchers and consumer agency groups to assess opportunities for consumer engagement offered within the physical environment of cancer services. The ACE tool has the potential to be used as a guide for enhancing consumer engagement opportunities and for research purposes. Further evidence about the validity of the tool is required, including criterion‐related validity and utility in other health settings. Patient/Public Contribution This project is part of a wider ‘CanEngage’ project that includes a consumer investigator and is supported by a consumer advisory group. This study was completed in active partnership with members of a consumer advisory group from diverse backgrounds. Feedback was sought from the members throughout the development process of the tool with findings discussed with the CanEngage group members in scheduled meetings.

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“…In 1983, the World Health Organization introduced the term ‘sick building syndrome’, which encompasses the psychological and physical health difficulties occurring through prolonged exposure to poor‐quality indoor environments (Burge, 2004 ). An evidence base has since emerged on the redesigning of health care settings as ‘healing environments’ (Huisman, Morales, van Hoof, & Kort, 2012 ; Sadek & Willis, 2020 ). Drawing from environmental psychology, the physical characteristics of a healing environment (notably lighting, temperature, acoustics, air quality, furnishing, and aesthetic) are associated with a range of improvements to treatment processes and outcomes, such as patient satisfaction, mood, pain and stress levels, recovery time, staff errors, and staff well‐being (Gaminiesfahani, Lozanovska, & Tucker, 2020 ; Huisman et al., 2012 ; Ulrich et al., 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Organizational perspectives on outdoor talking therapy: Towards a position of ‘environmental safe uncertainty’

Cooley

Jones

Moss

et al. 2021

British J Clinic Psychol

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Objectives. There is growing support within the therapy professions for using talking therapy in alternative environments, such as outdoor spaces. The aim of the present study was to further understand how the organizational culture in clinical psychology may prevent or enable practitioners to step outside the conventional indoor consulting room.Design. Informed grounded theory methodology was used within a pragmatist philosophy.Methods. Participants (N = 15; nine male, six female) were identified using theoretical sampling. The sample consisted of experts and leaders within the profession of clinical psychology (e.g., heads of services, training programme directors, chairs of professional bodies, and developers of therapy models; M years in the profession = 34.80, SD = 9.77). One-to-one interviews and analysis ran concurrently over 9 months (April-December 2020). Mason's model of safe uncertainty was drawn upon to illuminate and organize themes.Results. The main themes comprised organizational factors that either support a practitioner in maintaining a position of curiosity and flexibility towards the environment where therapy is located ('environmental safe uncertainty'), or push them towards adopting a more fixed position ('environmental certainty'). Themes included influences from therapy traditions, accessibility of alternative environments, internalized risk, workplace subcultures, business models, biomedical approaches, and the COVID-19 pandemic.Conclusions. Whether therapy is located in a consulting room, outdoors, clients' homes, or digitally, practitioners, clients, and services are encouraged to maintain a position of environmental safe uncertainty.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Are we measuring what we ought to measure? A review of tools assessing patient perception of the healthcare built environment and their suitability for oncology spaces

Cited by 6 publications

References 57 publications

Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study

Effects of Biophilic Nature Imagery on Indexes of Satisfaction in Medically Complex Physical Rehabilitation Patients: An Exploratory Study

Assessing the environment for engagement in health services: The Audit for Consumer Engagement (ACE) tool

Organizational perspectives on outdoor talking therapy: Towards a position of ‘environmental safe uncertainty’

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