Best Practices: Environmental and Therapeutic Issues in Psychiatric Hospital Design: Toward Best Practices

Karlin, Bradley E.; Zeiss, Robert A.

doi:10.1176/ps.2006.57.10.1376

Cited by 76 publications

(91 citation statements)

References 10 publications

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“…A further impediment in providing psychosocial support is the radiation therapy physical environment. There is evidence that the physical environment can facilitate or inhibit care that health professionals can provide (Karlin & Zeiss ; Merchant ), and it affects how health professionals in hospitals perceive the quality of their work life. There is also emerging evidence that links poor design to increased anxiety in hospital settings (Ulrich ; Mantz & Britton ; O'Halloran et al .…”

Section: Introductionmentioning

confidence: 99%

Time, space and technology in radiotherapy departments: how do these factors impact on patients' experiences of radiotherapy?

2015

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Radiation therapists (RTs) plan and deliver radiotherapy treatment for patients diagnosed with cancer. They need to communicate regularly with their patients and may have a role to play in reducing patient anxiety and distress. The objectives were to explore how the environment of radiotherapy departments supports or inhibits communication generally and information giving and supportive care provision in particular. An ethnographic approach was used to gather rich descriptive data through observations and interviews conducted in two Australian radiotherapy centres. Time, space and a technology driven culture was found to negatively affect the quality of interaction that occurred between RTs and their patients. This research has shown design/modification of spaces is needed in the radiotherapy environment to reflect a patient care centred culture and to enhance opportunities for RTs to provide supportive care for their patients.

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Section: Introductionmentioning

confidence: 99%

Time, space and technology in radiotherapy departments: how do these factors impact on patients' experiences of radiotherapy?

2015

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“…Research supports the intuitive assumption that the physical environment of a ward affects patients' experiences of admission and their interactions with staff (Graham et al, 2002;Karlin & Zeiss, 2006). Research supports the intuitive assumption that the physical environment of a ward affects patients' experiences of admission and their interactions with staff (Graham et al, 2002;Karlin & Zeiss, 2006).…”

Section: Architecture and Surroundingsmentioning

confidence: 67%

Is locating acute wards in the general hospital an essential element in psychiatric reform? The UK experience

Totman¹,

Mann²

2010

Epidemiol Psychiatr Sci

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Locating psychiatric wards in general hospitals has long been seen in many countries as a key element in the reform of services to promote community integration of the mentally ill. In the UK, however, this is no longer a policy priority, and the recent trend has been towards small freestanding inpatient units, located either within the communities they serve, or on general hospital sites, but separate from the main building. Whether locating the psychiatric wards in the general hospital is essential to psychiatric reform has been little discussed, and we can find no relevant evidence.Perceived strengths of general hospital psychiatric wards are in normalisation of mental health problems, accessibility to local communities, better availability of physical health care resources, and integration of psychiatry with the rest of the medical profession, which may faclilitate recruitment. However, difficulties seem to have been encountered in establishing well-designed psychiatric wards with access to open space in general hospitals. Also, physical proximity may not be enough to achieve the desired reduction in stigma, and complaints from the general hospital may sometimes result in undue restrictions on psychiatric ward patients. There are strong arguments both for and against locating psychiatric wards in general hospitals: an empirical evidence base would be helpful to inform important decisions about the best setting for wards.Declaration of Interest: None.

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“…Private space and the opportunity to have intimate time with family and friends can help alleviate the sense of institutionalisation and also provide an ability to regulate the level of social contact. These are both considered to be important elements of a therapeutic environment (Karlin & Zeiss, 2006).…”

Section: Discussionmentioning

confidence: 99%

A study of agitation, conflict and containment in association with change in ward physical environment

Jenkins

Dye

Foy

2014

J. Psychiatr. Intensive Care

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Aims: To assess the impact of a changed ward environment upon levels of inpatient arousal and aggression on a National Health Service psychiatric intensive care unit.Method: A retrospective service evaluation comparing seclusion episodes, duration of close observation, recorded aggressive incidents and data from the Nursing Observed Illness Intensity Scale (NOIIS) on a psychiatric intensive care unit for two three-month periods either side of a move from an old, temporary building to a new, purpose-built ward. The ward environments were also objectively assessed and compared using the Environment Assessment Inventory (EAI).Results: A statistically significant reduction in episodes of seclusion, total seclusion hours and aggressive incidents, as well as a reduction in levels of agitation from the NOIIS data on the new ward compared to the old ward. The EAI scores showed important qualitative improvements on the new ward.Conclusions: This study supports the hypothesis that the physical environment of a psychiatric intensive care unit has a significant impact on levels of arousal and aggression. Established measures of ward environment should be applied to the development and improvement of psychiatric wards.

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Best Practices: Environmental and Therapeutic Issues in Psychiatric Hospital Design: Toward Best Practices

Cited by 76 publications

References 10 publications

Time, space and technology in radiotherapy departments: how do these factors impact on patients' experiences of radiotherapy?

Time, space and technology in radiotherapy departments: how do these factors impact on patients' experiences of radiotherapy?

Is locating acute wards in the general hospital an essential element in psychiatric reform? The UK experience

A study of agitation, conflict and containment in association with change in ward physical environment

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