Do the hospital rooms make a difference for patients’ stress? A multilevel analysis of the role of perceived control, positive distraction, and social support

Andrade, Cláudia Campos; Devlin, Ann Sloan; Pereira, Cí­cero Roberto; Lima, Maria Luísa

doi:10.1016/j.jenvp.2017.06.008

Cited by 43 publications

(33 citation statements)

References 37 publications

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“…Literature has also described how psychological benefits of positive distractions helps people to attend to the stimuli rather than own discomfort and anxiety [14,29,31]. In our study women most women also found joy and relaxation in the positive distractions.…”

Section: Discussionsupporting

confidence: 57%

Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care

Nielsen

Overgaard

2020

BMC Pregnancy Childbirth

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Background: The physical place and environment has a profound influence on experiences, health and wellbeing of birthing women. An alternatively designed delivery room, inspired by the principles of healing architecture and Snoezelen, was established in the Regional Hospital in Herning, Denmark. These principles provided knowledge of how building and interior design affects the senses, including users' pain experience and stress levels. The aim of the study was to explore women's experience of the environment and its ability to support the concept of patientcenteredness in the care of birthing women. Methods: Applying a hermeneutical-phenomenological methodology, fourteen semi-structured interviews with low-risk women giving birth in an alternative delivery room at an obstetric unit in Denmark were undertaken 3-7 weeks after birth. Results: Overall, women's experiences of given birth in the alternative delivery room were positive. Our analysis suggests that the environment was well adapted to the women's needs, as it offered a stress-and anxiety-reducing transition to the hospital setting, at the same time as it helped them obtain physical comfort. The environment also signaled respect for the family's needs as it supported physical and emotional interaction between the woman and her partner and helped relieve her concern for the partner's well-being. The psychosocial support provided by the midwives appeared inseparable from the alternative delivery room, as both affected, amplified, and occasionally restricted the women's experience of the physical environment. Conclusion: Our findings support the use of principles of healing architecture and Snoezelen in birth environments and add to the evidence on how the physical design of hospital environments influence on both social and physical aspects of the well-being of patients. The environment appeared to encompass several dimensions of the concept of patient-centered care.

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Section: Discussionsupporting

confidence: 57%

Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care

Nielsen

Overgaard

2020

BMC Pregnancy Childbirth

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“…The importance of natural environments should be emphasised as they are a source of reduction in physiological stress markers as well as a source of psychological benefits. [34][35][36][37][38] Simple actions such as introducing natural imagery into living spaces enhance the visual novelty derived from physical space and its cognitive effects, which have been shown to synergise with behavioural interventions. [39][40][41][42] For those working from home, recommendations include adapting their physical working space as best they can, maintaining a routine and placing more emphasis on supportive professional relationships to minimise isolation.…”

Section: Management Of Confinement Distressmentioning

confidence: 99%

Psychological consequences of social isolation and quarantine: Issues related to COVID-19 restrictions

Jurblum¹,

Ng²

2020

Aust J Gen Pract

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Background The COVID-19 pandemic has highlighted the stark reality of city lockdowns, mass quarantines and social isolation worldwide. The importance of social isolation and quarantine measures to reduce community transmission of COVID-19 must be balanced against the potential impact on the psychological health of the population. Objective The purpose of this article is to provide an overview of the psychological and social impacts of human isolation, how these may present and approaches to identifying and mitigating these effects. Discussion Quarantine has been associated with increased rates of suicide, anger, acute stress disorder, depression and post-traumatic stress disorder, with symptoms continuing even years after quarantine ends. There are several predisposing risk factors including the inhabited environment, unique aspects of assessment as well as phenomena seen specifically among groups facing isolation together. The article provides management strategies for the general practitioner as well as indicators for referral to further psychological supports.

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“…In several studies it was seen that needs for privacy varied between day-care, special care, emergency departments and inpatient care ( At an emergency department, patients were even satisfied with the privacy in examination rooms, divided by curtains. Stress of patients varied between departments as well (Andrade et al 2017;Becker and Douglass 2008;Hweidi 2007;Leather et al 2003). As patients in an ICU perceived only noise as a stressor, patients in inpatient wards perceived stress related to the number of features, such as adjustable temperature, a chair for visitors, a large window and a clock.…”

Section: Studied Departmentsmentioning

confidence: 99%

Comfort and health of patients and staff, related to the physical environment of different departments in hospitals: a literature review

Eijkelenboom

Bluyssen

2019

Intelligent Buildings International

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Due to the increasing demand for healthcare and the large impact on the finance of hospital buildings in the near future, study is needed on aspects that affect health and comfort of patients and staff in hospitals. Therefore, a literature review was performed on studies related to specific hospital departments and occupant groups, in order to contribute to a better understanding of relations of comfort and health indicators and the physical environment. Differences in comfort and health of occupants were compared between departments, and between occupant groups. It was concluded that staff was generally less satisfied than patients were. Some of the indicators studied (occupant, dose and building-related indicators) varied between departments. Most studies focused on a single dose or building-related indicator, although the occupant-related indicators, such as privacy, infection rate or mortality, were related to more than one dose or building-related indicator. It was concluded that staff in particular have been understudied in relation to the variation of health and comfort aspects in different departments.

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Do the hospital rooms make a difference for patients’ stress? A multilevel analysis of the role of perceived control, positive distraction, and social support

Abstract: Do the hospital rooms make a difference for patients' stress? A multilevel analysis of the role of perceived control, positive distraction, and social support

Cited by 43 publications

References 37 publications

Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care

Healing architecture and Snoezelen in delivery room design: a qualitative study of women’s birth experiences and patient-centeredness of care

Psychological consequences of social isolation and quarantine: Issues related to COVID-19 restrictions

Comfort and health of patients and staff, related to the physical environment of different departments in hospitals: a literature review

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