Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Abbas, Mohamed Yusoff; Ghazali, Roslinda

doi:10.1016/j.sbspro.2011.10.379

Cited by 20 publications

(16 citation statements)

References 12 publications

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“…As noted by Konkani and Oakley [12] reduction of sound levels in hospital ICUs to the recommended level of 45 dB(A) is clearly an important goal, there is a great deal of work remains to be done to make significant progress in this area. A calm and pleasant healing environment may benefit both patients and health care staff alike [3,5,27,29,37,42,45,46].…”

Section: Discussionmentioning

confidence: 99%

Noise Levels in a Medical Intensive Care Unit

He¹,

H²,

X³

et al. 2018

Preprint

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This study was undertaken to investigate and analyze noise pollution in a large Chinese governmental hospital’s medical intensive care unit and compare to the WHO guidelines.This cross-sectional study was conducted in a MICU at a public governmental teaching hospital in Fujian province between July and August of 2017. A WENSN® WS1361 Integrated Sound Level Meter (China) was used for continuous every five seconds one week noise levels recording. After this measurement, the decibel meter was used for recording different location of isolation rooms and open bays, including occupied and unoccupied patient, and recording sound events occurs in the ICU to identify sources of noise. Peak and average noise levels were obtained from the meter, and data were downloaded from the WS1361 into a laptop computer. The measured mean equivalent sound pressure levels (L) and standard Aeq deviation over one week period were 66.64±7.57 dB(A), with acute spikes reaching 119.7 dB(A), the average sound level for a 24 hour period in a work day was 68.03±5.07 dB(A). These are higher than the current daytime environmental noise limit of 40-45 decibels in China and WHO. Mean work day noise was significantly louder than weekend time, there was a significant difference in work days and weekend (t=16.85;P=0.000).There was a statistical difference between the day time and night time shifts (t=34.67;P=0.000). The isolation rooms were significantly quieter than the open-bay rooms(t=46.15; p=0.00), sound levels in the occupied and unoccupied rooms also had significant difference(t=17.26; P=0.000).Two types of noise resources, including twenty kinds sources were identified and measured, mean noise levels ranged from of 61.33 to 79.21 dB(A). This study shows noise levels in intensive care units were exceeded the recommended. The study of the influence of noise on patient and staff is needed, and noise reduction strategies must be conduct in ICU.

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Section: Discussionmentioning

confidence: 99%

Noise Levels in a Medical Intensive Care Unit

He¹,

H²,

X³

et al. 2018

Preprint

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“…). However, several of the instruments had a broad area of application for example ASPECT (Abbas & Ghazali ), AEDT (Ghazali & Abbas ) and DQI (Gann et al . ) and the environmental benchmarking instruments focusing mainly on green houses such as BREEAM (Schweber & Haroglu ) and LEED (Shulman ).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare

Elf

Nordin

Wijk

et al. 2017

Journal of Advanced Nursing

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Aim. To identify instruments measuring the quality of the physical healthcare environment, describe their psychometric properties. Background. The physical healthcare environment is regarded as a quality factor for health care. To facilitate evidence-based design there is a need for valid and usable instruments that can evaluate the design of the healthcare environment. Design. Systematic psychometric review. Data sources. A systematic literature search in Medline, CINAHL, Psychinfo, Avery index and reference lists of eligible papers . Review method. Consensus based standards for selection of health measurement instruments guidelines were used to evaluate psychometric data reported. Results. Twenty-three instruments were included. Most of the instruments are intended for healthcare environments related to the care of older people. Many of the instruments were old, lacked strong, contemporary theoretical foundations, varied in the extent to which they had been used in empirical studies and in the degree to which their validity and reliability had been evaluated. Conclusions. Although we found many instruments for measuring the quality of the physical healthcare environment, none met all of our criteria for robustness. Of the instruments, The Multiphasic environmental assessment procedure, The Professional environment assessment protocol and The therapeutic environment screening have been used and tested most frequently. The Perceived hospital quality indicators are user centred and combine aspects of the physical and social environment. The Sheffield care environment assessment matrix has potential as it is comprehensive developed using a theoretical framework that has the needs of older people at the centre. However, further psychometric and user-evaluation of the instrument is required.Keywords: evidence-based design, healthcare facilities, measurement instruments, nursing, older adults, physical healthcare environment, systematic psychometric review 2796

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“…Sources from the internal environment include art and colour, lighting, space, outdoor view to nature, safety and ergonomic and alternative therapies. While sources from the external environment include sound, artwork in the garden and playground, nature and garden (Abbas and Ghazali, 2011). Barnhart et al (1998) explored the setting preference that would affect behavior.…”

Section: Literature Reviewmentioning

confidence: 99%

Provisions and Accessibility of Natural Environment in Paediatric Wards

Ghazali

Abbas

2018

AjBeS

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The provisions and accessibility of natural environment in Malaysian public paediatric wards in the Klang Valley were analysed further, based on data obtained in earlier studies pertaining to the general status and physical design trend of those wards. Data collected were based on personal observations, questionnaires, interviews and documentations, which involved eight paediatric wards located in both urban and non-urban areas. Findings revealed patients were less satisfied with the provisions and accessibility provided. While those negative feelings could impact upon their healing process, hence upon their Length of Stay (LOS), however, such correlation could not be determined in the present study.

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Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Cited by 20 publications

References 12 publications

Noise Levels in a Medical Intensive Care Unit

Noise Levels in a Medical Intensive Care Unit

A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare

Provisions and Accessibility of Natural Environment in Paediatric Wards

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