Psychogeriatric inpatient unit design: a literature review

Dobrohotoff, John; Llewellyn-Jones, Robert H.

doi:10.1017/s1041610210002097

Cited by 18 publications

(38 citation statements)

References 97 publications

(160 reference statements)

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“…Airflow rate has an important to role to play in ventilation [40] and the perception of air freshness. However, although most outpatients did not consider entertainment facility and art objects in hospital as important as other aspects, they are welcomed in some inpatient unit design [41] and suggestions have been made to supply newspaper or magazines to improve the entertainment in particular departments [42].…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perspectives on the Design of Hospital Outpatient Areas

Zhao

Mourshed

2017

Buildings

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There is a growing interest among healthcare managers and designers in moving towards a 'patient-centred' design of health and care facilities by integrating patient perceptions and expectations of the physical environment where care takes place. Increased interests in physical environments can mostly be attributed to our improved understanding of their role in patients' health outcomes and staff productivity. There is a gap in the literature on users' perspectives on physical settings in the context of healthcare. Moreover, the connection of care services with the design of the facility is often overlooked partly due to the lack of evidence. This research was aimed at filling the gap by exploring outpatients' perspectives on design factors related to the areas frequented by them, e.g., hospital waiting areas. A 16-item questionnaire was conducted among randomly selected outpatients in two hospitals in Qingdao, China, with a response rate of 84.3%. Five principal factors were identified: sensory; lighting and thermal; facilities; spatial; and seating design, which agreed with the literature. Non-parametric tests were applied to assess variances in constructed principal dimensions concerning demographic variables. Female outpatients were found to be more perceptive of the 'sensory design' factors than males. The number of previous visits to the hospital was found to be associated with 'spatial' and 'seating design' factors, while respondents' age had an association with 'sensory' and 'seating design' factors. Respondents ranked 'noise' and 'air freshness' and 'cleanliness' as highly important.

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Section: Discussionmentioning

confidence: 99%

Patients’ Perspectives on the Design of Hospital Outpatient Areas

Zhao

Mourshed

2017

Buildings

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“…Corridors that are wider than is typical with abundant natural light (ideally with access to an exterior courtyard) and appropriate seating provide patients other locations outside of their rooms to spend time alone or with others (Department of Veterans Affairs, 2014a). Separating living and treatment areas and separating cognitively impaired patients from higher functioning (cognitively) patients (Dobrohotoff & Llewellyn-Jones, 2011;Golembiewski, 2010). Designing in a psychiatric intensive care unit or high dependency unit (Dobrohotoff & Llewellyn-Jones, 2011).…”

Section: Protectmentioning

confidence: 99%

“…Separating living and treatment areas and separating cognitively impaired patients from higher functioning (cognitively) patients (Dobrohotoff & Llewellyn-Jones, 2011;Golembiewski, 2010). Designing in a psychiatric intensive care unit or high dependency unit (Dobrohotoff & Llewellyn-Jones, 2011).…”

Section: Protectmentioning

confidence: 99%

Toward a Framework for Designing Person–Centered Mental Health Interiors for Veterans

Platt¹,

Bosch

Kim

2017

Journal of Interior Design

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The Veteran's Administration (VA), recognizing the potential influence that nurturing interior environments may have on patient well-being, has been designing and constructing mental health settings intended to calm, restore, and revive. Unfortunately, limited research investigates the links between the interior environment and mental health outcomes that can be used for guiding the design for these facilities. This paper seeks to provide a framework for designing person-centered mental health interiors that would be supportive of human factors for a healthcare organization's clinical and operational staff as well as Veterans. The framework is intended to assist healthcare providers in achieving mental health aims through thoughtful, evidence-based, person-centered design. Based on a review of the literature and case study investigations of three VA acute inpatient mental health units in the United States, the framework is comprised of six domains: Involve, Protect, Engage, Comfort, Personalize, and Sustain. These domains, informed by existing credible research and best practices, were vetted through post-hoc analysis of qualitative data gathered from interviews, focus groups, and/or listening sessions conducted with the three sites. The resultant Framework for Designing Person-Centered Mental Health Interiors for Veterans, developed based on the data and methodologies used in conducting this study, is meant as a complementary resource for informing future research, planning, design, and operation of acute inpatient mental health spaces. The research team's aim was to develop an accessible set of evidence-based environmental planning considerations to aid in the prioritization and development of person-centered mental health environments.

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“…The guidelines were meant to be precisely that-broad principles the application of which must be tempered by circumstances specific to individual dementia-care settings. (p. 168) The aforementioned conclusions are also shared by Dobrohotoff and Llewellyn-Jones (2011) for the architecture of psychogeriatric inpatient units. Earlier work by van Hoof (2010) summarized the broad range of design solutions and the rationale behind them.…”

Section: Evidence Base Versus Evidence Chasementioning

confidence: 77%