Shared decision making in designing new healthcare environments—time to begin improving quality

Elf, Marie; Frost, Peter J.; Lindahl, Göran; Wijk, Helle

doi:10.1186/s12913-015-0782-7

Cited by 84 publications

(99 citation statements)

References 44 publications

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“…The emphasis on home and hominess in contemporary care discourses is a reaction against care institutions where residents/patients are subjected to rigid day schemes and regulations, have little autonomy, and are patronized and separated from society (Declercq, 2000;Elf et al, 2015;Mens & Wagenaar, 2009;van der Kooij, 1987). "While such institutions", Hockey (1999) notes, "share the title of 'home', they have few attributes, spatial and social ones, of what one could call as an ideal home".…”

Section: Discussionmentioning

confidence: 99%

“…Societal discourses on dwelling and care for older people reflect an evolution from a medical to a social model (Declercq, 2000;Elf et al, 2015;Mens & Wagenaar, 2009;van der Kooij, 1987). Originating in early 20 th century modernism, the former takes a rational, objective, functional and pathological approach to care.…”

Section: Introductionmentioning

confidence: 99%

“…The ongoing refutation of a purely medical model evidences an emancipation process of older people who want to avoid institutionalization (i.e., avoid subjection to institutional rules and routines, and to restrictions of activities, mobility and social contacts), and instead want their voice to be heard, continue their own daily lives, and stay involved in society as much as possible (Mens & Wagenaar, 2009). The physical environment plays an important role in realizing care visions (Elf, Fröst, Lindahl, & Wijk, 2015;Kearns, 2007;Martin, Nettleton, Buse, Prior, & Twigg, 2015;Mens & Wagenaar, 2009;Van Steenwinkel, Verstraeten, & Heylighen, 2016).…”

Section: Introductionmentioning

confidence: 99%

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How architectural design affords experiences of freedom in residential care for older people

Steenwinkel

Casterlé

Heylighen

2017

Journal of Aging Studies

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Human values and social issues shape visions on dwelling and care for older people, a growing number of whom live in residential care facilities. These facilities' architectural design is considered to play an important role in realizing care visions. This role, however, has received little attention in research.This article presents a case study of a residential care facility for which the architects made considerable effort to match the design with the care vision. The study offers insights into residents' and caregivers' experiences of, respectively, living and working in this facility, and the role of architectural features therein.A single qualitative case study design was used to provide in-depth, contextual insights. The methods include semi-structured interviews with residents and caregivers, and participant observation. Data concerning design intentions, assumptions and strategies were obtained from design documents, through a semi-structured interview with the architects, and observations on site.Our analysis underlines the importance of freedom (and especially freedom of movement), and the balance between experiencing freedom and being bound to a social and physical framework. It shows the architecture features that can have a role therein: small-scaleness in terms of number of residents per dwelling unit, size and compactness; spatial generosity in terms of surface area, room to maneuver and variety of places; and physical accessibility. Our study challenges the idea of familylike group living. Since we found limited sense of group belonging amongst residents, our findings suggest to rethink residential care facilities in terms of private or collective living in order to address residents' social freedom of movement. Caregivers associated 'hominess' with freedom of movement, action and choice, with favorable social dynamics and with the building's residential character. Being perceived as homey, the facility's architectural design matches caregivers' care vision and, thus, helped them realizing this vision.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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How architectural design affords experiences of freedom in residential care for older people

Steenwinkel

Casterlé

Heylighen

2017

Journal of Aging Studies

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“…Lawton initially raises the significance of the "reciprocal relationship between the elderly and their environment" [42,43]. Elf et al also indicate the importance of the built environment that fulfils modern care vision embracing "autonomy, relatedness and competence" [44,45]. Nonetheless, Holahan and Moore et al criticise the lack of theoretical research framework on person-environment nexuses in environmental psychology [46,47].…”

Section: Environmental Experience Design Research Frameworkmentioning

confidence: 99%

Structuring the Environmental Experience Design Research Framework through Selected Aged Care Facility Data Analyses in Victoria

Chau

Zhou

et al. 2017

Sustainability

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Humans relate to the living environment physically and psychologically. Environmental psychology has a rich developed history while experience design emerged recently in the industrial design domain. Nonetheless, these approaches have barely been merged, understood or implemented in architectural design practices. This study explored the correlation between experience design and environmental psychology. Moreover, it conducted literature reviews on theories about emotion, user experience design, experience design and environmental psychology, followed by the analyses of spatial settings and environmental quality data of a selected aged care facility in Victoria, Australia, as a case study. Accordingly, this study led to proposing a research framework on environmental experience design (EXD). It can be defined as a deliberate attempt that affiliates experience design and environmental psychology with creation of the built environment that should accommodate user needs and demands. The EXD research framework proposed in this study was tailored for transforming related design functions into the solutions that contribute to improving the built environment for user health and wellbeing.

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“…In this way, the design process provides an opportunity for staff to learn more about their own work by being active participants in the design. [24,25] In healthcare today the office room -individual or sharedis the dominant solution for most administrative needs. Research confirms that this room type is appreciated, and when it is private, also works well in many other ways.…”

Section: Discussionmentioning

confidence: 99%

Administrative workplaces in healthcare: Designing an efficient and patient-focused environment

Frost

2016

JHA

Self Cite

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The article presents an "Evidence-Based Concept Program" for the administrative workplaces in healthcare. Several studies show that Swedish doctors and nurses use about half their working time on administrative work. Despite this, very little attention has been given to the design of administrative workplaces in healthcare. Although healthcare focuses on detailed functional planning of their clinical areas, administrative workplaces are typically designed very traditionally, supporting hierarchical and downpipe organisations. Consequently, they are not always supportive of today's healthcare needs, which focus on teamwork around the involved and informed patient. This makes provision of healthcare less efficient and patient friendly. However, new technologies and new ways of working means that the conditions for administrative/office work have changed drastically in recent decades. It is therefore time to seek inspiration from other sectors of society so as to rethink healthcare design. Conclusive report findings indicate that a changed approach needs to be introduced to the design of administrative workspaces. Mapping exercises of existing conditions show low utilisation of non-care-related administrative workplaces. These workplaces can be made more efficient by organising the plan according to activity-based usage and thereby reducing the area needed. Included survey also indicate that the degree of utilisation of administrative workplaces close to patients is relatively high. The report concludes that patient-related administrative workplaces need to be developed further through adding new room types and number of functions. Unused space can be redistributed to care located closer to patients, as the need is greater and this will help promote work efficiency. However, the design of new and more activity-based administrative workplaces in healthcare relies heavily on the introduction of new portable and seamless information and communication technology (ICT)-systems.

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Shared decision making in designing new healthcare environments—time to begin improving quality

Cited by 84 publications

References 44 publications

How architectural design affords experiences of freedom in residential care for older people

How architectural design affords experiences of freedom in residential care for older people

Structuring the Environmental Experience Design Research Framework through Selected Aged Care Facility Data Analyses in Victoria

Administrative workplaces in healthcare: Designing an efficient and patient-focused environment

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