The permeable institution: An ethnographic study of three acute psychiatric wards in London

Quirk, Alan; Lelliott, Paul; Seale, Clive

doi:10.1016/j.socscimed.2006.05.021

Cited by 88 publications

(105 citation statements)

References 22 publications

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“…Previous research suggests that music can have a positive effect on patients' mental state (McGaffrey, Edwards & Fannon 2011). When considering the importance of improving the PICU experience, the concept of 'permeability' (Quirk et al 2006) can be related to the existence (and importance) of music, on the PICU and specifically, in the sensory room. The PICU is a locked environment, where patients are contained because of their behaviour; outside negative influences are generally kept out and not allowed to permeate (for example, no mobile phones, banning of negatively influential friends/ family and no illicit drugs or alcohol).…”

Section: Discussionmentioning

confidence: 99%

Use of a Sensory Room on an Intensive Care Unit

Smith¹,

Jones²

2014

J Psychosoc Nurs Ment Health Serv

111

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Section: Discussionmentioning

confidence: 99%

Use of a Sensory Room on an Intensive Care Unit

Smith¹,

Jones²

2014

J Psychosoc Nurs Ment Health Serv

111

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“…Most previous research studies on this topic are qualitative in design and conducted in a small number of units, for example the ethnographic study conducted 4 by Quirk et al (2006) was conducted on three psychiatric wards. Therefore due to the design of the larger study the researchers were able to access service users in a larger number of psychiatric units than is usually possible for this type of enquiry.…”

Section: Introductionmentioning

confidence: 99%

“…Seeking to contextualise modern psychiatric wards, Quirk et al (2006) draw on the seminal work of Goffman (1961), suggesting that wards have been transformed from 'impermeable' institutions, cut off from the outside world, to 'permeable institutions', where service users are free (and encouraged) to maintain external contacts during their 5 hospital stay. This permeability is viewed as having both positive and negative consequences.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric wards: places of safety?

Jones¹,

Nolan²,

Bowers³

et al. 2010

Journal of Psychiatric and Mental Health Nursing

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Aim. This paper is a report of a study to explore the experiences of service users on acute inpatient psychiatric wards in England regarding their feelings of safety and security whilst in hospital. PermanentBackground. In recent years the purpose and quality of provision delivered in acute

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“…Government ministers, NHS planners and managers, architects, and hospital staff and patients participated in designing new facilities, raising hopes for improved care (Gesler et al 2004). Studies of individual hospitals have assessed to what extent these hopes were realized (Quirk et al 2006, Curtis et al 2007). Here we make an original contribution to these evaluations by exploring the emotional experiences of staff and informal carers, as well as patients affected by these changes.…”

Section: From Old To New: Re-provisioning the Psychiatric Hospitalmentioning

confidence: 99%

‘Therapeutic landscapes’ and the importance of nostalgia, solastalgia, salvage and abandonment for psychiatric hospital design

et al. 2015

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(2015) '`Therapeutic landscapes' and the importance of nostalgia, solastalgia, salvage and abandonment for psychiatric hospital design.', Health place., 33 . pp. 83-89. Further information on publisher's website:http://dx.doi.org/10.1016/j.healthplace. 2015.02.010 Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in Health place. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reected in this document. Changes may have been made to this work since it was submitted for publication. A denitive version was subsequently published in Health place, 33, 2015Health place, 33, , 10.1016Health place, 33, /j.healthplace.2015 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Highlights:• We emphasise how emotional reactions to changes to medical spaces are important • Emotions and memories of spaces can impinge on one's present therapeutic experience • We interpret our research by using a Therapeutic landscapes framework • We relate our research to ideas about salvage and abandonment • Our research highlights recommendations for good practice in hospital design 'Therapeutic Landscapes' and the importance of nostalgia, solastalgia, salvage and abandonment for Psychiatric Hospital design. AbstractWe examine emotional reactions to changes to medical spaces of care, linked with past experiences. In this paper we draw on findings from a qualitative study of the transfer of psychiatric inpatient care from an old to a newly built facility. We show how the meanings attributed to 'therapeutic landscapes' from one's past can evoke emotions and memories, manifesting in ideas about nostalgia, solastalgia, salvage and abandonment, which can impinge on one's present therapeutic experience. We reflect on how consideration of these ideas might contribute to better future design of psychiatric inpatient facilities and the wellbeing of those using them.

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The permeable institution: An ethnographic study of three acute psychiatric wards in London

Cited by 88 publications

References 22 publications

Use of a Sensory Room on an Intensive Care Unit

Use of a Sensory Room on an Intensive Care Unit

Psychiatric wards: places of safety?

‘Therapeutic landscapes’ and the importance of nostalgia, solastalgia, salvage and abandonment for psychiatric hospital design

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