International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies

Archives

TuEngr+Logo
:: International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies

http://TuEngr.com


ISSN 2228-9860
eISSN 1906-9642
CODEN: ITJEA8


FEATURE PEER-REVIEWED ARTICLE

Vol.12(12) (2021)

  • Effects of the Physical Environment of Paediatric Healthcare Settings on Health Outcomes of Patient & Family and Staff

    Abdul Halim Babbu, Mazharul Haque (Department of Architecture, National Institute of Technology (NIT), Patna, INDIA).

    Disciplinary: Architecture Science & Engineering, Health Science.

    ➤ FullText

    doi: 10.14456/ITJEMAST.2021.240

    Keywords: Child-centred care; Hospital design; Health outcomes; Childcare environment; Patient safety; Pediatric patient; Healthcare environment; Access to garden; Hospital layout; Hospital rooms; Hospital orientation; Hospital light; Hospital ventilation; PICO; Paediatric healthcare; PRISMA.

    Abstract
    This study identifies, evaluates, and synthesizes the recent literature related to the pediatric healing environment and presents the impact of physical environments on the health outcomes of pediatric patients, families, and staff. Background: Recent studies have shown that the physical environment has an increasing impact on health outcomes, however, the effects of the physical environment of the pediatric healthcare settings on health outcomes of patients, families, and staff have not been extensively investigated. Methods: A multi-phased approach was adopted to review literature, including a literature search, screening, and selection of literature, its appraisal, and discussion. Electronic databases: Scopus, PubMed, and Web of Science were searched to find peer-reviewed articles between 2000 to 2020. Finally, a total of 38 peer-reviewed articles were examined and discussed. Results: The findings suggest that design strategies, such as improved layout, proper rooms, orientation, adequate light & ventilation, positive distraction, and play can help patients achieve better outcomes. The result is grouped into seven research themes. (1) architectural features; (2) interior design features; (3) environmental attributes; (4) access to nature; (5) artwork & thematic design; (6) interactive technologies and positive distractions; (7) family and peer support. Conclusion: The result indicates that an appropriately designed pediatric healthcare environment has several positive effects, including lower levels of anxiety and fear among patients, improved family experience, and improved staff satisfaction with the work environment.

    Paper ID: 12A12I

    Cite this article:

    Babbu, A.H., Haque, M. (2021). Effects of the Physical Environment of Paediatric Healthcare Settings on Health Outcomes of Patient & Family and Staff. International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies, 12(12), 12A12I, 1-11. http://doi.org/10.14456/ITJEMAST.2021.240



References

  1. Adams, A., Theodore, D., Goldenberg, E., McLaren, C., & McKeever, P. (2010). Kids in the atrium: Comparing architectural intentions and children's experiences in a pediatric hospital lobby. Social Science & Medicine, 70(5), 658-667. DOI: 10.1016/j.socscimed.2009.10.049
  2. Akinluyi, M. L., Awe, F. C., Adeleye, O. O., & Ogunruku, M. P. (2019). Paediatric Physical Facilities Design Characteristics in Southwestern Nigerian University Teaching Hospital: Lesson from Netherland Children Hospital. Universal Journal of Public Health, 7(6), 233-254. DOI: 10.13189/ujph.2019.070602
  3. Alvaro, C., Wilkinson, A. J., Gallant, S. N., Kostovski, D., & Gardner, P. (2016). Evaluating Intention and Effect. HERD: Health Environments Research & Design Journal, 9(2), 82-104. DOI: 10.1177/1937586715605779
  4. Anaker, A., Heylighen, A., Nordin, S., & Elf, M. (2017). Design Quality in the Context of Healthcare Environments: A Scoping Review. HERD: Health Environments Research & Design Journal, 10(4), 136-150. DOI: 10.1177/1937586716679404
  5. Avila-Aguero, M. L., German, G., Paris, M. M., Herrera, J. F., & The Safe Toys Study Group. (2004). Toys in a pediatric hospital: Are they a bacterial source? American Journal of Infection Control, 32(5), 287-290. DOI: 10.1016/j.ajic.2003.10.018
  6. Babbu, A. H. (2016). Flexibility: A key concept in Hospital Design. International Journal of Application or Innovation in Engineering & Management, 24-28.
  7. Biddiss, E., McPherson, A., Shea, G., & McKeever, P. (2013). The Design and Testing of Interactive Hospital Spaces to Meet the Needs of Waiting Children. HERD: Health Environments Research & Design Journal, 6(3), 49-68. DOI: 10.1177/193758671300600305
  8. Birch, J., Curtis, P., & James, A. (2007). Sense and Sensibilities: In Search of the Child-Friendly Hospital. Built Environment, 33(4), 405-416. DOI: 10.2148/benv.33.4.405
  9. Bishop, K. (2012). The Role of Art in a Paediatric Healthcare Environment from Children's and Young People's Perspectives. Procedia - Social and Behavioral Sciences, 38, 81-88. DOI: 10.1016/j.sbspro.2012.03.327
  10. Bosch, S. J., & Lorusso, L. N. (2019). Promoting patient and family engagement through healthcare facility design: A systematic literature review. Journal of Environmental Psychology, 62, 74-83. DOI: 10.1016/j.jenvp.2019.02.002
  11. Chau, T., Eaton, C., Lamont, A., Schwellnus, H., & Tam, C. (2006). Augmented environments for pediatric rehabilitation. Technology and Disability, 18(4), 167-171. DOI: 10.3233/TAD-2006-18402
  12. Clark, M. E., Carleton, M. E., Cummings, B. M., & Noviski, N. (2019). Children's Drawings With Narratives in the Hospital Setting: Insights Into the Patient Experience. Hospital Pediatrics, 9(7), 495-500. DOI: 10.1542/hpeds.2018-0170
  13. Clift, L., Dampier, S., & Timmons, S. (2007). Adolescents' experiences of emergency admission to children's wards. Journal of Child Health Care, 11(3), 195-207. DOI: 10.1177/1367493507079561
  14. Coad, J., & Coad, N. (2008). Children and young people's preference of thematic design and colour for their hospital environment. Journal of Child Health Care, 12(1), 33-48. DOI: 10.1177/1367493507085617
  15. Corsano, P., Majorano, M., Vignola, V., Guidotti, L., & Izzi, G. (2015). The waiting room as a relational space: young patients and their families' experience in a day hospital. Child: Care, Health and Development, 41(6), 1066-1073. DOI: 10.1111/cch.12239
  16. Eisen, S. L., Ulrich, R. S., Shepley, M. M., Varni, J. W., & Sherman, S. (2008). The stress-reducing effects of art in pediatric health care: art preferences of healthy children and hospitalized children. Journal of Child Health Care, 12(3), 173-190. DOI: 10.1177/1367493508092507
  17. Ford, K., Dickinson, A., Water, T., Campbell, S., Bray, L., & Carter, B. (2018). Child Centred Care: Challenging Assumptions and Repositioning Children and Young People. Journal of Pediatric Nursing, 43, e39-e43. DOI: 10.1016/j.pedn.2018.08.012
  18. Ghazali, R., Abbas, M. Y., & Jalalkamali, N. (2013). Healing Environment in Paediatric Wards: From Research to Practice. Procedia - Social and Behavioral Sciences, 105, 229-238. DOI: 10.1016/j.sbspro.2013.11.024
  19. Gibson, C., & Nelson, K. (2009). Obtaining adolescents' views about inpatient facilities using conjoint analysis. Paediatric Care, 21(2), 34-37.
  20. Hutton, A. (2005). Consumer perspectives in adolescent ward design. Journal of Clinical Nursing, 14(5), 537-545. DOI: 10.1111/j.1365-2702.2004.01106.x
  21. Jamshidi, S., Parker, J. S., & Hashemi, S. (2020). The effects of environmental factors on the patient outcomes in hospital environments: A review of literature. Frontiers of Architectural Research, 9(2), 249-263. DOI: 10.1016/j.foar.2019.10.001
  22. Koller, D., & McLaren, C. (2014). Children's Emotional Responses to a Paediatric Hospital Atrium. Children & Society, 28(6), 451-464. DOI: 10.1111/chso.12002
  23. Lambert, V., Coad, J., Hicks, P., & Glacken, M. (2014). Young children's perspectives of ideal physical design features for hospital-built environments. Journal of Child Health Care, 18(1), 57-71. DOI: 10.1177/1367493512473852
  24. Lim, B., Rogers, Y., & Sebire, N. (2019). Designing to Distract. ACM Transactions on Computer-Human Interaction, 26(2), 1-19. DOI: 10.1145/3301427
  25. Nanda, U., Chanaud, C. M., Brawn, L., Hart, R., & Hathorn, K. (2009). Pediatric Art Preferences: Countering the "One-Size-Fits-All" Approach. HERD: Health Environments Research & Design Journal, 2(4), 46-61. DOI: 10.1177/193758670900200403
  26. Nasab, S. N., Karimi Azeri, A. R., & Mirbazel, S. (2020). Ideal physical features of environmental design in children's hospital. Facilities, 38(5/6), 445-466. DOI: 10.1108/F-03-2019-0032
  27. Park, J. G. (2009). Color Perception in Pediatric Patient Room Design: Healthy Children vs. Pediatric Patients. HERD: Health Environments Research & Design Journal, 2(3), 6-28. DOI: 10.1177/193758670900200302
  28. Park, J. G. P. & Park, C. (2013). Color Perception in Pediatric Patient Room Design: American versus Korean Pediatric Patients. HERD: Health Environments Research & Design Journal, 6(4), 10-26. DOI: 10.1177/193758671300600402
  29. Pasha, S. (2013). Barriers to Garden Visitation in Children's Hospitals. HERD: Health Environments Research & Design Journal, 6(4), 76-96. DOI: 10.1177/193758671300600405
  30. Pasha, S., & Shepley, M. M. (2013). Research note: Physical activity in pediatric healing gardens. Landscape and Urban Planning, 118, 53-58. DOI: 10.1016/j.landurbplan.2013.05.005
  31. Peditto, K., Shepley, M., Sachs, N., Mendle, J., & Burrow, A. (2020). Inadequacy and impact of facility design for adolescents and young adults with cancer. Journal of Environmental Psychology, 69, 101418. DOI: 10.1016/j.jenvp.2020.101418
  32. Pelander, T., Lehtonen, K., & Leino-Kilpi, H. (2007). Children in the Hospital: Elements of Quality in Drawings. Journal of Pediatric Nursing, 22(4), 333-341. DOI: 10.1016/j.pedn.2007.06.004 https://linkinghub.elsevier.com/retrieve/pii/S088259630700262X
  33. Reeve, A., Nieberler-Walker, K., & Desha, C. (2017). Healing gardens in children's hospitals: Reflections on benefits, preferences and design from visitors' books. Urban Forestry & Urban Greening, 26, 48-56. DOI: 10.1016/j.ufug.2017.05.013
  34. Robinson, P. S., & Green, J. (2015). Ambient Versus Traditional Environment in Pediatric Emergency Department. HERD: Health Environments Research & Design Journal, 8(2), 71-80. DOI: 10.1177/1937586714566412
  35. Schubert, W. R., Tyne, M. D., & Piappert, J. J. (1993). Planning and design of children's health care facilities. Journal of Ambulatory Care Management.
  36. Shepley. (2001). Research on Healthcare Environments for Children and their Families. Design & Health: The Therapeutic Benefits of Design.
  37. Sherman, S. A., Varni, J. W., Ulrich, R. S., & Malcarne, V. L. (2005). Post-occupancy evaluation of healing gardens in a pediatric cancer center. Landscape and Urban Planning, 73(2-3), 167-183. DOI: 10.1016/j.landurbplan.2004.11.013
  38. Stichler, J. F. (2010). Weighing the Evidence. HERD: Health Environments Research & Design Journal, 3(4), 3-7. DOI: 10.1177/193758671000300401
  39. Tivorsak, T. L., Britto, M. T., Klostermann, B. K., Nebrig, D. M., & Slap, G. B. (2004). Are Pediatric Practice Settings Adolescent Friendly? An Exploration of Attitudes and Preferences. Clinical Pediatrics, 43(1), 55-61. DOI: 10.1177/000992280404300107
  40. Ulrich et al. (2004). The Role of the Physical Environment in the Hospital of the 21st Century- A Once in a life time opportunity.pdf. The Center for Health Design.
  41. Varni, J. W., Burwinkle, T. M., Sherman, S. A., Hanna, K., Berrin, S. J., Malcarne, V. L., & Chambers, H. G. (2005). Health-related quality of life of children and adolescents with cerebral palsy: hearing the voices of the children. Developmental Medicine and Child Neurology, 47(09), 592. DOI: 10.1017/S0012162205001179
  42. Water, T., Wrapson, J., Tokolahi, E., Payam, S., & Reay, S. (2017). Participatory art-based research with children to gain their perspectives on designing healthcare environments. Contemporary Nurse, 53(4), 456-473. DOI: 10.1080/10376178.2017.1339566
  43. Whitehouse, S., Varni, J. w., Seid, M., Cooper-marcus, C., Ensberg, M. jane, Jacobs, J. r., & Mehlenbeck, R. s. (2001). Evaluating a Children's Hospital Garden Environment?: Utilization and Consumer Satisfaction. Journal of Environmental Psychology, 21(3), 301-314. DOI: 10.1006/jevp.2001.0224
  44. Wolitzky, K., Fivush, R., Zimand, E., Hodges, L., & Rothbaum, B. O. (2005). Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients. Psychology & Health, 20(6), 817-824. DOI: 10.1080/14768320500143339
  45. Woo, J.-C., & Lin, Y.-L. (2016). Kids' Perceptions toward Children's Ward Healing Environments: A Case Study of Taiwan University Children's Hospital. Journal of Healthcare Engineering, 1-10. DOI: 10.1155/2016/8184653


Other issues:
Vol.12(13)(2021)
Vol.12(11)(2021)
Vol.12(10)(2021)
Archives




Call-for-Papers

Call-for-Scientific Papers
Call-for-Research Papers: ITJEMAST invites you to submit high quality papers for full peer-review and possible publication in areas pertaining engineering, science, management and technology, especially interdisciplinary/cross-disciplinary/multidisciplinary subjects.

To publish your work in the next available issue, your manuscripts together with copyright transfer document signed by all authors can be submitted via email to Editor @ TuEngr.com (no space between). (please see all detail from Instructions for Authors)


Publication and peer-reviewed process:
After the peer-review process (4-10 weeks), articles will be on-line published in the available next issue. However, the International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies cannot guarantee the exact publication time as the process may take longer time, subject to peer-review approval and adjustment of the submitted articles.

Disclaimer: All products names including trademarksTM or registered® trademarks as well as intellectual properties mentioned in ITJEMAST's articles are the property of their respective owners, using for identification and educational purposes only. Use of them does not imply any endorsement or affiliation. Information publisihed in ITJEMAST, reflected only personal view of the authors, is very fact specific with particular assumptions and thus may not apply to any specific situations. Specific advices should sought from professionals in the fields. Under no circumstances shall its Editors, Editorial Board members, and the authors be liable for any direct or indirect, incidental or consequential losses or damages that result from the uses of or the reliances upon the ITJEMAST published information.

©2021 All Rights Reserved.