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Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project
OBJECTIVES: The goal of the current project was to enhance the feeling of dignity for patients in the seclusion unit in an acute psychiatric ward through environmental design changes and to evaluate the effect of the refurbishment. BACKGROUND: Treating people with dignity is essential in all health-...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133780/ https://www.ncbi.nlm.nih.gov/pubmed/36567605 http://dx.doi.org/10.1177/19375867221136558 |
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author | Faerden, Ann Rosenqvist, Christine Håkansson, Mats Strøm-Gundersen, Eline Stav, Åshild Svartsund, Jan Røssæg, Trude Davik, Nils Kvarstein, Elfrida Pedersen, Geir Dieset, Ingrid Nyrud, Anders Q. Weedon-Fekjær, Harald Kistorp, Kaja Misvær |
author_facet | Faerden, Ann Rosenqvist, Christine Håkansson, Mats Strøm-Gundersen, Eline Stav, Åshild Svartsund, Jan Røssæg, Trude Davik, Nils Kvarstein, Elfrida Pedersen, Geir Dieset, Ingrid Nyrud, Anders Q. Weedon-Fekjær, Harald Kistorp, Kaja Misvær |
author_sort | Faerden, Ann |
collection | PubMed |
description | OBJECTIVES: The goal of the current project was to enhance the feeling of dignity for patients in the seclusion unit in an acute psychiatric ward through environmental design changes and to evaluate the effect of the refurbishment. BACKGROUND: Treating people with dignity is essential in all health-related work and important for our mental health. Hospital architecture and design signal values that can promote dignity. Patients who must spend time in seclusion are at their most vulnerable mental state and the often worn-down like environment can challenge the feeling of dignity. How environmental design can promote dignity in seclusion units have not been studied. METHODS: To reach suggestions for design changes enhancing dignity, we used service design that included a broad user group. The effect of design changes was evaluated by a questionnaire answered by the nursing staff during a 4-week period pre- and post refurbishment and included a control group. RESULTS: The design concepts agreed upon were a welcoming atmosphere, contact with nature, room for privacy, close contact with staff, and a designated smoking area inside the unit. The evaluation found that the environmental design changes significantly supported the patients in their situation and the staff in their work. CONCLUSION: We conclude that dignity design concepts are highly applicable also in an acute psychiatric setting and improve the situation of secluded mental health patients, which is much needed. Findings align with other environmental changes in psychiatric wards that improve the patients’ well-being and reduce aggression. |
format | Online Article Text |
id | pubmed-10133780 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-101337802023-04-28 Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project Faerden, Ann Rosenqvist, Christine Håkansson, Mats Strøm-Gundersen, Eline Stav, Åshild Svartsund, Jan Røssæg, Trude Davik, Nils Kvarstein, Elfrida Pedersen, Geir Dieset, Ingrid Nyrud, Anders Q. Weedon-Fekjær, Harald Kistorp, Kaja Misvær HERD Research OBJECTIVES: The goal of the current project was to enhance the feeling of dignity for patients in the seclusion unit in an acute psychiatric ward through environmental design changes and to evaluate the effect of the refurbishment. BACKGROUND: Treating people with dignity is essential in all health-related work and important for our mental health. Hospital architecture and design signal values that can promote dignity. Patients who must spend time in seclusion are at their most vulnerable mental state and the often worn-down like environment can challenge the feeling of dignity. How environmental design can promote dignity in seclusion units have not been studied. METHODS: To reach suggestions for design changes enhancing dignity, we used service design that included a broad user group. The effect of design changes was evaluated by a questionnaire answered by the nursing staff during a 4-week period pre- and post refurbishment and included a control group. RESULTS: The design concepts agreed upon were a welcoming atmosphere, contact with nature, room for privacy, close contact with staff, and a designated smoking area inside the unit. The evaluation found that the environmental design changes significantly supported the patients in their situation and the staff in their work. CONCLUSION: We conclude that dignity design concepts are highly applicable also in an acute psychiatric setting and improve the situation of secluded mental health patients, which is much needed. Findings align with other environmental changes in psychiatric wards that improve the patients’ well-being and reduce aggression. SAGE Publications 2022-12-25 2023-04 /pmc/articles/PMC10133780/ /pubmed/36567605 http://dx.doi.org/10.1177/19375867221136558 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Research Faerden, Ann Rosenqvist, Christine Håkansson, Mats Strøm-Gundersen, Eline Stav, Åshild Svartsund, Jan Røssæg, Trude Davik, Nils Kvarstein, Elfrida Pedersen, Geir Dieset, Ingrid Nyrud, Anders Q. Weedon-Fekjær, Harald Kistorp, Kaja Misvær Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title | Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title_full | Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title_fullStr | Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title_full_unstemmed | Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title_short | Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project |
title_sort | environmental transformations enhancing dignity in an acute psychiatric ward: outcome of a user-driven service design project |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133780/ https://www.ncbi.nlm.nih.gov/pubmed/36567605 http://dx.doi.org/10.1177/19375867221136558 |
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