Assessment of nurse resting areas in terms of user satisfaction in hospitals

Abstract

Staff-centered design, especially nurse-centered design, has not received much attention in healthcare research, although the literature has acknowledged the value and restorative effects of well-designed nurse resting areas. Therefore, this study investigates the effects of interior design on nurses’ satisfaction, specifically in their resting areas. As the methodology of the research, the data were obtained through surveys, interviews, and observations. According to the result of the data, investigating nurses’ physical as well as psychological needs in their resting areas in terms of color, material, lighting, art objects, and relations with nature gives significant results to be considered by designers as well as healthcare authorities. The findings indicate that satisfaction and effectiveness can be increased by providing a desirable interior design infrastructure that satisfies nurses in their resting areas. This study has originality as it relies on the determination of the satisfaction level of nurses with several interior design parameters in their resting areas. The acquired insights are valuable for nursing and stakeholders in the healthcare sector. Designers and hospital management need to be aware of the appropriate interior design qualities of nurse resting areas, especially regarding color, materials, lighting, and the inclusion of artwork.

Keywords

• Healthcare Interior Design
• Healthcare Resting Spaces
• Healthcare Staff
• Nurses Satisfaction

Hastanelerdeki Kullanıcı Memnuniyeti Bağlamında Hemşire Dinlenme Mekanlarının Değerlendirilmesi

Öz

Sağlık çalışanlarını merkeze alan tasarım anlayışı, özellikle hemşire merkezli tasarım, literatürde iyi tasarlanmış hemşire dinlenme alanlarının değeri ve onarıcı etkileri kabul edilmesine rağmen sağlık araştırmalarında fazla ilgi görmemiştir. Bu nedenle, bu çalışma iç mekan tasarımının hemşirelerin memnuniyeti üzerindeki etkilerini, özellikle dinlenme alanlarında, araştırmaktadır. Araştırmanın metodolojisi olarak veriler; anketler, görüşmeler ve gözlemler yoluyla elde edilmiştir. Verilerin sonucuna göre, hemşirelerin dinlenme alanlarındaki fiziksel ve psikolojik ihtiyaçlarının renk, malzeme, aydınlatma, sanat objeleri ve doğayla ilişkiler açısından incelenmesi, tasarımcılar ve sağlık otoriteleri tarafından dikkate alınması gereken önemli sonuçlar vermektedir. Bulgular, hemşirelerin dinlenme alanlarında onları tatmin edecek beğenilen bir iç mekan tasarım altyapısı sağlanarak memnuniyet ve etkinliğin artırılabileceğini göstermektedir. Bu çalışma, hemşirelerin dinlenme alanlarındaki çeşitli iç mekan tasarım parametrelerinden memnuniyet düzeylerinin belirlenmesine dayandığı için özgündür. Elde edilen bilgiler hemşirelik ve sağlık sektöründeki paydaşlar için değerlidir. Hemşire dinlenme alanlarının iç mekan tasarımlarının, özellikle renk, malzeme, aydınlatma ve sanat eserlerinin dahil edilmesi gibi uygun niteliklerinin tasarımcılar ve hastane yöneticileri tarafından bilinmesi gerekmektedir.

Anahtar Kelimeler

• Sağlık iç Mekanı Dinlenme Alanları
• Sağlık Çalışanları
• Hemşire Memnuniyeti
• Sağlık İç Mekan Tasarımı

References

1. Al-khasawneh, A. L. & Futa, S. M. (2013). The relationship between job stress and nurses performance in the Jordanian hospitals: a case study in King Abdullah the Founder Hospital. Asian Journal of Business Management, 5 (2): 267–275. doi: https://doi.org/10.19026/ajbm.5.5701
2. Alimoğlu, M. K. & Dönmez, L. (2005). Daylight exposure and the other predictors of burnout among nurses in a university hospital. International Journal of Nursing Studies, 42 (5): 549–555.
3. Ampt, A., Harris, P., and Maxwell, M. (2008). The health impacts of the design of hospital facilities on patient recovery and wellbeing and staff wellbeing: A Review of the Literature. Liverpool, NSW:Centre for Primary Health Care and Equity, 92.
4. Appleton, J. (1975). The experience of landscape. London: Wiley.
5. Atmaca, H. (2013). Patient centered approaches in labor and delivery room design in hospitals: case study in Dokuz Eylül University Hospital. Master thesis, İzmir University of Economics. https://phoenix.ieu.edu.tr/betanix/uploads/cms/ds.ss.ieu.edu.tr/7017_1478285090.pdf [Google Scholar]
6. Berberoğlu, Ö. (2010). Algı, sınır, kişisel alan kavramları ve hastane tasarımı [Perception, border, territory concepts and hospital design] [Master’s thesis, İstanbul Technical University]. http://hdl.handle.net/11527/3375
7. Birren, F. (1978), Colour and human response. Van Nostrand Reinhold.
8. Bluyssen, P. M., Oostra, M. A. R., & Meertins, D. (2013). Understanding the indoor environment: how to assess and improve indoor environmental quality of people. Paper presented at CLIMA 2013: 11th REHVA World Congress and 8th International Conference on IAQVEC, Praag, Czech Republic https://repository.tudelft.nl/islandora/object/uuid:9c9b7ccb-77b1-4002-a075-589225149ad4?collection=research

9. Brooker, G. ve Weinthal, L. (2013). The Handbook of Interior Architecture and Design. Londra: Bloomsbury Academic.
10. Buchanan, T. L., Barker, K. N., Gibson, J. T., Jiang, B. C. and Pearson, R. E. (1991). Illumination and errors in dispensing. American Journal of Hospital Pharmacy, 48 (10): 2137–2145. https://doi.org/10.1093/ajhp/48.10.2137
11. Carpman, J. R. & Grant, M. A. (1993). Design that cares: planning health facilities for patients and visitors. 2nd ed. Chicago, IL: American Hospital Publishing.
12. Clay, R. A. (2001). Green is good for you. Monitor on Psychology, 32 (4): 40–42. https://www.apa.org/monitor/apr01/greengood
13. Cohen, M. R. & Smetzer, J. L. (2009). ISMP medication error report analysis. Hospital Pharmacy, 44:1062–1065. doi: 10.1310/hpj5110-799
14. Coles, J., Naomi, H. (2012). İç Mimarlığın Temelleri. Ankara: Literatür Yayınları.
15. Cooper-Marcus, C. & Barnes, M. (1995). Gardens in healthcare facilities: uses, therapeutic benefits and design recommendations. Concord, CA: The Center for Health Design.
16. Counsell, S. R., Holder, C. M., Liebenauer, L. L., Palmer, R. M., Fortinsky, R. H., Kresevic, D. M., Quinn, L. M., Allen, K. R., Covinsky, K. E., and Landefeld, C. S. (2000). Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: a randomized controlled trial of acute care for elders (ACE) in a community hospital. Journal of the American Geriatrics Society, 48 (12): 1572–1581.
17. Crone, R. A. (1999). A history of color: the evolution of theories of lights and color. Boston: Kluwer Academic Publishers
18. Curtis, S., Gesler, W., Fabian, K., Francis, S., & Priebe, S. (2007). Therapeutic landscapes in hospital design: a qualitative assessment by staff and service users of the design of a new mental health inpatient unit. Environment and Planning C: Government and Policy, 25 (4): 591–610. https://doi.org/10.1068/c1312r
19. Dalke, H., Little, J., Niemann, E., Camgoz, N., Steadman, G., Hill, S., & Stott, L. (2006). Colour and lighting in hospital design. Optics and Laser Technology, 38(4-6), 343-365. https://doi.org/10.1016/j.optlastec.2005.06.040
20. Devlin, A. S. & Arneill, A. B. (2003). Health care environments and patient outcomes: a review of the literature. Environment and Behavior, 35 (5): 665–694. https://doi.org/10.1177/0013916503255102
21. Douglas, C. H. & Douglas, M.R. (2004). Patient-friendly hospital environments: exploring the patients’ perspective. Health Expectations, 7 (1): 61–73. https://doi.org/10.1046/j.1369-6513.2003.00251.x
22. Edwards, L. & Torcellini, P. (2002). A literature review of the effects of natural light on building occupants. Technical Report, Colorado National Renewable Energy Laboratory. Accessed November 22, 2023. https://www.nrel.gov/docs/fy02osti/30769.pdf
23. Fehrman, K. R. & Fehrman, C. (2004). Color: the secret influence. Upper Saddle River, NJ: Prentice Hall.
24. Gifford, R. (2007). Environmental psychology and sustainable development: expansion, maturation, and challenges. Journal of Social Issues, 63 (1), 199-212. https://doi.org/10.1111/j.1540-4560.2007.00503.x
25. Goethals, S., Gastmans, C., & Casterle, B.D.D. (2010). Nurses’ ethical reasoning and behavior: a literature review. International Journal of Nursing Studies, 47 (5): 635–650. doi: https://doi.org/10.1016/j.ijnurstu.2009.12.010
26. Göler, S. (2009). Style, color, material, texture and light effects on the location of perception [Master’s dissertation, Mimar Sinan Fine Arts University]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
27. Gravesen, S., Larsen, L., Gyntelberg, F., & Skov, P. (1986). Demonstration of microorganisms and dust in schools and offices. Allergy, 41 (7): 520–525. https://doi.org/10.1111/j.1398-9995.1986.tb00337.x
28. Hadi, K., DuBose, J.R., & Ryherd, E. (2016). Lighting and nurses at medical-surgical units: impact of lighting conditions on nurses’ performance and satisfaction. Health Environments Research & Design Journal, 9(3), 17-30. https://doi.org/10.1177/1937586715603194
29. Harris, D. D. & Detke, L.A. (2013). The role of flooring as a design element affecting patient and healthcare worker safety. Health Environments Research & Design Journal, 6(3), 95-119. http://doi.org/10.1177/193758671300600308
30. Harris, D. (2000). Environmental quality and healing environments: a study of flooring materials in a healthcare telemetry unit. Dissertation, Department of Architecture, Texas A&M University, College Station, TX, Dissertation Abstracts International, 4202(00), DAI-A61/11 (University Digital no. AAT 9994253).
31. Harris, D. D. (2015). “The Influence of Flooring on Environmental Stressors: A Study of Three Flooring Materials in a Hospital.” Health Environments Research and Design Journal 8 (3): 9–29. doi:10.1177/1937586715573730.
32. Hartig, T., Evans, G. W., Jamner, L.D., Davis, D. S., & Gärling, T. (2003). Tracking restoration in natural and urban field settings. Journal of Environmental Psychology, 23 (2): 109–123. https://doi.org/10.1016/S0272-4944(02)00109-3
33. Hemsley, B., Sigafoos, J., Balandin, S., Forbes, R., Taylor, C., Green, V.A. &. Parmenter, T. (2001). Nursing the patient with severe communication impairment. Journal of Advanced Nursing, 35 (6): 827–835. doi: https://doi.org/10.1046/j.1365-2648.2001.01920.x
34. Horton, J. G. (1997). Lighting. New York: John Wiley & Sons.
35. Hathorn, K., and Ulrich, R. S. "The Therapeutic Art Program of Northwestern Memorial Hospital." in Creating Environments That Heal: Proceedings of the Symposium on Health­care Design (CD-ROM). lmark Communications and Center for Health Design, 2001.
36. Huisman, E. RCM., Morales, E., Van Hoof, J., & Kort, H. SM. (2012). Healing environment: a review of the impact of physical environmental factors on users. Building and Environment, 58, 70–80. https://doi.org/10.1016/j.buildenv.2012.06.016
37. Joseph, A. (2006a). The impact of light on outcomes in healthcare settings. Concord, CA: The Center for Health Design. Accessed November 22, 2023. https://www.brikbase.org/content/impact-light-outcomes-healthcare-settings
38. Joseph, A. (2006b). The impact of the environment on infections in healthcare facilities. Vol. Issue Paper #1. Concord, CA: The Center for Health Design, 19. Accessed November 21, 2023. https://www.brikbase.org/sites/default/files/chd_impact_%20of_environment_on_infections_in_facilities.pdf
39. Joseph, A. (2006c). The role of the physical and social environment in promoting health, safety, and effectiveness in the healthcare workplace. Concord, CA: The Center for Health Design. Accessed November 22, 2023. https://www.healthdesign.org/sites/default/files/CHD_Issue_Paper3.pdf
40. Joye, Y. (2007). Architectural lessons from environmental psychology: the case of biophilic architecture. Review of General Psychology, 11 (4): 305–328. https://doi.org/10.1037/1089-2680.11.4.30
41. Kaplan, R. (1992). The psychological benefits of nearby nature. In Role of Horticulture in Human Well-being and Social Development: A National Symposium, edited by D. Relf, 125–133. Arlington,Virginia: Timber Press.
42. Kaplan, R. & Kaplan, S. (1989). The experience of nature: a psychological perspective. New York: Cambridge University Press.
43. Koenig, K. M. (2013). Color’s role in healthcare, woodworking network. Retrieved from https://www.woodworkingnetwork.com/production-woodworking/industrial-woodshop-case-studies/Colors-Role--in-Healthcare-Furniture--Design-210132771.html
44. Laumann, K., Gärling, T., & Stormark, K.M. (2003). Selective attention and heart rate responses to natural and urban environments. Journal of Environmental Psychology, 23 (2): 125–134. https://doi.org/10.1016/S0272-4944(02)00110-X
45. Lavy, S. & Dixit, M.K. (2012). Wall finish selection in hospital design: a survey of facility managers. Health Environments Research & Design Journal, 5(2), 80-98. https://doi.org/10.1177/193758671200500207
46. Leather, P., Beale, D., Santos, A., Watts, J., & Lee, L. (2003). Outcomes of environmental appraisal of different hospital waiting areas. Environment & Behavior, 35 (6): 842–869. doi: 10.1177/0013916503254777
47. Leese, K. E., Cole, E. C., Hall, R. M., & Berry, M. A. (1997). Measurement of airborne and floor dusts in a non-problem building. American Industrial Hygiene Association Journal, 58 (6): 432–438. https://doi.org/10.1080/15428119791012676
48. Leydecker, S. (2013). Designing Interior Architecture- Concept Typology Material Construction. Almanya: Birkhäuser
49. Luk, A. L. & Yau, A. F. T. (2018). Experiences of public doctors on managing work difficulties and maintaining professional enthusiasm in acute general hospitals: a qualitative study. Frontiers in Public Health, 6 (19). doi: https://doi.org/10.3389/fpubh.2018.00019
50. Mahnke, F.H. & Mahnke, R.H. (1987). Colour and light in man-made environments. Van Nostrand Reinhold.
51. Malloch, K. & Porter-O'Grady, T. (2006). Introduction to evidence-based practice in nursing and health care. Jones and Bartlett.
52. Manav, B. (2007). Color-emotion associations and color preferences: a case study for residences. Color Research & Application, 32 (2): 144–150. https://doi.org/10.1002/col.20294
53. Mourshed, M. & Zhao, Y. (2012). Healthcare providers’ perception of design factors related to physical environments in hospitals. Journal of Environmental Psychology, 32 (4), 362-370. http://doi.org/10.1016/j.jenvp.2012.06.004
54. Mroczek, J., Mikitarian, G., Vieira, E.K., & Rotarius, T. (2005). Hospital design and staff perceptions: an exploratory analysis. Health Care Manager, 24 (3): 233–244. doi: 10.1097/00126450-200507000-00008
55. Nejati, A., Shepley, M., Rodiek, S., Lee, C., & Varni, J. (2016). Restorative design features for hospital staff break areas: a multi-method study. Health Environments Research & Design Journal, 9(2), 16-35. https://doi.org/10.1177/193758671559263
56. O’Connor, Z. (2011). Colour psychology and colour therapy: caveat emptor. Color Research & Application, 36 (3): 229–234. Accessed November 22, 2023. http://onlinelibrary.wiley.com/doi/10.1002/col.20597/pdf.
57. Pegler, M. (2006). The Fairchild Dictionary of Interior Design. New York: Fairchild Books.
58. Pollan, M. (2006). The Omnivore’s dilemma: a natural history of four meals. Penguin Books.
59. Poulin, C. (2012). Interior design for health care. In G.D. Kunders (Ed.). Designing hospitals of the future (pp. 246-260). Van Nostrand Reinhold.
60. Qian, J., Ferro, A.R., & Fowler, K. R. (2008). Estimating the resuspension rate and residence time of indoor particles. Journal of the Air & Waste Management Association, 58:4, 502-516, doi: 10.3155/1047-3289.58.4.502
61. Radke, R. (1997). Carpet. In Healthcare Design, edited by S. O. Marberry, 139–165. New York: John Wiley & Sons.
62. Robbins, C. L. (1986). Daylighting design and analysis. New York: Van Nostrand Reinhold Company.
63. Robert Wood Johnson Foundation and Institute for Healthcare Improvement (RWJF and IHI). (2006). A new era in nursing: transforming care at the bedside. Retrieved from https://www.rwjf.org/en/library/research/2007/04/a-new-era-in-nursing.html
64. Ruck, N. C. (1989). Building design and human performance. Van Nostrand Reinhold.
65. Salmons, J. (2014). Qualitative online interviews: strategies, design, and skills. Sage Publications.
66. Salonen, H., Lahtinen, M., Lappalainen, S., Nevala, N., Knibbs, D.L., Morawska, L., & Reijula, K. (2013). Physical characteristics of the indoor environment that affect health and wellbeing in healthcare facilities: a review. Intelligent Buildings International, 5:1, 3-25, doi: 10.1080/17508975.2013.764838
67. 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. https://doi.org/10.1016/j.landurbplan.2004.11.013
68. Sasahara, T., Miyashita, M., Kawa, M., & Kazuma, K. (2005). Factors associated with difficulties encountered by nurses in the care of terminally III cancer patients in hospitals in Japan. Palliative and Supportive Care, 3 (1): 15–22. doi: https://doi.org/10.1017/s1478951505050030
69. Steffy, G. (2002). Architectural lighting design. New York: John Wiley & Sons.
70. Tanrıöver, S. (May 13, 2016). The healing and supportive role of design in healthcare environments: evidence-based healthcare design [Presentation within the course of INAR 371 Perception in Interiors, Yaşar University].
71. Thatcher, T. L., & Layton, D. W. (1995). Deposition, resuspension and penetration of particles within a residence. Atmospheric Environment, 29 (13): 1487–1497. https://doi.org/10.1016/1352-2310(95)00016-R
72. Tinner, M., P. Crovella, and P. F. Rosenbaum. (2018). Perceived importance of wellness features at a cancer center: patient and staff perspectives. Health Environments Research and Design Journal, 11 (3): 80–93. doi:10.1177/1937586718758446
73. Tofle, R. B., Schwarz, B., Yoon, S.-Y., & Max-Royale, A. (2004). Color in healthcare environments (Monograph on a CD). Concord, CA: Coalition for Health Environments Research (CHER). Accessed February 20, 2012. http://www.healthdesign.org/sites/default/files/color_in_hc_environ.pdf
74. Trinkoff, A.M., Johantgen, M., Muntaner, C., & Le, R. (2005). Staffing and worker injury in nursing homes. American Journal of Public Health, 95(7), 1220-1225. https://doi.org/10.2105/AJPH.2004.045070
75. Ulrich, R.S. (1983). “Aesthetic and affective response to natural environment” In human behaviour and environment. Vol:6 Behaviour and natural environment, edited by I. Altman and J.F. Wohlwill, 85-125. New York: Plenum.
76. Ulrich, R.S., Zimring, C., Zhu, X., DuBose, J., Seo, H.B., Choi, Y.S., Quan, X., & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. Health Environments Research & Design Journal, 1(3), 61–125. https://doi.org/10.1177/193758670800100306
77. Ulrich, R.S. & Giplin, L. (2003). Healing arts: nutrition for the soul. In S.B. Frampton, L.Giplin, & P.A. Charmel (Eds.), Putting patients first: Designing and practicing patient centered care (pp.117-146). Jossey-Bass Publications.
78. Ulrich, R. S., C. Zimring, X. Zhu, J. DuBose, H.-B. Seo, Y.-S. Choi, X. Quan, and A. Joseph. (2008). “A Review of the Research Literature on Evidence-Based Healthcare Design.” Health Environments Research and Design Journal 1 (3): 61–125. doi:10.1177/193758670800100306.
79. Ulrich, R. S. (2000). Evidence based environmental design for improving medical outcomes. Proceedings of the conference, Healing by Design: Building for Health Care in the 21st Century, 3.1–3.10. McGill University Health Centre.
80. Ulrich, R. S. (1999). Effects of gardens on health outcomes: theory and research. Healing Gardens: Therapeutic Benefits and Design Recommendations, edited by M. Cooper and M. Barnes, 27–86. New York: John Wiley.
81. Ulrich, R.S., Simons, R.F., Losito, B.D., Fiorito, E., Miles, M.A., & Zelson, M. (1991). Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11, 201-230. https://doi.org/10.1016/S0272-4944(05)80184-7
82. Ulrich, R. S. (1991). Effects of interior design on wellness: theory and recent scientific research. Journal of Health Care Design, proceedings from the Annual National Symposium on Health Care Interior Design. National Symposium on Health Care Interior Design (U.S.), 3 (1): 97–109. Accessed November 19, 2023. https://www.researchgate.net/publication/13173950_Effects_of_interior_design_on_wellness_Theory_and_recent_scientific_research
83. Ulrich, R. S. (1981). Natural versus urban scenes: some psychophysiological effects. Environment and Behavior, 13: 523–556. https://doi.org/10.1177/0013916581135001
84. Van Den Berg, A. E., Hartig, T., & Staats, H. (2007). Preference for nature in urbanized societies: stress, restoration, and the pursuit of sustainability. Journal of Social Issues, 63 (1): 79–96. Accessed November 18, 2023. https://doi.org/10.1111/j.1540-4560.2007.00497.x
85. Weinhold, V. B. (1988). Interior finish materials for health care facilities. Springfield, IL: Thomas Publisher. Weinstein, J.I. (2009). The market in Plato’s republic. Classical Philology, 104 (4), 439-458. https://doi.org./10.1086/650979
86. Whitehouse, S., Varni, J.W., Seid, M., Cooper Marcus, C., Ensberg, M. J., 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. Accessed November 20, 2023. https://doi.org/10.1006/jevp.2001.0224
87. Willmott, M. (1986). The effect of a vinyl floor surface and a carpeted floor surface upon walking in elderly hospital in-patients. Age Ageing, 15 (2): 119–120. https://doi.org/10.1093/ageing/15.2.119ö
88. Wilms, L., & Oberfeld, D. (2018). Color and emotion: effects of hue, saturation, and brightness. Psychological Research, 82(5), 896–914.
89. Wilson, E.O. (1984). Biophilia. Cambridge, MA: Harvard University Press.
90. Yılmaz, P. (2005). Inquiry into the therapeutic potential of shared spaces in children’s hospitals [Master’s thesis, İhsan Doğramacı Bilkent University]. http://www.thesis.bilkent.edu.tr/0002832.pdf
91. Zadeh, R.S., Shepley, M.M., & Waggener, L.T. (2012). Rethinking efficiency in acute care nursing units: analyzing nursing unit layouts for improved spatial flow. HERD: Health Environments Research & Design Journal, 6(1), 39–65. Accessed November 12, 2023. https://doi.org/10.1177/193758671200600103
92. Zborowsky, T., Bunker-Hellmich, L., A. Morelli, A., & O’Neill, M. (2010). Centralized vs. decentralized nursing stations: effects on nurses’ functional use of space and work environment. HERD Journal, 3 (4): 19–42. Accessed November 10, 2023. https://doi.org/10.1177/193758671000300404