Why hospital design matters: A narrative review of built environments research relevant to stroke care

被引:34
作者
Bernhardt, Julie [1 ]
Lipson-Smith, Ruby [1 ]
Davis, Aaron [1 ]
White, Marcus [2 ]
Zeeman, Heidi [3 ]
Pitt, Natalie [4 ]
Shannon, Michelle [1 ]
Crotty, Maria [5 ]
Churilov, Leonid [6 ]
Elf, Marie [7 ]
机构
[1] Florey Inst Neurosci & Mental Hlth, Stroke, Heidelberg, Australia
[2] Swinburne Univ Technol, Ctr Design Innovat, Hawthorn, Australia
[3] Griffith Univ, Menzies Hlth Inst Queensland, Brisbane, Qld, Australia
[4] Silver Thomas Hanley STH Hlth Architecture, Richmond, Australia
[5] Flinders Univ S Australia, Flinders Hlth & Med Res Inst, Adelaide, SA, Australia
[6] Univ Melbourne, Melbourne Med Sch, Parkville, Vic, Australia
[7] Univ Dalarna, Sch Educ Hlth & Social Studies, Falun, Sweden
[8] NOVELL, Neurosci Optimised Virtual Environm Living Lab, Provo, UT USA
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Stroke; stroke rehabilitation; hospital design and construction; evidence-based design; POSTOCCUPANCY EVALUATION; PHYSICAL-ENVIRONMENT; HEALTH; IMPACT; REHABILITATION; EFFICIENCY; SAFETY; STAFF; SATISFACTION; PERFORMANCE;
D O I
10.1177/17474930211042485
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. How building design can best support healthcare services, staff, and patients is important to consider. In this narrative review, we outline why the healthcare environment matters and describe areas of research focus and current built environment evidence that supports healthcare in general and stroke care in particular. Ward configuration, corridor design, and staff station placements can all impact care provision, staff and patient behavior. Contrary to many new ward design approaches, single-bed rooms are neither uniformly favored, nor strongly evidence-based, for people with stroke. Green spaces are important both for staff (helping to reduce stress and errors), patients and relatives, although access to, and awareness of, these and other communal spaces is often poor. Built environment research specific to stroke is limited but increasing, and we highlight emerging collaborative multistakeholder partnerships (Living Labs) contributing to this evidence base. We believe that involving engaged and informed clinicians in design and research will help shape better hospitals of the future.
引用
收藏
页码:370 / 377
页数:8
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