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Baker J, Kendal S, Bojke C, Louch G, Halligan D, Shafiq S, Sturley C, Walker L, Brown M, Berzins K, Brierley-Jones L, O'Hara JK, Blackwell K, Wormald G, Canvin K, Vincent C. A service-user digital intervention to collect real-time safety information on acute, adult mental health wards: the WardSonar mixed-methods study. HEALTH AND SOCIAL CARE DELIVERY RESEARCH 2024; 12:1-182. [PMID: 38794956 DOI: 10.3310/udbq8402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2024]
Abstract
Background Acute inpatient mental health services report high levels of safety incidents. The application of patient safety theory has been sparse, particularly concerning interventions that proactively seek patient perspectives. Objective(s) Develop and evaluate a theoretically based, digital monitoring tool to collect real-time information from patients on acute adult mental health wards about their perceptions of ward safety. Design Theory-informed mixed-methods study. A prototype digital monitoring tool was developed from a co-design approach, implemented in hospital settings, and subjected to qualitative and quantitative evaluation. Setting and methods Phase 1: scoping review of the literature on patient involvement in safety interventions in acute mental health care; evidence scan of digital technology in mental health contexts; qualitative interviews with mental health patients and staff about perspectives on ward safety. This, alongside stakeholder engagement with advisory groups, service users and health professionals, informed the development processes. Most data collection was virtual. Phase 1 resulted in the technical development of a theoretically based digital monitoring tool that collected patient feedback for proactive safety monitoring. Phase 2: implementation of the tool in six adult acute mental health wards across two UK NHS trusts; evaluation via focused ethnography and qualitative interviews. Statistical analysis of WardSonar data and routine ward data involving construction of an hour-by-hour data set per ward, permitting detailed analysis of the use of the WardSonar tool. Participants A total of 8 patients and 13 mental health professionals participated in Phase 1 interviews; 33 staff and 34 patients participated in Phase 2 interviews. Interventions Patients could use a web application (the WardSonar tool) to record real-time perceptions of ward safety. Staff could access aggregated, anonymous data to inform timely interventions. Results Coronavirus disease 2019 restrictions greatly impacted the study. Stakeholder engagement permeated the project. Phase 1 delivered a theory-based, collaboratively designed digital tool for proactive patient safety monitoring. Phase 2 showed that the tool was user friendly and broadly acceptable to patients and staff. The aggregated safety data were infrequently used by staff. Feasibility depended on engaged staff and embedding use of the tool in ward routines. There is strong evidence that an incident leads to increased probability of further incidents within the next 4 hours. This puts a measure on the extent to which social/behavioural contagion persists. There is weak evidence to suggest that an incident leads to a greater use of the WardSonar tool in the following hour, but none to suggest that ward atmosphere predicts future incidents. Therefore, how often patients use the tool seems to send a stronger signal about potential incidents than patients' real-time reports about ward atmosphere. Limitations Implementation was limited to two NHS trusts. Coronavirus disease 2019 impacted design processes including stakeholder engagement; implementation; and evaluation of the monitoring tool in routine clinical practice. Higher uptake could enhance validity of the results. Conclusions WardSonar has the potential to provide a valuable route for patients to communicate safety concerns. The WardSonar monitoring tool has a strong patient perspective and uses proactive real-time safety monitoring rather than traditional retrospective data review. Future work The WardSonar tool can be refined and tested further in a post Coronavirus disease 2019 context. Study registration This study is registered as ISRCTN14470430. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR128070) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 14. See the NIHR Funding and Awards website for further award information.
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Affiliation(s)
- John Baker
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Sarah Kendal
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Chris Bojke
- Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
| | - Gemma Louch
- Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK
| | - Daisy Halligan
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Saba Shafiq
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Lauren Walker
- Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK
| | - Mark Brown
- Leeds Institute for Data Analytics, University of Leeds, Leeds, UK
| | - Kathryn Berzins
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Jane K O'Hara
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Gemma Wormald
- Department of Health Sciences, University of York, York, UK
| | - Krysia Canvin
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Charles Vincent
- Social Spider CIC, The Mill (Community Centre), London, UK
- Thrive by Design, Leeds, UK
- University of Oxford Medical Sciences Division, Oxford, UK
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Schön I, Witek S, Merz N, Ziegler S, Feuchtinger J. [Sounds in intensive care units: Perspectives of patients and parents. A qualitative study]. Pflege 2024. [PMID: 38197292 DOI: 10.1024/1012-5302/a000971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
Sounds in intensive care units: Perspectives of patients and parents. A qualitative study Abstract: Background: Sound levels in intensive care units exceed internationally recommended limits. This can have negative effects on patients, relatives, and staff. There is a lack of evidence on noise-reducing measures. Aim: The aim of the study was the implementation and evaluation of ward-specific noise management in intensive care units. In the present article, the question of the noise and stress experience of intensive care patients and parents of neonatal intensive care patients was explored. Methods: 33 semi-structured interviews with intensive care patients and parents of neonatal intensive care patients in three intensive care units were conducted and analysed. Results: Sounds in intensive care units can be stressful (especially alarms) but also be interpreted as meaningful. This is not only related to the context of the ICU, but also to individual experiences and the social aspects of the sounds. In order to avoid or reduce stress, participants apply individual noise (stress) management. In contrast, ward-related noise management had no specific effect on the participants. Conclusions: The findings offer indications for suitable measures to reduce the noise exposure of intensive care patients and parents of neonatal intensive care patients. Research about measures such as concepts for supporting the attribution and differentiation of sounds could follow.
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Affiliation(s)
- Isabel Schön
- AGP Sozialforschung im FIVE - Forschungs- und Innovationsverbundes an der Ev. Hochschule Freiburg e.V., Deutschland
| | - Sandra Witek
- Pflegedirektion, Pflegepraxiszentrum, Universitätsklinikum Freiburg, Deutschland
| | - Nicola Merz
- AGP Sozialforschung im FIVE - Forschungs- und Innovationsverbundes an der Ev. Hochschule Freiburg e.V., Deutschland
| | - Sven Ziegler
- Pflegedirektion, Pflegepraxiszentrum, Universitätsklinikum Freiburg, Deutschland
| | - Johanna Feuchtinger
- Pflegedirektion, Pflegepraxiszentrum, Universitätsklinikum Freiburg, Deutschland
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Talebzadeh A, Decoutere I, Vander Mynsbrugge T, Botteldooren D, Devos P, Aletta F, Van de Velde D, De Vriendt P. The Influence of Everyday Acoustic Environments on the Challenging Behavior in Dementia: A Participatory Observation Study in Nursing Homes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4191. [PMID: 36901204 PMCID: PMC10002302 DOI: 10.3390/ijerph20054191] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/22/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
Challenging behavior (CB) is a group of behaviors, reactions and symptoms due to dementia, which can be challenging for the caregivers. The study aims to research the influence of acoustics on CB in people with dementia (PwD). An ethnographic method was used to study the daily life of PwD in their nursing homes with a specific focus on how people react to everyday environmental sounds. Thirty-five residents were included in the sample based on purposeful, homogeneous group characteristics and sampling. Empirical data were collected using 24/7 participatory observations. The collected data were analyzed using a phenomenological-hermeneutical method: a naïve understanding, a structural analysis and a comprehensive understanding. The result shows that the onset of CB depends on whether the resident feels safe and is triggered by an excess or lack of stimuli. The excess or shortage of stimuli and whether and when it affects a person is personal. It depends on various factors, the person's state and the time of day, the nature of the stimuli, familiarity, or strangeness is also a determining factor for the onset and progression of CB. The results can form an essential basis for developing soundscapes to make the PwD feel safe and reduce CB.
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Affiliation(s)
- Arezoo Talebzadeh
- Department of Information Technology, WAVES—iGent, Ghent University, 9000 Ghent, Belgium
| | - Ine Decoutere
- Department of Rehabilitation Sciences, Faculty of Medicine and Health Care Sciences, Ghent University, 9000 Ghent, Belgium
| | - Tara Vander Mynsbrugge
- Occupational Therapy Department, Artevelde University of Applied Sciences, 9000 Ghent, Belgium
| | - Dick Botteldooren
- Department of Information Technology, WAVES—iGent, Ghent University, 9000 Ghent, Belgium
| | - Paul Devos
- Department of Information Technology, WAVES—iGent, Ghent University, 9000 Ghent, Belgium
| | - Francesco Aletta
- Institute for Environmental Design and Engineering, The Bartlett, University College London, London WC1H 0NN, UK
| | - Dominique Van de Velde
- Department of Rehabilitation Sciences, Faculty of Medicine and Health Care Sciences, Ghent University, 9000 Ghent, Belgium
- Occupational Therapy Department, Artevelde University of Applied Sciences, 9000 Ghent, Belgium
| | - Patricia De Vriendt
- Department of Rehabilitation Sciences, Faculty of Medicine and Health Care Sciences, Ghent University, 9000 Ghent, Belgium
- Occupational Therapy Department, Artevelde University of Applied Sciences, 9000 Ghent, Belgium
- Frailty in Ageing (FRIA) Research Group, Department of Gerontology and Mental Health and Wellbeing (MENT) Research Group, Vrije Universiteit, 1050 Brussel, Belgium
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Mu J, Wu Y, Wang T. Impact of the Soundscape on the Physical Health and the Perception of Senior Adults in Senior Care Facilities. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2022; 16:155-173. [PMID: 36411958 DOI: 10.1177/19375867221136234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Purpose: To explore the impact of different acoustic stimuli of varying sound pressure levels on physical responses and the perception of senior adults. Background: Noise-related health problems have been gaining increased attention as studies have shown an association with negative impacts on physiological parameters resulting in cardiovascular morbidity and mortality. However, a gap in knowledge exists in exploring the impact of exposure to sound recordings in the actual environment on physiological measurements. Methods: Five acoustic stimuli were recorded in real life and 120 senior adults listened to them in a sound treated room to analyze the impacts of low-, middle-, and high-decibel sounds on their heart rate, blood pressure, and perception. The physical responses, heart rate, and blood pressure were measured during the sound exposure, and questionnaires were administered afterward. Results: Exposure to different sounds resulted in fluctuations and an inconsistent trend in heart rate, systolic pressure, and diastolic pressure. According to the physical measures and subjective evaluations, sport sounds and traffic noise were given the lowest rating for preference, while music was perceived as the most comfortable. Conclusions: A sound pressure level below 55–65 dB(A) correlates with increased comfort and less increase in heart rate and blood pressure. Senior adults with normal hearing preferred and were most comfortable with music, while those with severe hearing impairment preferred entertainment sounds the most.
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Affiliation(s)
- Jingyi Mu
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, School of Architecture, Harbin Institute of Technology, China
| | - Yue Wu
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, School of Architecture, Harbin Institute of Technology, China
| | - Tian Wang
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, School of Architecture, Harbin Institute of Technology, China
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Lu MJ, Chen WY, Li DJ. Efficacy of music therapy and predictors of sleep disturbance among patients with chronic schizophrenia: A prospective study. Arch Psychiatr Nurs 2022; 40:1-7. [PMID: 36064231 DOI: 10.1016/j.apnu.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 03/04/2022] [Accepted: 04/02/2022] [Indexed: 11/28/2022]
Abstract
STUDY OBJECTIVES Patients with schizophrenia often suffer from sleep disturbance. Music therapy, as a non-invasive intervention, may have benefit on sleep problem in such population. Our study aimed to investigate the efficacy of music therapy on sleep disturbance among patients with schizophrenia. METHOD This prospective study recruited participants with schizophrenia along with sleep disturbances in the chronic wards. Patients in the control group received standard care, and those in the intervention group received additional music therapy before sleeping at night for four weeks. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the severity of sleep disturbance. The generalized estimating equation (GEE) was used to analyze measure the difference of change in PSQI scores between both groups at the baseline and four weeks later. It was also applied to find the predictors of treatment efficacy within intervention group. FINDINGS A total of 66 (31 in control group and 35 in intervention group) participants were recruited. After adjusting with the demographic variables, the change of PSQI among intervention group was significantly more than the change among control group (Group × time; Estimate = -7.05, p < 0.001), indicating the efficacy of music therapy. In addition, irreligious patients and those with chronic medical disease predicted better efficacy. Whereas, elderly patients had compromising efficacy of music therapy. CONCLUSION Music therapy demonstrated its merit on sleep disturbance among patients with schizophrenia. Whereas, healthcare workers should consider the variability of severity in schizophrenia during clinical practice.
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Affiliation(s)
- Mei-Jou Lu
- Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan; Department of Nursing, School of Nursing, Fooyin University, Kaohsiung City 83102, Taiwan
| | - Wan-Yi Chen
- Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan
| | - Dian-Jeng Li
- Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung City 802211, Taiwan; Department of Nursing, Meiho University, Pingtung Country 91202, Taiwan.
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Jacobsen P, Haddock G, Raphael J, Peak C, Winter R, Berry K. Recruiting and retaining participants in three randomised controlled trials of psychological interventions conducted on acute psychiatric wards: top ten tips for success. BJPsych Open 2022; 8:e125. [PMID: 35796538 PMCID: PMC9301765 DOI: 10.1192/bjo.2022.527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND It is essential to conduct randomised controlled trials of psychological interventions on acute psychiatric wards to build a robust evidence base for clinical practice. AIMS This paper aims to share strategies from three different in-patient trials that successfully recruited and retained participants, to disseminate good practice for the conduct of future trials in this challenging and complex clinical setting. METHOD We present strategies from three in-patient trials of psychological interventions: TULIPS (Talk, Understand, Listen for Inpatient Settings), amBITION (Brief Talking Therapies on Wards) and INSITE (Inpatient Suicide Intervention and Therapy Evaluation). All studies recruited participants from acute in-patient wards, initiated therapy within the in-patient setting and followed up on participants post-discharge. RESULTS We summarise our recommendations for good practice in the form of ten top tips for success, based on our collective experience of conducting trials on psychiatric wards. Key themes relate to the importance of relationships between the research team and clinical staff; good stakeholder involvement and getting early buy-in from the team; and adapting to the particular demands of the clinical setting. CONCLUSIONS Sharing good practice recommendations can help reduce research waste arising from poor recruitment and/or retention in future in-patient clinical trials.
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Affiliation(s)
- Pamela Jacobsen
- Department of Psychology, University of Bath, UK; and Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK
| | - Gillian Haddock
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, UK; Manchester Academic Health Sciences Centre, UK; and Greater Manchester Mental Health NHS Foundation Trust, UK
| | | | - Craig Peak
- Greater Manchester Mental Health NHS Foundation Trust, UK
| | - Rachel Winter
- Greater Manchester Mental Health NHS Foundation Trust, UK
| | - Katherine Berry
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, UK; Manchester Academic Health Sciences Centre, UK; and Greater Manchester Mental Health NHS Foundation Trust, UK
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Zhang D, Kong C, Zhang M, Kang J. Religious Belief-Related Factors Enhance the Impact of Soundscapes in Han Chinese Buddhist Temples on Mental Health. Front Psychol 2022; 12:774689. [PMID: 35153901 PMCID: PMC8825353 DOI: 10.3389/fpsyg.2021.774689] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 12/13/2021] [Indexed: 11/15/2022] Open
Abstract
In contemporary society, mental health issues have received increasing attention. Moreover, how people perceive the acoustic environment affects mental health. In religious places, the unique religious soundscape, composed of the acoustic environment and sounds, has an obvious effect on mental health. In China, Han Chinese Buddhism has a long history and is currently the religion with the largest number of believers. The soundscape of temples has always been an important component of creating a Buddhist atmosphere. For this study, questionnaires were distributed to believers and tourists inside and outside several well-known Han Chinese Buddhist temples in China to analyse the relationship between evaluations of temple soundscapes (including the overall acoustic environment and preferences for typical sounds) and mental health and the role of religious belief-related factors in this relationship. The results indicated that for the respondents, the overall acoustic environment of Buddhist temples was significantly correlated with mental health and that a preference for three sounds in Buddhist temples, i.e., bells, wind chimes and chanting sounds, was significantly correlated with mental health. Among religious belief-related factors, attitudes toward Buddhist thought, frequency of temple visitation and purpose for visiting temples can affect the correlation between personal evaluations of temple soundscapes and mental health. For people who partially believe in Buddhist thought, people who visit Buddhist temples twice or less per year, or people who visit temples for tourism purposes, the correlations between evaluations of the overall acoustic environment and mental health are higher than for people without these religious characteristics. For people who fully believe in Buddhist thought or who visit temples neither to worship Buddha nor for tourism purposes, the correlations between the preferences for bells and wind chimes and mental health are higher than for people without these religious characteristics. For people who partially believe in Buddhist thought, the correlation between the preference for chanting and mental health is higher than for people with other attitudes toward Buddhist thought.
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Affiliation(s)
- Dongxu Zhang
- School of Architecture and Urban Planning, Guangzhou University, Guangzhou, China
| | - Chunxiao Kong
- School of Architecture and Urban Planning, Shenyang Jianzhu University, Shenyang, China
| | - Mei Zhang
- School of East Asian Studies, The University of Sheffield, Sheffield, United Kingdom
| | - Jian Kang
- Institute for Environmental Design and Engineering, The Bartlett, University College London, London, United Kingdom
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Li X, Lou J, Yuan Z, Shi A, Wang N, Zhou L, Zhao M, Ye F, Pan Z, Wu Y. The Effect of Indoor Daylight Levels on Hospital Costs and Length of Stay of Patients Admitted to General Surgery. Front Public Health 2022; 9:678941. [PMID: 35127604 PMCID: PMC8810491 DOI: 10.3389/fpubh.2021.678941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 12/16/2021] [Indexed: 11/13/2022] Open
Abstract
BackgroundIndoor daylight levels can directly affect the physical and psychological state of people. However, the effect of indoor daylight levels on the clinical recovery process of the patient remains controversial. This study was to evaluate the effect of indoor daylight levels on hospital costs and the average length of stay (LOS) of a large patient population in general surgery wards.MethodsData were collected retrospectively and analyzed of patients in the Second Affiliated Hospital of Zhejiang University, School of Medicine between January 2015 and August 2020. We measured daylight levels in the patient rooms of general surgery and assessed their association with the total hospital costs and LOS of the patients.ResultsA total of 2,998 patients were included in this study with 1,478 each assigned to two daylight level groups after matching. Overall comparison of hospital total costs and LOS among patients according to daylight levels did not show a significant difference. Subgroup analysis showed when exposed to higher intensity of indoor daylight, illiterate patients had lower total hospital costs (CNY ¥13070.0 vs. ¥15210.3, p = 0.018) and shorter LOS (7 vs. 10 days, p = 0.011) as compared to those exposed to a lower intensity.ConclusionsIndoor daylight levels were not associated with the hospital costs and LOS of patients in the wards of general surgery, except for those who were illiterate. It might be essential to design guidelines for medical staff and healthcare facilities to enhance the indoor environmental benefits of daylight for some specific populations.
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Affiliation(s)
- Xiawei Li
- Department of Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Cancer Institute, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Jianyao Lou
- Department of Surgery, Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China
| | - Zheping Yuan
- Hessian Health Technology Co., Ltd, Beijing, China
| | - Aiguang Shi
- Department of Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Cancer Institute, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Ning Wang
- Department of Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Cancer Institute, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Lin Zhou
- Department of Surgery, ShengZhou Hospital of Traditional Chinese Medicine, Shaoxing, China
| | | | - Fanghe Ye
- Department of Surgery, Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China
| | - Zikun Pan
- Department of Surgery, Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China
| | - Yulian Wu
- Department of Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Cancer Institute, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Department of Surgery, Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China
- *Correspondence: Yulian Wu
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Duane JN, Blanch-Hartigan D, Sanders JJ, Caponigro E, Robicheaux E, Bernard B, Podolski M, Ericson J. Environmental Considerations for Effective Telehealth Encounters: A Narrative Review and Implications for Best Practice. Telemed J E Health 2021; 28:309-316. [PMID: 34432534 DOI: 10.1089/tmj.2021.0074] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Due to the reduction in-person visits, the COVID-19 pandemic has led to expansions in the use of telehealth technology to provide patient care, yet clinicians lack evidence-based guidance on how to most effectively use video communication to enhance patient experience and outcomes. Methods: A narrative review was conducted to describe environmental factors derived from research in social psychology and human-computer interaction (HCI) that may guide effective video-based clinician-patient telehealth communication. Results: Factors such as nonverbal cues, spatial proximity, professionalism cues, and ambient features play an important role in patient experience. We present a visual typology of telehealth backgrounds to inform clinical practice and guide future research. Discussion: A growing body of empirical evidence indicates that environmental cues may play an essential role in establishing psychological safety, improving patient experience, and supporting clinical efficacy in these virtual experiences. Conclusion: The expanded use of telehealth visits suggests the need for further research on the relative effects of these environmental factors on patient experience and outcomes.
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Affiliation(s)
- Ja-Nae Duane
- Department of Information and Process Management and Bentley University, Waltham, Massachusetts, USA
| | | | - Justin J Sanders
- Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.,Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
| | - Emma Caponigro
- Gillings School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
| | | | - Benjamin Bernard
- Department of Cognitive Science, Tufts University, Medford, Massachusetts, USA
| | - Maxim Podolski
- Department of Economics, Bentley University, Waltham, Massachusetts, USA
| | - Jonathan Ericson
- Department of Information Design & Corporate Communication, Bentley University, Waltham, Massachusetts, USA
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Işık I, Ergün G, Dikeç G, Ayaz V, Gültekin BK. Psychiatric inpatients' view of the therapeutic environment: A Turkish interview study. Perspect Psychiatr Care 2021; 57:1163-1174. [PMID: 33285011 DOI: 10.1111/ppc.12671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 09/24/2020] [Accepted: 10/16/2020] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The aim of the study was to determine the feelings, thoughts, and experiences of inpatients in a psychiatric clinic about the therapeutic environment of the clinic. DESIGN AND METHODS The data were collected in interviews using the phenomenological method and interpreted using Strauss and Corbin's approach to qualitative data analysis. FINDINGS As a result of the data analysis, four themes, "Activities," "Physical Environment," "Personnel," and "Rules" were determined, and each with a number of related subthemes. PRACTICE IMPLICATIONS The therapeutic environment is a dynamic space that can be modified according to the needs of the patients. Psychiatric nurses will benefit from responding to the feedback from patients by providing, for example, more activities or additional psychotherapeutic interventions.
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Affiliation(s)
- Işıl Işık
- Department of Nursing, Health Science Faculty, Yeditepe University, Istanbul, Turkey
| | - Gül Ergün
- Department of Nursing, Health Sciences Faculty, Burdur Mehmet Akif Ersoy University, Burdur, Turkey
| | - Gül Dikeç
- Department of Psychiatric Nursing, Hamidiye Nursing Faculty, University of Health Sciences, Istanbul, Turkey
| | - Volkan Ayaz
- Department of Nursing, Health Science Faculty, Yeditepe University, Istanbul, Turkey
| | - Bülent Kadri Gültekin
- Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases, Istanbul, Turkey
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Clinton-McHarg T, Paul C, Sanson-Fisher R, Turon H, Butler M, Lindeman R. Are the Physical Environments of Treatment Centres Meeting Recommendations for Patient-Centred Care? Perceptions of Haematological Cancer Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094892. [PMID: 34064433 PMCID: PMC8125011 DOI: 10.3390/ijerph18094892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/26/2021] [Accepted: 04/30/2021] [Indexed: 11/16/2022]
Abstract
The physical environment of a treatment centre may impact the well-being of patients and their perceptions of care. Outpatients with haematological cancer may be in contact with the treatment centre over long periods and could be particularly affected. This study aimed to identify haematological cancer patients' perceptions of supportive design elements in the hospital they attended and associations with self-reported mood or well-being. Outpatients from three large metropolitan hospitals in Australia were mailed a self-report questionnaire and responded to statements about the treatment centre concerning their sense of control over the physical surroundings; access to social support; and access to positive distractions. Participants also reported whether they felt the overall environment affected their mood or wellbeing. Of the outpatients who returned the questionnaire (n = 165), almost one-quarter (24%) agreed that the physical environment of the hospital affected their mood or well-being. Patients who disagreed that the hospital was a comfortable temperature or agreed that waiting rooms were crowded had significantly higher odds of reporting that the treatment environment affected their mood or wellbeing. Implementing systems to reduce overcrowding in waiting rooms and increasing patient control over personal temperature in clinics may be the most effective strategies to improve patient wellbeing.
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Affiliation(s)
- Tara Clinton-McHarg
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; (C.P.); (R.S.-F.); (H.T.)
- Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
- School of Psychology, The University of Newcastle, Callaghan, NSW 2308, Australia
- Correspondence:
| | - Christine Paul
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; (C.P.); (R.S.-F.); (H.T.)
- Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Rob Sanson-Fisher
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; (C.P.); (R.S.-F.); (H.T.)
- Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Heidi Turon
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; (C.P.); (R.S.-F.); (H.T.)
- Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Michelle Butler
- Hunter New England Population Health, Wallsend, NSW 2287, Australia;
| | - Robert Lindeman
- Department of Haematology, Prince of Wales Hospital, Randwick, NSW 2031, Australia;
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Koomen E, Webster CS, Konrad D, van der Hoeven JG, Best T, Kesecioglu J, Gommers DA, de Vries WB, Kappen TH. Reducing medical device alarms by an order of magnitude: A human factors approach. Anaesth Intensive Care 2021; 49:52-61. [PMID: 33530699 PMCID: PMC7905747 DOI: 10.1177/0310057x20968840] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The intensive care unit (ICU) is one of the most technically advanced environments in healthcare, using a multitude of medical devices for drug administration, mechanical ventilation and patient monitoring. However, these technologies currently come with disadvantages, namely noise pollution, information overload and alarm fatigue—all caused by too many alarms. Individual medical devices currently generate alarms independently, without any coordination or prioritisation with other devices, leading to a cacophony where important alarms can be lost amongst trivial ones, occasionally with serious or even fatal consequences for patients. We have called this approach to the design of medical devices the single-device paradigm, and believe it is obsolete in modern hospitals where patients are typically connected to several devices simultaneously. Alarm rates of one alarm every four minutes for only the physiological monitors (as recorded in the ICUs of two hospitals contributing to this paper) degrades the quality of the patient’s healing environment and threatens patient safety by constantly distracting healthcare professionals. We outline a new approach to medical device design involving the application of human factors principles which have been successful in eliminating alarm fatigue in commercial aviation. Our approach comprises the networked-device paradigm, comprehensive alarms and humaniform information displays. Instead of each medical device alarming separately at the patient’s bedside, our proposed approach will integrate, prioritise and optimise alarms across all devices attached to each patient, display information more intuitively and hence increase alarm quality while reducing the number of alarms by an order of magnitude below current levels.
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Affiliation(s)
- Erik Koomen
- Department of Paediatrics, Paediatric Intensive Care, Wilhelmina Children's Hospital, Academic Medical Centre Utrecht, Utrecht, The Netherlands
| | - Craig S Webster
- Department of Anaesthesiology and Centre for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand
| | - David Konrad
- Department of Perioperative Medicine and Intensive Care at Karolinska University Hospital, Stockholm, Sweden
| | | | - Thomas Best
- Department of Critical Care, King's College Hospital, London, UK
| | - Jozef Kesecioglu
- Department of Intensive Care Medicine, Academic Medical Centre Utrecht, Utrecht, the Netherlands
| | - Diederik Ampj Gommers
- Department of Intensive Care Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - Willem B de Vries
- Department of Neonatology, Academic Medical Centre Utrecht, Utrecht, The Netherlands
| | - Teus H Kappen
- Department of Anaesthesia, Intensive Care and Emergency, Academic Medical Centre Utrecht, Utrecht, The Netherlands
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Leger D, Guilleminault C. Environmental open-source data sets and sleep-wake rhythms of populations: an overview. Sleep Med 2020; 69:88-97. [PMID: 32058233 DOI: 10.1016/j.sleep.2019.12.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 11/18/2019] [Accepted: 12/27/2019] [Indexed: 01/26/2023]
Abstract
OBJECTIVE/BACKGROUND In recent decades, the epidemiology of sleep disorders has mainly consisted of interviewing subjects through validated questionnaires; more recently, this has been done by assessing total sleep time (TST) per 24 h via sleep logs or connected devices. Thus, a vast amount of data has helped demonstrate the decline of TST in most countries. Nonetheless, we believe from a societal and environmental point of view that sleep researchers have largely overlooked a wide-open field of data that may help us to better understand and describe global sleep wake rhythms (SWR), eg, data regarding the sleep environment. METHODS Based on recent literature, we identified several environmental and societal fields that may have an effect on SWR. With the help of an expert panel, we selected the five most pertinent fields with multiple open-source data sets that may have an impact on human SWR. Then, we performed web-based research and proposed open-field data sets for each field, all of which are open to researchers and possibly scientifically associated with SWR. RESULTS The open fields relevant to the environment that we selected were noise, light pollution, and radio frequencies. The two societal fields were transportation and internet use. The evolution of most of these fields in recent decades may explain (even partially) the decline in TST. Importantly, the open data sets in each field are widely available to sleep researchers. CONCLUSIONS SWR must be assessed not only by patient accounts, but also in terms of the evolution of environmental cues.
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Affiliation(s)
- Damien Leger
- Université de Paris, Equipe D'accueil Vigilance Fatigue Sommeil (VIFASOM) EA, 7330, Paris, France; Assistance Publique-Hôpitaux de Paris (APHP) Hôtel Dieu, Centre Du Sommeil et de La Vigilance, Paris, France.
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Camuccio CA, Sanavia M, Cutrone F, Marella I, Gregio M, Cabbia C, Cocchio S, Baldo V. Noise Levels in an Acute Psychiatric Unit: An Exploratory Observational Study. Issues Ment Health Nurs 2019; 40:493-502. [PMID: 30946621 DOI: 10.1080/01612840.2018.1557301] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: Noise is an important aspect of the ward atmosphere climate - the combination of the architectural solutions, organizational features, the psychological traits of the operators and their interactions, and the patients' characteristics. Despite its importance noise levels have been less analyzed than other aspects of the ward atmosphere climate. Aim: In this study the aim is to identify the sources of noise and the sound pressure level in an acute psychiatric ward, and secondly to ascertain whether this is perceived by inpatients as disturbing. Method: The sound pressure levels were measured during three nonconsecutive mornings, three afternoons, and three nights. A questionnaire was administered to ascertain patients' opinions about the noise in the ward. Results: The average noise level in the ward was 62.5 dB(A)eq in the morning, 55.8 in the afternoon, and 51.5 at night. A total of 23 patients took part in the study: 65.2% of this sample did not perceive the noise in the ward as disturbing. Conclusion: In a psychiatric ward, the main source of noise is the verbal communication, and acoustic pressure also derived from care activities based around relationships. Other sources of noise perceived as disturbing came from the opening and closing of doors and the entry doorbell. Adopting relational and architectural-structural measures could reduce the sound pressure, with a view to further improving the ambience in the ward.
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Affiliation(s)
- C A Camuccio
- a Nursing School of Venice/Mestre , School of Medicine, University of Padua , Venezia/Mestre , Italy
| | - M Sanavia
- b Medical Department , Casa di Cura "Policlinico San Marco" , Venezia/Mestre , Italy
| | - F Cutrone
- c Department of Mental Health of Venice , Azienda Unità Locale Socio Sanitaria 3 Serenissima , Venezia , Italy
| | - I Marella
- d Department of Epidemiology and Environmental Hygiene , Azienda Unità Locale Socio Sanitaria 3 Serenissima , Venezia/Mestre , Italy
| | - M Gregio
- d Department of Epidemiology and Environmental Hygiene , Azienda Unità Locale Socio Sanitaria 3 Serenissima , Venezia/Mestre , Italy
| | - C Cabbia
- e Department of Cardiac, Thoracic and Vascular Sciences , School of Medicine, University of Padua , Padova , Italy
| | - S Cocchio
- e Department of Cardiac, Thoracic and Vascular Sciences , School of Medicine, University of Padua , Padova , Italy
| | - V Baldo
- e Department of Cardiac, Thoracic and Vascular Sciences , School of Medicine, University of Padua , Padova , Italy
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15
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Palese A, Rossettini G, Colloca L, Testa M. The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects: a discussion paper. Pain Rep 2019; 4:e716. [PMID: 31583342 PMCID: PMC6749917 DOI: 10.1097/pr9.0000000000000716] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 11/23/2018] [Accepted: 01/05/2019] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Placebo and nocebo effects represent one of the most fascinating topics in the health care field. OBJECTIVES the aims of this discussion paper were (1) to briefly introduce the placebo and nocebo effects, (2) to elucidate the contextual factors able to trigger placebo and nocebo effects in the nursing field, and (3) to debate the impact of contextual factors on nursing education, practice, organisation, and research. METHODS a narrative review was conducted based on the available evidence. RESULTS Placebo responses (from Latin "I shall please") are a beneficial outcome(s) triggered by a positive context. The opposite are the nocebo effects (from Latin "I shall harm"), which indicates an undesirable outcome(s) caused by a negative context. Both are complex and distinct psychoneurobiological phenomena in which behavioural and neurophysiological changes arise subsequent to an interaction between the patient and the health care context. CONCLUSION Placebo and nocebo concepts have been recently introduced in the nursing discipline, generating a wide debate on ethical issues; however, the impact on nursing education, clinical practice, nursing administration, and research regarding contextual factors triggering nocebo and placebo effects has not been debated to date.
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Affiliation(s)
- Alvisa Palese
- Department Biological and Medical Science, University of Udine, Italy, Udine, Italy
| | - Giacomo Rossettini
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Italy, Savona, Italy
| | - Luana Colloca
- Department of Pain Translational Symptom Science, School of Nursing, University of Maryland, Baltimore, MD, USA
- Departments of Anesthesiology and Psychiatry, School of Medicine, Center to Advance Chronic Pain Research, University of Maryland, Baltimore, MD, USA
| | - Marco Testa
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Italy, Savona, Italy
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Annemans M, Van Audenhove C, Vermolen H, Heylighen A. Rethinking hospital design: Accommodating a growing diversity of patients. Int J Nurs Stud 2018; 87:A1-A2. [DOI: 10.1016/j.ijnurstu.2018.07.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
PURPOSE Noise levels remain high in clinical settings, which may result in stress and sleep disruption, and can lead to immunosuppression, delayed healing, confusion, disorientation, delusions, and increased length of hospital stay. The purpose of this quality improvement project was to assess effects of a multidisciplinary noise reduction program on a pediatric unit in an acute care hospital in a developing country. METHODS A quality improvement project was carried out over 15 months in a pediatric unit. A three-phase study was conducted where the first phase included obtaining patient satisfaction ratings and recording sound levels, the second phase included implementing a noise reduction program and designing a noise detector machine, and the third phase included obtaining patient satisfaction data and recording noise levels over a 1-year period. RESULTS There was a significant decrease in noise of 8 A-weighted decibels when comparing the values before and after implementing the quality improvement project at t = 6.44, p < 0.000. There was no significant difference in patient satisfaction ratings. CLINICAL IMPLICATIONS Noise in the pediatric unit exceeded recommended guidelines; however, decreasing the levels was possible and sustainable, which can improve the psychological and physiological wellbeing of hospitalized children.
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da Silva FP, de Assis Siqueira Paiva F, Guedes CP, da Silva Frazão I, Vasconcelos SC, da Costa Lima MD. Nursing Diagnoses of the Homeless Population in Light of Self-care Theory. Arch Psychiatr Nurs 2018; 32:425-431. [PMID: 29784225 DOI: 10.1016/j.apnu.2017.12.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Revised: 12/13/2017] [Accepted: 12/13/2017] [Indexed: 11/16/2022]
Abstract
BACKGROUND A growing number of people find themselves in conditions of extreme poverty, which often makes living on the streets the only option. Living conditions in this setting exert a direct impact on health and self-care. Health care for the homeless population should be planned in an interdisciplinary and intersectoral manner. In this context, nursing diagnoses constitute an essential part of the systemization of care. OBJECTIVES The aims of the present study were to identify nursing diagnoses of a homeless population and propose nursing interventions based on the findings in light of the Nursing Outcomes Classification and Nursing Interventions Classification. DESIGN AND SETTING A descriptive, cross-sectional study with a quantitative approach was conducted on the streets of the city of Recife in northeastern Brazil. PARTICIPANTS The sample consisted of 274 male and female adult homeless individuals. METHODS Data collection involved the administration of a semi-structured interview, the Alcohol, Smoking and Substance Involvement Screening Test and the International Neuropsychiatric Interview. RESULTS The most prevalent diagnoses were related to risk-prone health behaviors (78.1%), inadequate health maintenance (67.1%), along with sleep deprivation (100%), feelings of hopelessness (100%) and low self-esteem (99%). CONCLUSIONS The experience enabled the identification of the peculiarities of the population, bringing nursing practice closer to health promotion for the homeless. Adequate public policies and training for health teams are needed to address the health needs of the homeless population.
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Abstract
Uncontrolled noise in the hospital setting can have a negative physiological and psychological impact on patients and nurses. To reduce unit noise levels and create a quiet patient and nurse experience, an evidence-based practice project was conducted in 4 progressive care units in a community hospital. The Quiet Time Bundle implementation improved patient satisfaction and patient and nurse perceptions of noise even though the decrease in noise levels may not be discernible.
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Williams I, Winship G. “Homeliness, hope and humour” (H3) – ingredients for creating a therapeutic milieu in prisons. THERAPEUTIC COMMUNITIES 2018. [DOI: 10.1108/tc-05-2017-0015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to build a new theoretical framework for inscribing the constituents of therapeutic community (TC) practice in prisons and other secure psychiatric settings looking at three core element: homeliness, hope and humour.
Design/methodology/approach
The study is based on theory building, review of related literature, including research and policy, and synthesis from related funded research projects (Sociology of Health and Illness, Arts Humanities Research Council).
Findings
Home-as-method, and the concept of transitional home, highlights how a well-designed therapeutic environment looks and feels and can act as a base for effective rehabilitation. The TC aspires to offer a corrective new synthesis of home superseding the resident’s prior experience. A through-going definition of hope-as-method is outlined. It is argued that hope is co-constructed on the TC, and that there is a necessary challenge in gauging fluctuations in hope across time. Humour is a much overlooked idea but arguably an integral ingredient of healthy transactions between prisoners and staff. The particularities of humour present a challenge and an opportunity for harnessing the conditions when humour can flourish and conversely, the chain of events when mal humour damages community atmosphere.
Practical implications
H3 provides a new framework for reflecting on current TC practice, and also a model for developing novel ways of seeing, including the development of research and policy guidance. H3 also provides a philosophical base for developing a curriculum for education and training.
Originality/value
The 3Hs offers a rubric for positively narrating the aspirations of a prison milieu. The idea is purposively simple, and so far the authors have found that staff, prisoners and service directors are receptive to the concept, and there are plans for the 3Hs are set to be a narrative descriptor for developing practice in prisons.
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Iyendo TO. Sound as a supportive design intervention for improving health care experience in the clinical ecosystem: A qualitative study. Complement Ther Clin Pract 2017; 29:58-96. [PMID: 29122270 DOI: 10.1016/j.ctcp.2017.08.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 08/17/2017] [Accepted: 08/22/2017] [Indexed: 11/30/2022]
Abstract
PURPOSE Most prior hospital noise research usually deals with sound in its noise facet and is based merely on sound level abatement, rather than as an informative or orientational element. This paper stimulates scientific research into the effect of sound interventions on physical and mental health care in the clinical environment. METHODS Data sources comprised relevant World Health Organization guidelines and the results of a literature search of ISI Web of Science, ProQuest Central, MEDLINE, PubMed, Scopus, JSTOR and Google Scholar. RESULTS Noise induces stress and impedes the recovery process. Pleasant natural sound intervention which includes singing birds, gentle wind and ocean waves, revealed benefits that contribute to perceived restoration of attention and stress recovery in patients and staff. CONCLUSIONS Clinicians should consider pleasant natural sounds perception as a low-risk non-pharmacological and unobtrusive intervention that should be implemented in their routine care for speedier recovery of patients undergoing medical procedures.
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Iyendo TO. Exploring the effect of sound and music on health in hospital settings: A narrative review. Int J Nurs Stud 2016; 63:82-100. [PMID: 27611092 DOI: 10.1016/j.ijnurstu.2016.08.008] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 08/13/2016] [Accepted: 08/14/2016] [Indexed: 12/31/2022]
Abstract
BACKGROUND Sound in hospital space has traditionally been considered in negative terms as both intrusive and unwanted, and based mainly on sound levels. However, sound level is only one aspect of the soundscape. There is strong evidence that exploring the positive aspect of sound in a hospital context can evoke positive feelings in both patients and nurses. Music psychology studies have also shown that music intervention in health care can have a positive effect on patient's emotions and recuperating processes. In this way, hospital spaces have the potential to reduce anxiety and stress, and make patients feel comfortable and secure. This paper describes a review of the literature exploring sound perception and its effect on health care. DATA SOURCES AND REVIEW METHODS This review sorted the literature and main issues into themes concerning sound in health care spaces; sound, stress and health; positive soundscape; psychological perspective of music and emotion; music as a complementary medicine for improving health care; contradicting arguments concerning the use of music in health care; and implications for clinical practice. Using Web of Science, PubMed, Scopus, ProQuest Central, MEDLINE, and Google, a literature search on sound levels, sound sources and the impression of a soundscape was conducted. The review focused on the role and use of music on health care in clinical environments. In addition, other pertinent related materials in shaping the understanding of the field were retrieved, scanned and added into this review. RESULTS The result indicated that not all noises give a negative impression within healthcare soundscapes. Listening to soothing music was shown to reduce stress, blood pressure and post-operative trauma when compared to silence. Much of the sound conveys meaningful information that is positive for both patients and nurses, in terms of soft wind, bird twitter, and ocean sounds. CONCLUSIONS Music perception was demonstrated to bring about positive change in patient-reported outcomes such as eliciting positive emotion, and decreasing the levels of stressful conditions. Whilst sound holds both negative and positive aspects of the hospital ecosystem and may be stressful, it also possesses a soothing quality that induces positive feelings in patients. Conceptualizing the nature of sound in the hospital context as a soundscape, rather than merely noise can permit a subtler and socially useful understanding of the role of sound and music in the hospital setting, thereby creating a means for improving the hospital experience for patients and nurses.
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Affiliation(s)
- Timothy Onosahwo Iyendo
- Department of Architecture, Eastern Mediterranean University, Gazimağusa, North Cyprus, Via Mersin 10, Turkey.
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Iyendo TO, Uwajeh PC, Ikenna ES. The therapeutic impacts of environmental design interventions on wellness in clinical settings: A narrative review. Complement Ther Clin Pract 2016; 24:174-88. [PMID: 27502819 DOI: 10.1016/j.ctcp.2016.06.008] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Accepted: 06/24/2016] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this review is to document the role of physical environmental factors in clinical environments and their impact on patients and staff wellness with a particular focus on physical and mental healthcare. METHODS Data sources comprised relevant English language articles and the results of literature search of ISI Web of Knowledge, PubMed, Scopus, ProQuest Central, MEDLINE, and Google. RESULTS Incorporating physical environmental factors into hospital design can facilitate better user satisfaction, efficiency and organisational outcomes. Many of the design interventions convey positive distractions for patients and staff, in terms of views of pleasant outside vistas, soothing sound, artwork and music. CONCLUSIONS Well-designed physical settings play an important role in the healing process of patients in health care facilities. The challenge then is to fully understand that role in the ecological context of health care. Other contributors are possible and should be explored in further research.
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Affiliation(s)
- Timothy Onosahwo Iyendo
- Department of Architecture, Eastern Mediterranean University, Gazimağusa, North Cyprus, Via Mersin 10, Turkey.
| | - Patrick Chukwuemeke Uwajeh
- Department of Architecture, Eastern Mediterranean University, Gazimağusa, North Cyprus, Via Mersin 10, Turkey
| | - Ezennia Stephen Ikenna
- Department of Architecture, Nnamdi Azikwe University Awka, Anambra State, PMB, 5025, Awka, Nigeria
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Alimohammadi I, Zokaei M, Sandrock S. The Effect of Road Traffic Noise on Reaction Time. Health Promot Perspect 2015; 5:207-14. [PMID: 26634199 PMCID: PMC4667263 DOI: 10.15171/hpp.2015.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/25/2015] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Traffic noise is one of the main important sources in urban noise pollution, which causes various physiological and psychological effects that can cause disturbs in performance, sleep disturbances, hearing loss and impact on job performance. This study was conducted to verify the impact of road traffic noise on reaction time in terms of extraversion and sex. METHODS Traffic noise was measured and recorded in 10 arterial streets in Tehran, and then the recorded noise was emitted towards participants in an acoustic room. The participants were 80 (40 cases and 40 controls) students. Personality type was determined by Eysenck Personality Inventory (EPI) questioner. Reaction time before and after exposure to traffic noise was measured. RESULTS Reaction time before exposure to traffic noise did not differ (P=0.437) significantly between introverts and extraverts. However, it was increased significantly in both groups after exposure to traffic noise (P<0.01). Introvert's reaction time was more increased than that of extraverts. CONCLUSION Traffic noise augmented reaction time of both males and females. This study also revealed that exposure to traffic noise leads to increase in reaction time.
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Affiliation(s)
- Iraj Alimohammadi
- Occupational Health Engineering Department, Iran University of Medical Sciences, Tehran, Iran
| | - Mojtaba Zokaei
- Occupational Health Engineering Department, Iran University of Medical Sciences, Tehran, Iran
| | - Stephan Sandrock
- Institute for Applied Ergonomics and Industrial Engineering, Düsseldorf, Germany
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