Corresponding Author: Dr. Margaret O'Connor, Monash University, PO Box 527 Frankston, 3199 Victoria AUSTRALIA (
HERD. 2012 Fall;6(1):104-16. doi: 10.1177/193758671200600106.
This paper addresses issues arising in the literature regarding the environmental design of inpatient healthcare settings and their impact on care.
Environmental design in healthcare settings is an important feature of the holistic delivery of healthcare. The environmental influence of the delivery of care is manifested by such things as lighting, proximity to bedside, technology, family involvement, and space. The need to respond rapidly in places such as emergency and intensive care can override space needs for family support. In some settings with aging buildings, the available space is no longer appropriate to the needs-for example, the need for privacy in emergency departments. Many aspects of care have changed over the last three decades and the environment of care appears not to have been adapted to contemporary healthcare requirements nor involved consumers in ascertaining environmental requirements. The issues found in the literature are addressed under five themes: the design of physical space, family needs, privacy considerations, the impact of technology, and patient safety.
There is a need for greater input into the design of healthcare spaces from those who use them, to incorporate dignified and expedient care delivery in the care of the person and to meet the needs of family.Preferred Citation: O'Connor, M., O'Brien, A., Bloomer, M., Morphett, J., Peters, L., Hall, H., … Munro, I. (2012). The environment of inpatient healthcare delivery and its influence on the outcome of care. Health Environments Research & Design Journal, 6(1), 105-117.
本文探讨了住院医疗环境设计及其对护理的影响在文献中引发的问题。
医疗环境设计是医疗服务整体提供的一个重要特征。护理提供的环境影响体现在照明、靠近床边、技术、家庭参与和空间等方面。在急诊和重症监护等场所，需要迅速做出反应，可能会优先考虑空间需求，而不是为家庭支持提供空间。在一些老旧建筑的环境中，现有的空间不再适合需求，例如，急诊部门需要隐私。过去三十年来，许多护理方面都发生了变化，但护理环境似乎没有适应当代医疗保健的要求，也没有让消费者参与确定环境要求。文献中发现的问题主要集中在以下五个主题：物理空间设计、家庭需求、隐私考虑、技术影响和患者安全。
需要让更多的使用者参与到医疗空间的设计中来，以在护理患者时提供有尊严和便捷的护理，满足家庭的需求。
参考文献：O'Connor, M., O'Brien, A., Bloomer, M., Morphett, J., Peters, L., Hall, H., … Munro, I. (2012). The environment of inpatient healthcare delivery and its influence on the outcome of care. Health Environments Research & Design Journal, 6(1), 105-117.
