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成人重症监护病房的空间网络和互动相关行为。

Network of spaces and interaction-related behaviors in adult intensive care units.

机构信息

School of Architecture, Design and Planning, University of Kansas, 1465 Jayhawk Boulevard, Lawrence, KS 66045, USA.

Fay W. Whitney School of Nursing, University of Wyoming, Dept. 3065, 1000 E. University Ave, Laramie, WY 82071-3065, USA.

出版信息

Behav Sci (Basel). 2014 Dec 1;4(4):487-510. doi: 10.3390/bs4040487.

DOI:10.3390/bs4040487
PMID:25469838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4287700/
Abstract

Using three spatial network measures of "space syntax", this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs. Despite differences in unit characteristics and interaction-related behaviors, the study finds that when nurses and physicians "interact while sitting" they prefer spaces that help maintain a high level of environmental awareness; that when nurses "walk" and "interact while walking" they avoid spaces with better global access and visibility; and that everyone in ICUs "walk" more in spaces with higher control over neighboring spaces. It is argued that such consistent behavioral patterns occur due to the structural similarities of spatial networks over and above the more general functional similarities of ICUs.

摘要

本相关性研究使用“空间句法”的三个空间网络度量标准,描述了三组使用者在四个不同大小、几何形状和专业的成人重症监护病房(ICU)中与空间可见性和可达性相关的四种互动行为。对互动相关行为的系统现场观察表明,ICU 中互动相关行为的空间分布存在显著差异。尽管单位特征和互动相关行为存在差异,但研究发现,当护士和医生“坐着互动”时,他们更喜欢有助于保持高水平环境意识的空间;当护士“走动”和“走动时互动”时,他们会避开全局访问和可见性更好的空间;而 ICU 中的每个人在对相邻空间的控制度更高的空间中“走动”更多。有人认为,这种一致的行为模式是由于空间网络的结构相似性,而不仅仅是 ICU 的更一般的功能相似性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/c8b5cfb3acad/behavsci-04-00487-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/a01c6f45952e/behavsci-04-00487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/2cd4b06e953d/behavsci-04-00487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/e532d9507c76/behavsci-04-00487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/36040946a6c3/behavsci-04-00487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/18a431424d83/behavsci-04-00487-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/d3356f23f332/behavsci-04-00487-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/a3fed5794214/behavsci-04-00487-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/e0d61068e0c5/behavsci-04-00487-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/c8b5cfb3acad/behavsci-04-00487-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/a01c6f45952e/behavsci-04-00487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/2cd4b06e953d/behavsci-04-00487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/e532d9507c76/behavsci-04-00487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/36040946a6c3/behavsci-04-00487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/18a431424d83/behavsci-04-00487-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/d3356f23f332/behavsci-04-00487-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/a3fed5794214/behavsci-04-00487-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/e0d61068e0c5/behavsci-04-00487-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8b/4287700/c8b5cfb3acad/behavsci-04-00487-g009.jpg

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Rethinking efficiency in acute care nursing units: analyzing nursing unit layouts for improved spatial flow.重新思考急性护理病房的效率:分析护理单元布局以改善空间流程。
HERD. 2012 Fall;6(1):39-65. doi: 10.1177/193758671200600103.
3
Space syntax in healthcare facilities research: a review.医疗设施研究中的空间句法:综述。
HERD. 2012 Summer;5(4):98-117. doi: 10.1177/193758671200500409.
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Hospital design and face-to-face interaction among clinicians: a theoretical model.医院设计与临床医生的面对面互动:一个理论模型。
HERD. 2009 Summer;2(4):62-84. doi: 10.1177/193758670900200404.
5
Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals.空间句法理论在城市医院医护单元中的应用
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6
Unit-related factors that affect nursing time with patients: spatial analysis of the time and motion study.与单位相关的影响护患时间的因素:时间与动作研究的空间分析。
HERD. 2009 Winter;2(2):5-20. doi: 10.1177/193758670900200202.
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Relationship between ICU design and mortality.重症监护病房设计与死亡率的关系。
Chest. 2010 May;137(5):1022-7. doi: 10.1378/chest.09-1458. Epub 2010 Jan 15.