Nicholls Daniel, Kidd Kevin, Threader Jennifer, Hungerford Catherine
School of Nursing & Midwifery, University of Western Sydney, Canberra, Australian Capital Territory, Australia.
Mental Health, Justice Health, Alcohol and Drugs Services, ACT Government Health Directorate, Canberra, Australian Capital Territory, Australia.
Int J Ment Health Nurs. 2015 Aug;24(4):286-94. doi: 10.1111/inm.12138. Epub 2015 May 14.
This study investigated changes in the 'atmosphere' of an acute adult mental health setting following relocation to a new purpose-built facility. The Ward Atmosphere Scale (WAS) was designed and validated for specific use in hospital-based psychiatric facilities, and measures several dimensions of an environment. In this study, the WAS was administered to consumers and staff at periods before and also after their relocation to a new purpose-built acute adult mental health facility. There were significant improvements in the physical atmosphere of the new facility, when compared with the old facility. In terms of ward atmosphere, however, improvements were seen to occur in only a small number of measures and there were minor differences between consumers' and staff perspectives on some indicators. Interestingly, it was found that consumers noted less 'staff control' in the new setting, raising the question of the differences in understanding of control. For staff only, there was a perception of greater levels of consumer 'involvement' in the new facility. Despite the minor differences in perception, the study does confirm that architecture is an important influence on the 'atmosphere' of a health facility, for both staff and consumers.
本研究调查了一家成人急性心理健康机构迁至新建的专用设施后其“氛围”的变化。病房氛围量表（WAS）专为在医院精神病设施中使用而设计并经过验证，可衡量环境的多个维度。在本研究中，WAS在消费者和工作人员搬迁至新建的专用成人急性心理健康设施之前和之后进行了施测。与旧设施相比，新设施的物理氛围有显著改善。然而，在病房氛围方面，仅在少数指标上有改善，消费者和工作人员在一些指标上的看法存在细微差异。有趣的是，发现消费者注意到新环境中“工作人员控制”较少，这引发了对控制理解差异的问题。仅就工作人员而言，他们感觉新设施中消费者的“参与”程度更高。尽管看法存在细微差异，但该研究确实证实，建筑对健康设施的“氛围”对工作人员和消费者都有重要影响。
