1 Department of Nursing, School of Education, Health and Society, Dalarna University, Falun, Sweden.
2 Department of Architecture and Civil Engineering, Chalmers University of Technology, Göteborg, Sweden.
HERD. 2019 Jul;12(3):107-118. doi: 10.1177/1937586718796643. Epub 2018 Sep 11.
The aim was to investigate the content and quality of the governing documents created in the planning and design phase of new healthcare environments and in the related healthcare strategic and operational plans.
Quality deficits in buildings can often be traced back to the initial stages in the planning and design phase. Although large investments have been made to improve the process of planning new healthcare environments and linking the requirements to health service strategies, healthcare organizations rarely relate their strategy goals to the built environment.
A retrospective review of documents created in the planning and design stages of new healthcare environments and the operational plans of the target organizations was conducted.
The organizational operational plans did not contain any statements or information about the built environment or how a building could or should support the organization's goals. Important information was frequently absent from the documents governing the planning and design of buildings. The documents lacked information about what and how to follow-up and what to measure once a construction project had been completed. There were no references to evidence.
Poor documentation might undermine the quality of the planning and design phase and ultimately the opportunity to create environments that support health outcomes. Therefore, more emphasis must be placed on the importance of documentation but above all to strengthen and clarify the relationship between the healthcare organization strategy to achieve an effective and efficient care process and the intention made in the planning and design process.
旨在调查新医疗环境规划和设计阶段以及相关医疗战略和运营计划中制定的管理文件的内容和质量。
建筑物中的质量缺陷通常可以追溯到规划和设计阶段的初始阶段。尽管已经投入大量资金来改善新医疗环境的规划过程并将需求与卫生服务战略联系起来,但医疗机构很少将其战略目标与建筑环境联系起来。
对新医疗环境规划和设计阶段以及目标组织运营计划中创建的文件进行回顾性审查。
组织运营计划中没有包含关于建筑环境或建筑物如何能够或应该支持组织目标的任何陈述或信息。建筑物管理文件经常缺少重要信息。这些文件缺乏有关如何进行后续行动以及在建设项目完成后应测量哪些内容的信息。也没有提到证据。
糟糕的文件记录可能会破坏规划和设计阶段的质量,并最终失去创造支持健康结果的环境的机会。因此,必须更加重视文件记录的重要性,但最重要的是,要加强并阐明医疗机构战略与实现有效和高效护理过程之间的关系,并明确在规划和设计过程中的意图。