Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Macquarie University Hospital, Macquarie Park, New South Wales, Australia.
BMJ Open. 2019 Apr 20;9(4):e027636. doi: 10.1136/bmjopen-2018-027636.
Workspaces are socially constructed environments where social relationships are produced, reproduced, challenged and transformed. Their primary function is to support high-quality service delivery to the benefit of 'patients'. They are also settings where employees can work effectively, in a safe and healthy environment, delivering a high-quality service according to a 'Work-As-Done' rather than a 'Work-As-Imagined' model. However, hospital design is currently based on a managerial understanding of work accomplishments, often falling short of understanding what is actually happening on the ground. Furthermore, the research landscape lacks rigorous assessment of these complex sociological and health research concepts, either within the Australian context where this protocol is set, or internationally.This paper describes an innovative protocol aimed at examining healthcare employees' and organisations' concerns and beliefs in workspace design. It outlines research investigating the effect of workspace use on productivity, health and safety and worker satisfaction, to clarify Work-As-Done, while creating healthy and more fulfilling environments.
This is a proof-of-concept study, taking place between June 2018 and April 2019, employing a multimethod, qualitative approach for in-depth assessment of one Australian, private, university hospital environment, using as its 'case' the Gastroenterology Surgical Unit. It involves (1) observations and informal interviews (shadowing) with employees and patients as they traverse hospital spaces and (2) visual data of spatial use. Fieldnotes will be analysed thematically, and visual data analysed using a predefined schematic framework (a visual taxonomy). Overarching themes and categories will be considered corroboratively, mixing visual and textual data to build an iterative and dynamic picture.
Ethical considerations will be discussed, while approval has been granted by the University's Human Research Ethics Committee (HREC/5201800282), along with Governance approved by the Health Clinical Research Executive (CRG2018005). Study results will be disseminated through publications, research conferences and public reports.
工作空间是社会构建的环境，在这里产生、再现、挑战和改变社会关系。其主要功能是支持高质量的服务交付，造福“患者”。它们也是员工可以在安全和健康的环境中有效工作的场所，根据“实际完成的工作”而不是“想象中的工作”模型提供高质量的服务。然而，医院设计目前基于对工作成果的管理理解，往往无法理解实际发生的情况。此外，研究领域缺乏对这些复杂的社会学和健康研究概念的严格评估，无论是在本协议设定的澳大利亚背景下，还是在国际范围内。本文描述了一种创新方案，旨在研究医疗保健员工和组织对工作空间设计的关注和信念。它概述了研究工作空间使用对生产力、健康和安全以及工人满意度的影响，以澄清实际完成的工作，同时创造健康和更有意义的环境。
这是一项概念验证研究，于 2018 年 6 月至 2019 年 4 月进行，采用多方法、定性方法对澳大利亚一家私立大学医院环境进行深入评估，以胃肠外科单元为“案例”。它包括（1）对员工和患者在医院空间中穿行时的观察和非正式访谈（跟踪观察），以及（2）空间使用的视觉数据。实地记录将进行主题分析，视觉数据将使用预定义的示意框架（视觉分类法）进行分析。将综合考虑主题和类别，混合视觉和文本数据以构建迭代和动态的图片。
将讨论伦理考虑因素，同时已获得大学人类研究伦理委员会（HREC/5201800282）的批准，以及健康临床研究执行委员会（CRG2018005）批准的治理。研究结果将通过出版物、研究会议和公开报告进行传播。
