The Hopkins Centre, Menzies Health Institute Queensland, 95795Griffith University, Meadowbrook, Queensland, Australia.
HERD. 2020 Oct;13(4):115-127. doi: 10.1177/1937586720912546. Epub 2020 Apr 2.
This research aimed to identify the extent to which physical features of two neurorehabilitation units appeared to support positive patient experience and recovery.
Neurorehabilitation inpatient facilities must be focused on safety management and efficiency of care, as well as being supportive of the patient experience. While occupational safety and risk management is paramount, the supportive nature of the physical setting for inpatient neurorehabilitation following spinal cord injury or acquired brain injury is unclear.
Structured observation of two physical environments using an adapted observational tool comprising 237 items across 8 area zones, and 3 major categories (patient safety, worker safety and efficiency, and holistic patient experience).
Results indicated that across both neurorehabilitation settings, the built environment attended well to occupational safety, risk reduction, harm prevention and internal security (up to 87% in spinal injury unit [SIU] and 95% in brain injury unit [BIU] patient rooms), but with limited evidence of physical features to support psychosocial needs or promote positive user experiences (up to 30% in SIU and 45% in BIU patient rooms).
The built environments observed appeared to be an underutilized resource for supporting positive psychosocial neurorehabilitation experiences (including complex behavior support) beyond hazard management.
本研究旨在确定两个神经康复病房的物理特征在多大程度上支持积极的患者体验和康复。
神经康复住院设施必须注重安全管理和护理效率，同时也要支持患者体验。虽然职业安全和风险管理至关重要，但脊髓损伤或获得性脑损伤后住院神经康复的物理环境的支持性质尚不清楚。
使用经过改编的观察工具对两个物理环境进行结构化观察，该工具包括 8 个区域和 3 个主要类别（患者安全、工人安全和效率以及整体患者体验）中的 237 个项目。
结果表明，在这两个神经康复环境中，建筑环境非常注重职业安全、风险降低、伤害预防和内部安全（在脊髓损伤病房 [SIU] 中高达 87%，在脑损伤病房 [BIU] 中高达 95%），但只有有限的证据表明物理特征可以满足心理社会需求或促进积极的用户体验（在 SIU 中高达 30%，在 BIU 中高达 45%）。
观察到的建筑环境似乎是支持积极的神经康复心理社会体验（包括复杂行为支持）的未充分利用资源，而不仅仅是危险管理。
