Hagerup Anne, Fernee Carina Ribe, Wijk Helle, Lindahl Göran, Olausson Sepideh
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Inland School of Business and Social Sciences, Inland Norway University of Applied Sciences, Lillehammer, Norway.
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2485697. doi: 10.1080/17482631.2025.2485697. Epub 2025 Apr 1.
Patients in mental health care rely on staff for their well-being, security, and quality of treatment. However, staff's perspective of the physical environment where care takes place remains underexplored. Their insights are crucial to understanding how the environment impacts the quality of care. Therefore, the aim of this study is to explore the meanings of the physical environment for inpatient care according to staff shortly after relocation to a new mental health facility.
The study employed a phenomenological approach and focus group interviews with 20 staff working in a newly built mental health facility. Data were analysed using van Manen's existentials and guided by the theory of affordances.
The primary findings were as follows: (a) attempting to provide a therapeutic atmosphere, (b) design as symbolism, (c) altering the physical environment means altering time, (d) offering spaces for connection and communication, and (e) embodying the new mental health facility.
The findings indicate that regardless of whether affordances are actualized, opportunities and obstacles in the hospital environment impact the staff's ability to provide inpatient care according to their standards. Conflict arose due to obstacles inherent in the organization and structure of the new mental health facility that limited opportunities to utilize possible affordances.
精神卫生保健中的患者依赖工作人员保障其福祉、安全和治疗质量。然而，工作人员对护理场所物理环境的看法仍未得到充分探讨。他们的见解对于理解环境如何影响护理质量至关重要。因此，本研究的目的是根据工作人员在搬迁至新的精神卫生设施后不久的看法，探讨住院护理物理环境的意义。
本研究采用现象学方法，对在新建精神卫生设施工作的20名工作人员进行焦点小组访谈。数据采用范曼的存在主义进行分析，并以可供性理论为指导。
主要研究结果如下：(a)试图营造治疗氛围；(b)设计即象征；(c)改变物理环境意味着改变时间；(d)提供连接和交流空间；(e)体现新的精神卫生设施。
研究结果表明，无论可供性是否得以实现，医院环境中的机会和障碍都会影响工作人员按照其标准提供住院护理的能力。由于新精神卫生设施的组织和结构中存在的障碍限制了利用可能的可供性的机会，从而引发了冲突。
