A Participatory Design Process Addressing Ergonomics of Hospital Patient Rooms

解决医院病房人体工程学问题的参与式设计过程

• 批准号: 8520058
• 负责人: Steven A Lavender
• 金额: $ 19万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8520058
• 关键词: Participatory; Design; Process; Addressing; Ergonomics

DESCRIPTION (provided by applicant): The long term goal of this application is to reduce musculoskeletal injuries and discomfort experienced by healthcare workers in institutional settings. In many workplaces the awkward postures and motions exhibited by workers, and the effort required to complete work-related tasks bear a direct relationship to the layout and organization of the workspace. This is particularly true for hospital workers administering care in patient rooms. Given that we are currently undergoing an unprecedented boom in healthcare facility construction (Gamble, 2011; Nelson et al., 2005; Terry, 2011); we are presented with a unique opportunity to address many of the room design parameters that create physical ergonomics issues for workers who provide direct patient care and other members of the hospital staff. However, three emerging trends in healthcare present additional challenges to designers of hospital patient rooms. First, there is the move toward acuity-adaptable rooms which accommodate patients through varied levels of care during their hospital stays. Second, there is a trend to bring hospital services to the patient rather than transporting patients to the services. Together these trends indicate that the patient room as a work environment needs to accommodate more individuals performing more tasks than ever before. Third, populations are getting larger, necessitating larger beds and larger furnishing for visitors. The primary goal of this application is to address the needs of the many different stakeholder groups working in patient rooms through a systems approach, largely driven by a participatory design process that will draw upon the expertise of a diverse, multi-disciplinary team of researchers and practitioners. Specifically, the aims of this application are to: (1) Identify, observe, and analyze work tasks that, due to patient room design parameters, ergonomically challenge the identified stakeholders (users); (2) Obtain consensus on the ergonomic challenges associated with patient room design and elicit stakeholder specific recommendations regarding ergonomic aspects of patient room design; (3) Identify patient room design parameters that impact the needs of patients and their visitors and family members, and elicit alterations in patient room design parameters that best support those needs; (4) Resolve conflicts between stakeholder groups with regard to patient room design parameters, thereby, allowing for a clear set of design parameter recommendations for patient rooms. In sum, our process will yield a set of guidelines that will be useable and accessible to designers, planners, hospital administrators, and others interested in patient room design and lay the groundwork for future evidence-based research related to healthcare facility design.

描述（由申请人提供）：本申请的长期目标是减少机构环境中医护人员所经历的肌肉骨骼损伤和不适。在许多工作场所中，工人表现出的尴尬姿势和动作以及完成与工作相关的任务所需的努力与工作空间的布局和组织有直接关系。对于在病房进行护理的医院工作人员来说尤其如此。鉴于我们目前正在经历前所未有的医疗设施建设热潮（Gamble，2011；Nelson 等，2005；Terry，2011）；我们有一个独特的机会来解决许多房间设计参数，这些参数给提供直接病人护理的工作人员和医院其他工作人员带来了物理人体工程学问题。然而，医疗保健领域的三种新兴趋势给医院病房的设计者带来了额外的挑战。首先，人们正在转向适应视力的病房，为患者在住院期间提供不同程度的护理。其次，趋势是为患者提供医院服务，而不是将患者运送到服务机构。这些趋势共同表明，病房作为工作环境需要容纳更多的人来执行比以往更多的任务。第三，人口越来越多，需要更大的床和更大的家具来供游客使用。该应用程序的主要目标是通过系统方法满足在病房工作的许多不同利益相关者群体的需求，该方法主要由参与式设计过程驱动，该过程将利用由研究人员和从业人员组成的多元化、多学科团队的专业知识。具体来说，该应用程序的目标是： (1) 识别、观察和分析工作任务，由于病房设计参数，这些工作任务在人体工程学上对已识别的利益相关者（用户）提出了挑战； (2) 就与病房设计相关的人体工程学挑战达成共识，并就病房设计的人体工程学方面征求利益相关者的具体建议； (3) 确定影响患者及其访客和家属需求的病房设计参数，并引起对病房设计参数的更改以最好地支持这些需求； (4) 解决利益相关者群体之间关于病房设计参数的冲突，从而为病房提供一套清晰的设计参数建议。总之，我们的流程将产生一套指南，供设计师、规划者、医院管理人员和其他对病房设计感兴趣的人使用和访问，并为未来与医疗设施设计相关的循证研究奠定基础。