Application of Space Syntax Theory in the Study of Medical-Surgical Nursing Units in Urban Hospitals

Application of Space Syntax Theory in the Study of Medical-Surgical Nursing Units in Urban Hospitals
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空间句法理论在城市医院医疗外科护理单元研究中的应用

DOI:
10.1177/193758671000400104
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发表时间:
2010
期刊:
HERD: Health Environments Research & Design Journal
影响因子:
--
通讯作者:
Caren S. Martin
Caren S. Martin
中科院分区:
--
文献类型:
--
作者:
Stefnee J. Trzpuc;Caren S. Martin

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需要进一步的研究,以探讨如何设计的城市,内外科护理单位的影响沟通模式,社会支持的看法,和整体工作满意度的护士。空间句法理论通常用于研究办公环境中的沟通;最近,它已被应用于医疗环境的研究。本研究旨在探讨空间句法理论在城市医院内外科护理单元护士沟通研究中的应用。背景:护理行业正在迅速变化,护士的工作在心理和身体上都很紧张。与此同时,护士负责病人的安全,最佳的护理服务和病人的结果(劳工统计局,2009年;克拉克,2007年;克拉克和唐纳森,2008年;医学研究所,2000年;医学研究所,2004年)。护士是提供护理的核心,并作为患者护理团队成员之间的沟通渠道。一些设计特点,创造一个更吸引人的环境,为病人,如自然和单人病房的意见,可能没有得到充分的理解,因为它们涉及到护士的任务和责任,他们可能是有害的护理沟通。研究方法:本研究以空间句法理论的两个构念分析三个内外科护理单位的平面图,并以三个半结构式访谈来验证分析结果。结果:运用空间句法理论分析内外科护理单元平面布置是一个复杂的过程。研究结果表明,护士的看法的两个结构的空间句法理论,可见性和可访问性,并不一致的预期利益的平面图设计。结论:了解护士如何以及何时相互沟通可以帮助医疗保健空间的设计者创造更有效的环境,支持护士的工作和个人健康和福利。这项研究的结果表明,需要进一步的探索,以确认这一理论的医疗环境的应用。
Additional research is needed to explore how the design of urban, medical-surgical nursing units influences communication patterns, perceptions of social support, and overall job satisfaction for nurses. Space syntax theory has typically been used to study communication in office environments; more recently, it has been applied to the study of healthcare environments. The purpose of this study was to explore the applicability of space syntax theory as a theoretical framework for studying nurses' communication in medical-surgical nursing units in urban hospitals. Background: The nursing profession is rapidly changing, and nurses' work is psychologically and physically intense. At the same time, nurses are responsible for patient safety, optimal care delivery, and patient outcomes (Bureau of Labor Statistics, 2009; Clarke, 2007; Clarke & Donaldson, 2008; Institute of Medicine, 2000; Institute of Medicine, 2004). Nurses are central to the delivery of care and act as a conduit for communication among members of the patient care team. Some of the design characteristics that create a more appealing environment for patients, such as views of nature and single-patient rooms, may not be fully understood as they relate to nurses' tasks and responsibilities, and they could be detrimental to nursing communication. Methods: This study analyzed three medical-surgical nursing unit floor plans using two constructs of space syntax theory, and it verified analysis through three semi-structured interviews with end users. Results: The use of space syntax theory for analyzing medical-surgical nursing unit floor plans is complex. Findings indicated that nurses' perceptions of two constructs of space syntax theory, visibility and accessibility, did not consistently match the anticipated benefits of the floor plan designs. Conclusions: Understanding how and when nurses communicate with each other could help designers of healthcare spaces create more effective environments that support nurses' work and personal health and welfare. The findings of this study suggest that further exploration is needed to confirm this theory's application to healthcare environments.
DOI: 10.1001/jama.288.16.1987
发表时间: 2002-10-23
影响因子: 120.7
作者:
Aiken, LH;Clarke, SP;Silber, JH
通讯作者: Silber, JH