Sensing Spaces of Healthcare: Rethinking the NHS Hospital

这是一个跨学科的项目，着眼于过去，现在和未来的感官在医疗保健设置。它关注的是感官体验、感官设计以及这两者是如何随着时间的推移结合在一起的。最终，该项目旨在更好地了解医院的感官体验，以便为每个在医院度过时光的人改善体验。它还旨在提高人们对多感官思维的重要性和价值的认识——超越视觉——从医学历史学家到医院建筑师。该项目仍以国民保健服务医院为中心，但在继续期间，它还将更广泛地考虑如何在国际背景下使用其研究结果和方法。“医疗保健的感知空间：重新思考NHS医院”的第一阶段结合了历史和创造性的研究，以便从多感官的角度更好地理解NHS医院（参见“目标”，了解该阶段的原始目标）。这项工作包括确定NHS医院的挑战和机遇。PI的工作重点是NHS面临的特殊挑战的“大局”，以及随着时间的推移，这些挑战是如何解决的，例如，通过出版现代英国医院的“噪音”历史。RA项目侧重于特定场地的创造性研究，以了解当今的感官体验；她在一家儿童医院的门诊部为有视力和/或听力损失的年轻人服务，并在一家产科工作。PI和RA共同开发了探索医疗保健环境中的感觉记忆和感觉体验的新方法。这些方法包括从绘制线条探索医院“氛围”中的声音，到绘制地图和以粘土为基础的活动，分别探索围绕空间性和医疗触摸的问题。除了传统的学术成果，我们还开发了两个工具包：(1)创意研究工具包（由项目RA提供）和(2)良好感官设计的“如何”指南（作为包括建筑师、学者和医院艺术协调员在内的工作组的一部分）。2023年，我们将举办一个项目展览，并根据我们的研究成果开发原型，与设计师合作，对研究中确定的关键主题做出回应。从2024年起，作为三年续期的一部分，我们将最大限度地发挥我们迄今为止工作的影响潜力，继续开发新的，新颖的方法，并产生新的知识。首先，我们将评估迄今为止的工作，包括反思我们的工作的影响，以及我们的原型在两个合作地点（大奥蒙德街医院和南米德医院）的成功或潜力。我们还将探索扩大上述研究方法的方法，以便它们可以在英国和国际上使用。我们编写的两个“工具包”草案将在不同的潜在受益者中进行测试——包括在国际上——并将重点放在包容性和可及性上。我们还在这个阶段提出了新的研究问题，这些问题是从迄今为止的工作中产生并建立起来的。我们将寻求新的理解医院的感觉记忆（由PI领导），采用第1-4年使用的创造性方法来探索感觉记忆。我们还将通过与东伦敦基金会信托基金会的自闭症工作人员、患者和访客共同制作的电影，提出有关医疗保健环境中神经发散性体验的新问题。RA将重点关注改善医疗环境中感官设计的机制，这一过程不仅涉及共享和调整工具包，还涉及与潜在受益者进行研究，以了解医院中良好感官设计的设计过程和潜在的“障碍”。在整个续期期间，私家侦探和注册助理将继续发展他们的领导技能和独立研究技能，以达到基金计划的职业目标。

This is an interdisciplinary project that looks at the past, present, and future of the senses in healthcare settings. It is concerned with sensory experience, sensory design and how the two have come together over time. Ultimately the project aims better to understand sensory experiences in hospitals in order to improve them for everyone who spends time there. It also aims to raise awareness of the importance and value of thinking in multi-sensory terms - beyond the visual - for everyone from medical historians to hospital architects. This project still has the NHS hospital at its centre, but in the continuation period it will also think more expansively about how its findings and methods can be used in international contexts.The first stage of 'Sensing Spaces of Healthcare: Rethinking the NHS Hospital' combined historical and creative research to better understand NHS hospitals from a multi-sensory angle (see 'Objectives' for the original objectives of this phase). This work included identifying challenges and opportunities in NHS hospitals. The PI's work has focused on the 'big picture' of particular challenges in the NHS and how they have been addressed over time, for example through publications on the history of 'noise' in modern British hospitals. The project RA has focused on site-specific creative research to understand current-day sensory experiences; she is working with a children's hospital outpatient's unit for young people with sight and/or hearing loss, and a 'maternity' department. Together, the PI and RA have developed new methodologies for exploring sensory memory and sensory experience in healthcare settings. These have included working with methods from line-drawing to explore sound in hospital 'atmospheres', to mapping and clay-based activities to explore questions around spatiality and healthcare touch respectively. In addition to traditional academic outputs, we developed two toolkits: (1) A creative research toolkit (by the project RA) and (2) a 'how to' guide for good sensory design (as part of a working group including architects, academics, and hospital arts coordinators). In 2023 we will hold a project exhibition and develop prototype responses to our research findings, working with designers to respond to key themes identified in the research. From 2024 onwards, as part of the three-year renewal period, we will maximise the impact potential of our work to date, continue to develop new, novel methodologies, and generate new knowledge. Firstly, we will evaluate the work to date, including reflecting on the impact of our work, and the success or potential of our prototypes, at the two partner sites (Great Ormond Street Hospital and Southmead Hospital). We will also explore ways to 'scale up' the above research methods so that they can be used across the UK and internationally. The two draft 'toolkits' we have written will be tested with different potential beneficiaries - including internationally - and developed with a focus on inclusivity and accessibility. We also pose new research questions at this stage, which have emerged from and build on the work to date. We will seek newly to understand sensory memories of hospitals (led by the PI), adapting the creative methods used in years 1-4 to explore sensory memory. We will also ask new questions about neurodivergent experiences of healthcare settings, through a co-produced film with autistic staff, patients and visitors at East London Foundation Trust. The RA will newly focus on mechanisms for improving sensory design in healthcare settings, a process that involves not only sharing and adapting the toolkit, but also conducting research with potential beneficiaries to understand design processes and potential 'roadblocks' to good sensory design in hospitals. Throughout this renewal period, the PI and RA will continue to develop their leadership skills and independent research skills in order to meet the career goals of the FLF scheme.