Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

The physical environment is essential, but what does the design and structure of stroke units look like? A descriptive survey of inpatient stroke units in Sweden.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • المؤلفون: Anåker A;Anåker A; Morichetto H; Morichetto H; Elf M; Elf M
  • المصدر:
    Scandinavian journal of caring sciences [Scand J Caring Sci] 2023 Jun; Vol. 37 (2), pp. 328-336. Date of Electronic Publication: 2022 Aug 08.
  • نوع النشر :
    Journal Article
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Taylor & Francis Country of Publication: Sweden NLM ID: 8804206 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-6712 (Electronic) Linking ISSN: 02839318 NLM ISO Abbreviation: Scand J Caring Sci
    • بيانات النشر:
      Publication: Stockolm, Sweden : Taylor & Francis
      Original Publication: Stockholm, Sweden : Almquist & Wiksell Periodical Co., [1987?-
    • الموضوع:
    • نبذة مختصرة :
      Background: The design of the physical environment is a critical factor in patient care and is known to influence health, well-being, clinical efficiency, and health-related outcomes. To date, there has been no general review of the physical environment of modern Swedish stroke units.
      Aim: To explore the physical environment of inpatient stroke units in Sweden and describe the design and structure of these units.
      Methods: This was a cross-sectional study. Data were collected in Sweden from April to July 2021 via a survey questionnaire.
      Results: The layout of the stroke units varied broadly, such as the number of single-bed and multi-bed rooms. More than half the stroke units comprised spaces for rehabilitation and had an enriched environment in the form of communal areas with access to computers, games, books, newspapers, and meeting places. However, they offered sparse access to plants and/or scenery.
      Conclusions: Healthcare environments are an essential component of a sustainable community. From a sustainability perspective, healthcare facilities must be built with high architectural quality and from a long-term perspective. Research on the physical environment in healthcare should contribute to improved quality of care, which can be achieved through building healthcare facilities that support the performance of care and recovery. Therefore, mapping of areas of interest for further investigation is crucial.
      (© 2022 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.)
    • References:
      Anåker A, von Koch L, Sjöstrand C, Heylighen A, Elf M. The physical environment and patients' activities and care: a comparative case study at three newly built stroke units. J Adv Nurs. 2018;74:1919-31.
      Malenbaum S, Keefe FJ, Williams ACC, Ulrich R, Somers TJ. Pain in its environmental context: implications for designing environments to enhance pain control. Pain. 2008;134(3):241-4.
      Steinke C. Assessing the physical service setting: a look at emergency departments. HERD. 2015;8(2):31-42.
      Ulrich RS, Bogren L, Gardiner SK, Lundin S. Psychiatric ward design can reduce aggressive behavior. J Environ Psychol. 2018;57:53-66.
      Seneviratne CC, Mather CM, Then KL. Understanding nursing on an acute stroke unit: perceptions of space, time and interprofessional practice. J Adv Nurs. 2009;65(9):1872-81.
      Lipson-Smith R, Zeeman H, Bernhardt J. What's in a building? A descriptive survey of adult inpatient rehabilitation facility buildings in Victoria, Australia. Arch Rehabil Res Clin Transl. 2020;2(1):100040.
      Anåker A, von Koch L, Sjöstrand C, Bernhardt J, Elf M. A comparative study of patients' activities and interactions in a stroke unit before and after reconstruction-the significance of the built environment. PLoS One. 2017;12(7):e0177477.
      Shannon MM, Elf M, Churilov L, Olver J, Pert A, Bernhardt J. Can the physical environment itself influence neurological patient activity? Disabil Rehabil. 2019;41(10):1177-89.
      Shannon MM, Lipson-Smith R, Elf M, Olver J, Kramer S, Bernhardt J. Bringing the single versus multi-patient room debate to vulnerable patient populations: a systematic review of the impact of room types on hospitalized older people and people with neurological disorders. Intell Build Int. 2020;12(3):180-98.
      Anåker A, von Koch L, Heylighen A, Elf M. "It's lonely": patients' experiences of the physical Environment at a newly built stroke unit. HERD. 2019;12(3):141-52.
      Nordin S, Swall A, Anåker A, von Koch L, Elf M. Does the physical environment matter? - A qualitative study of healthcare professionals' experiences of newly built stroke units. Int J Qual Stud Health Well-being. 2021;16(1):1917880.
      Socialstyrelsen. Nationella Riktlinjer för Vård Vid Stroke. Swedish National Guidelines for Stroke Care. Stockholm: Socialstyrelsen; 2018.
      Bernhardt J, Lipson-Smith R, Davis A, White M, Zeeman H, Pitt N, et al. Why hospital design matters: a narrative review of built environments research relevant to stroke care. Int J Stroke. 2021;17(4):370-7.
      Ulrich RS, Zimring C, Zhu X, DuBose J, Seo HB, Choi YS, et al. A review of the research literature on evidence-based healthcare design. HERD. 2008;1(3):61-125.
      Gharaveis A, Hamilton DK, Pati D. The impact of environmental design on teamwork and communication in healthcare facilities: a systematic literature review. HERD. 2018;11(1):119-37.
      Hamilton DK, Watkins DH. Evidence-based design for multiple building types. Hoboken: John Wiley & Sons; 2009.
      Gharaveis A, Kirk Hamilton D, Shepley M, Pati D, Rodiek SJI, Environment B. Design suggestions for greater teamwork, communication and security in hospital emergency departments. Indoor Built Environ. 2019;28(8):1126-9.
      Socialdepartementet. God Och Nära vård. En Reform för Ett Hållbart Hälso- Och Sjukvårdssystem (Good and Close Care. A Reform for a Sustainable Health Care System). SOU. Vol 19. Stockholm: Socialdepartementet; 2020.
      PTS. Program for technical standards. 2021. https://www.pts.se/sv/bransch/internet/arrangemang-och-forum/pts-sakerhetsforum/sakerhetsforum-2020/. Accessed Jan 11, 2022.
      Boverket. National Board of housing, building, and planning. https://www.government.se/government-agencies/swedish-national-board-of-housing-building-and-planning/. Accessed Jan 11, 2022.
      Wolfe A. Institute of medicine report: crossing the quality chasm: a new health care system for the 21st century. Policy, politics, and nursing practice. Policy Polit Nurs Pract. 2001;2(3):233-5. Washington (DC).
      Anåker A, Heylighen A, Nordin S, Elf M. Design quality in the context of healthcare environments: a scoping review. HERD. 2017;10(4):136-50.
      SUTC. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2013;2013(9):CD000197.
      Douiri A, Rudd AG, Wolfe CDA. Prevalence of poststroke cognitive impairment: South London stroke register 1995-2010. Stroke. 2013;44(1):138-45.
      Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet. 2008;371(9624):1612-23.
      Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(8):2532-53.
      Scrivener K, Sherrington C, Schurr K. Exercise dose and mobility outcome in a comprehensive stroke unit: description and prediction from a prospective cohort study. J Rehabil Med. 2012;44(10):824-9.
      Kwakkel G, van Peppen R, Wagenaar RC, Wood Dauphinee S, Richards C, Ashburn A, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35(11):2529-39.
      Langhorne P, Langhorne P, Ramachandra S. Stroke unit trialists C. organised inpatient (stroke unit) care for stroke: network meta-analysis. Cochrane Database Syst Rev. 2020;4(4):CD000197.
      Kirkevold M. The role of nursing in the rehabilitation of stroke survivors: an extended theoretical account. ANS Adv Nurs Sci. 2010;33(1):E27-40.
      Summers D, Leonard A, Wentworth D, Saver JL, Simpson J, Spilker JA, et al. Comprehensive overview of nursing and interdisciplinary care of the acute ischemic stroke patient: a scientific statement from the American Heart Association. Stroke. 2009;40(8):2911-44.
      Sadler BL, Berry LL, Guenther R, Hamilton DK, Hessler FA, Merritt C, et al. Fable hospital 2.0: the business case for building better health care facilities. Hastings Cent Rep. 2011;41(1):13-23.
      Sjögren K, Lindkvist M, Sandman PO, Zingmark K, Edvardsson D. Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study. BMC nurs. 2017;16:44.
      McCormack B, Dewing J, McCance T. Developing person-centred care: addressing contextual challenges through practice development. Online J Issues Nurs. 2011;16(2):3.
      Regeringen. Handlingsplan Agenda 2030. (2030 Agenda for Sustainable Development). Stockholm: Finansdepartementet; 2018.
      Regeringen. Sustainable development Goals 2019. https://www.un.org/sustainabledevelopment/. Accessed Jan 11, 2022.
      McDonald MW, Hayward KS, Rosbergen ICM, Jeffers MS, Corbett D. Is environmental enrichment ready for clinical application in human post-stroke rehabilitation? Front Behav Neurosci. 2018;12:135.
      Rosbergen IC, Grimley RS, Hayward KS, Brauer SG. The impact of environmental enrichment in an acute stroke unit on how and when patients undertake activities. Clin Rehab. 2019;33(4):784-95.
      Rosbergen IC, Grimley RS, Hayward KS, Walker KC, Rowley D, Campbell AM, et al. Embedding an enriched environment in an acute stroke unit increases activity in people with stroke: a controlled before-after pilot study. Clin Rehab. 2017;31(11):1516-28.
      Janssen H, Ada L, Middleton S, Pollack M, Nilsson M, Churilov L, et al. Altering the rehabilitation environment to improve stroke survivor activity: a phase II trial. Int J Stroke. 2022;17(3):299-307.
      Janssen H, Ada L, Bernhardt J, McElduff P, Pollack M, Nilsson M, et al. An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: a pilot non-randomized controlled trial. Disabil Rehabil. 2014;36(3):255-62.
      Khan F, Amatya B, Elmalik A, Lowe M, Ng L, Reid I, et al. An enriched environmental programme during inpatient neuro-rehabilitation: a randomized controlled trial. J Rehabil Med. 2016;48(5):417-25.
      Morichetto H. Bostadens arkitektur och berikad miljö (Residental architecture and enriched Environmnets). Gothenburg: Chalmers; 2019.
      Morichetto H, Nilsson M. Can residential architecture constitute a part of a human-enriched environment and contribute to recovery, prevention and stress reduction? In: Gromark S, Andersson B, editors. Architecture for Residential Care and Ageing Communities: Spaces for Dwelling and Healthcare. New York, NY: Routledge/Taylor & Francis Group; 2021. p. 53-64.
      Riksstroke. The Swedish stroke register. 2021. https://www.riksstroke.org/eng/. Accessed Jan 11, 2022.
      Ringelstein EB, Chamorro A, Kaste M, Langhorne P, Leys D, Lyrer P, et al. European stroke organisation recommendations to establish a stroke unit and stroke center. Stroke. 2013;44(3):828-40.
      Strid M, Schmitt K. Enpatientrum i Sverige, En förstudie om vårdavdelningar mod fokus på nuläge Single-bed room in Sweden. Gothenburg: Centrum För vårdens arkitektur; 2017.
      Kempermann G. Environmental enrichment, new neurons and the neurobiology of individuality. Nat Rev Neurosci. 2019;20(4):235-45.
      Saunders DH, Greig CA, Mead GE. Physical activity and exercise after stroke: review of multiple meaningful benefits. Stroke. 2014;45(12):3742-7.
      Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical activity in the prevention and treatment of stroke. ISRN Neurol. 2011;2011:953818.
      Clarke DJ. Nursing practice in stroke rehabilitation: systematic review and meta-ethnography. J Clin Nurs. 2014;23(9-10):1201-26.
    • Contributed Indexing:
      Keywords: enriched environment; healthcare; physical environment; stroke unit
    • الموضوع:
      Date Created: 20220808 Date Completed: 20230519 Latest Revision: 20230519
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1111/scs.13112
    • الرقم المعرف:
      35938614