Hospital Outdoor Spaces: User Experience and Implications for Design

2021 ◽  
pp. 193758672110454
Author(s):  
Victrine Tseung ◽  
Lee Verweel ◽  
Martha Harvey ◽  
Tim Pauley ◽  
Jan Walker
Keyword(s):  
Patient Experience ◽  
Thematic Analysis ◽  
Green Space ◽  
Healthcare Facility ◽  
Structured Interview ◽  
Design Elements ◽  
Outdoor Spaces ◽  
Outdoor Space ◽  
The Impact ◽  
Inductive Thematic Analysis

Objectives: This article aims to describe users’ perspectives about the impact of hospital outdoor spaces on the patient experience in a postacute setting. Background: Hospital outdoor space is an important element in healthcare facility design. There is growing evidence that access to green space within hospital outdoor spaces facilitates healing. However, limited studies have explored the users’ perspective regarding how hospital outdoor spaces impact the patient experience. Methods: As part of a hospital preoccupancy evaluation, users (patients, family, and staff) were invited to participate in a semi-structured interview to describe their experiences in the hospital’s outdoor spaces. Data were analyzed using inductive thematic analysis. Results: Seventy-four individuals participated in this study: 24 inpatients, 15 outpatients, 11 family, 23 staff, and one volunteer. Three themes were identified: (1) outdoor space benefits healing by helping patients focus on life beyond their illness, (2) design of healthcare spaces facilitates patients’ access to outdoor space to benefit healing, and (3) programming in the outdoor space promotes healing and recovery. Conclusions: This study describes the users’ perspective regarding the value of outdoor spaces and the design elements that influence the patient experience.

scholarly journals Endogenous conflict resolution mechanisms of the San people at Platfontein

2014 ◽  
Vol 10 (4) ◽  
Author(s):  
M Y Gebregeorgis
Keyword(s):  
South Africa ◽  
Conflict Resolution ◽  
Focus Group ◽  
Thematic Analysis ◽  
The State ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
The Impact ◽  
Inductive Thematic Analysis

The objective of this study was to explore the endogenous conflict resolution mechanisms and practices of the San people at Platfontein, South Africa. To this end, data were collected from 304 interviews and 26 focus group discussions. The collected data were analysed through Inductive Thematic Analysis. The findings show that the San people have endogenous conflict resolution mechanisms which basically aim at restoring peace and harmony within the community. The endogenous mechanisms were found to be fairly participatory and supplementary to the state machineries that work for justice, peace and harmony. However, the conflict resolution mechanisms of the San people are currently weakening due to the impact of modernisation and the leadership dispute among the sub-groups of the community.

scholarly journals INTERSECTIONAL DIFFERENCES IN HEALTHY AGING WITH HIV

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S764-S765
Author(s):  
Tonya N Taylor
Keyword(s):  
Thematic Analysis ◽  
Healthy Aging ◽  
Psychosocial Support ◽  
Social Determinant ◽  
Social Identities ◽  
Hiv Stigma ◽  
Health Aging ◽  
Using Data ◽  
The Impact ◽  
Inductive Thematic Analysis

Abstract Intersecting stigmatized social identities (i.e., old, Black, gay, HIV+) and structural forms of privilege and oppression (ageism, racism, homophobia, and HIV stigma) can contribute to poor psychological wellbeing and clinical outcomes among older men with HIV (OMH). Using data from 6 focus groups and 15 interviews with 45 gay, bisexual and heterosexual OMH in Brooklyn, NY and inductive thematic analysis methods, we explored the impact of heteronormative gender roles and ideologies associated with masculinity on healthy aging with HIV. We found that changing physical and sexual function, appearance and growing financial expectations created threats to masculinity, fueling fears of perceived weakness, internalized feelings of shame, depression, anticipated loss of social status (partner loss), and loss of independence and autonomy. These findings suggest that normative gender beliefs, a key social determinant of men’s health, aging and intersectional stigma combined undermine psychosocial support and wellbeing and self-care needed to achieve healthy aging.

OP29 Building A Global, Public Repository Of Patient Experience Data

2019 ◽  
Vol 35 (S1) ◽  
pp. 7-7
Author(s):  
Catherine Holliday
Keyword(s):  
Health Technology Assessment ◽  
Patient Experience ◽  
Technology Assessment ◽  
Real World ◽  
Muscular Atrophy ◽  
Health Technology ◽  
Structured Interview ◽  
Real World Evidence ◽  
Qualitative Component ◽  
The Impact

IntroductionThe Patient Experience, Expectations and Knowledge (PEEK) protocol was developed so that a holistic, comprehensive, independent, proactive and systematic approach could be taken to inform decisions made in the context of health technology assessment and other parts of the health sector. Each PEEK study is made publicly available which over time will result in a global repository of patient experience data.MethodsThe PEEK protocol is a single protocol that can be implemented across disease areas and includes a quantitative and qualitative component. The quantitative component is based on a series of validated tools that provide baseline health and demographic data for the study population. The qualitative component is the result of two years of protocol testing to develop a structured interview that solicits comprehensive and holistic patient experience data, and provides participants with the opportunity to provide advice on their future expectations.ResultsPEEK studies in breast cancer, bladder cancer, lung cancer, spinal muscular atrophy, atopic dermatitis, chronic kidney disease, chronic heart failure and mitochondrial disease have been completed in the Australian context (www.cc-dr.org/peek). Holistic patient experience themes are presented commencing with symptoms and diagnosis experience, through to communication, information, treatments experienced and quality of life. Information is also available in relation to participant's expectations of future treatment, care, information and communication. The result is a freely available repository of patient experience data that anyone in the sector can access to complement clinical and economic evidence.ConclusionsThe process of providing patient feedback and real-world evidence in the context of health technology assessment is often ad-hoc. The lack of consistency means that it has been difficult to assess the impact of patient engagement and feedback in the context of health technology assessment. The PEEK protocol and program is an example of a systematic, independent and holistic approach to patient experience and real-world evidence data collection that provides the sector with an opportunity to proactively engage the community in decisions that are made about treatment, care and support.

scholarly journals THE ROLE OF SENSE OF COMMUNITY IN CHANGING THE HEALTH-PROMOTING EFFECT OF BUILT ENVIRONMENT: A COMMUNITY SURVEY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S278-S279
Author(s):  
Jennifer Y M Tang ◽  
Cheryl Chui ◽  
Tuen Yi Chiu ◽  
Rebecca Chiu ◽  
Vivian W Lou ◽  
...  
Keyword(s):  
Mental Health ◽  
Built Environment ◽  
Physical Health ◽  
Sense Of Community ◽  
Subjective Feeling ◽  
Physical And Mental Health ◽  
Outdoor Spaces ◽  
Outdoor Space ◽  
The Impact

Abstract Previous research that studies the impact of built environment on health often attribute the enabling effects of environment on physical activity participation and opportunities for social interaction. Few studies have explored how the role of subjective feeling, such as the feeling of connectedness with the community, affects the association between built environment and physical and mental health. We conducted a cross-sectional survey with 2,247 residents aged 50 years or above in five districts in Hong Kong. We tested the mediation effect of sense of community in the relationship between physical environment and health using the path analysis. We administered a questionnaire to assess the residents’ perceived age-friendliness of outdoor spaces and buildings in the district. We used the Brief Sense of Community Scale and the 12-item Short-form Health Survey to measure sense of community and physical and mental health. We found that age-friendliness of outdoor spaces was modestly correlated with mental health (r = 0.10, P < 0.001) but not with physical health (r = 0.02, P = 0.4), whereas age-friendliness of buildings correlated with both (r = 0.05, P = 0.01; r = 0.06, P = 0.004). Sense of community mediated 25.9% of the total effect between outdoor space and physical health, 20.4% between outdoor space and mental health, and 42.5% between service and building on physical health. To conclude, sense of community was a partial mediator of the environment-health relationship. Future design of built environment should take into consideration its potential influence on sense of community and health.

The Subjective Experience of Word-Finding Difficulties in People With Aphasia: A Thematic Analysis of Interview Data

2021 ◽  
pp. 1-9
Author(s):  
Mackenzie E. Fama ◽  
Erin Lemonds ◽  
Galya Levinson
Keyword(s):  
Thematic Analysis ◽  
Subjective Experience ◽  
Structured Interview ◽  
Interview Data ◽  
Extensive Literature ◽  
Word Finding ◽  
Assessment And Treatment ◽  
General Experience ◽  
The Right ◽  
The Impact

Purpose Anomia, or difficulty with naming and word finding, is a pervasive deficit among individuals with aphasia. There is an extensive literature on the mechanisms underlying anomia and on approaches to treatment, but very little is known about the subjective experience of anomia during day-to-day life. Method As part of a larger testing battery, 53 adults with poststroke aphasia took part in a novel, structured interview that included an open-ended question about the general experience of anomia: “Do you ever know what you want to say, but you can't say it out loud? Please describe that feeling.” Video-recorded interview responses were transcribed and analyzed using thematic analysis, an iterative, data-driven process that categorizes interview data into common themes. Results Five main themes emerged among the data from 37 participants who produced adequate responses for use in thematic analysis: strategies to cope with or compensate for anomia, comments on awareness of the level of breakdown (e.g., “I have an idea, but can't get the right words”), negative emotions, impact on relationships, and changes in frequency over time. Conclusions Participants showed strong awareness of anomia and its implications, demonstrating an ability to describe their language breakdown, identify relevant strategies to compensate and/or cope, and acknowledge the impact of anomia on their emotions and social interactions. This patient perspective may serve as a valuable supplement to information typically gained via objective language assessments. Clinicians and researchers may wish to consider incorporating similar subjective measures during assessment and treatment planning. Supplemental Material https://doi.org/10.23641/asha.15032643

scholarly journals ‘She’s not obese, she’s a normal 5-year-old and she keeps up with the other kids’: families’ reasons for not attending a family-based obesity management programme

2019 ◽  
Vol 140 (3) ◽  
pp. 148-152
Author(s):  
RC Povey ◽  
LJ Cowap ◽  
K Scholtens ◽  
MJ Forshaw
Keyword(s):  
Childhood Obesity ◽  
Thematic Analysis ◽  
Management Programme ◽  
The Other ◽  
Healthy Lifestyles ◽  
Obesity Management ◽  
Tailored Approach ◽  
Family Based ◽  
The Impact ◽  
Inductive Thematic Analysis

Aims: To discover the reasons behind invited families’ lack of engagement with a family-based childhood obesity programme in a deprived area. Methods: Interviews were conducted with 10 families who were invited to join the programme, but declined to engage. There were two distinct subgroups of participants: those who had no interest in attending the programme and those who showed initial interest yet did not continue attending. The two subgroups were analyzed separately using inductive thematic analysis, and then compared. Results: Analysis identified eight themes overall. For both groups, when the service was perceived to be not needed (‘I didn’t see how that would help’), the families disengaged with it. For both groups, this perception was partly related to the perceived appearance of their children: either that they were not obese (‘I didn’t think my son was overweight’) or that they were growing into their size. There was also a similarity in both groups that they perceived that they were already following healthy lifestyles. In addition, several of the themes arising from the families who had no initial interest were related to the impact of the letter that parents received detailing the result of their child being weighed and measured at school. This angered parents (‘I was disgusted’), and there was a feeling that the approach was too generic. Conclusion: This study identified a number of potential reasons behind why families may decline to engage with a childhood obesity programme in a deprived area. Across all families, if the programme was perceived as not needed, they would disengage. For those who did not engage at all, the initial communication of the child’s body mass index (BMI) is crucial. Recommendations include taking a more personal and tailored approach for the initial communication and shifting the focus of the programmes onto healthier lifestyles.

The Experiences and Support Needs of Grandparents of Children Born With Cleft Lip and/or Palate

2019 ◽  
Vol 56 (9) ◽  
pp. 1181-1186 ◽  
Author(s):  
Ella Guest ◽  
Bruna Costa ◽  
Gillian McCarthy ◽  
Claire Cunniffe ◽  
Nicola Marie Stock
Keyword(s):  
Thematic Analysis ◽  
Information Needs ◽  
Social Impact ◽  
Cleft Lip ◽  
Emotional Impact ◽  
Support Needs ◽  
Charitable Organizations ◽  
Telephone Interviews ◽  
The Impact ◽  
Inductive Thematic Analysis

Objective: The birth of a child with a cleft lip and/or palate (CL/P) can have a significant emotional and social impact on parents. Yet, the impact on the wider family is rarely investigated. Grandparents are becoming increasingly involved in the care of their grandchildren and may therefore have support needs of their own. The aim of the current study was to explore the experiences and support needs of grandparents of children born with CL/P. Design: Individual semistructured telephone interviews were carried out with 12 grandparents of children born with CL/P and were analyzed using inductive thematic analysis. Results: Five themes were identified (1) emotional impact of CL/P on grandparents, (2) grandparents’ social experiences, (3) grandparents’ involvement, (4) grandparents’ information needs, and (5) grandparents’ support needs. Participants experienced difficult emotions around the time of diagnosis and were concerned about the child’s treatment and future experiences. Participants played a significant role in supporting the whole family, but received little information or support themselves. Conclusions: Grandparents reported experiences comparable to published literature on parents. Clinicians and charitable organizations could consider how existing resources could be made more accessible to and/or adapted for wider family members, including grandparents.

scholarly journals What is the impact of giant cell arteritis on patients’ lives? A UK qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017073 ◽  
Author(s):  
Jennifer Liddle ◽  
Roisin Bartlam ◽  
Christian D Mallen ◽  
Sarah L Mackie ◽  
James A Prior ◽  
...  
Keyword(s):  
Side Effects ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Thematic Analysis ◽  
Treatment Goals ◽  
Telephone Interviews ◽  
Everyday Lives ◽  
Future Loss ◽  
The Impact ◽  
Inductive Thematic Analysis

ObjectivesClinical management of giant cell arteritis (GCA) involves balancing the risks and burdens arising from the disease with those arising from treatment, but there is little research on the nature of those burdens. We aimed to explore the impact of giant cell arteritis (GCA) and its treatment on patients’ lives.MethodsUK patients with GCA participated in semi-structured telephone interviews. Inductive thematic analysis was employed.Results24 participants were recruited (age: 65–92 years, time since diagnosis: 2 months to >6 years). The overarching themes from analysis were: ongoing symptoms of the disease and its treatment; and ‘life-changing’ impacts. The overall impact of GCA on patients’ lives arose from a changing combination of symptoms, side effects, adaptations to everyday life and impacts on sense of normality. Important factors contributing to loss of normality were glucocorticoid-related treatment burdens and fear about possible future loss of vision.ConclusionsThe impact of GCA in patients’ everyday lives can be substantial, multifaceted and ongoing despite apparent control of disease activity. The findings of this study will help doctors better understand patient priorities, legitimise patients’ experiences of GCA and work with patients to set realistic treatment goals and plan adaptations to their everyday lives.

scholarly journals Impact of Outdoor Space towards the Elderly Wellbeing at Rumah Ehsan Kuala Kubu Bharu

2018 ◽  
Vol 3 (12) ◽  
pp. 91
Author(s):  
Ahmad Ridzwan Othman ◽  
Fikri Fadzil
Keyword(s):  
Open Access ◽  
Elderly Care ◽  
Publishing House ◽  
The Elderly ◽  
Care Centre ◽  
Outdoor Spaces ◽  
International Publishing ◽  
Outdoor Space ◽  
The Impact ◽  
Open Access Article

There is a correlation between the wellbeing of residents of elderly care centre with a well-designed outdoor space. The study was to assess the impact of outdoor space towards the elderly wellbeing in a selected care centre in Malaysia. The focus was on how the elderly physically, emotionally, psychologically and socially behave towards their environment. The investigation is expected to raise awareness amongst the elderly, public and even professionals regarding the significance and implication of having well-designed outdoor spaces at elderly care centre.Keywords: Outdoor space; elderly; wellbeing; space designeISSN 2398-4295 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.

scholarly journals Smartphones and Varsity Athletes: A Complicated Relationship

2021 ◽  
Vol 2 ◽  
Author(s):  
Poppy DesClouds ◽  
Natalie Durand-Bush
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Social Connectedness ◽  
Self Regulation ◽  
Media Multitasking ◽  
Multiple Contexts ◽  
Varsity Athletes ◽  
Practical Guidelines ◽  
The Impact ◽  
Inductive Thematic Analysis

Varsity athletes are a group of high performers situated within a demographic notable for smartphone usage and media-multitasking. Surprisingly, little research has examined the impact of smartphones in the lives of varsity athletes. The purpose of this exploratory, qualitative study was to begin addressing this gap by investigating varsity athletes' experiences with smartphones. Varsity athletes (n = 21) from nine different sports participated in one of five focus groups, and data emerging from these discussions were subjected to an inductive thematic analysis. Results indicate that smartphones are a mainstay of varsity athletes' experiences, as the athletes regularly use their smartphones to manage roles and demands across multiple contexts (e.g., sport, school, home). Themes pertained to concurrent negative (e.g., stress, distraction, disengagement) and positive (e.g., self-regulation, social connectedness) implications of smartphone usage, making it clear that athletes' relationship with their smartphone is a complicated one. Findings contribute to the limited studies of smartphone usage among athletes, and support the notion that implications of usage exist along a continuum, rather than in distinct categories of “good” and “bad”. Results can inform practical guidelines for optimising athletes' use of smartphones in and around the sport context.

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