scholarly journals The Parent–Child Patient Unit (PCPU): Evidence-Based Patient Room Design and Parental Distress in Pediatric Cancer Centers

2021 ◽  
Vol 18 (19) ◽  
pp. 9993
Author(s):  
Tanja C. Vollmer ◽  
Gemma Koppen
Keyword(s):  
Architectural Design ◽  
Well Being ◽  
Video Observation ◽  
Parental Distress ◽  
Post Traumatic Stress ◽  
Patient Room ◽  
Room Design ◽  
Child Patient ◽  
The Impact ◽  
Parent Child

Children with cancer are frequently hospitalized during diagnosis and treatment. Since the early 1980s, parents are co-admitted because their presence positively affects children’s adjustment to hospitalization and reduces post-traumatic stress. However, the size and overall architectural design of the rooms were never adapted to the doubling of the occupancy rate. Since studies show that many parents experience high levels of distress due to their child’s illness, the purpose of this study was to investigate the impact of the architecture of the aged patient rooms on parental distress. A video observation targeted parent–child interaction related to five architectural determinants: (a) function and place of interaction, (b) distance between parent and child, (c) used space, (d) withdrawal, and (e) duration of the interaction. A total of 22 families were included in two Dutch children’s hospitals. Results show a significant association between parental distress and three architectural determinants: The less anxious the parents were and the better they estimated their child’s well-being, the more distance they created between themselves and their child, and the more space, privacy, and withdrawal options were used. These findings are discussed within a new patient room typology, the parent–child patient unit (PCPU), which reacts to the evident association of parental distress and the design.

scholarly journals Evidence-Based Design in Architectural Education: Designing the First Maggie’s Centre in Israel

2021 ◽  
pp. 193758672110079
Author(s):  
Nirit Putievsky Pilosof ◽  
Yasha Jacob Grobman
Keyword(s):  
Literature Review ◽  
Architectural Design ◽  
Early Stage ◽  
Scientific Research ◽  
Well Being ◽  
Architectural Education ◽  
Local Context ◽  
Evidence Based ◽  
Architecture Education ◽  
The Impact

Objective The study examines the integration of the Evidence-based Design (EBD) approach in healthcare architecture education in the context of an academic design studio. Background Previous research addressed the gap between scientific research and architectural practice and the lack of research on the use of the EBD approach in architectural education. Methods The research examines an undergraduate architectural studio to design a Maggie’s Centre for cancer care in Israel and evaluates the impact of the EBD approach on the design process and design outcomes. The research investigates the impact of the integration of three predesign tasks: (1) literature review of healing architecture research, (2) analysis and comparison of existing Maggie’s Centres, and (3) analysis of the context of the design project. Results The literature review of scientific research supported the conceptual design and development of the projects. The analysis of existing Maggie’s centers, which demonstrated the interpretation of the evidence by different architects, developed the students’ ability to evaluate EBD in practice critically, and the study of the projects’ local context led the students to define the relevance of the evidence to support their vision for the project. Conclusions The research demonstrates the advantages of practicing EBD at an early stage in healthcare architectural education to enhance awareness of the impact of architectural design on the users’ health and well-being and the potential to support creativity and innovative design. More studies in design studios are needed to assess the full impact of integrating EBD in architectural education.

scholarly journals Post-traumatic stress disorder following COVID-19 pandemic among medical students in Riyadh: a cross-sectional study

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Zainab Ifthikar ◽  
Saima Sajjad Fakih ◽  
Saumy Johnson ◽  
Johnson Alex
Keyword(s):  
Medical Students ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Well Being ◽  
Emotional Impact ◽  
Post Traumatic Stress ◽  
Psychological Well Being ◽  
Post Traumatic ◽  
The Impact

Abstract Background In recent times, COVID-19 has been recognized as a public health emergency and thus far, most papers published on it are focused only on the clinical characteristics of infected patients. This pandemic has also made phenomenal emotional impact among the young and the old. We aimed to find out the impact of the COVID-19 pandemic on the psychological well-being of medical students in a University at Riyadh. Results There were 309 participants in the study. Out of them 44% did not have PTSD, 29% had score more than 37 which might contribute to immune suppression, in 18.4% PTSD was a clinical concern and 8.6% had probable PTSD. Female participants were the majority in the group and they also had higher chance of having consequences than the male counterparts (P < 0.001). Avoidance score between male and female gender was significantly different. Conclusion COVID-19 pandemic has not just affected the physiological functioning of the affected individuals but also has had a probable post-traumatic stress disorder among young college students. Screening for psychological well-being and the treatment for PTSD is imperative in college, school and general population.

Review of the impact Covid-19 has on the Psychosocial factors affecting Well-Being

2021 ◽  
pp. 3404-3408
Author(s):  
Sheila Menon FBSCH ◽  
Vidya Bhagat
Keyword(s):  
Psychosocial Factors ◽  
Health Workers ◽  
Public Awareness ◽  
Cost Effective ◽  
Well Being ◽  
Security Measures ◽  
Post Traumatic Stress ◽  
Negative Effects ◽  
Factors Affecting ◽  
The Impact

The COVID-19 pandemic has had a significant impact on the psychosocial factors that effect people globally. Particularly affected are children, students and health workers and the common symptoms identified are stress, anxiety disorders, depression and post-traumatic stress disorder. In addition, the various security measures implemented to ensure public safety have adversely affected relationships between people. This study directs public awareness to the value of psychotherapeutic support. Tele-therapy can be offered easily to people both at home or in the workplace, providing both cost effective and time sensitive solutions during times of crisis. The current review article provides an overview of the importance of maintaining psychological well-being during a pandemic and the identifies the role that empathetic communication has on wellbeing. The literature review was completed using electronic databases such as PubMed, Medline, and Scopus databases using the keywords covid-19, affected groups, affected relationships, psychology and its technological interventions, negative effects of pandemic so on.

scholarly journals The Impact of the Physical Environment on Intrapartum Maternity Care: Identification of Eight Crucial Building Spaces

2019 ◽  
Vol 12 (4) ◽  
pp. 67-98
Author(s):  
Nicoletta Setola ◽  
Eletta Naldi ◽  
Grazia Giulia Cocina ◽  
Liv Bodil Eide ◽  
Laura Iannuzzi ◽  
...  
Keyword(s):  
Maternity Care ◽  
Physical Environment ◽  
Architectural Design ◽  
Well Being ◽  
Physical Characteristics ◽  
Interdisciplinary Studies ◽  
Room Size ◽  
Direct And Indirect Impacts ◽  
Indirect Impacts ◽  
The Impact

Objectives, Purpose, or Aim: This article investigates whether the physical environment in which childbirth occurs impacts the intrapartum intervention rates and how this might happen. The study explores the spatial physical characteristics that can support the design of spaces to promote the health and well-being of women, their supporters, and maternity care professionals. Background: Medical interventions during childbirth have consequences for the health of women and babies in the immediate and long term. The increase in interventions is multifactorial and may be influenced by the model of care adopted, the relationships between caregivers and the organizational culture, which is made up of many factors, including the built environment. In the field of birth architecture research, there is a gap in the description of the physical characteristics of birth environments that impact users’ health. Method: A scoping review on the topic was performed to understand the direct and indirect impacts of the physical environment on birth intervention rates. Results and Discussion: The findings are organized into three tables reporting the influence that the physical characteristics of a space might have on people’s behaviors, experiences, practices and birth health outcomes. Eight building spaces that require further investigation and research were highlighted: unit layout configuration, midwives’ hub/desk, social room, birth philosophy vectors, configuration of the birth room, size and shape of the birth room, filter, and sensory elements. Conclusions: The findings show the importance of considering the physical environment in maternity care and that further interdisciplinary studies focused on architectural design are needed to enrich the knowledge and evidence on this topic and to develop accurate recommendations for designers.

scholarly journals Impact of the COVID-19 pandemic on healthcare workers

2021 ◽  
Author(s):  
Versha Prasad
Keyword(s):  
Health Care Professionals ◽  
Healthcare Workers ◽  
Mental Health Problems ◽  
Mainland China ◽  
Well Being ◽  
Working Environment ◽  
Mental Condition ◽  
Post Traumatic Stress ◽  
Personal Protection Equipment ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic has heavily burdened, and in many cases overwhelmed, healthcare systems including healthcare workers. The novel COVID-19 started from Wuhan in mainland China. Since then it has affected most of the nations and continents because of its rapid spread. Most commonly affected are the healthcare professionals who are working on the frontline. The COVID-19 epidemic has mushroomed globally, disrupting the existence of millions It is a generalized mental condition occurring without any trigger or stimulus. Various symptoms of depression are: anxious, sad and empty feelings, hopelessness, guilt and may be sense of helplessness, restless attitude, irritation, and lack of interest in various hobbies and activities and were once considered relax able and which are used to provide pleasure. Furthermore, healthcare workers reported mental health problems putatively associated with healthcare workers’ occupational activities during and up until years after epidemics, including symptoms of post-traumatic stress, burnout, depression and anxiety. As for lack of material, a high percentage of professionals are getting infected for not having adequate personal protection equipment (PPE) and not using it properly, having to re-use in many occasions equipment which is only recommended for one-time utilization. During work performed by healthcare workers, several pressure elements from different sources may impact on keeping optimal conditions for a healthy working environment, and because of the saturation of the sanitary facilities due to the high level of virus infection, the health of these professionals has been obviously affected. While the main focus is concentrated on laboratory testing, finding the disease cure and prevention of transmission, all individuals are undergoing a plethora of psychological problems while adjusting to current lifestyles and disease fear. In current study, an attempt has been made to find out the impact of this pandemic situation on psychological well-being of healthcare and non-healthcare workers. Our study has reported identical findings to those reported by numerous investigators working across the globe. The present paper has outlined the stressors which the frontline health care professionals have faced including fear of spreading disease to co-workers and members of the family, irregular sleep patterns, abrupt work cycles, and lack of adequate training skills in dealing with such a novel situation.

scholarly journals The Chronic Traumatic Stress Framework: A conceptual model to guide empirical investigation and mental health treatment for refugees and survivors of torture

2018 ◽  
Vol 28 (1) ◽  
Author(s):  
Karen Fondacaro ◽  
Emily Mazulla
Keyword(s):  
Conceptual Model ◽  
Traumatic Stress ◽  
Mental Health Treatment ◽  
Empirical Investigation ◽  
Well Being ◽  
The United States ◽  
Daily Hassles ◽  
Post Traumatic Stress ◽  
Survivors Of Torture ◽  
The Impact

An increasing number of refugees and survivors of torture resettled in the United States are presenting to clinics for treatment related to trauma and postmigration difficulties. Although clinicians experienced in treating trauma with diverse populations may recognize the limitations of a PTSD diagnosis, one of the primary diagnoses received by refugees and survivors of torture remains post-traumatic stress disorder (PTSD). A variety of interventions exist (e.g., supportive, trauma specific, interdisciplinary including physical, social and psychological) for survivors of torture and trauma that move beyond this diagnosis, however, a unifying conceptual model is needed to guide treatment and further the empirical investigation and evidence base in this growing field. In this paper, we propose a broader biopsychosocial framework of the impact of traumatic war events including the measurement of stress related to post migration living difficulties, and daily hassles while highlighting the importance of protective and risk factors. Intervention outcomes emphasize resilience, physical well-being, and mental well-being, along with traumatic stress symptoms. We describe Chronic Traumatic Stress (CTS) as an integrated and unifying framework which provides guidance for the growing number of providers conducting assessment andintervention with refugees and survivors of torture. We also highlight that this model is specifically designed for empirical testing.

scholarly journals Coping Strategies and Psychopathological Responses Among Medical and Non-medical Professionals – a Cross-Sectional Online Survey

2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Ciułkowicz ◽  
Julian Maciaszek ◽  
Błażej Misiak ◽  
Anna Pałȩga ◽  
Joanna Rymaszewska ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Well Being ◽  
Medical Professionals ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Event Scale ◽  
Medical Career ◽  
The Impact

Background: The SARS-CoV-2 pandemic was announced on March 11th, 2020, due to a surge of newly confirmed cases that significantly impacted populations worldwide, both directly and indirectly. Based on past epidemics research, the mental health implications of introduced restrictions should be expected and adequately addressed irrespective of the practiced profession.Objective: The study aimed to explore psychopathological responses, including post-traumatic stress disorder (PTSD), concerning coping strategy clusters during the COVID-19 pandemic among medical and non-medical workers.Methods: A cross-sectional web survey of the general population of internet users was performed from March 16th to April 26th, 2020, in Poland during the first peak of COVID-19 cases. A sample of 1,831 professionally active respondents, 64.0% of which pursuing a medical career, filled out General Health Questionnaire-28 (GHQ-28), The Impact of Event Scale-Revised (IES-R), and MiniCOPE, along with the socio-demographic questionnaire exploring personal as well as the work-related possibility of direct exposure to contagion and availability of proper protection, contact with the infected without accurate protective measures as well as the adequacy of workers when compared settings.Results: Individuals labeled with specific clusters had significantly different psychopathological manifestations. Irrespective of performed job maladaptive cluster was associated with significantly higher GHQ-28 and IES-R scores on total subscales and all subscales compared to those representing the non-specific and adaptive cluster. Similar findings were observed concerning the frequency of the GHQ-28 positive score. Moreover, the non-specific cluster was associated with significantly higher GHQ-28 total scores among medical professionals. However, GHQ-28 positive scores were significantly more frequent in medical workers using adaptive clusters when compared to non-specific. Such relations were not observed in the non-medical group.IES-R total and subscales' scores did not significantly vary within medical and non-medical groups when adaptive and non-specific clusters were compared. Pursuing a non-medical career was found to be a determinant of lower scores, while female sex was observed to be determinant of higher scores in both GHQ-28 and IES-R scales.Conclusions: Positive screening for psychopathological and PTSD symptoms was expected regardless of the analyzed groups' coping strategies. Given the dramatically developing situation of the COVID-19 pandemic, support initiatives grounded in research evidence may be essential for maintaining the mental well-being and resilience of both the medical and non-medical workforce.

scholarly journals Strong Organizational Culture – An Effective Tool for Companies to Survive in a Pandemic World

2020 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Nino Zarnadze ◽  
Tea Kasradze
Keyword(s):  
Organizational Culture ◽  
Well Being ◽  
Post Traumatic Stress ◽  
Group A ◽  
Post Traumatic ◽  
Physical Changes ◽  
The Impact ◽  
Goals And Objectives ◽  
Efficiency And Productivity

Recent events related to COVID-19 have shown that many companies are on the edge of crisis. The unpredictable situation in the world has given rise to a new phobia in people: the inability to control one’s life, the unpredictability of the future, anxiety for physical and financial well-being, fear of losing a job. The incident caused a state of mental and post-traumatic stress disorder, depression and other nervous diseases. These processes are particularly crucial in developing countries, where managers and staff of the companies have failed to collaborate and work coherently during the crisis. In many cases splitting of workforce and top-level management took place. Although people’s engagement has grown caused by fears of job losses, the decision makers has often abused the current situation: reducing wages, increasing work time and intensity, and treating staff unethically. In our view, this separation will deepen in the post-pandemic period especially in the organizations that do not have an organizational culture. Organizational culture is the most important tool for regulating interaction in a group, a lever for increasing the efficiency and productivity of its members. Forming a culture in an organization, we create thinking architecture, a common psychology and value system that creates physical changes in the brain. All that we believe in, what we strive for, all the actions that we physically perform over a long period of time, our goals and objectives, ideas, values and traditions that we follow form our brain. In this research the impact of the pandemic on the staff coherency, the measures that were taken by managers to maintain stability in the company and the role of the organizational culture in overcoming the crisis are analyzed and relevant recommendations suggested.

scholarly journals The Traumatic Life Experiences and Ontological Well-Being: Insights from Narrative Psychology and Self-Memory Theory

2022 ◽  
Author(s):  
Seçil Bülbül ◽  
◽  
Serin Işiaçik ◽  
Keyword(s):  
Life Events ◽  
Life Histories ◽  
Online Survey ◽  
Life Experiences ◽  
Well Being ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Narrative Psychology ◽  
Cross Sectional ◽  
The Impact

Ontological well-being adopts a holistic perspective on well-being similar to the narrative psychology when analyzing life histories by referring to past, present, and future aspects of one's life. Relatedly, the self-memory view proposes that life events are self-evaluated. Based on the narrative psychology and self-memory approach, affective life events and emotions are processed in the memory and play a role in structuring self-perceptions and psychological well-being. Therefore, turbulent external conditions such as the pandemic, uncertain environments and socio-economic challenges may lead to traumatic experiences for individuals. Being exposed to traumatic events and experiencing post-traumatic stress harms mental health, well-being, and work performance. This study aims to examine the relationship between traumatic life experiences and ontological well-being within the period of COVID 19 pandemic. It is intended to reveal the impact of traumatic experiences on ontological well-being of individuals in work life. A cross-sectional study was utilized throughout an online survey with the participation of 270 employees working in various private organizations. Following the statistical analyses, the findings were evaluated and both conceptual and practical discussions were provided.

Variables and Outcomes in Patient Room Design: A Study of Design Hypotheses

2020 ◽  
pp. 193758672095495
Author(s):  
Valerie Greer ◽  
Emily Johnson ◽  
Josephine Hsu
Keyword(s):  
Performance Outcomes ◽  
Observation Data ◽  
Patient Room ◽  
Design Elements ◽  
Design Variables ◽  
Strategic Approach ◽  
Room Design ◽  
And Performance ◽  
Clinical Interactions ◽  
The Impact

Objective: Research was conducted to evaluate the correlation between design hypotheses and performance outcomes in single-occupancy patient rooms. Background: Health environments host complex interactions between patients and clinicians, and patient rooms offer a unique lens to understanding the impact of design on interactions and outcomes. This places importance on articulating, measuring, and assessing design hypotheses. This study of documented strategies and measured outcomes in patient room design investigates the relationship between design variables and clinical interactions. Methods: Design hypotheses were identified for the strategic approach to four key elements of patient room design: the room configuration, charting location, personal protective equipment (PPE) supply, and mobile supply cart. Researchers collected observational data from existing and newly constructed patient rooms in order to evaluate performance outcomes related to design hypotheses. Results: Observation data supported hypotheses behind three of the four design components and revealed greater insight into how design variables impacted interactions in patient rooms. Conclusions: The study identified a distinction between “fixed” design elements, such as the configuration of the patient room, and “dynamic” elements such as the design of the mobile cart. This was more prevalent in evaluating the use of supply carts and PPE cabinets, which may be more influenced by training, while the room configuration and charting location require little training to benefit both clinicians and patients. This study points to the value of research that evaluates correlations between design hypotheses and outcomes in healthcare design.

Sign in / Sign up

Export Citation Format

Share Document