SATISFACTION OF HEALTHCARE STAFF WITH THE QUALITY OF WORKING AND RESTING AREAS: HEALTHCARE INTERIORS IN THE CITY OF İZMİR, TURKEY

Yıl 2019, Cilt: 7 Sayı: 3, 365 - 385, 30.09.2019

Çiğdem Çetin Gülnur Ballice , Zeynep Tuna Ultav

Öz

While many studies
have focused on Patient-Centered Design in healthcare facility interiors, few
have looked at Staff Centered Design. However, the quality of healthcare
interiors is important for improving staff job satisfaction and performance.
The main aim of this paper is to analyze the role of interior design
parameters, such as color, materials, lighting, and acoustics, in terms of the
physical and psychological needs of doctors and nurses in their healthcare
working and resting areas. Within this framework, three hospitals in İzmir, Turkey, were selected as the
case study. The methodology includes four instrumental components:
literature review, on-site observations, structured questionnaires, and
semi-structured interviews. The results
of this study have the potential to fill a significant gap in addressing
hospital interiors in İzmir in terms of creating greater awareness of design to
improve users’ physical and mental health, and to allow them to work in
healthy, happy, safe, and comfortable environments.

Anahtar Kelimeler

healthcare interior design, İzmir healthcare buildings, healthcare working spaces, healthcare resting spaces, healthcare staff satisfaction, user centered design

Destekleyen Kurum

Yaşar Üniversitesi

Proje Numarası

BAP-048

Teşekkür

This study is a part of the Scientific Research Project supported by Yaşar University, entitled “HI-Healthcare Interior: The Perception and Satisfaction of Healthcare Staff depending on the Quality of Working and Resting Area in Healthcare Buildings”. [BAP048, 01.12.2016-22.02.2018]

Kaynakça

• [1] Watts, G., Khan, A., Pheasant, R., 2016. Influence of Soundscape and Interior Design on Anxiety and Perceived Tranquility of Patients in a Healthcare Setting. Applied Acoustics, 104, 135-141, http://doi.org/10.1016/j.apacoust.2015.11.007.
• [2] Buonomano, A., Calise, F., Ferruzzi, G., and Vanoli, L., 2014. “A novel renewable polygeneration system for hospital buildings: Design, simulation, and thermo-economic optimization”, Applied Thermal Engineering, 67 (1-2), 43-60.
• [3] Mackrill, J., Cain, R., Jennings, P., 2013. Experiencing the hospital ward soundscape: Towards a model. Journal of Environmental Psychology, 36, 1-8.
• [4] Altuncu, D. Tansel, B. 2009. The use of lighting control systems in hospitals. V. National Lighting Symposium (7-10 May 2009, İzmir), Sempozyum Bildirileri, 51-62.
• [5] Güç, B. (2013). Effect of Space on Perceptual Quality in a Complex Building : Example of Suleyman Demirel University, SDÜ Uluslararası Teknolojik Bilimler Dergisi, 5(2), 145–155.
• [6] Samah, Z.A., Ibrahim, N., Othman, S., Wahab, M.H.A., 2012. Assessing quality design of interiors: A case study of a hospital outpatient unit in Malaysia. Procedia-Social and Behavioral Sciences, 35, 245-252, http://doi.org/10.1016/j.sbspro.2012.02.085.
• [7] Kazanasmaz, T. Düzgüneş, A. 2009. Efficient design of nursing unit floors, Megaron. 4(1), 52–60.
• [8] Yılmaz, P., 2005. Inquiry into the therapeutic potential of shared spaces in children’s hospitals (unpublished master thesis), Bilkent University, Ankara.
• [9] Kuruçelik, G. 2009. A quality assessment model for hospital emergency services. Master thesis, Karadeniz Technical University, Institute of Science, Trabzon.
• [10] Dikmen, O., 2012. Children's hospital schools as social environments and their effects on healing and well-being: case study in Izmir Behçet Uz children's hospital school, Master Thesis, Izmir University of Economics, Institute of Science, İzmir.
• [11] Onaran, B.S., 2009. Sustainable therapy room surfaces in acute mental health hospitals. WSEAS Transactions on Environment and Development, 5(2), 219-228.
• [12] Mroczek, J., Mikitarian, G., Vieira, E.K., Rotarius, T., 2005. Hospital design and staff perceptions: An exploratory analysis, Health Care Manager, 24(3), 233-244.
• [13] Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H., Choi, Y., Quan, X., Joseph, A., 2008. A review of the research literature on evidence-based healthcare design. Health Environments Research & Design Journal, 1(3), 6-125.
• [14] Lavy, S., Dixit, M.K., 2012. Wall finish selection in hospital design: A survey of facility managers. Health Environments Research & Design Journal, 5(2), 80-98.
• [15] Nejati, A., Shepley, M., Rodiek, S., Lee, C., Varni, J., 2016. Restorative design features for hospital staff break areas: A multi-method study. Health Environments Research & Design Journal, 9(2), 16-35.
• [16] Stefancyk, A.L., 2009. One-hour, off-unit meal breaks. American Journal of Nursing, 109(1), 64-66. Doi: 10.1097/01.NAJ.0000344043.57392.ce.
• [17] Dalke, H., Little, J., Niemann, E., Camgoz, N., Steadman, G., Hill, S., Stott, L., 2006. Colour and Lighting in Hospital Design. Optics and Laser Technology, 38(4-6), 343-365, http://doi.org/10.1016/j.optlastec.2005.06.040.
• [18] Zborowsky, T., Bunker-Hellmich, L., Morelli, A., O'Neill M., 2010. Centralized vs. decentralized nursing stations: effects on nurses’ functional use of space and work environment. Health Environments Research & Design Journal, 3(4), 19-42.
• [19] Mourshed, M., Zhao, Y., 2012. Healthcare providers’ perception of design factors related to physical environments in hospitals. Journal of Environmental Psychology, 32(4), 362- 370, http://doi.org/10.1016/j.jenvp.2012.06.004.
• [20] Gurses, A.P., Carayon, P., 2009. Exploring performance obstacles of intensive care nurses. Applied Ergonomics. 40, 509- 518.
• [21] Xie, H., Kang, J., 2010. The Evolving Perception of Staff on the Acoustic Environment of Critical Care Units. Inter-Noise, Lisbon.
• [22] Department of Veterans Affairs, 2008. Interior Design Manual: For New Construction and Renovations of Hospitals and Clinics, https://www.cfm.va.gov/til/dManual/dmIDhonh.pdf.
• [23] Ergenoğlu A.S., Aytuğ, A., 2007. Sağlık kurumlarında değişen paradigmalar ve iyileştiren hastane kavramının mimari tasarım açısından irdelenmesi. Yıldız Technical University Architecture Faculty E-Journal, 21, 44-63.
• [24] Ulrich, R.S., 1991. Effects of interior design on wellness: Theory and recent scientific research. Journal of Health Care Interior Design, 3, 97-109. [25] Erdemli, E., Esen, İ., Hilal, S., Jakshybekov, K., Öktem, Z., Özmen, İ., Şengül, B., Turgay, A., Tünger, Ç., Zeka, B., 2012. Design guidelines for nonclinical areas in hospitals: Case of Güven Hospital. [Graduate Student Work. University of Bilkent]. http://w3.bilkent.edu.tr/web/artweb/htdocs/iaed/Program/dw/Graduate%20Work/FINAL_DESIGN%20GUIDELINES%20FOR%20NONCLINICAL%20AREAS%20IN%20HOSPITALS.pdf.
• [26] Ulrich, R.S., 2006. Evidence-based health-care architecture. Lancet, 368, 538-539.
• [27] Becker, F., Parsons, K.S., 2007. Hospital facilities and the role of evidence-based design. Journal of Facilities Management 5(4), 263-274, http://doi.org/10.1108/1472596071082259.
• [28] Mourshed, M., Zhao, Y., 2012. Healthcare providers’ perception of design factors related to physical environments in hospitals. Journal of Environmental Psychology, 32(4), 362- 370, http://doi.org/10.1016/j.jenvp.2012.06.004.
• [29] Fornara, Ferdinando, Marino Bonaiuto, and Mirilia Bonnes. "Perceived hospital environment quality indicators: A study of orthopaedic units." Journal of Environmental Psychology 26, no. 4 (2006): 321-334.
• [30] Anåker, A., Heylighen, A., Nordin, Elf, M., 2017. Design quality in the context of healthcare environments: A scoping review. Health Environments Research & Design Journal 10(4), 136-150.
• [31] Mahnke, F., 1996. Color, Environment, and Human Response. John Wiley & Sons, New York.
• [32] Park, J.G.P., Park, C., 2013. Color perception in pediatric patient room design: American versus Korean pediatric patients. Health Environments Research & Design Journal, 6(4), 10-26.
• [33] Andritsch, E., Stöger, H., Bauernhofer, T., Andritsch, H, Kasparek, A. K., Moser, R. S., Ploner, F., Samonigg, H., 2013. The ethics of space, design and color in an oncology ward. Palliative and Supportive Care 11, 215-221.
• [34] Pierman, Brian C., and Brian C. Pierman. Color in the health care environment. 1978.
• [35] Graham, M. 1978. Health Facilities: Color them Caring, in Color in the Health Care Environment, Brian C. Pierman (Ed.), Proceedings of a Special Workshop Held at the National Bureau of Standards, NBS Special Publication 516, U.S.Department of Commerce, National Bureau of Standards, Gaithersburg, Maryland, Washington, D.C., https://play.google.com/books/reader?id=esPfEIHeSCQC&hl=tr&pg=GBS.PP3, 9-12.
• [36] Hemphill, M., 1996. A note on adult’s colour -emotion association, The Journal of Genetic Psychology, 157, 275-280.
• [37] Birren, F., 1961. Color Psychology and Color Therapy. University Books Inc., New Hyde Park, New York. [38] Rahmatabadi, S., Teimouri, S., Nahidi Azar, F., 2011. Psychology of Colors and Architectural Façade and Interior Color Selection”, Australian Journal of Basic & Applied Sciences, 5(12), 215-219, http://ajbasweb.com/old/ajbas/2011/December-2011/215-219.pdf.
• [39] Ghamari, H., Amor, C., 2016. The Role of Color in Healthcare Environments, Emergent Bodies of Evidence-based Design Approach. Sociology and Anthropology, 4(11), 1020-1029.
• [40] Schweitzer, M., Gilpin, L., & Frampton, S., “Healing spaces: elements of environmental design that make an impact on health”, Journal of Alternative & Complementary Medicine, 10 (Supplement 1): 71, (2004).
• [41] Rechel, B., Buchan, J., McKee, M., 2009. The impact of health facilities on healthcare workers’ well-being and performance. International Journal of Nursing Studies, 46, 1025-1034. Doi: 10.1016/jijnurstu.2008.12.008.
• [42] Sadler, B.L., Berry, L.L., Guenther, R., Hamilton, D. Hessler, F.A., Merritt, C., Parker, D., 2011. Fable Hospital 2.0: The business case for building better health care facilities. Hastings Center Report, 41(1), 13-23. Doi: 10.1002/j.1552-146X.2011.tb.00093.x.
• [43] Harun, W.M.W., Ibrahim, F., 2009. Human-environment relationship study of waiting areas in hospitals. IASDR. http://www.iasdr2009.or.kr/Papers/Orally%20Presented%20Papers/Universal%20Design/Human-environment%20relationship%20study%20of%20waiting%20areas%20in%20hospitals.pdf.
• [44] Göler, S., 2009. Style, color, material, texture and light effects on the location of perception (Unpublished Master dissertation). Mimar Sinan Fine Art University, İstanbul.
• [45] Alexander, C., Ishikawa, S., and Silverstein, M. 1977. A Pattern Language: Towns, Buildings, Construction. Oxford University Press.
• [46] Malkin, J., 1992. Hospital interior architecture: Creating healing environment for special patient populations. Van Nostrand Reinhold, New York.
• [47] Blakey, A., and Rohde, J., 2002. News release—Survey outlines materials selections in healthcare design. The Vinyl Institute and JSR Associates Inc.
• [48] Hart, K., 1998. Wall-to-wall protection. The Journal for Healthcare Design and Development. 29(8), 45.
• [49] Bower, S. B. (2006, November). Dialysis facility design—Part IV: Color, sound, and materials. Dialysis & Transplantation, 1–5.
• [50] Moulavi, D., Bushy, A., Peterson, J., & Stullenbarger, E. (1999). Factors to consider when buying a mobile health unit. The Journal of Nursing Administration, 29(2), 34–41.
• [51] Parsons, S. A., Hussey, R., Abbott, G., & Jager, P. (2008). Hospital design to accommodate multi- and extensively drug-resistant TB patients. The 20th Congress of the International Federation of Hospital Engineering, Barcelona, Spain, October 19–22, 2008.
• [52] Alexandre, N., Benatti, M., 1998. Occupational accidents involving the spine: Study on nurses at a university hospital. Revista Latino-Americana de Enfermagem, 6(2), 65–72.
• [53] Harris, D.D., Detke, L.A., 2013. The role of flooring as a design element affecting patient and healthcare worker safety. Health Environments Research & Design Journal, 6(3), 95-119.
• [54] Belojevic, G., Jakovljevic, B., Slepcevic, V., 2003. Noise and mental performance: Personality attributes and noise sensitivity. Noise Health 6, 77-89.
• [55] Ulrich, R. S., Lawson, B., & Marinez, M. (2003). Research on building design and patient outcomes. In exploring the patient environment: An NHS estates workshop. London, UK: NHS.
• [56] Akridge, J. 2005. Healing patients through healthcare interior design. Healthcare purchasing news, April 2005, www.hponline.com, 54-57.
• [57] Reason, J., 1990. Human Error. Cambridge University Press, New York. [58] Reason, J., 2000. Human error: Models and management. Western Journal of Medicine, 172, 393-396.
• [59] Al-Eisawi, K.W., Kerk, C.J., Congleton, J.J., Amendola, A.A., Jenkins, O.C., Gaines, W., 1999. Factors affecting minimum push and pull forces of manual carts. Applied Ergonomics 30, 235-245.
• [60] Biman, D., Wimpee, J., Bijon, D., 2002. Ergonomics evaluation and redesign of a hospital meal chart. Applied Ergonomics, 33, 309-318.
• [61] Lin, B.Y., Leu, W.J., Breen, G.M., Lin, W.H., 2008. Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes. Healthcare Management Review, 33, 156-168.
• [62] Harris, D.D., 2015. The influence of flooring on environmental stressors: a study of three flooring materials in a hospital. Health Environments Research & Design Journal, 8(3), 9-29.
• [63] Mortensen, L.H., Rode, C., Peuhkuri, R., 2005. Full-scale tests of moisture buffer capacity of wall materials. Proceedings of the 7th Symposium on Building Physics in the Nordic Countries (pp.662-669). June 13-15, 2005, Reykjavik, Iceland.
• [64] Hodgson, A.T., Rudd, A.F., Beal, D. & Chandra, S.., 2000. Volatile organic compound concentrations and emission rates in new manufactured and site-built houses. Indoor Air, 10 (3), 178-192.
• [65] Lankford, M.G., Collins, S. Youngberg, L., Rooney, D.M., Warren, J.R., Noskin, G.A.., 2006. Assessment of materials commonly utilized in health care: Implications for bacterial survival and transmission. American Journal of Infection Control, 34 (5), 258-263.
• [66] Milner, S., Narayan, C., 2005. Material/matters. Health Facilities Management, 18(10), 27-32.
• [67] Chang, J. C. S., Fortmann, R., Roache, N., & Lao, H. C. (1999). Evaluation of low-VOC latex paints. Indoor Air, 9(4), 253–258.
• [68] Burns, T., 2002. Vinyl news focus on material selection in health care. Journal of Vinyl and Additive Technology, 8(3), 169-170.
• [69] Wilson, A.P.R., Ridgway, G.L., 2006. Reducing hospital-acquired infection by design: The New University College London Hospital, Journal of Hospital Infection, 62(3), 264-269.
• [70] Rossi, M., Lent, T., 2006. Creating safe and healthy spaces: Selecting materials that support healing. Proceedings of Designing the 21st Century Hospital: Environmental Leadership for Healthier Patients and Facilities (pp.55-81). Robert Wood Johnson Foundation, Hackensack, NJ.
• [71] Pati, D., Harvey, T. E., Jr, & Barach, P. (2008). Relationships between exterior views and nurse stress: An exploratory examination. Health Environments Research & Design Journal (HERD), 1, 27–38.
• [72] Gharaveis, A., Shepley, M.M., Gaines, K., 2016. The role of daylighting in skilled nursing short-term rehabilitation facilities. Health Environments Research & Design Journal, 9(2), 105-118.
• [73] Baehr, E., Fogg, L. F., Eastman, C. I., 1999. Intermittent bright light and exercise to entrain human circadian rhythms to night work. American Journal of Physiology 277, 1598-1604.
• [74] Boivin, D., James, F., 2002. Circadian adaptation to night-shift work by judicious light and darkness exposure. Journal of Biological Rhythms 17(6), 556-567.
• [75] Crowley, S.J., Lee, C., Tseng, C.Y., Fogg, L.F., Eastman, C.I., 2003. Combinations of bright light, scheduled dark, sunglasses, and melatonin to facilitate circadian entrainment to night shift work. Journal of Biological Rhythms, 18(6), 513-523.
• [76] Horowitz, T., Cade, B., Wolfe, J., Czeisler, C., 2001. Efficacy of bright light and sleep/darkness scheduling in alleviating circadian maladaptation to night work. American Journal of Physiology Endocrinology and Metabolism, 281, 384-391.
• [77] Iwata, N., Ichii, S., Egashira, K., 1997. Effects of bright artificial light on subjective mood of shift work nurses. Industrial Health, 35, 41-47.
• [78] Leppamaki, S., Partonen, T., Piiroinen, P., Haukka, J., Lonnqvist, J., 2003. Timed bright-light exposure and complaints related to shift work among women. Scandinavian Journal of Environmental Health, 29(1), 22-26.
• [79] London, W., 1987. Full-spectrum classroom light and sickness in pupils. Lancet, 2, 1205-1206.
• [80] IESNA, Committee for Health Care Facilities, 1995. Lighting for Healthcare Facilities. New York: Illuminating Engineering Society of North America.
• [81] Olds, A., Daniel, P., 1987. Child Health Care Facilities: Design and Literature Outline. Association for the Care of Children’s Health, Bethesda.
• [82] Alimoğlu, M.K., Dönmez, L., 2005. Daylight exposure and the other predictors of burnout among nurses in a university hospital. International Journal of Nursing Studies 42(5), 549-555.
• [83] Poulin, C., 2012. Interior Design for Health Care. In G. D. Kunders, Designing Hospitals of the Future (pp. 246-260). Prism Books Pvt Ltd.Ruck, N. C. (1989). Building design and human performance. New York: Van Nostrand Reinhold.
• [84] Osram, S., 2012. Lighting options by space or area: Nursing stations, https://www.sylvania.com/en-us/applications/healthcare/lighting-options-by-space-or-area/Pages/nursing-stations.aspx.
• [85] Gerlach, J., Reisby, N., and Randrup, A., 1974. Dopaminergic hypersensitivity and cholinergic hypofunction in the pathophysiology of tardive dyskinesia. Psychopharmacologia, 34(1), pp.21-35.
• [86] Yıldırım Erniş, İ., 2012. Fiziksel elemanların yüzer yapılarda mekân algısına olan etkileri: Çevre ve insan davranışı ilişkisi bağlamında irdelenmesi (unpublished doctoral dissertation), Dokuz Eylül University, İzmir.
• [87] Waye, K. P., Ryherd, E., Hsu, T., Lindahl, B., & Bergbom, I., 2010. Personnel response in intensive care units. In 39th International Congress on Noise Control Engineering 2010, INTER-NOISE 2010 (pp. 724-730).
• [88] Zadeh, R.S., Shepley, M.M., Waggener, L.T., 2012. Rethinking efficiency in acute care nursing units: analyzing nursing unit layouts for improved spatial. Health Environments Research & Design Journal, 6(1), 39-66.
• [89] Bayo, M.V., Garcia, A.M., Garcia, A., 1995. Noise levels in an urban hospital and workers’ subjective responses. Archives of Environmental Health 50(3), 247-251.
• [90] Norbeck, J.S., 1985. Perceived job stress, job satisfaction, and psychological symptoms in critical care nursing. Research in Nursing & Health, 8(3), 253-259.
• [91] Topf, M., Dillon, E., 1988. Noise-induced stress as a predictor of burnout in critical care nurses. Heart & Lung: The Journal of Critical Care, 17(5), 567-574.
• [92] Hagerman, I., Rasmanis, G., Blomkvist, V., Ulrich, R., Eriksen, C.A., Theorell, T., 2005. Influence of intensive coronary care acoustics on the quality of care and physiological state of patients. International Journal of Cardiology, 98(2), 267-270.
• [93] Philbin, M.K., Gray, L., 2002. Changing levels of quiet in an intensive care nursery. Journal of Perinatology, 22(6), 455-460.
• [94] Joseph, A., Ulrich, R., 2007. Sound Control for Improved Outcomes in Healthcare Settings. The Center for Health Design, Concord, CA.
• [95] Okçu, S., Ryherd, E., Zimring, C., Samuels, O., 2011. Soundscape evaluations in two critical healthcare settings with different designs. The Journal of the Acoustical Society of America, 130, 1348, https://doi.org/10.1121/1.3607418.
• [96] Huisman, E.R.C.M., Morales, E., van Hoof, J., Kort, H.S.M., 2012. Healing Environment: A Review of the Impact of Physical Environmental Factors on Users. Building and Environment, 58, 70-80. http://doi.org/10.1016/j.buildenv.2012.06.016.
• [97] Salmons, J., 2014. Qualitative online interviews: Strategies, design, and skills. Sage Publications, Los Angelos and London.
• [98] Boyd, D. A., 2012. Designing an oral history project: Initial questions to ask yourself. In: Boyd, D., Cohen, S., Rakerd, B., Rehberger D. (Eds), Oral history in the digital age. Institute of Library and Museum Services, Washington, http://ohda.matrix.msu.edu/2012/06/designing-an-oral-history-project/
• [99] Kahraman Haliloğlu, E., 2010. Using user-centered design approach in course design. Procedia Social and Behavioral Sciences, 2, 2071-2076.
• [100] Neufert, E., 2012. Neufert Architects’ Data. Wiley and Blackwell, Oxford.