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The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Originally Published:
2014
Key Point Summary
Key Point Summary Author(s):
Zborowsky, Terri
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Key Concepts/Context

There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings. 

Objectives

The objective of this paper was to investigate the physical environment of a geriatric psychiatry unit to understand how it meets the needs of patients with mental health conditions.

Methods

Ethnographic methods (observations and interviews) were utilized with a sample population of seven elder patients who were diagnosed with depression, dementia, or both, along with four family members. Researchers conducted a total of 20 hours of observation over a three-month period. A systematic thematic analysis was conducted on the data.

Design Implications
One of the most consistent recommendations in the literature in regard to the general adult psychiatric hospital environment is to reduce the “institutional feel” and create a familiar and homelike atmosphere. The authors suggested environmental strategies to support their themes uncovered during this study.
Findings

Four interrelated themes of environmental qualities emerged as central in promoting healing: therapeutic, supportive of functional independence, facilitative of social connections, and personal safety and security. 

Limitations

The small sample and exploratory nature of the study limit the generalizability of the results.

Design Category
Acoustic Environment|Furniture, Fixtures & Equipment (FF&E)|Lighting (artificial and natural)|Room configuration and layout|Unit configuration and layout
Outcome Category
Patient / resident health outcomes|Patient / resident satisfaction and comfort
Environmental Condition Category
Attractiveness of physical environment|Lighting|Patient Satisfaction and Comfort
Key Point Summary Author(s):
Zborowsky, Terri
Primary Author
Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.