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Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

机译:设计中的思想:通过参与式方法来吸引服务用户和一线员工对精神病房设计的观点

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摘要

Background: Psychiatric ward design may make an important contribution to patient outcomes and well-being. However, research is hampered by an inability to assess its effects robustly. This paper reports on a study which deployed innovative methods to capture service user and staff perceptions of ward design. Method: User generated measures of the impact of ward design were developed and tested on four acute adult wards using participatory methodology. Additionally, inpatients took photographs to illustrate their experience of the space in two wards. Data were compared across wards. Results: Satisfactory reliability indices emerged based on both service user and staff responses. Black and minority ethnic (BME) service users and those with a psychosis spectrum diagnosis have more positive views of the ward layout and fixtures. Staff members have more positive views than service users, while priorities of staff and service users differ. Inpatient photographs prioritise hygiene, privacy and control and address symbolic aspects of the ward environment. Conclusions: Participatory and visual methodologies can provide robust tools for an evaluation of the impact of psychiatric ward design on users.
机译:背景:精神科病房的设计可能对患者的结局和健康做出重要贡献。但是,由于无法可靠地评估其影响而使研究受到阻碍。本文报告了一项研究,该研究采用了创新方法来捕获服务用户和员工对病房设计的看法。方法:开发了用户生成的病房设计影响度量,并使用参与性方法对四个急性成人病房进行了测试。此外,住院病人还拍摄了照片以说明他们在两个病房中的体验。跨病房比较数据。结果:根据服务用户和员工的反应,出现了令人满意的可靠性指标。黑人和少数族裔(BME)服务使用者以及患有精神病频谱诊断的人对病房布局和固定装置有更积极的看法。工作人员比服务用户具有更积极的看法,而工作人员和服务用户的优先级则有所不同。住院照片优先考虑卫生,隐私和控制,并强调病房环境的象征意义。结论:参与式和视觉方法可为评估精神科病房设计对用户的影响提供强大的工具。

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