Journal article
Does hospital design impact on patient activity levels and time spent alone?
Disability and Rehabilitation, Vol.44(13), pp.3173-3180
2022
PMID: 33336598
Abstract
PURPOSE: The aim of this study was to quantify changes in patients’ activity levels, location and people present, within one acute stroke unit (ASU) and one inpatient rehabilitation unit (IRU) with respect to change in hospital design. METHODS: A prospective observational study using behavioural mapping. We observed participants from 8 am till 5 pm every 10 minutes across two days and compared participant activity (physical, social and cognitive), location and people present pre and post-transition to new units. Built design, staffing levels and models of care were contrasted. RESULTS: We recruited 73 participants (63% stroke): old-ASU (n = 19); new-ASU (n = 15); old-IRU (n = 19); new-IRU (n = 20). Compared to old, new units had more single rooms, larger floor spaces and higher staffing levels. We found no significant change in participants’ activity levels between the old and new ASU. Participants in the new IRU showed increased physical activity (43.4% vs. 54.4%, p = 0.02) but social and cognitive activity remained similar. Participants were more alone (ASU 47.4% vs. 66.7%, p = 0.01; IRU 41.7% vs. 58.3%, p < 0.001), and less often with nursing staff (ASU 17.7% vs. 6.7%, p = 0.04; IRU 18.8% vs. 5.7%, p < 0.001) in new units. CONCLUSION: Hospital design appears to impact on patients’ physical activity. Single rooms may increase isolation and reduce interaction with nursing staff.
Details
- Title
- Does hospital design impact on patient activity levels and time spent alone?
- Authors
- Ingrid C M Rosbergen (Author) - Sunshine Coast Hospital and Health ServiceI Tonello (Author) - Sunshine Coast Hospital and Health ServiceRoss A Clark (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - LegacyRohan S Grimley (Author) - Griffith University
- Publication details
- Disability and Rehabilitation, Vol.44(13), pp.3173-3180
- Publisher
- Taylor & Francis
- Date published
- 2022
- DOI
- 10.1080/09638288.2020.1861117
- ISSN
- 1464-5165
- PMID
- 33336598
- Organisation Unit
- School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English
- Record Identifier
- 99498107802621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Rehabilitation
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