Connie Timmermann1, Lisbeth Uhrenfeldt2, Mette Terp Høybye3, Regner Birkelund4. 1. Section of Nursing, Health; The Horsens Hospital Research Unit and Medical Department,Aarhus University,Horsens,Denmark. 2. Section of Nursing, Health; The Horsens Hospital Research Unit,Aarhus University,Horsens,Denmark. 3. Interdisciplinary Research Unit, Elective Surgery Center,Silkeborg Regional Hospital and Institute of Public Health, University of Southern Denmark,Copenhagen,Denmark. 4. Institute of Regional Health Research; Lillebælt Hospital, University of Southern Denmark,Vejle,Denmark.
Abstract
OBJECTIVE: To explore how patients experience being in the hospital environment and the meaning they assign to the environment during serious illness. METHOD: A qualitative study design was applied, and the data analysis was inspired by Ricoeur's phenomenological-hermeneutic theory of interpretation. Data were collected through multiple qualitative interviews combined with observations at a teaching hospital in Denmark from May to September 2011. A total of 12 patients participated. RESULTS: The findings showed that the hospital environment has a strong impact on patients' emotions and well-being. They reported that aesthetic decorations and small cozy spots for conversation or relaxation created a sense of homeliness that reinforced a positive mood and personal strength. Furthermore, being surrounded by some of their personal items or undertaking familiar tasks, patients were able to maintain a better sense of self. Maintaining at least some kind of familiar daily rhythm was important for their sense of well-being and positive emotions. SIGNIFICANCE OF RESULTS: The results stress the importance of an aesthetically pleasing and homelike hospital environment as part of palliative care, since the aesthetic practice and a sense of homeliness strengthened patients' experiences of well-being, relief, and positive emotions while in a vulnerable situation. Such knowledge could encourage the development of new policies regarding appropriate care settings, which in turn could result in overall improved care during serious illness.
OBJECTIVE: To explore how patients experience being in the hospital environment and the meaning they assign to the environment during serious illness. METHOD: A qualitative study design was applied, and the data analysis was inspired by Ricoeur's phenomenological-hermeneutic theory of interpretation. Data were collected through multiple qualitative interviews combined with observations at a teaching hospital in Denmark from May to September 2011. A total of 12 patients participated. RESULTS: The findings showed that the hospital environment has a strong impact on patients' emotions and well-being. They reported that aesthetic decorations and small cozy spots for conversation or relaxation created a sense of homeliness that reinforced a positive mood and personal strength. Furthermore, being surrounded by some of their personal items or undertaking familiar tasks, patients were able to maintain a better sense of self. Maintaining at least some kind of familiar daily rhythm was important for their sense of well-being and positive emotions. SIGNIFICANCE OF RESULTS: The results stress the importance of an aesthetically pleasing and homelike hospital environment as part of palliative care, since the aesthetic practice and a sense of homeliness strengthened patients' experiences of well-being, relief, and positive emotions while in a vulnerable situation. Such knowledge could encourage the development of new policies regarding appropriate care settings, which in turn could result in overall improved care during serious illness.
Authors: Emma Kirby; Rebecca McLaughlan; Lynette Wallworth; Louise Chappell; Frances Bellemore; Richard Chye Journal: Palliat Care Soc Pract Date: 2021-04-12