Constantina Papoulias1, Emese Csipke1, Diana Rose1, Susie McKellar1, Til Wykes1. 1. Constantina Papoulias, PhD, Service User Research Enterprise, Institute of Psychiatry, King's College London; Emese Csipke, PhD, Department of Psychology, Institute of Psychiatry, King's College London; Diana Rose, PhD, Susie McKellar, PhD, Service User Research Enterprise, Institute of Psychiatry, King's College London; Til Wykes, PhD, Department of Psychology, Institute of Psychiatry, King's College London, UK.
Abstract
BACKGROUND: Hospital care is still an integral part of mental healthcare services. But the impact of ward design on treatment outcomes is unclear. AIMS: To review the effects of ward design on patient outcomes and patient and staff well-being. METHOD: A systematic review of literature was carried out on Medline, Embase and PsycINFO. Papers on psychogeriatric and child and adolescent wards were excluded as these necessitate specific safety features. RESULTS: Twenty-three papers were identified. No strong causal links between design and clinical outcomes were found. Private spaces and a homely environment may contribute to patient well-being. Different stakeholders may experience ward design in conflicting ways; design has a symbolic and social dimension for patients. CONCLUSIONS: Data on the impact of design on treatment outcomes are inconclusive. Rigorous randomised controlled trials, qualitative studies and novel methods are called for. Different stakeholders' responses to the ward as a symbolic environment merit further investigation. Royal College of Psychiatrists.
BACKGROUND: Hospital care is still an integral part of mental healthcare services. But the impact of ward design on treatment outcomes is unclear. AIMS: To review the effects of ward design on patient outcomes and patient and staff well-being. METHOD: A systematic review of literature was carried out on Medline, Embase and PsycINFO. Papers on psychogeriatric and child and adolescent wards were excluded as these necessitate specific safety features. RESULTS: Twenty-three papers were identified. No strong causal links between design and clinical outcomes were found. Private spaces and a homely environment may contribute to patient well-being. Different stakeholders may experience ward design in conflicting ways; design has a symbolic and social dimension for patients. CONCLUSIONS: Data on the impact of design on treatment outcomes are inconclusive. Rigorous randomised controlled trials, qualitative studies and novel methods are called for. Different stakeholders' responses to the ward as a symbolic environment merit further investigation. Royal College of Psychiatrists.
Authors: M Rimondini; I M Busch; M A Mazzi; V Donisi; A Poli; E Bovolenta; F Moretti Journal: BMC Health Serv Res Date: 2019-06-13 Impact factor: 2.655