Nurses are increasingly involved in the design of health care facilities. Although their experience differs from that of patients, they are often expected to represent patients in design processes. Especially in the context of an emergency department, patients’ states of mind alter their experiences. Knowledge about the role of space in ED patients’ experience is limited. Our study aims to gain insight into this role and thus provide ED nurses with information to better represent ED patients’ perspectives in design.
We conducted qualitative interviews with 22 patients. The interviews were supported by visual material collected through ethnographic methods to facilitate participants’ reflections on the role of space in their experience. Participants were selected during their stays at the emergency department by convenience sampling. Interviews were audio-recorded, transcribed, and analyzed in combination with the visual material through open and axial coding.
We found that the role of space in ED patients’ experiences is affected by their altered sensory awareness and shaped by material, social, and time-related aspects. These aspects are intertwined and influenced by the transient character of the emergency department.
The study indicates that paying attention to the role of space yields a nuanced understanding of ED patients’ experiences. The challenge for hospital designers and staff lies in taking into account patients’ altered sensory awareness and in designing interventions that support staff in emphasizing a human approach without counteracting the medical-technical aspect of emergency care.
Contribution to Emergency Nursing Practice
- •Raising awareness regarding patients’ altered experience of the (built) environment when being admitted to the emergency department.
- •Providing an improved understanding of how adaptations to the built environment affect patients and can improve their experience, thus impacting on the functioning of the department.
- •Better preparing nurses for the role of design team members they are increasingly expected to play.
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Margo Annemans is Faculty of Engineering Science, Department of Architecture, KU Leuven, Leuven, Belgium.
Chantal Van Audenhove is Chair, Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium.
Hilde Vermolen is Architect at Osar Architects NV, Antwerp, Belgium.
Ann Heylighen is Faculty of Engineering Science, Department of Architecture, KU Leuven, Leuven, Belgium.
Published online: December 07, 2017
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© 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.