Hilde Vermolen

Hospital Reality from a Lying Perspective:Exploring a Sensory Research Approach

Despite many efforts by healthcare providers, for most people a hospital stay is rarely a pleasant experience. The hospital building as such is part of this perception. Moreover, the specific situation of a hospital stay is largely determined by the material reality of the organisation. Studies on hospital environments tend to single out one particular aspect, e.g. the view through the window, or presence of green (Ulrich 1984a, 1984b) and try to prove its clinical outcome. Yet they fail to translate their results to the design of real-life settings (Rubin et al., 1998, Cbz 2008). Moreover, the influence of patients’ peculiar perspective, i.e. lying in a hospital bed, on the way they experience the reality of the hospital is largely under researched.

In-patients’ spatial experience: Interactions between material, social and time-related aspects

For inpatients who spend a longer time in the hospital, the built environment plays a significant role in their experience. While many hospital boards aim to create a patient-centered hospital, few have a specific idea about what this means in terms of spatial qualities. This creates a major challenge for those involved in designing hospital environments. Therefore, we aimed to identify which elements play a role in inpatients’ spatial experience, and how these elements relate and interact. Patients were followed during transport and afterward interviewed. In this way, we gained insight into their spatial experience, static, and in motion. This experience turns out to be shaped by material, social, and time-related aspects. An analysis of the interactions between these aspects yields a nuanced understanding of how inpatients’ experience of the hospital environment is shaped by the spatial and social organization, movement, and perspective. This understanding should allow informing hospital boards, architects, and staff to start designing hospital buildings in a more patient-centered way.

Being Wheeled or Walking A Qualitative Study of Patients’ Spatial Experience in Two Distinct Day Surgery Centers

Objective: In this article, we explore what a different way of moving—being wheeled versus walking—means for the spatial experience of day surgery patients. Background: Day surgery centers can be conceived in very different manners. Some are organized similar to traditional hospital admittance; others are located in a specifically designed part of the hospital and receive patients as guests who walk through the entire procedure. Methods: We conducted semistructured interviews with 37 patients at two distinct day surgery centers. Results: Despite the different managerial concepts and corresponding spatial designs, in both centers, patients’ spatial experience is shaped by the interrelation of material, social, and time-related aspects. However, the chosen concept results in a different experience throughout patients’ journey. Conclusions: Based on an analysis of the different journeys, we conclude that patients’ interpretation of a hospital’s care vision is influenced not only by what the hospital communicates explicitly or how it educates its staff but also by what is implicitly told by the built environment.