A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment
Publication Date
July 20, 2017
Authors
Anna Anåker, Lena Von Koch, Christina Sjöstrand, Julie Bernhardt, et al
Volume
12
Issue
7
Pages
e0177477
DOI
https://dx.plos.org/10.1371/journal.pone.0177477
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0177477
Scopus
85024872847
Mendeley
http://www.mendeley.com/research/comparative-study-patients-activities-interactions-stroke-unit-before-after-reconstruction-significa
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Mendeley | Further Information

{"title"=>"A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction - The significance of the built environment", "type"=>"journal", "authors"=>[{"first_name"=>"Anna", "last_name"=>"Anåker", "scopus_author_id"=>"56056321800"}, {"first_name"=>"Lena", "last_name"=>"Von Koch", "scopus_author_id"=>"6603802587"}, {"first_name"=>"Christina", "last_name"=>"Sjöstrand", "scopus_author_id"=>"6603212060"}, {"first_name"=>"Julie", "last_name"=>"Bernhardt", "scopus_author_id"=>"16063082900"}, {"first_name"=>"Marie", "last_name"=>"Elf", "scopus_author_id"=>"23008276300"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-85024872847", "sgr"=>"85024872847", "doi"=>"10.1371/journal.pone.0177477", "pui"=>"617397901", "isbn"=>"1111111111", "issn"=>"19326203"}, "id"=>"02d10485-00b4-3999-8372-cb61f6e79cdb", "abstract"=>"This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Early mobilization and rehabilitation, multidisciplinary stroke expertise and comprehensive therapies are fundamental in a stroke unit. To achieve effective and safe stroke care, the physical environment in modern stroke units should facilitate the delivery of evidence-based care. Therefore, the purpose of this study was to explore patients’ activities and interactions in a stroke unit before the reconstruction of the physical environment, while in a temporary location and after reconstruction. This case study examined a stroke unit as an integrated whole. The data were collected using a behavioral mapping technique at three different time points: in the original unit, in the temporary unit and in the new unit. A total of 59 patients were included. The analysis included field notes from observations of the physical environment and examples from planning and design documents. The findings indicated that in the new unit, the patients spent more time in their rooms, were less active, and had fewer interactions with staff and family than the patients in the original unit. The reconstruction involved a change from a primarily multi-bed room design to single-room accommodations. In the new unit, the patients’ lounge was located in a far corner of the unit with a smaller entrance than the patients’ lounge in the old unit, which was located at the end of a corridor with a noticeable entrance. Changes in the design of the stroke unit may have influenced the patients’ activities and interactions. This study raises the question of how the physical environment should be designed in the future to facilitate the delivery of health care and improve outcomes for stroke patients. This research is based on a case study, and although the results should be interpreted with caution, we strongly recommend that environmental considerations be included in future stroke guidelines.", "link"=>"http://www.mendeley.com/research/comparative-study-patients-activities-interactions-stroke-unit-before-after-reconstruction-significa", "reader_count"=>9, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>1, "Researcher"=>2, "Student > Master"=>2, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>1, "Researcher"=>2, "Student > Master"=>2, "Student > Bachelor"=>3, "Professor"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>1, "Nursing and Health Professions"=>3, "Design"=>1, "Social Sciences"=>1, "Computer Science"=>1, "Neuroscience"=>2}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>1}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}}, "group_count"=>1}

Scopus | Further Information

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