Therapeutic Transformation through Healing Environment. Evaluation of Post Surgical Facilities Optimization in Selected Tertiary Healthcare Facilities in Post Covid-19 Kpk, Pakistan
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Abstract
Background: Healing environments in post-surgical wards are crucial for patient recovery. Despite their importance, there is a lack of such environments in many hospitals in Khyber Pukhtunkhwa (KPK), Pakistan, which affects patient outcomes.
Objective: This study aimed to assess the presence of healing environment factors in post-surgical wards of selected tertiary care hospitals in KPK, Pakistan, and to determine patient satisfaction with these factors.
Methods: The study utilized a purposive sampling technique to select 200 respondents from five tertiary care hospitals in KPK: Ayub Teaching Hospital (H1) in Abbottabad, Khyber Teaching Hospital (H2) in Peshawar, Government Lady Reading Teaching Hospital (H3) in Peshawar, Hayatabad Medical Complex (H4) in Peshawar, and Saidu Group of Teaching Hospitals (H5) in Saidu Shareef. Data were collected using structured questionnaires and observational studies conducted in November and December 2022. Observational data focused on five healing environment factors: access to nature, control and choices, positive distractions, social support, and environmental stressors. Ethical approval was obtained, and informed consent was secured from all participants. Data were analyzed using descriptive and inferential statistics to identify the presence and impact of healing environment factors.
Results: The study revealed that social support was the only significantly present factor across all hospitals, largely due to cultural and religious practices rather than intentional design. Access to nature, control and choices, and positive distractions were notably lacking. Specifically, 60-70% of respondents reported the presence of social support, while only 20-30% indicated the presence of other healing environment factors. Environmental stressors were absent in two hospitals, indicating a variance in the quality of the healing environment across different settings.
Conclusion: The absence of key healing environment factors in post-surgical wards highlights a significant gap in hospital design, impacting patient recovery and satisfaction. Integrating healing environment principles into hospital design can enhance patient outcomes and satisfaction. Future interventions should consider these elements to create more effective and supportive healthcare environments.
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References
Huisman ERCM, Morales E, van Hoof J, Kort HSM. Healing Environment: A Review of the Impact of Physical Environmental Factors on Users. Build Environ [Internet]. 2012;58(June 2014):70–80. Available from: http://dx.doi.org/10.1016/j.buildenv.2012.06.016
Hamed S, El-Bassiouny N, Ternès A. Evidence-Based Design and Transformative Service Research for the Healthcare in Hospitals: Setting the Research Agenda. Int J Pharm Healthc Mark. 2016;10(2):214–29.
Aripin S. Healing Architecture: A Study on the Physical Aspects of Healing Environment in Hospital Design. 40th Annu Conf Archit Sci Assoc [Internet]. 2006;(Weber 1995):342–9. Available from: http://anzasca.net/wp-content/uploads/2014/08/ANZAScA2006_Srazali-Aripin.pdf
Geimer-Flanders J. Creating a Healing Environment: Rationale and Research Overview. Cleve Clin J Med. 2009;76(SUPPL.2).
Arshad S, Waris H, Ismail M, Naseer A. Health Care System in Pakistan: A Review. Res Pharm Heal Sci. 2016;2(3):211–6.
Rubert R, Long LD, Hutchinson ML. Creating a Healing Environment in the ICU. Crit Care Nurs Synerg Optim Outcomes. 2007;27–39.
Rafeeq DA, Mustafa FA. Evidence-Based Design: The Role of Inpatient Typology in Creating Healing Environment, Hospitals in Erbil City as a Case Study. Ain Shams Eng J [Internet]. 2020;(xxxx). Available from: https://doi.org/10.1016/j.asej.2020.06.014
Stacy R, Brittain K, Kerr S. Singing for Health: An Exploration of the Issues. Health Educ. 2002;102(4):156–62.
Zadeh RS, Xuan X, Shepley MM. Sustainable Healthcare Design: Existing Challenges and Future Directions for an Environmental, Economic, and Social Approach to Sustainability. Facilities. 2016;34(5–6):264–88.
Aalto L, Sirola P, Kalliomäki-Levanto T, Lahtinen M, Ruohomäki V, Salonen H, et al. User-Centric Work Environments in Modular Healthcare Facilities. Eng Constr Archit Manag. 2019;26(6):1047–62.
Abbas MY, Ghazali R. Healing Environment of Pediatric Wards. Procedia - Soc Behav Sci. 2010;5:948–57.
Hassanain MA, Dehwah AHA, Sanni-Anibire MO, Ahmed W. Quality Assessment of a Campus Medical Facility: A Users’ Perspective Approach. Int J Work Heal Manag. 2020.
Dovjak M, Shukuya M, Krainer A. User-Centred Healing-Oriented Conditions in the Design of Hospital Environments. Int J Environ Res Public Health. 2018;15(10).
Suess C, Mody MA. Hotel-Like Hospital Rooms’ Impact on Patient Well-Being and Willingness to Pay: An Examination Using the Theory of Supportive Design. Int J Contemp Hosp Manag. 2018;30(10):3006–25.
Bhatti OS, Ghufran A. Young Scholars Contributions Pakistan Healthcare Infrastructure and COVID-19: A Case for Isolation and Quarantine Facilities Optimization in the Context of Pakistan. J Res Archit Plan. 2020;29:36–45.
Bhatti OS, Ghufran MA, Shah A. Transforming Adversity Into Opportunity: Assessing User Satisfaction in Hospital Transformation in Lieu of a Pandemic Through the Multi-Corridor Expansion Model for Epidemic Management and Environmental Design Enhancement. Nakhara J Environ Des Plan. 2023;22(2).
Nandhini J, Karthikeyan E, Rajeshkumar S. Nanomaterials for wound healing: Current status and futuristic frontier. Biomedical Technology. 2024 Jun 1;6:26-45.
Bhatti OS, Ghufran A, Shah A, Iqbal MA. Unveiling the Potential of Epidemic-Resilient Architecture Through Cultural Integration & Responsiveness for Developing Countries: A Virtual Reality Exploration in Pakistan With Focus on End-User Participation in Healthcare. Remit Rev. 2024;09(1):2277–304.
Patel M. Integrating Play Therapy in Pediatric Nursing: Utilizing Play as a Therapeutic Tool for Children in Healthcare Settings.
Xu Y, Jiang J, Lv X, Li H, Yang D, Wang W, Hu Y, Liu L, Dong X, Cai Y. Environment-Triggered Nanoagent With Programmed Gas Release Performance for Accelerating Diabetic Infected Wound Healing. Chem Eng J. 2024;479:147645.