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  • 1.
    Sundberg, Fredrika
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    An ICU patient room designed for caring2019In: / [ed] Bronagh Blackwood, 2019Conference paper (Refereed)
    Abstract [en]

    Healthcare environment in intensive care units (ICUs) is proved to have physiological effects and the ability to facilitate health and wellbeing as well as worsen the already critical ill patients’ status. The work environment for critical care nurses is reported unhealthy and research has implicated high risk for developing burnout due to occupational matters. The technological progress has evolved enormously during the last decades, but the design of the ICU has not developed in the same pace. Evidence-based design (EBD) is a concept integrating knowledge from various research disciplines and its application to healing environments.

    The aim was to explore nursing staff’s experiences of working in an evidence-based designed ICU patient room.

    A patient room was renovated and furnished, according to the principles of EBD. The room was equipped with acoustic panels in the walls and ceiling and a cyclic light system was installed. In addition prototype pendulums were installed, equipped with lights, electrical sockets and medical gas supplies. The room had a window and door leading onto a patio with furniture and plants, which were accessible to patients and their relatives. Interviews with eight critical care nurses and five assistant nurses were conducted and analysed by qualitative content analysis.

    The result of the study showed that an evidence-based designed ICU patient room stimulated alertness and promoted wellbeing among the participants, cultivated their caring activities. The prototype design of the medical and technical equipment challenged their nursing actions.

    The room had been refurbished in order to create a healing environment. This study found that the new environment had a great impact on the participants’ wellbeing and caring behavior and the need for flexibility in patient rooms. At a time when sick leave is increasing and turnover in nurses is high, these findings showed the importance of design of ICUs.

  • 2.
    Sundberg, Fredrika
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Fridh, Isabell
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Olausson, Sepideh
    Lindahl, Berit
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Room Design - A Phenomenological-Hermeneutical Study: A Factor in Creating a Caring Environment.2019In: Critical Care Nursing Quarterly, ISSN 0887-9303, E-ISSN 1550-5111, Vol. 42, no 3, p. 265-277, article id 31135477Article in journal (Refereed)
    Abstract [en]

    Medical technology has progressed tremendously over the last few decades, but the same development cannot be seen in the design of these intensive care unit environments. Authors report results of a study of evidence-based room design, emphasizing the impact on conveying a caring attitude to patients. Ten nonparticipant observations were conducted in patient rooms with 2 different designs, followed by interviews. The data were analyzed using a phenomenological-hermeneutical approach. The results did not reveal that it was obvious that redesigned spaces resulted in a more caring attitude. The meanings of caring displayed during nursing activities were interpreted by interpreting gazes. Some of the nursing staff had an instrumental gaze, interpreted as caring with a task-orientated approach, while others communicated their caring with an attentive and attuned gaze, where the needs of the patients regulated the working shift. The study findings indicated that caring may not be perceived when nurses use a task-oriented approach. However, when nurses practice a person-centered approach, using an attentive and attuned gaze, caring is conveyed. Caring in intensive care contexts needs to be assisted by a supportive environment design that cultivates the caring approach.

  • 3.
    Sundberg, Fredrika
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Fridh, Isabell
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindahl, Berit
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Abstracts, Poster Presentation for Qualitative Health Research Conference, 20172018In: International Journal of Qualitative Methods, ISSN 1609-4069, E-ISSN 1609-4069, Vol. 17, no 1, p. 1-31Article in journal (Refereed)
  • 4.
    Sundberg, Fredrika
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Olausson, Sepideh
    University of Gothenburg.
    Fridh, Isabell
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindahl, Berit
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nursing staff's experiences of working in an evidence-based designed ICU patient room-An interview study.2017In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, article id S0964-3397(17)30057-5Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: It has been known for centuries that environment in healthcare has an impact, but despite this, environment has been overshadowed by technological and medical progress, especially in intensive care. Evidence-based design is a concept concerning integrating knowledge from various research disciplines and its application to healing environments.

    OBJECTIVE: The aim was to explore the experiences of nursing staff of working in an evidence-based designed ICU patient room.

    METHOD: Interviews were carried out with eight critical care nurses and five assistant nurses and then subjected to qualitative content analysis.

    FINDINGS: The experience of working in an evidence-based designed intensive care unit patient room was that the room stimulates alertness and promotes wellbeing in the nursing staff, fostering their caring activities but also that the interior design of the medical and technical equipment challenges nursing actions.

    CONCLUSIONS: The room explored in this study had been rebuilt in order to create and evaluate a healing environment. This study showed that the new environment had a great impact on the caring staffs' wellbeing and their caring behaviour. At a time when turnover in nurses is high and sick leave is increasing, these findings show the importance of interior design of intensive care units.

  • 5.
    Sundberg, Fredrika
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Working in an Evidence-based designed ICU patient room - Nursing staff's experiences2017In: Abstract book: Advances in Health Care Sciences Conference 2017, Stockholm: Karolinska Institutet , 2017Conference paper (Refereed)
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