Designing a Child-, Family-, and Healthcare Provider-Centered Procedure Room in a Tertiary Care Children's Hospital.

children’s designs children’s hospitals family-centered care participatory design procedure room

Journal

HERD
ISSN: 2167-5112
Titre abrégé: HERD
Pays: United States
ID NLM: 101537529

Informations de publication

Date de publication:
07 2023
Historique:
medline: 5 7 2023
pubmed: 7 4 2023
entrez: 6 4 2023
Statut: ppublish

Résumé

The study aim was to co-design new pediatric procedure room prototypes with children, caregivers, and healthcare providers (HCPs). Medical procedures can cause pain and anxiety for children and their families. If spaces are not designed for patients' needs, procedures may take longer, require sedation, and result in an inferior care experience. Involving HCPs in co-designing optimal spaces can result in more efficient and safer environments. co-designing spaces with patients and their families can inform psychologically safer and less traumatic environments. We followed human-centered design methodology. Data were collected via semi-structured interviews, field observations, and two multidisciplinary design workshops with patients, caregivers, and HCPs. Themes from the data were extracted using a content analysis and used to make evidence-informed recommendations for design features. The study took place from October 2021 to February 2022. Patients, families, and HCPs reported similar needs: (1) control over the environment, including the ability to adjust lighting, temperature, and sound; (2) space that supports patient privacy; (3) the use of evidence-based pain reduction and distraction methods; (4) attention to the sensory environment, including visual (light, color), tactile (textures of furniture and equipment), auditory, and olfactory stimuli; (5) human factors organization of the space and equipment; (6) accessible and equitable spatial design; and (7) the significance of the journey leading up to and after the procedure. It is feasible to co-design procedure rooms that support evidence-based psychological, physical, and pharmacological interventions that are known to minimize pain for children.

Sections du résumé

AIM
The study aim was to co-design new pediatric procedure room prototypes with children, caregivers, and healthcare providers (HCPs).
BACKGROUND
Medical procedures can cause pain and anxiety for children and their families. If spaces are not designed for patients' needs, procedures may take longer, require sedation, and result in an inferior care experience. Involving HCPs in co-designing optimal spaces can result in more efficient and safer environments. co-designing spaces with patients and their families can inform psychologically safer and less traumatic environments.
METHODS
We followed human-centered design methodology. Data were collected via semi-structured interviews, field observations, and two multidisciplinary design workshops with patients, caregivers, and HCPs. Themes from the data were extracted using a content analysis and used to make evidence-informed recommendations for design features.
RESULTS
The study took place from October 2021 to February 2022. Patients, families, and HCPs reported similar needs: (1) control over the environment, including the ability to adjust lighting, temperature, and sound; (2) space that supports patient privacy; (3) the use of evidence-based pain reduction and distraction methods; (4) attention to the sensory environment, including visual (light, color), tactile (textures of furniture and equipment), auditory, and olfactory stimuli; (5) human factors organization of the space and equipment; (6) accessible and equitable spatial design; and (7) the significance of the journey leading up to and after the procedure.
CONCLUSIONS
It is feasible to co-design procedure rooms that support evidence-based psychological, physical, and pharmacological interventions that are known to minimize pain for children.

Identifiants

pubmed: 37021379
doi: 10.1177/19375867231161097
pmc: PMC10328143
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

195-209

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Auteurs

Sasha Litwin (S)

Division of Emergency Medicine, Department of Pediatrics, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Ontario, Canada.

Lindsay Clarke (L)

Design and Improvement, Process Improvement and Innovation Team, Hospital for Sick Children, Toronto, Ontario, Canada.

Jocelyne Copeland (J)

Facilities Planning and Redevelopment Project Horizon, Hospital for Sick Children, Toronto, Ontario, Canada.

Jennifer Tyrrell (J)

Transitional Pain Clinic, Hospital for Sick Children, Toronto, Ontario, Canada.

Caleb Tait (C)

Department of Child Life, Hospital for Sick Children, Toronto, Ontario, Canada.

Vina Mohabir (V)

Child Health Evaluative Sciences, SickKids Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.

Fiona Campbell (F)

Department of Anesthesiology and Pain Medicine, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Ontario, Canada.

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Classifications MeSH