Art and mental health in the women's psychiatric intensive care unit

2020 ◽  
Vol 16 (1) ◽  
pp. 15-22
Author(s):  
Sophie Butler ◽  
Ronnie Adeduro ◽  
Rebecca Davies ◽  
Onyekachi Nwankwo ◽  
Niamh White ◽  
...  
Keyword(s):  
Physical Environment ◽  
Clinical Care ◽  
Clinical Environment ◽  
Charity Hospital ◽  
Quality Of Patient Care ◽  
Art Works ◽  
Visual Matrix ◽  
Valuable Role

It is widely acknowledged in hospitals that the quality of design and environment can influence the quality of patient care, the sense of therapeutic security and the experience of staff. This women's PICU collaborated with the charity Hospital Rooms to realise the valuable role of art within the clinical environment. Experienced artists were commissioned to work in genuine partnership with patients and staff to re-envision the physical environment with the installation of eight imaginative, inventive and PICU compliant art works.<br/> The implementation, and both patient and staff perspectives were evaluated. There was no disruption to clinical care and engagement and participation was enthusiastic. There were 35 patient encounters and 32 staff encounters, including creative workshops and an exhibition.<br/> Patient Experience Data Intelligence Centre (PEDIC) reports showed an improvement following artwork installation. Patients were more likely to recommend the ward, felt more involved in their care and that the ward was comfortable. The art transformed clinical spaces creating opportunity for patients to have exceptional experiences: 'being here feels like sitting in the park'.<br/> Staff evaluation through a 'visual matrix' method that explores shared experience, revealed that the art has introduced further possibility of 'respite and escape' for both patients and staff. There is a sense that 'you feel like it is leading you to somewhere, you feel like there is something more'. It has also engendered 'ownership and pride': it 'feels like pushing boundaries, things you thought could never be considered at all, are now being considered'.

Applying Expanded Servicescape to the Hotel Industry

2021 ◽  
pp. 109634802110115
Author(s):  
Seonjeong (Ally) Lee ◽  
Ning-Kuang Chuang
Keyword(s):  
Quality Of Life ◽  
Customer Loyalty ◽  
Physical Environment ◽  
Online Survey ◽  
Hotel Industry ◽  
Holistic Approach ◽  
Environmental Cues ◽  
Practical Implications

The physical environment plays an essential role in customers’ hotel stay experiences. Hotels offer a differentiated atmosphere that creates favorable customers’ evaluations. Based on the significant role of environmental cues, this study investigates the effects of an expanded servicescape on customers’ evaluations, including customer satisfaction, quality of life, and customer loyalty, in the context of the hotel industry. To test the proposed research framework, this study collects data from previous hotel customers and conducts a self-administered, online survey. Findings identified ambience, interactions with employees, authenticity, and fascination positively influenced customers’ satisfaction, which further influenced customer loyalty. Only ambience and fascination positively influenced quality of life, which in turn influenced customer loyalty. Results contributed to the application of expanded servicescape in the hotel context. Results also suggested practical implications of the holistic approach of servicescape in the hotel industry.

scholarly journals 106 - Environmental Influences on the Cognitive and Psychological Well Being of Older Adults with Dementia

2020 ◽  
Vol 32 (S1) ◽  
pp. 15-16
Author(s):  
William E. Reichman ◽  
L. Bradford Perkins ◽  
Hilde Verbeek
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Environment ◽  
Culture Change ◽  
Long Term Care ◽  
Small Scale ◽  
Term Care

This symposium will review the latest data on the influence of environmental design and its attributes on the cognitive and psychological wellbeing of older adults living with dementia. The presenters will cover the myriad ways in which the physical environment of care can adapt to the changing demands of older adults with sensory, motor and cognitive deficits and foster optimal functioning and quality of life. The role of emerging technologies will also be reviewed as they complement the contribution of the design of the physical environment to the wellbeing of older adults with cognitive impairment. Information will be offered through a review of the existing research literature as well as case studies that illustrate the impact of environmental modification on fostering wellbeing and minimizing the emergence of the behavioral and psychological symptoms of dementia. The presenters will represent and integrate sensibilities that have emerged from the fields of architecture, cognitive neuroscience and psychology.How the Principles of the Culture Change Movement Inform Environmental Design and the Application of Technology in the Care of Older Adults Living with DementiaWilliam E. ReichmanThe culture change movement informs a number of principles that have been applied to more contemporary design concepts for the congregate care of older adults living with dementia. This talk will review the core tenets of the Culture Change Movement as exemplified by the Greenhouse, Dementia Village and other innovative models of congregate long-term care. Specific reference will be made to how these tenets have been operationalized around the world into the design of programming and the creation of residential care environments that foster a better quality of life for older adults and an enhanced work environment for care providers. This talk will also include the emerging role of technologies that complement innovative design of the environment and which foster optimized social and recreational functioning of older adults living with dementia.A Better Life Through a Better Nursing Home DesignL. Bradford PerkinsOver the last 20 years there has been extensive experimentation related to the role of the environment in the housing, care and treatment of persons with Alzheimer’s and other age related dementias. Prior to that time the typical housing and care environment was a locked unit in a skilled nursing or other restrictive senior living facility. In 1991 the Presbyterian Association on Aging in Western Pennsylvania opened Woodside Place on its Oakmont campus. This small 36 bed facility was designed to incorporate the latest research and care experience with persons suffering from these issues. This one small project, as well as the long post occupancy research led by Carnegie Mellon University, clearly demonstrated that individuals with Alzheimer’s and related forms of dementia could lead a healthier, happier, higher quality of life in a more residential, less restrictive environment. Not everything in this pioneering project worked, and five generations of living and care models have followed that have refined the ideas first demonstrated by Woodside Place. Bradford Perkins, whose firm designed Woodside Place and over 100 other related projects, will discuss what was learned from Woodside Place as well as the five generations of projects (and post occupancy research) that followed.Innovative dementia care environments as alternatives for traditional nursing homes: evidence and experiences from the NetherlandsHilde VerbeekKey goals of the dementia care environment focus on increasing autonomy, supporting independence and trying to enable one’s own lifestyle for as long as possible. To meet these goals, innovative, small-scale and homelike care environments have been developed that have radically changed the physical, social and organizational aspects of long-term care in the Netherlands. This presentation discusses various Dutch models that have implemented small-scale and homelike care environments, including green care farms, dementia village and citizen initiatives. The models reflect a common care concept, focusing on residents’ remaining strengths, providing opportunity for choice and aiming to sustain a sense of self and control. A small number of residents (usually 6 to 8) live together in a homelike environment and nursing staff are part of the household. Residents are encouraged to participate in daily household activities, emphasizing normalization of daily life with person-centred care. The physical environment resembles an archetypal home. This talk presents the scientific evidence on the impact and effects of these small-scale, homelike models on residents, their family caregivers and staff. Furthermore, the presentation will highlight working approaches and how these initiatives have positively influenced routine care across the long-term care spectrum.

Reducing overuse by recognising the unintended harms of good intentions

2019 ◽  
pp. bmjebm-2019-111247
Author(s):  
David Slawson ◽  
Allen F Shaughnessy
Keyword(s):  
Decision Making ◽  
Medical Decision Making ◽  
Clinical Care ◽  
Critical Role ◽  
Medical Decision ◽  
Wide Acceptance ◽  
Hierarchy Of Evidence ◽  
Healthcare Interventions

Overdiagnosis and overtreatment—overuse—is gaining wide acceptance as a leading nosocomial intervention in medicine. Not only does overuse create anxiety and diminish patients’ quality of life, in some cases it causes harm to both patients and others not directly involved in clinical care. Reducing overuse begins with the recognition and acceptance of the potential for unintended harm of our best intentions. In this paper, we introduce five cases to illustrate where harm can occur as the result of well-intended healthcare interventions. With this insight, clinicians can learn to appreciate the critical role of probability-based, evidence-informed decision-making in medicine and the need to consider the outcomes for all who may be affected by their actions. Likewise, educators need to evolve medical education and medical decision-making so that it focuses on the hierarchy of evidence and that what ‘ought to work’, based on traditional pathophysiological, disease-focused reasoning, should be subordinate to what ‘does work’.

Case Discussions in Advanced Care Planning

2020 ◽  
pp. 104990912094849
Author(s):  
Regine Krechowicz ◽  
Melini Gupta ◽  
Valerie Gratton ◽  
Carly Hickey ◽  
Laura H. Thompson ◽  
...  
Keyword(s):  
Life Experience ◽  
Chronic Obstructive ◽  
Care Planning ◽  
Advanced Care Planning ◽  
Obstructive Pulmonary Disease ◽  
Case Discussions ◽  
End Stage ◽  
Valuable Role

Background: Advanced care planning (ACP) provides an opportunity for individuals to explore and document their values concerning medical care decisions prior to an acute event. This manuscript explores the value of ACP and compares and contrasts 2 ACP models currently in practice. Methods: This hypothetical case describes an elderly, frail patient with end-stage chronic obstructive pulmonary disease who is also a high user of health care resources. A new palliative care-led outpatient ACP clinic model is described using this example. Results: Using the ACP clinic model in this case reveals how different a patient’s end of life experience may be when proper, proactive planning measures are in place. With proper education and discussion around this patient and family’s wishes pertaining to the end of his life, this man was able to change his plan of care from aggressive resuscitation treatment in hospital to a peaceful palliative experience at home. Conclusions: In this case description, the valuable role of ACP in preserving quality of life for patients, increasing satisfaction with care, and decreasing distress among family members during a medical event is demonstrated.

The role of the psychological contract in the motivation of nurses

2018 ◽  
Vol 31 (1) ◽  
pp. 62-76 ◽  
Author(s):  
Emma Corder ◽  
Linda Ronnie
Keyword(s):  
Health Care ◽  
Psychological Contract ◽  
Structured Interviews ◽  
Content Type ◽  
Nursing Managers ◽  
Quality Of Patient Care ◽  
Management Perspective ◽  
Manager Support

Purpose Although private health care is regarded as providing a premium quality experience for both patients and staff alike, it is not without its daily challenges for health professionals. This study aims to explore the psychological contract of nurses to develop a greater understanding of how employee–employer interaction impacts motivation levels. Design/methodology/approach Data were gathered through semi-structured interviews with thirteen nurses at a private hospital in South Africa. Five nursing managers were interviewed to provide a management perspective. Thematic analysis was used to identify the salient elements of the psychological contract and to establish connections with motivational features. Findings The psychological contract of nurses was balanced in nature, contained predominantly relational elements and was characterized by the need for manager support, leadership and autonomy. Motivation was a by-product of fulfilment and was enhanced by a combination of tangible and intangible rewards. Practical implications Nursing managers should recognize their role in caring for the wellbeing of their staff and should be trained accordingly. Equipping nurses with the necessary tools to work autonomously, as well as acknowledging their skills, will stimulate confidence and improve motivation. Originality/value This study makes an important contribution to the existing literature on the psychological contract of nurses within the health-care system. It provides insight into relationship-based mechanisms that can be used to improve the motivation of nurses and thus impact the overall quality of patient care.

scholarly journals Penciptaan Seni Pertunjukan Berbasis Penelitian

Panggung ◽  
2018 ◽  
Vol 28 (1) ◽  
Author(s):  
I Gusti Ayu Srinatih
Keyword(s):  
Performing Arts ◽  
Personal Taste ◽  
Creative Processes ◽  
Library Research ◽  
Art Works ◽  
New Type ◽  
Object Of Study ◽  
Performing Art

Abstract  In the discourse of performing art creations, there is an assumption that creating art works is not categorized as a scientific, based on a personal taste and instinctive. This article uses a qualitative research with the performing arts approach. By using ethnographic methods, this article focuses on the role of performers in the process of creating the performing arts. Data are collected through interviews, library research, and document studies. As an object of study, 5 (five) outstanding works will be discussed, namely: Terompong Beruk (1982), Bali Agung (2010), Ratricetana (2011), Terompong Beruk Bangkok (2015), and Stri Wiroda (2015). The results of this study indicate that the models of creative as parts of important processes in creating performances are diverse. Through researching creative processes of the works, performers can create new type of works that are different from others, and distinctive from previous works. The novelty of the creative processes contains the quality of aestethic in forms and contents, as well as their values and functions. Keywords: research, creative processes, new creations, performing arts. Abstrak Dalam pewacanaan hasil penciptaan seni pertunjukan, masih ada anggapan bahwa menciptakan karya seni itu sesuatu yang tidak ilmiah dan hanya berdasarkan selera dan insting belaka. Artikel ini merupakan hasil penelitian kualitatif dengan pendekatan seni pertunjukan, dengan menggunakan metode etnografi, dengan fokus pada pencipta/seniman seni pertunjukan. Data-data yang dikumpulkan didapat melalui observasi, wawancara, riset kepustakaan, dan studi dokumen. Sebagai objek kajian, akan dibahas 5 (lima) buah karya cipta  seni pertunjukan yang berbasis penelitian, yaitu: Terompong Beruk (1982), Bali Agung (2010), Ratricetana (2011), Terompong Beruk Bangkok (2015), dan Stri Wiroda (2015).  Adapun hasil dari kajian ini menunjukkan bahwa model proses kreatif yang sangat penting dalam penciptaan seni pertunjukan itu sangat beragam. Melalui penelitian mengenai kajian proses kreatif tersebut dapat dihasilkan karya seni pertunjukan kreasi baru yang berbeda satu sama lain, dan berbeda dari proses kreatif karya sebelumnya. Nilai kebaruan proses kreatif itu mengandung keindahan bentuk dan isi, serta nilai dan fungsinya.   Kata-kata kunci: penelitian, proses kreatif, penciptaan, seni pertunjukan

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