Abstract
The acute-care hospital is among the most complex of institutions, comprised of diverse user groups that often have competing needs, an intricate organizational structure, varied settings, and a mandate to be responsive in design to a rapidly changing medical technology. All of these factors are embedded within one of the highest and perhaps most stress-evoking purposes for the existence of any institution: the preservation of life. The degree to which this purpose may be thwarted by the sociophysical environment has been the theme of previous articles and chapters (Moos & Schaefer, 1987; Newman, 1984; Rachman & Philips, 1978; Shumaker & Reizenstein, 1982; Sommer & DeWar, 1963; Taylor, 1979; Winkel & Holahan, 1985), and recommendations have been made about ways in which the environment can be improved. Here, we reevaluate these recommendations and consider the reasons that so few have been adopted and tested.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Bobrow, M., & Van Gelder, P. (1980). The well-being of design quality in the health-care world. Architectural Record, May, 102–126.
Califano, J. A., Jr. (1979). Healthy people. Washington, DC: U.S. Government Printing Office, U.S. Public Health Services Publication No. 79–55071.
Canter, D. (1983). The environmental context of nursing: Loading beyond the ward. In S. Stevington (Ed.), Social psychology and nursing. Chichester, England: Wiley.
Carpman, J. R., Grant, M. A., & Simmons, P. A. (1986). Design that cares. Chicago: American Hospital Association Publishing.
Cartwright, L. K. (1979). Sources and effects of stress in health careers. In G. C. Stone, F. Cohen, N. E. Adler & Associates (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass.
Clibbon, S., & Sachs, M. L. (1970). Like-spaces versus bailiwick approach to the design of health care facilities. Health Services Research, Fall, 172–185
Cohen, S., Evans, G. W., Stokols, D., & Krantz, D. S. (1986). Behavior, health, and environmental stress. New York: Plenum
Coser, R. (1958). Authority and decision-making in a hospital. American Sociology Review, 23, 5763.
Decker, F. H. (1985). Socialization and interprofessional environment in nurses: Affective reactions to work. Social Science Medicine, 20, 499–509.
Easterbrook, G. (1987). The revolution in medicine. Newsweek, January 26, 4065.
Faden, R. (1986). Presymptomatic screening in fetuses and adults: Moral and psychological issues. Invited address presented at the annual meeting of the American Psychological Association, Washington, DC.
Fetter, R. B., Thompson, J. D., & Mills, R. E. (1976). A system for cost and reimbursement in hospitals. Yale Biology Journal, 49, 123.
Lindheim, R., Glaser, H. H., & Coffin, C. (1972). Changing hospital environments for children. Cambridge: Harvard University Press.
Goffman, E. (1969). Asylums. New York: Doubleday.
Gray-Toft, P. A., & Anderson, J. G. (1985). Organizational stress in the hospital. Health Services Research, 19, 753–774.
Grimaldi, P. L., & Micheletti, J. A. (1983). Diagnosis related groups. Chicago: Pluribus.
Hay, D., & Oken, D. (1986). The psychological stress of intensive care nursing. Intensive Care Unit Nursing, 118–131.
House, J. (1981). Work stress and social support. Reading, MA: Addison-Wesley.
Jaco, E. G. (1979). Ecological aspects of hospital patient care: An experimental study. In E. G. Jaco (Ed.), Patients, physicians, and illness. New York: Free Press.
Jenna, J. K. (1986a). Toward the patient-driven hospital: 1. Healthcare Forum, May-June, 9–18.
Jenna, J. K. (1986b). Toward the patient-driven hospital: 2. Healthcare Forum, July-August, 53–57.
Kaplan, S., & Kaplan, R. (Eds.). (1982). Humanscape environments for people (2nd ed.). Belmont, CA: Duxbury-Wadsworth.
Karacek, R. (1979). Job demands, job decision latitude, and mental strain. Administrative Science Quarterly, 24, 285–308.
Kenny, C., & Canter, D. (1981). A facet structure for nurses’ evaluations of ward design. Journal of Occupational Psychology, 54, 92–108.
Kirk, S., Eichinger, C., & Spreckelmeyer, K. (1984). Decision methods for evaluating design. In G. S. Lasdon & J. S. Gann, (Eds.), The future of hospital design. Washington, DC: U.S. Department of Health and Human Services.
Letourneau, C. V. (1965). Regional hospital planning. Hospital Management, May, 41–50.
Leventhal, H., Nerenz, D. R., & Leventhal, E. (1982). Feelings of threat and private views of illness. In J. Singer & A. Baum (Eds.), Environment and health, Vol. 4. Hillsdale, NJ: Lawrence Erlbaum.
McLaughlin, H. P. (1975). Post-occupancy evaluation of hospitals. American Institute of Architect Journal, 30–34.
Moos, R. H., & Schaefer, J. A. (1987). Evaluating health care work settings. Psychology and Health, 1, 97122.
Nuffield Provincial Hospitals Trust. (1955). Studies in the function and design of hospitals. London: Oxford University Press.
Panther, R. E. (1984). Hospital design in the year 2015. In G. S. Lasdon & J. S. Gann (Eds.), The future of hospital design. Washington, DC: U.S. Department of Health and Human Services.
Pardes, K. R. (1982). Occupational stress among student nurses: A national experiment. Journal of Applied Psychology, 67, 784–796.
Price, D. (1972). Fast track and new methodology in hospital planning and construction. Hospital Progress, June, 50–68.
Price, R. (1982). Work and community. Presidential address for division 27, American Psychological Association, Toronto, Canada.
Rachman, S. I., & Philips, C. (1978). Psychology and medicine. New York: Penguin.
Rosenfield, I. (1969). Hospital architecture and beyond. New York: Van Nostrand Reinhold.
Seligman, M. E. P. (1975). Helplessness: On depression, development and death. San Francisco: Freeman.
Selye, H. (1956). The stress of life. New York: McGraw-Hill.
Selye, H. (1974). Stress without distress. Philadelphia: Lippincott.
Seymer, L. R. (1954). Selected writings of Florence Nightengale. New York: Macmillan.
Shumaker, S. A., & Reizenstein, J. E. (1982). Environmental factors affecting inpatient stress in acute care hospitals. In G. Evans (Ed.), Environmental stress. New York: Cambridge University Press.
Sommer, R. (1974). Tight spaces. Englewood Cliffs, NJ: Prentice-Hall.
Sommer, R., & De War, R. (1963). The physical environment of the ward. In E. Friedson (Ed.). The hospital in modern society. London: Free Press.
Stokols, D. (1979). A congruence analysis of human stress. In I. G. Sarason & C. D. Spielberger (Eds.), Stress and anxiety, Vol. 6) New York: Wiley.
Stokols, D. (1986). Developing contextual theories of environment and behavior. In M. E. Dolden & R. Ward (Eds.), The impact of work environments on productivity. Washington, DC: Architectural Research Centers Consortium.
Sundstrom, E. (1987). Work environment. In D. Stokols & I. Altman (Eds.), Handbook of environment psychology. New York: Wiley.
Taylor, S. (1979). Hospital patient behavior. Journal of Social Issues, 35, 156–184.
Theis, (1986).
Thompson, J. D., & Golden, C. (1975). The hospital. New Haven: Yale University Press.
Trites, D. K., Dalbraith, F. O., Sturdavard, M., & Leckwart, J. F. (1970). Influences of nursing unit design on the activities and subjective feelings of nursing personnel. Environment and Behavior, 2, 303–334.
Ulrich, R. (1984). View from a window may influence recovery from surgery. Science, 223, 420–444.
U.S. Department of Health and Human Services (USDHHS). (1986). Utilization of short-stay hospital. Washington, DC: U.S. Printing Office, U.S. Department of Health and Human Services Publication No. 86–1745.
Verderber, S. F. (1982). Designing for the therapeutic function of windows in the hospital rehabilitation environment. In P. Bart, A. Chen, & G. Francescato (Eds.), Knowledge for design. Washington, DC: Environmental Design Research Association.
Vogel, M. J. (1980). The intervention of the modern hospital. Chicago: University of Chicago Press.
Walsh, R. N., & Grenough, W. T. (1976). Environments as therapy for brain dysfunction. New York: Plenum.
Weeks, J., & Best, G. (1970). Design strategy for flexible health sciences facilities. Health Services Research, Fall, 263–281
Weeks, R. (1980). Interior design: Hospitals. Architectural Review, July, 46–56.
Wener, R. (1989). Advances in evaluation of the built environment. In E. H. Zube & G. T. Moore (Eds.), Advances in environment, behavior, and design. New York: Plenum.
Winkel, G. H., & Holahan, C. J. (1985). The environmental psychology of the hospital: Is the cure worse than the illness? In A. Wandersman & R. Hess (Eds.), Beyond the individual: Environment approaches and problems. New York: Haworth.
Ziegenfus, J. T., Jr. (1985). DRGs and hospital impact. New York: McGraw-Hill.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Plenum Press, New York
About this chapter
Cite this chapter
Shumaker, S.A., Pequegnat, W. (1989). Hospital Design, Health Providers, and the Delivery of Effective Health Care. In: Zube, E.H., Moore, G.T. (eds) Advance in Environment, Behavior, and Design. Advances in Environment, Behavior, and Design, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0717-4_6
Download citation
DOI: https://doi.org/10.1007/978-1-4613-0717-4_6
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8047-7
Online ISBN: 978-1-4613-0717-4
eBook Packages: Springer Book Archive