WARD LAYOUT, COMMUNICATION AND CARE QUALITY

SPATIAL INTELIGIBILITY AS A KEY COMPonENT OF HOSPITAL DESIGN

病房布局，通信和护理质量­——空间的可理解性是医院设计的关键组成部分

 ROSICA PACHILOVA，KERSTIN SAILER

KEYWORDS

Social Network Analysis,Hospital Ward Layout,Work Processes, Exchange of Information, Care Quality

关键词

社交网络分析，医院病房布局，工作流程，信息交流，护理质量

来源

本文来自于第十二届空间句法北京会议，文件夹“Architrctural Form”,序号493

论文下载链接

http://www.12sssbeijing.com/proceedings/download.php?lang=zh-CN&class2=163

备注

【浙江工业大学理论课作业】

ABSTRACT

摘要

This study is an empirical investigation of the ways in which the spatial configuration of inpatient

wards influences work processes and communication networks of caregivers and the effect on patient

care quality.

本研究是一项关于住院病房的空间结构对工作流程，护理人员的沟通网络和病人护理质量影响的实证研究。

Space syntax research argues that the spatial configuration of hospitals has an effect on

social behaviours.

空间句法研究认为医院的空间结构对社会行为有影响

However, how this relationship influences care quality is poorly investigated.

然而，这种关系如何影响护理质量还没有得到很好的研究。

Therefore, this study researches the link between these three components.

因此，本研究对这三个组成部分之间的联系进行研究。

In particular, this study looks at at six hospital wards focusing on how various spatial metrics - connectivity, integration, mean depth and intelligibility, influence observed work activities, paths of movement and interactions between caregivers and how this affects team work and consecutively patient care.

研究将特别着眼于六个医院病房，重点关注不同空间连接度，整合度，平均深度和清晰度（可达性）对各自护理人员的医疗观察活动，移动的路径与相互交流的影响及其对医疗团队工作和连续患者护理(consecutively patient care)的作用。

Three NHS hospitals situated in London are included as case studies in this research and two corresponding wards from each hospital – one intensive care unit and one nursing ward, are selected

for a comparison.

本研究将三家伦敦的NHS医院作为研究案例，并相应选取每家医院的两个病房——一个重症监护室和一个护理病房进行比较。

Space syntax was used to calculate various spatial metrics and investigate how spaces in the six wards are interconnected in a spatial network.

通过空间句法的使用来计算各种空间量度，并研究六个病房在空间网络中如何互连。

Social network analysis was used to describe the network of relations of caregivers.

并利用社交网络分析来描述护理者的关系网络

Data was collected with wearable devices that provided information about communication patterns and network partners.

通过可穿戴设备收集关于交流模式和关系网络成员的信息

The workflow of caregivers was captured by shadowing members of staff and recording digitally type and durations of activities and locations.

护理人员的工作流程由幕后的工作人员获取并以数字的方式记录活动的持续时间和地点

Social network analysis was used to describe the network of relations of caregivers. Data was collected with wearable devices that provided information about communication patterns and network partners. The workflow of caregivers was captured by shadowing members of staff and recording digitally type and durations of activities and locations.

使用社交网络分析以描述护理者的关系网络。描述数据基于可穿戴设备对护理者交流模式与关系网络成员的获取以及幕后人员以数字方式记录的护理人员工作流程时长、地点信息。

Finally, a staff survey to assess teamwork and communication was used to evaluate healthcare quality.

最后，通过员工调查来评估团队合作和沟通，以评估医疗保健质量。

The study affords new insights into the relationships of spatial configuration, social networks and care

processes with the aim to improve quality of care.

该研究为空间配置、社交网络和护理流程之间的关系提供了新的见解，旨在提高护理质量

Results suggest that certain generic patterns and relations between spatial metrics, work processes, communication patterns and care quality can be established.

结果表明，可以在空间度量，工作流程，沟通模式和护理质量之间建立某种通用的模式和关系。

Layouts with high intelligibility tend to have shorter duration of activities and conversations, more democratic work culture, higher rated teamwork and communication and consequently better quality of care.

具有较高清晰度（可达性）的布局往往具有较短的活动和对话时间，更民主的工作文化，较高的团队合作和沟通水平，因此护理质量更高。

However, more case studies are required to fully investigate the relationship between the three components and establish concrete patterns.

但是，我们也需要更多的案例研究来全面研究这三个要素之间的关系来建立具体的模式。

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Outstanding！