Influence of Hospital Outdoor Space on Physiological Electroencephalography (EEG) Feedback of Staff

HERD. 2022 Jan;15(1):239-255. doi: 10.1177/19375867211030701. Epub 2021 Aug 19.

Abstract

Objectives: To investigate the differences and relationships between different outdoor spaces of hospitals on the physiological electroencephalography (EEG) feedback (PEEGF) of staff.

Background: Relieving the pressure of hospital staff is essential, and several studies have revealed that even short-term exposure to outdoor space has a decompression effect. Yet, the focus is scarcely centered on the differences and influential relationships between the PEEGF from different outdoor spaces where the staff spend time, particularly in large-scale hospitals in China.

Methods: EEG measurement equipment was utilized to obtain the value of β wave (vβw) that represents the stress and anxiety of staff in three different outdoor spaces: open, traffic, and rest. On the basis of EEG data, correlation analysis was conducted in accordance with the proportion of space elements.

Results: The proportion of natural elements, such as landscape (r = -.800** p=.005) and waterscape (r = -.782* p=.013), were negatively correlated with the vβw produced by staff, while the proportion of hard paving was positive (r = .817** p=.004) with more vβw produced by staff. In other words, the percentage of landscape and waterscape can reduce stress, while hard paving has the opposite effect. Further, there was a difference in the amount of vβw generated between nurses and administrators in the open space at the entrance of the main building (p = .043).

Conclusions: The present study revealed the influence of different outdoor space elements of the hospital on the physiological feedback of staff, demonstrated the practical necessity of evidence-based design, and proposed relevant optimization suggestions.

Keywords: electroencephalography; hospital outdoor space; hospital staff; influence; physiological feedback.

MeSH terms

  • Electroencephalography*
  • Feedback
  • Feedback, Physiological
  • Hospitals*
  • Humans
  • Personnel, Hospital