Supportive or Hindering Physical Environments in Hospital Units Dealing With COVID-19 Patients

HERD. 2023 Jan;16(1):83-96. doi: 10.1177/19375867221131367. Epub 2022 Nov 3.

Abstract

Purpose: This project was designed to discover how hospital units with COVID-19 patients influenced staff's medical practices and health conditions.

Background: Although hospital environments have well-known associations with health outcomes, findings are limited in demonstrating the role of physical environments during a global pandemic.

Methods: A cross-sectional survey study was conducted from three units in a university hospital and a total of 113 staff participated. They rated the impact of physical environments on staff members' medical practice and their health conditions before and mid-pandemic. They also specified physical changes, hindering and helpful features, and future improvements in open-ended questions.

Results: The perceived supportiveness of the physical environments on communication significantly dropped from before-pandemic to midpandemic, followed by mental health and feeling of connection and engagement. Separating COVID-19 patients helped staff workflow, but staff felt disconnected and had poor visibility.

Conclusion: Based on painful lessons, interdisciplinary researchers, including healthcare professionals, designers, and administrators, should further collaborate to create supportive hospital environments.

Keywords: COVID-19; hospital; pandemic; physical environment; supportiveness.

MeSH terms

  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Hospital Units
  • Humans
  • Pandemics
  • Patients