"It's the People that Make the Environment Good or Bad:" The Patient's Experience of the Acute Care Hospital Environment

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Mona M. Shattell, Associate Professor (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: A review of contemporary nursing research reveals a tendency to focus on select aspects of the hospital environment such as noise, light, and music. Although studies such as these shed light on discrete aspects of the hospital environment, this body of literature contributes little to an understanding of the entirety of that world as the patient in the sickbed experiences it. The purpose of the study detailed in this article was to describe the patient's experience of the acute care hospital environment. Nondirective, in-depth phenomenological interviews were conducted, then transcribed verbatim, and analyzed for themes. Against the backdrop of 'I lived and that's all that matters," there were 3 predominant theme's inpatients' experience of the acute care environment: (1) disconnection/connection, (2) fear/less fear, and (3) confinement/freedom. In this environment, human-to-human contact increased security, and power in an environment that was described as sterile, disorienting, and untrustworthy. Acute and critical care nurses and other caregivers can use, the findings to create less noxious hospital environments.

Additional Information

Publication
AACN Clinical Issues, 16(2), 159-169.
Language: English
Date: 2005
Keywords
acute care, critical care, hospital environment, nurse-patient relationship