Presenting a conceptual model for designing hospital architecture with a patient‑centered approach based on the patient’s lived experience of sense of place in the therapeutic space
نویسندگان
1 Faculty of Architecture and Urban Planing, Isfahan University of Art, Isfahan, Iran
2
3 School of Managment and Medical Information Science, Isfahan University of Medical Sciences, Isfshan, Iran
doi
چکیده
BACKGROUND: In recent years, among managers and designers of health‑care spaces, therehas been a growing tendency to move toward hospital design by combining patient perceptionsand expectations of the physical environment of the care area. The main idea of this study wasto present a conceptual model of hospital architecture in our country with a patient‑centeredapproach based on some factors that were affecting the sense of place. This model determinedthe architectural features of treatment spaces from a patient’s lived experience that could have apositive mental effect on patients as well. The main question of the research was how to adapt theobjective perception to the patient’s mental perception to create a sense of place in the hospitalspace?MATERIALS AND METHODS: This research was qualitative with a phenomenological approach,conducted between July and December 2020. Purposeful sampling consisted of 23 patients, 13 malesin the male surgery unit and 10 females in the gynecology unit, who were interviewed in‑depth. Theywere hospitalized for at least 3 days in two hospitals (Dr. Pirooz in Lahijan and Ghaem in Rasht).The data were analyzed by the Colaizzi method.RESULTS: The results consisted of 530 primary codes, 57 subthemes, and 7 main themes. The mainthemes were hospital location, access to hospital, hospital identity, hospital dependency, hospitalattachment, human interactions in the hospital, and hospital evaluation.CONCLUSION: The hospital form guided the patient, and the hospital function directed and obviatedthe patient’s needs. The healing environment and human interactions with it caused the patient tobe satisfied with the hospital environment.
