Guidelines for Improving the Outpatient Clinic of Maharaj Nakorn Chiang Mai Hospital Based on the Concept of Healing Environment
DOI:
https://doi.org/10.14456/bei.2019.8Keywords:
Satisfaction, Service users, Examination rooms, Environment for healingAbstract
This research is carried out to propose guidelines for improving the environment of the hospital. To meet the satisfaction of users; by the means of surveying the satisfaction of users with the environment in the medical examination room at Maharaj Nakorn Chiang Mai Hospital. Following this to be synthesized as a model of environmental factors that have an effect on satisfaction. Through analyzing confirmatory elements in the sample group of users within the examination area, 300 people were randomly selected. Use questionnaires to measure satisfaction levels All questions have confidence values. Can be used The results showed that 5 environmental factors, 1) Privacy (Factor Loading=0.41), 2) Convenience (Factor Loading=0.38), 3) Environmental control (Factor Loading=0.29), 4) Environment that helps to reduce errors Missing (Factor Loading=0.27) 5) Safety (Factor Loading=0.26). All factors test the consistency of the model with confirmed component analysis. It was found that the model is consistent with empirical data. (CMIN/df=1.027<3.0,
CFI=0.998>0.90, GFI=0.933>0.90, AGFI=0.906>0.95, RMSEA=0.009<0.08, NFI=0.927>0.90, RMR=0.028<0.08) indicates that all five elements can explain the satisfaction of users with the environment. Privacy factors with the greatest weight The indicated sub-factors should therefore be selected for the first priority in the improvement. The other main factors and sub-factors that indicate Should give priority to following the weight of the analysis results in order to be a guideline for improving the environment in the examination room.
References
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Journal of Design and Built Environment, 18(1), 19-28.
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standard design. Asian Social Science, 14(12), 255-265.
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variables and patient falls. Dimension in Health Service, 58(6), 9-11.
Berg, A.E. (2005). Health impacts of healing environments: A review of evidence for benefits of nature, daylight, fresh air, and quiet in healthcare settings. Groningen, Netherlands: Wageningen University.
Bloemberg, F.C., Juritsjeva, A., Leenders, S., Scheltus, L., Schwarzin, L., Su, A., et al. (2009). Healing environments in radiotherapy. Wageningen University, Groningen, Netherlands.
Booker, J.M., & Roseman, C. (1995). A seasonal pattern of hospital medication errors in Alaska. Psychiatry Research, 57(1995), 251-257.
Buchanan, T.L., Barker, K.N., Gibson, J.T., Jiang, B.C., & Pearson, R.E. (1991). Illumination and errors in dispensing. American journal of hospital pharmacy, 48(10), 2137-45.
Buckley, T.C., Blanchard, I.B., & Hickling, E.J. (1998). A confirmatory factor analysis of posttraumatic stress symptoms. Behaviour Research and Therapy, 36(11), 1091-1099.
Burton, E., & Torrington, J. (2007). Designing environments suitable for older people. CME Journal Geriatric Medicine, 9(2), 39-45
Dijkstra, K. (2009). Understanding healing environments: effects of physical environmental stimuli on Patients (Unpublished doctoral dissertation). University of Twente, Enschede, Netherlands.
Foss, K.R., & Tenholder M.F. (1993). Expectations and needs of persons with family members in an intensive care unit as opposed to a general ward. South Medical Journal, 86(4), 380-384.
Frumkin, H. (2001). Beyond toxicity: Human health and the natural environment. American College of Preventive Medicine, 20(3), 234-240.
Hair, J.F., Anderson, R.E., Tatham, R.L., & Black, W.C. (1998). Multivariate data analysis. Upper Saddle River, NJ: Prentice-Hall.
Hendrich, A., Fay, J., & Sorrells, A. (2004). Effects of acuity-adaptable rooms on flow of patients and delivery of care. American Journal of Critical Care, 13(1), 35-45.
Hilary, D., Little, J., Niemann, E., Camgoz, N., Steadman, G., Hill, S., et al. (2006). Colour and lighting in hospital design. Optics & Laser Technology, 38(4-6), 343–365.
Hilton, B.A. (1985). Noise in acute patient care areas. Research in Nursing and Health, 8, 283-291.
Huisman, E.R.C.M., Morales E., Van Hoof J., & Kort, H.S.M. (2012). Healing environment: A review of the impact of physical Environmental factors on users. Building and Environment, 58, 70-80.
Jenjapoo, T., & Waroonkun, T. (2015). Guideline for improving and creating healing environment in Maharaj Chiang Mai Hospital by adopting users' s perspective. Built Environment Research Associates Conference, 6, 348-355.
Lewy, A.J., Bauer, V.K., Cutler, N.L., Sack, R.L., Ahmed, S., Thomas, K.H., et al. (1998). Morning vs. evening light treatment of patients with winter depression. Archive of General Psychiatry, 55(10), 890-6.
Jonas, W.B., & Chez, R.A. (2004). Toward optimal healing environments in health care. Altern Complement Med, 10(Suppl 1), S1-6.
Joseph, A. (2006). Impact of light on outcomes in healthcare settings. Concord, CA: The Center for Health Design.
Maharaj Nakorn Chiang Mai Hospital. (2018). sathiti phūpūai khao rap kān raksā thī rōngphayābān mahārāt Chīang Mai pī sō̜ngphanhārō̜ihoksipʻet. (In Thai) [Statistics of patients admitted at Maharaj Chiang Mai Hospital, 2018]. Retrieved from https://www.med.cmu.ac.th/hospital/medrec/2011/index.php?option=com_content&view=category&id=130&Itemid=589&limitstart= 0
Menegazzi, J.J., Paris, P.M., Kersteen, C.H., & Trautman, D.E. (1991). A randomized controlled trial of the use of music during laceration repair. Annuals of Emergency Medicine, 20, 348-250.
Mill, R.C. (2002). A comprehensive model of customer satisfaction in hospitality and tourism: Strategic implications for management. International Business & Economics Research Journal, 1(6), 7-18
Mlinek, E.J. & Pierce, J. (1997). Confidentiality and privacy breaches in a university hospital emergency department. Academic Emergence Medicine, 4(12), 1142-6.
Panagopoulou, P., Filioti, J., Petrikkos, G., Giakouppi, P., Anatoliotaki, M., Farmaki, E., Kanta,. A., Apostolakou, H., Avlami, A., Samonis, G., & Roilides, E. (2002). Environmental surveillance of filamentous fungi in three tertiary care hospitals in Greece. Journal of Hospital Infection, 52(3), 185-191.
Preiser, W. (1994). Built environment evaluation: Conceptual basis, benefits and uses. Journal of Architectural and Planning Research, 11(2), 92-107.
Rasmanis, G., Blomkvist, V., Ulrich, R., Eriksen, CA., & Theorell, T. (2005). Influence of intensive coronary care acoustics on the quality of care and physiological state of patients. International Journal of Cardiology. 98(2), 267–270.
Ryherd, E.E., Waye, K.P., & Ljungkvist, L. (2008). Characterizing noise and perceived work environment in a neurological intensive care unit. Journal Acoustic Social American, 123(2), 747–56.
Stamps, E. (2007). Mystery of environmental mystery effects of light, occlusion and depth of view.
Environment and Behavior, 39(2), 165-197.
Taweekun, J., & Tantiwichien, A. (2013). Thermal comfort zone for Thai people. Scientific Research Engineering, 23(5), 525-529.
Ulrich, R.S. (1991). Effects of interior design of wellness: Theory and recent scientific research. Journal Health Care Interior Design, 3(1), 97-109.
Ulrich, R.S. (1999). Effects of gardens on health outcome theory and research. In Marcus, C.C. & Barnes, M. (Eds.). Healing gardens. Therapeutic benefits and design recommendations (pp.37-42). New York, NY: John Wiley & Sons.
Verderber, S., & Reuman, D. (1987). Windows, views, and health status in hospital therapeutic environments. Journal of Architectural and Planning Research, 4(2), 120-133.
Waroonkun, T. (2018a). The environmental factors affecting service satisfaction of community hospital.
Journal of Design and Built Environment, 18(1), 19-28.
Journal of Design and Built Environment. (2018b). Comparison of outpatient satisfaction measures across hospitals built to a Thai
standard design. Asian Social Science, 14(12), 255-265.
Wong, S., Glennie, K., Muise, M., Lambie, E., & Meagher, D. (1981). An exploration of environmental
variables and patient falls. Dimension in Health Service, 58(6), 9-11.
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Published
2019-08-29
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Waroonkun, T., & Sararit, T. (2019). Guidelines for Improving the Outpatient Clinic of Maharaj Nakorn Chiang Mai Hospital Based on the Concept of Healing Environment. Built Environment Inquiry, 18(2), 35–50. https://doi.org/10.14456/bei.2019.8
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