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Source publication
This study aims at identifying the notion of Post-Occupancy Evaluation (POE) pertinent to the performance of three general hospitals constructed inside the Sulaimani City, tracing the relationship between the quality of the indoor environments and medical staff (doctors and nurses) satisfaction level. Using some indoor environment elements in the r...
Context in source publication
Context 1
... case studies have involved three general hospital wards in Sulaimani City. The hospital wards chosen for the research have included (JGH) Jemhuri General Hospital (which has been renewed in 2000) Fig.1, (EGH) Educational General Hospital (which has been renewed in 2005) Fig.2, and (SGH) Shar General Hospital (which has been built in 2013) Fig.3. In total, 37 doctors and 75 nurses were involved in this study, as presented in Table 1. ...
Citations
... Liu et al. [31] also demonstrated the positive impact of social support on healthcare workers' satisfaction, which reinforces our study's implication that exposure to supportive environments could enhance professional fulfillment in practice. The topic of "satisfaction of physicians in the medical environment" aligns with previous studies [32,33] that showed the impact of healthcare system environment quality on job satisfaction. This suggests that students anticipate their job satisfaction to be influenced by both the structural conditions and their role within the system. ...
Background
Physicians’ job satisfaction and their relationships with patients are critical factors in modern healthcare. Understanding medical students’ perceptions of these aspects is crucial for enhancing the quality of healthcare. Hence, this study examined medical students’ perspectives on improving physician job satisfaction and the essential patient-oriented attitudes required for developing into skilled physicians.
Methods
The participants were 87 medical students who provided descriptive essay responses to two open-ended questions: (1) “What do you think could improve physicians’ job satisfaction?” and (2) “What attitudes toward patients do you believe are necessary to become a skilled physician?” Specifically, this study analyzed medical students’ perceptions and attitudes toward physician satisfaction and patient relationships by applying text network analysis to their essay responses and identifying key themes and keywords.
Results
The major topics were extracted using latent dirichlet allocation topic modeling. Key terms included “physician,” “satisfaction,” “patient,” “medical practice,” and “experience.” Topics identified for the first question included “work–life balance,” “job satisfaction and social impact,” and “satisfaction of physicians in the medical environment.” Topics for the second question included “attitude toward patient care as a physician,” “mistakes in patient care and efforts to correct them,” and “patient care experience and physician skill development.”
Conclusions
This study aligned educational strategies with self-determination theory (SDT) to underscore the importance of promoting autonomy, relatedness, and competence. This approach could elevate the quality of medical education, support students’ professional growth, and enhance their job satisfaction through meaningful patient interactions.
... According to Ulrich et al. [10], hospitals with well-designed physical environments tend to be better workplaces and can lead to better outcomes for medical staff. Therefore, it is crucial to comprehend how healthcare staff perceive the various aspects of the hospital's indoor environment [8,11]. A Post-Occupancy Evaluation (POE) is a method of understanding the relationship between a built environment's quality and its occupants' satisfaction. ...
Contemporary hospitals may be recognized by a large variety of activities, not only delivery of care but also some concerns, such as the satisfaction level of users. This research investigates the relationship between outpatient department (OPD) design elements and medical staff satisfaction and performance, especially in light of the pandemic since 2020. A mixed-method approach was used to gather doctors' and nurses' perspectives at two hospitals in Sulaimani City. This involved an EBD questionnaire and a modified AEDET checklist where respondents filled out a 39-item questionnaire at the hospitals' OPD. The results highlight the importance of the interior environment's quality in promoting the satisfaction of medical staff. The results from the medical staff surveys showed that most medical staff expressed satisfaction with the indoor design elements, and three factors, infection control, interior appearance, and comfort and control, were essential to creating a satisfactory indoor environment. A negative correlation of some demographic information, such as practical experience and educational attainment, with medical staff satisfaction was revealed. The findings suggest that investigating the views of the medical staff can indicate the level of significance of various elements that increase their satisfaction and performance, contribute to the general body of knowledge, and inform design decisions.
... There has been limited use of these toolkits in Global North countries. A handful of studies carried out by Ghazali, Chaham, Mahmood, et al., explore hospitals in Malaysia, Kurdistan, etc. [27][28][29], using the AEDET Evolution toolkit as an assessment method for studying the hospital buildings. However, none of these papers assess the toolkits, nor do they provide recommendations for their use in Global North countries. ...
Today, numerous studies have shown that the physical environment in hospitals can significantly influence patients’ well-being, comfort, and recovery. However, this is currently neglected in hospitals in the Global South. Therefore, there is an urgent need to increase awareness to make it more applicable worldwide. Thus, this study focuses on improving the healing environment standards by exploring the impact of evidence-based design and patient-centered care in hospitals for cancer patients, particularly the architectural space quality, on patient health outcomes as well as hospital staff health and well-being. In Global North countries such as the UK, the achieving excellence design evaluation toolkit (AEDET) is used by their National Health Services to assess the effectiveness of various environmental attributes. However, these toolkits have not been designed for and do not work well within Global South countries, such as Northern Cyprus. To examine and compare the effectiveness of different physical environmental attributes and to evaluate user responses, the post-occupancy evaluation method and the AEDET toolkit were used in this study. These were applied to both public and private hospitals in Northern Cyprus, involving cancer patients, staff, and professionals (n = 220). The findings reveal the strengths and weaknesses in terms of environmental comfort based on the aspects of the evidence-based design of the hospitals such as natural light, air quality, noise, view, infection control, etc., to create a more optimal physical environment for better psychological outcomes. They also reveal that these toolkits are not fit for purpose for Global South contexts and require adaptations. This is the first study to propose an adaptation of the AEDET toolkit to assist architects in designing healthcare facilities that are responsive to the requirements of hospital patients and staff and to promote the quality of a healing environment for improved health and well-being outcomes.
... As mentioned earlier, hospitals are among the most complex types of buildings (Mahmood, 2021). Each hospital consists of a wide range of services and functional units, including diagnostic and therapeutic ones, such as clinical laboratories, radiology, emergency rooms and surgery. ...
Hospital buildings are among the most energy-consuming types of buildings, due to their high occupancy especially in patient rooms, where the average occupancy rate may reach 24 hours / day. Large hospitals, depending on their functions require large amounts of energy, especially in hot, dry climates, to operate their ventilation systems of heating and cooling, which reduces the efficiency of the energy performance of the buildings. This research evaluates the performance of a louver-type kinetic façade in increasing the efficiency of energy performance inside patient rooms by reducing energy consumption in hospitals. A 600-bed public hospital is selected in Iraq, specifically in the city of Najaf 32°15N,44°23 E to test this proposition. It is located in the central region with a hot dry climate. Thus, the study evaluates the patient rooms in this hospital, which are located on the southern and northern facades. It is carried out in two stages: the first stage includes simulation and thermal analysis of the southern and northern parts of the patient rooms before adding the kinetic facades of the louvers-type. The second stage includes simulation and thermal analysis of the southern and northern parts of the patient rooms after adding the kinetic facades. Horizontal and vertical louvers are added to the southern facade and horizontal and vertical louvers to the northern facade of the hospital. The results of the analysis are compared before and after using the kinetic facades. Results were analyzed using Rhino Grasshopper program and Ladybug-Honeybee for simulation and thermal analysis. The results show that the horizontal kinetic façade of louver-type reduces the radiation exposure levels: 75% when its angle of inclination was 45°, by 60% when the angle is 315°, and by 40% when the angle is ° 0. This directly and effectively reduces the temperature and thus reduces the energy consumption of the the HVAC systems. It proved that the kinetic facades achieve the efficiency of energy performance in the patient rooms.
Attention to healthcare and the need for resource optimization perpetuates the importance of designing more humanized hospital environments that positively contribute to patient recovery. Research and future healthcare facilities should be continuously expanded, considering changes in technology, systems, and the design of the physical environment. This article provides a concise analysis of the evaluation tools AEDET (Achieving Excellence Design Evaluation Toolkit) and ASPECT (Staff and Patient Environment Calibration Tool), created in the United Kingdom through a discipline called Evidence-Based Design (EBD), which studies the quality of the healthcare physical environment based on evidence. The central objective of this article is to highlight the importance of these evaluation systems and instruments, as well as their research methods and studies, through reports and opinions from patients and staff regarding their perceptions in the case study of the Oncology Unit at the University Hospital of Brasília - HUB.
