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- Elf, Marie, 1962, et al.
(author)
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The built environment and its impact on health outcomes and experiences of patients, significant others and staff—A protocol for a systematic review
- 2020
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In: Nursing Open. - : Wiley. - 2054-1058. ; 7:3, s. 895-899
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Journal article (peer-reviewed)abstract
- Aim: This review will identify, evaluate and synthesize the literature related to evidence-based design of healthcare environments and to identify impacts of the built environment on the outcomes and experiences of patients, significant others and staff. Design: A mixed-method systematic review of literature 2010–2018. Methods: Database searches for evidence in peer-reviewed journals will be conducted electronically using CINAHL, Medline, SCOPUS and Web of Science. Abstract, full-text screening and data extraction will be completed independently by the reviewers. Quality assessment will follow Swedish Agency for Health Technology Assessment and Social Services Assessment. Results: This review will offer knowledge for informed decisions about the design of the healthcare environment. The review is comprehensive, includes a large volume of literature various research designs and will highlight the knowledge gap in evidence-based design and provide a breadth of knowledge about the built environments and its impact on health and well-being.
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| 2. |
- Elf, Marie, 1962-, et al.
(author)
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The home as a place for rehabilitation-What is needed?
- 2020
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In: Architecture for Residential Care and Ageing Communities: Spaces for Dwelling and Healthcare. - New York, NY : Routledge, 2021. : Routledge. - 9780367358730 ; , s. 252-266, s. 252-266
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Book chapter (other academic/artistic)abstract
- This chapter aims to contribute to an understanding of the physical environment as an important part of the rehabilitation process for patients recovering from a stroke who rehabilitate at home. To further develop evidence-based care models for rehabilitation at home and incorporate person-environment dynamics, an understanding of how environmental factors relate to everyday life and recovering at home is crucial, especially for persons with long-term conditions, such as stroke survivors. Along with highlighting the challenges for the stroke survivors when rehabilitated at home, we discuss initiatives and intervention needed. We also present important theories that can be used in research in order to increase the knowledge of the person-environment interaction from a societal perspective vital to increase our knowledge of home and health dynamics in this context.
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| 3. |
- Kylén, Maya, et al.
(author)
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The importance of the built environment in person-centred rehabilitation at home : study protocol
- 2019
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In: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 16:13
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Journal article (peer-reviewed)abstract
- Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This-along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred-will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient's recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person-environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.
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| 6. |
- Marcheschi, Elizabeth, 1980, et al.
(author)
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A Theoretical Model for Urban Walking Among People With Disabilities
- 2020
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In: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 11:156, s. 1-12
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Journal article (peer-reviewed)abstract
- This paper is an attempt to advance research on walking at a neighborhood level of analysis for people with disabilities by proposing a theoretical model that combines the knowledge of two disciplines: traffic planning and environmental psychology. The aim is to provide guidance for a discussion and a plan for future interdisciplinary investigations by proposing a model that accounts for the dynamic interaction between environmental characteristics, human processes, and walking experience among individuals with a disability. For this purpose, traffic planners, and environmental psychologists came together to discuss theories, concepts, and thematic relevance in a series of focus group meetings. These meetings led to the selection of the Human Environment Interaction (HEI) model, originally developed from the field of environmental psychology and operationalized to describe how walking experiences result from the interplay between individual abilities, emotional processes, and the physical and social characteristics of the environment (Küller, 1991). The proposed model aims to sustain interdisciplinary discussion and research planning around the topic of neighborhood walking for people with disabilities. By operationalizing each dimension in the model, a good fit between groups with disabilities and individual differences associated with walking experiences is assumed, which, in turn, will have the potential to provide a more conscious analysis of wellbeing-related outcomes, such as usability of the environment, frequency of mobility, and quality of life. However, to improve understanding of urban walking at a neighborhood level for people with disabilities, empirical studies must be carried out to test the proposed model.
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| 8. |
- Marcheschi, Elizabeth, 1980, et al.
(author)
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Development and test of a methodology for the investigation of stroke patients’ rehabilitation in home settings
- 2017
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In: European Healthcare Design 2017 - Research, policy and practice.
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Conference paper (peer-reviewed)abstract
- A transformation in the way that healthcare systems and nursing services are delivered to patients can be seen at national and international levels. In Sweden, one of the major challenges regards the transfer and effectiveness of services outside specialized hospital units 1. This is the case, for instance, of care and support provide to stroke patients, whom rehabilitation activities are no longer performed within stroke units, but often, occur in home settings 2.Positive outcomes of home-based nursing and treatments for stroke patients have been acknowledge across diverse disciplines and often have been associated with early support discharge (ESD) approaches. The beneficial effects of ESD are explained by means of investigation addressing the importance of, patients’ centrality and participation in the rehabilitation process, social interactions and atmosphere, treatments planning and coordination 3.The framework provide by the International Classification of Functioning suggests also the importance of considering the role played by the physical environment in supporting the individual functioning 4. However, at present, a paucity of knowledge regarding what physical aspects of home settings facilitate rehabilitation processes of stroke patients is found 5.The aim of the present work was thus, to reduce such knowledge gap by developing and testing a methodology that could advance our understanding about the interaction between the physical environment of home settings and patients with stroke experience of it. The individual experience of the environment was here conceptualized in line with knowledge from the field of environmental psychology, which entails information regarding emotional - cognitive responses and well-being related outcomes 6.
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| 10. |
- Marcheschi, Elizabeth, 1980, et al.
(author)
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Home setting after stroke, facilitators and barriers: a systematic literature review
- 2018
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In: Health and Social Care in the Community. - : Hindawi Limited. - 1365-2524 .- 0966-0410. ; 26:4, s. e451-e459
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Research review (peer-reviewed)abstract
- This paper seeks to improve the understanding of the interaction between patients with stroke and the physical environment in their home settings. Stroke care is increasingly performed in the patient’s home. Therefore, a systematic review was conducted to identify the existing knowledge about facilitators and barriers in the physical environment of home settings for the stroke rehabilitation process. Based upon Arksey and O’Malley’s framework, a Boolean search strategy was performed in the databases; CINAHL, Medline, Web of Science and Scopus. Fifteen articles were retained from the literature search conducted between August and November 2016, and two researchers independently assessed their quality based on the Swedish Council on Health Technology Assessment guidelines. The results suggest that despite the healthcare system’s ongoing shift towards home-based rehabilitation, the role played by the physical environment of home settings is still considered a side finding. Moreover, the research appears to focus mainly on how this environment supports mobility and activities of daily living, whereas information regarding the psychosocial and emotional processes that mediate the interaction between stroke survivors and their home setting are missing. A lack of information was also found with regard to the influence of different geographic locations on the stroke rehabilitation process. Future investigations are therefore needed to advance the understanding of the role played by the physical environment of home settings in supporting stroke recovery.
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