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Psychiatric ward de...
Psychiatric ward design can reduce aggressive behavior
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- Ulrich, Roger, 1946 (author)
- Chalmers tekniska högskola,Chalmers University of Technology,Chalmers Univ Technol, Sweden; Chalmers Univ Technol, Sweden
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- Bogren, Lennart (author)
- Linköpings universitet,Institutionen för klinisk och experimentell medicin,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken,Sahlgrens Univ Hosp, Sweden
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- Gardiner, Stuart K. (author)
- Legacy Hlth, OR 97232 USA
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- Lundin, Stefan (author)
- Chalmers tekniska högskola,Chalmers University of Technology,Chalmers Univ Technol, Sweden; White Arkitekter AB, Sweden
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- English.
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In: Journal of Environmental Psychology. - : Elsevier BV. - 0272-4944 .- 1522-9610. ; 57, s. 53-66
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Abstract
Subject headings
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- The article describes a conceptual model proposing that aggression in psychiatric facilities may be reduced by designing the physical environment with ten evidence-grounded stress-reducing features. The model was tested in a newer hospital in Sweden having wards with nine of the ten features. Data on two clinical markers of aggressive behavior, compulsory injections and physical restraints, were compared with data from an older facility (replaced by the newer hospital) that had only one stress-reducing feature. Another hospital with one feature, which did not change during the study period, served as a control. The proportion of patients requiring injections declined (p < 0.0027) in the new hospital compared to the old facility but did not change in the control hospital. Among patients who received injections, the average number of injections declined marginally in the new hospital compared to the old facility, but increased in the control hospital by 19%. The average number of physical restraints (among patients who received at least one) decreased 50% in the new hospital compared to the old. These findings suggest that designing better psychiatric buildings using reasoned theory and the best available evidence can reduce the major patient and staff safety threat posed by aggressive behavior.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Stress
- Aggressive behavior
- Evidence-based design
- Psychiatric patients
- Psychiatric hospital
Publication and Content Type
- art (subject category)
- ref (subject category)
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