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Exploring the relationship between personal control and the hospital environment
Anne M Williams1, Sky Dawson, Linda J Kristjanson
1Western Australian Centre for Cancer and Palliative Care, Curtin University of Technology and Edith Cowan University, and Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. anne.williams@curtin.edu.au
Journal of Clinical Nursing
|May 17, 2008
Summary
Hospital patients often feel a loss of personal control, impacting emotional comfort. This study explored how the hospital environment affects patient control and emotional well-being.
Area of Science:
- Healthcare research
- Patient experience
- Psychology
Background:
- Previous literature suggests a link between control and health outcomes.
- Hospital environments may influence a patient's sense of personal control.
- This study investigates patient perceptions of control within the hospital setting.
Purpose of the Study:
- To further develop the theory of Optimising Personal Control to Facilitate Emotional Comfort.
- To identify aspects of the hospital environment that influence patients' feelings of personal control.
- To explore the relationship between the hospital environment and patient perceptions of control.
Main Methods:
- Grounded theory methodology was employed.
- Data collected through patient interviews and field observations.
- Constant comparative method used for data analysis, with a qualitative data computer program for management.
Main Results:
- Confirmed reduced personal control experienced by hospitalized patients.
- Identified 'level of security,' 'level of knowing,' and 'level of personal value' as key factors influencing personal control.
- Patient perceptions of these conditions were directly linked to their feelings of control.
Conclusions:
- Highlights the critical importance of patient personal control in hospital settings.
- Provides directions for creating therapeutic hospital environments that enhance personal control and emotional comfort.
- Recommends further research into developing and evaluating such environments.
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