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Quantifying the relationship among hospital design, satisfaction, and psychosocial functioning in a pediatric
Sandra A Sherman-Bien1, Vanessa L Malcarne, Scott Roesch
1Jonathan Jaques Children's Cancer Center of Miller Children's Hospital, Long Beach, CA, USA. ssherman1@memorialcare.org
Insights
The hospital environment significantly impacts pediatric patients and parents. Perceived satisfaction with the built environment is key to improving psychosocial well-being and healthcare satisfaction for parents.
Area of Science:
- Pediatric Health
- Environmental Psychology
- Healthcare Design
Background:
- Hospital built environments influence adult patient outcomes, but pediatric data is limited.
- Research on the impact of the hospital environment on pediatric hematology-oncology patients is sparse.
Purpose of the Study:
- To examine the built environment's effects on hospitalized pediatric hematology-oncology patients and their parents.
- To test if patient and parent satisfaction with the built environment mediates the link between objective environmental features and psychosocial functioning/healthcare satisfaction.
Main Methods:
- Subjective evaluation via PedsQL™ Hospital Healing Environment Module satisfaction questionnaires.
- Objective quantification of environmental features.
- Structural equation modeling (SEM) to test mediational hypotheses in 90 pediatric patients and 149 parents.
Main Results:
- A positive correlation was found between objective built environment quality and satisfaction for both parents and children.
- Parental built environment satisfaction positively predicted their present functioning, healthcare satisfaction, and reduced negative affect.
Conclusions:
- Pediatric patients and parents can reliably assess their built environment satisfaction.
- Perceived built environment satisfaction is a crucial mediator for parental psychosocial functioning and healthcare satisfaction in pediatric hematology-oncology settings.
Background:
Studies show that hospital built environments can affect physical and psychological outcomes and healthcare satisfaction in adults, but pediatric research is sparse.
Objective:
To investigate the effects of the built environment on hospitalized pediatric hematology-oncology patients and their parents by testing the hypothesis that perceived built environment satisfaction mediates the relationship between the objective built environment and psychosocial functioning, as well as parental healthcare satisfaction.
Methods:
The hospital built environment was evaluated subjectively through the PedsQL™ Hospital Healing Environment Module satisfaction questionnaires and objectively by quantifying environmental features. Outcomes for patients and parents included present functioning and affect. Healthcare satisfaction was also assessed for parents. Structural equation modeling (SEM) was used to test the mediational hypothesis.
Subjects:
Participants were 90 hospitalized pediatric hematology-oncology patients and 149 parents of pediatric hematology-oncology patients.
Results:
For both parents and children, analyses revealed a significant positive relationship between the quality of the objective built environment and built environment satisfaction. For parents, significant relationships emerged in the expected direction between built environment satisfaction and present functioning, healthcare satisfaction, and negative affect.
Conclusions:
Both pediatric hematology-oncology patients and their parents can reliably report their own perceived built environment satisfaction, which is significantly related to the quality of the objective built environment. For parents, results support the mediational hypothesis, highlighting the importance that perceived built environment satisfaction plays in psychosocial functioning and healthcare satisfaction.
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