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Designing a Child-, Family-, and Healthcare Provider-Centered Procedure Room in a Tertiary Care Children's Hospital
Sasha Litwin1, Lindsay Clarke2, Jocelyne Copeland3
1Division of Emergency Medicine, Department of Pediatrics, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Ontario, Canada.
Insights
Co-designing pediatric procedure rooms with children, families, and healthcare providers (HCPs) is feasible. This approach can create environments that minimize pain and anxiety through patient-centered design features.
Area of Science:
- Pediatric healthcare design
- Human-centered design in medicine
- Patient experience in healthcare settings
Background:
- Medical procedures can induce significant pain and anxiety in children and their families.
- Inadequately designed spaces can prolong procedures, necessitate sedation, and diminish the overall care experience.
- Involving healthcare providers (HCPs) and patients in co-designing medical environments enhances efficiency, safety, and psychological well-being.
Purpose of the Study:
- To co-design novel pediatric procedure room prototypes through collaborative efforts with children, their caregivers, and HCPs.
- To integrate patient and provider perspectives into the development of improved healthcare facility designs.
- To inform evidence-based recommendations for pediatric procedure room design.
Main Methods:
- Human-centered design methodology was employed.
- Data collection involved semi-structured interviews, field observations, and multidisciplinary design workshops.
- Content analysis was used to extract themes and formulate design recommendations.
Main Results:
- Patients, families, and HCPs identified key needs for procedure rooms.
- Essential elements include environmental control (lighting, temperature, sound), patient privacy, and integration of pain reduction strategies.
- Attention to the sensory environment (visual, tactile, auditory, olfactory), spatial organization, accessibility, and the patient journey are crucial.
Conclusions:
- Co-designing pediatric procedure rooms with end-users is achievable.
- This collaborative process can yield spaces that effectively support interventions to minimize pediatric procedural pain.
- The developed prototypes can enhance psychological, physical, and pharmacological approaches to pain management in children.
Aim:
The study aim was to co-design new pediatric procedure room prototypes with children, caregivers, and healthcare providers (HCPs).
Background:
Medical procedures can cause pain and anxiety for children and their families. If spaces are not designed for patients' needs, procedures may take longer, require sedation, and result in an inferior care experience. Involving HCPs in co-designing optimal spaces can result in more efficient and safer environments. co-designing spaces with patients and their families can inform psychologically safer and less traumatic environments.
Methods:
We followed human-centered design methodology. Data were collected via semi-structured interviews, field observations, and two multidisciplinary design workshops with patients, caregivers, and HCPs. Themes from the data were extracted using a content analysis and used to make evidence-informed recommendations for design features.
Results:
The study took place from October 2021 to February 2022. Patients, families, and HCPs reported similar needs: (1) control over the environment, including the ability to adjust lighting, temperature, and sound; (2) space that supports patient privacy; (3) the use of evidence-based pain reduction and distraction methods; (4) attention to the sensory environment, including visual (light, color), tactile (textures of furniture and equipment), auditory, and olfactory stimuli; (5) human factors organization of the space and equipment; (6) accessible and equitable spatial design; and (7) the significance of the journey leading up to and after the procedure.
Conclusions:
It is feasible to co-design procedure rooms that support evidence-based psychological, physical, and pharmacological interventions that are known to minimize pain for children.
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