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Exploring Environmental Considerations for Terminally Ill Pediatric Patients in Palliative Care Inpatient Units: A
Sara Nourmusavi Nasab1, Rebecca McLaughlan1, Chris L Smith1
1School of Architecture, Design and Planning, The University of Sydney, Sydney, Australia.
HERD
|August 20, 2024
Summary
The built environment significantly impacts pediatric palliative care. Key factors include play areas, patient rooms, family spaces, and green areas, crucial for improving end-of-life experiences for children and adolescents.
Area of Science:
- Pediatric Palliative Care
- Environmental Psychology
- Healthcare Architecture
Background:
- End-of-life care environments significantly influence patient experience.
- Most research focuses on adult palliative care environments, neglecting unique pediatric needs.
- Built environmental factors are crucial in pediatric palliative care settings.
Purpose of the Study:
- To explore the impact of the built environment on pediatric end-of-life patients in inpatient palliative care units.
- To identify key environmental considerations for children and adolescents receiving palliative care.
Main Methods:
- Conducted a narrative review with a comprehensive search of four databases (PubMed, MEDLINE, PsycINFO, CINAHL).
- Screened titles and abstracts, followed by full-text review of eligible studies.
- Utilized thematic analysis with NVIVO software for data synthesis.
Main Results:
- Identified 22 studies meeting inclusion criteria.
- Revealed four key themes: activities/play environments, patient accommodation, family support spaces, and outdoor/green spaces.
- Highlighted the importance of these elements in pediatric palliative care settings.
Conclusions:
- Limited research exists on architectural aspects, with a reliance on family and staff perspectives.
- Future research should prioritize pediatric and adolescent patient perspectives.
- Enhancing environmental design is crucial for meeting the unique needs of pediatric palliative care patients and their families.
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