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Cited by 35Facilities and Workplace ManagementHealthcare Facilities Design and SustainabilityNursing education and management

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The psychological effects of the physical healthcare environment on healthcare personnel

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Tanja-Dijkstra, Karin, Pieterse, Marcel E·2011·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd006210.pub3
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Abstract

BACKGROUND: The physical healthcare environment is capable of affecting patients. This concept of 'healing environments' refers to the psychological impact of environmental stimuli through sensory perceptions. It excludes more physiological effects such as those produced by ergonomic (i.e. fall prevention) or facilitative (i.e. hygiene-related) variables. The importance of an atmosphere in the healthcare environment that promotes the health and well-being of patients is evident, but this environment should not negatively affect healthcare personnel. The physical healthcare environment is part of the personnel's 'workscape'. This can make the environment an important determinant of subjective work-related outcomes like job satisfaction and well-being, as well as of objective outcomes like absenteeism or quality of care. In order to effectively build or renovate healthcare facilities, it is necessary to pay attention to the needs of both patients and healthcare personnel. OBJECTIVES: To assess the psychological effects of the physical healthcare environment on healthcare personnel. SEARCH STRATEGY: We searched the Cochrane EPOC Group Specialised Register; Cochrane Central Register of Controlled Trials; Database of Abstracts and Reviews of Effects; MEDLINE; EMBASE; CINAHL; Civil Engineering Database and Compendex. We also searched the reference lists of included studies. SELECTION CRITERIA: We included randomised controlled trials (RCT), controlled clinical trials (CCT), controlled before and after studies (CBA), and interrupted time series (ITS) of psychological effects of the physical healthcare environment interventions for healthcare staff. The outcomes included measures of job satisfaction, satisfaction with the physical healthcare environment, quality of life, and quality of care. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed studies for eligibility, extracted data, and assessed methodological quality. MAIN RESULTS: We identified one study, which adopted a CBA study design to investigate the simultaneous effects of multiple environmental stimuli. Staff mood improved in this study, while no effects were found on ward atmosphere or unscheduled absences. AUTHORS' CONCLUSIONS: One study was included in this review. This review therefore indicates that, at present, there is insufficient evidence to support or refute the impact of the physical healthcare environment on work-related outcomes of healthcare staff. Methodological shortcomings, particularly confounding with other variables and the lack of adequate control conditions, partially account for this lack of evidence. Given these methodological issues, the field is in need of well-conducted controlled trials.

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  • More commonly, included studies were conducted in controlled environments such as labs and hospitals under direct supervision of researchers and therapists.

    “More commonly it was in controlled environments [85] like labs and hospitals were patients are under direct supervision of the researchers and therapists.”

    From Wearable sensors and machine learning in post-stroke rehabilitation assessment: A systematic review (2022) · cites this paper as [85]

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Metadata

Authors
Tanja-Dijkstra, K., & Pieterse, M. E.
Affiliations
  • University of Plymouth; School of Psychology; Drake Circus Plymouth UK PL4 8AA
  • University of Twente (NL)
ORCID
Pieterse, Marcel E
Venue
Cochrane Database of Systematic Reviews
Publisher
Wiley
Published
2011-01-19
Issue
1
Pages
CD006210-CD006210
ISSN
  • 1361-6137 (ISSN-L)
  • 1465-1858
DOI
10.1002/14651858.cd006210.pub3
OpenAlex
W1831077752
Cited by
35
References
0
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 6 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 3
FWCI
0.30
Type
journal article
Language
en
Open access
Locations
  • Cochrane Database of Systematic Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • University of Twente Research Information (submittedVersion, other-oa)
  • VU Research Portal (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Physical Sciences › Engineering › Architecture › Facilities and Workplace Management
  • Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
Keywords
healthcare environment, healing environment, healthcare workers, job satisfaction, employee well-being, quality of care, quality of life, absenteeism, hospital architecture, environmental stimuli
MeSH terms
Affect, Health Facility Environment, Health Personnel, Humans, Interior Design and Furnishings, Job Satisfaction

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