Authors
1 PhD, Department of Architecture, School of Architecture and Urbanism, Iran University of Science and Technology, Tehran, Iran
2 Professor, Department of Architecture, School of Architecture and Urbanism, Iran University of Science and Technology, Tehran, Iran
3 Associate Professor, Department of Architecture, School of Architecture and Urbanism, Iran University of Science and Technology, Tehran, Iran
Abstract
Introduction: The hospital environment is recognized as one of the most stressful workplaces. The impacts of the hospital environment on the health-related quality of life of nurses necessitate the consideration of their viewpoints in the field of design and maintenance of the hospital environment. Accordingly, this study aimed to identify environmental factors affecting the promotion of nurses' health-related quality of life.
Methods: In this study, 10 nurses working in a selected hospital were chosen through purposeful sampling and participated in the narrative analysis. The required data were collected through narratives from semi-structured interviews with participants. The content of all narratives was evaluated by the thematic analysis.
Results: The environmental factors affecting the nurses' health-related quality of life were classified into four main themes: physical environment”, “functional support of the environment”, “social support of the environment”, and “psychological support of the environment. Besides, the themes related to the physical environment were classified under space configurations and air quality. Furthermore, functional support was placed under ergonomics. Communications and territory were found as subsets of the theme of social support, while interior design, tranquility, light quality, air quality, and the sense of control were classified under the main theme of psychological support. The frequency of themes repeated in the narratives indicated that psychological support and the physical environment have the highest impact on the health-related quality of life of nurses.
Conclusion: According to the findings of the study, policymakers, managers, and designers are recommended to try to understand nurses' perceptions of positive workplace components, and to introduce necessary environmental actions and interventions to promote the health-related quality of life of nursing staffs.
Keywords
- 1. Oyama Y, Fukahori H. A literature review of factors related to hospital nurses' health‐related quality of life. J Nurs Manag 2015; 23(5): 661-73. [DOI:10.1111/jonm.12194] [PMID]
- Wu SY, Li HY, Tian J, Zhu W, Li J, Wang XR. Health related quality of life and its main related factors among nurses in China. Ind Health 2011; 49(2): 158-65. [DOI:10.2486/indhealth.MS1160] [PMID]
- Frisch M B. Quality-of-Life-Inventory. In: Michalos AC. Encyclopedia of Quality of Life and Well-Being Research. Netherlands: Springer; 2014. [DOI:10.1007/978-94-007-0753-5_2371]
- Lee GK, Chronister J, Bishop M. The effects of psychosocial factors on quality of life individuals with chronic pain. Rehabilitation Counseling Bulletin 2008; 51(3): 177-89. [DOI:10.1177/0034355207311318]
- King CR, Hinds PS. Quality of Life: From Nursing and Patient Perspectives. 3rd ed. USA: Jones & Bartlett Learning; 2011.
- Health Resources and Services Administration. The U.S. Nursing Workforce: Trends in Supply and Education. USA: HRSA; 2013.
- Tummers GE, Janssen PP, Landeweerd A, Houkes I. A comparative study of work characteristics and reactions between general and mental health nurses: A multi-sample analysis. J Adv Nurs 2001; 36(1): 151-62. [DOI:10.1046/j.1365-2648.2001.01952.x] [PMID]
- Hegney DG, Craigie M, Hemsworth D, Osseiran-Moisson R, Aoun S, Francis K, et al. Compassion satisfaction, compassion fatigue, an xiety, depression and stress in registered nurses in Australia: Study 1 results. J Nurs Manag 2014; 22(4): 506-18. [DOI:10.1111/jonm.12160] [PMID]
- Rosseter R. Nursing shortage. [cited 2019 Nov 12] Available from: https://www.aacnnursing.org/Portals/42/News/Factsheets/Nursing-Shortage-Factsheet.pdf.
- Lambert VA, Lambert CE. Literature review of role stress/strain on nurses: An international perspective. Nurs Health Sci 2001; 3(3): 161-72. [DOI:10.1046/j.1442-2018.2001.00086.x] [PMID]
- Hendrich A, Chow MP, Skierczynski BA, Lu Z. A 36-hospital time and motion study: How do medical-surgical nurses spend their time? Perm J 2008; 12(3): 25-34. [DOI:10.7812/TPP/08-021] [PMID]
- Lin XJ, Lin IM, Fan SY. Methodological issues in measuring health-related quality of life. Tzu Chi Medical Journal 2013; 25(1): 8-12. [DOI:10.1016/j.tcmj.2012.09.002]
- Osarrodi AA, Golafshani A, Akaberi SA. Relationship between spiritual well-being and quality of life in nurses. Journal of North Khorasan University of Medical Sciences 2012; 3(4): 81-8. [In Persian]. [DOI:10.29252/jnkums.3.4.79]
- Azarang S, Yaghmaee F, Shiri M. Correlation dimensions of quality of work life of nurses and demographic characteristics. Iranian Journal of Nursing Research 2012; 7(27): 18-24. [In Persian].
- Registered Nurses' Association of Ontario (RNAO). Healthy Work Environments Best Practice Guidelines, Workplace Health, Safety and Well-beingof the Nurse. Toronto, Ontario: RNAO; 2008.
- Ulrich RS, Zimring C, Zhu X, DuBose J, Seo HB, Choi YS, et al. A review of the research literature on evidence-based healthcare design. HERD 2008; 1(3): 61-125. [DOI:10.1177/193758670800100306] [PMID]
- Yi L, Seo HB. The effect of hospital unit layout on nurse walking behavior. HERD 2012; 6(1): 66-82. [DOI:10.1177/193758671200600104] [PMID]
- Watson J, DeLand M, Gibbins S, MacMillan York E, Robson K. Improvements in staff quality of work life and family satisfaction following the move to single-family room NICU design. Adv Neonatal Care 2014; 14(2): 129-36. [DOI:10.1097/ANC.0000000000000046] [PMID]
- Tanja-Dijkstra K, Pieterse ME. The psychological effects of the physical healthcare environment on healthcare personnel. Cochrane Database Syst Rev 2011; 1:CD006210. [DOI:10.1002/14651858.CD006210.pub3] [PMID]
- Azizi M, Baroonyzadeh Z, Motamedzade M, Goli S. Study of nurses quality of life using WHO questionnaire in hospitals of Hamadan University of Medical Sciences. Journal of Occupational HygieneEngineering 2015; 1(4): 68-75. [In Persian].
- Saber S, Borhani F, Navidian A, Ramezani T, Rezvani Amin M, Kianian T. Related quality of work life and productivity of hospitals in Kerman University of Medical Sciences. Bioethics Journal 2013; 3(9): 144-66. [In Persian].
- Bahrami M. Nurses' quality of life in medical- surgical wards of an oncology center affiliated to the Isfahan University of Medical Sciences. Nursing Journal of the Vulnerable 2016; 3(7): 36-46. [In Persian].
- Nasiry Zarrin Ghabaee N, Talebpour A, Hosseini Velshkolaei SM, Rajabzadeh R. Quality of life and its relationship to the job stress in among nursing staff in Hospitals of Sari. Journal of Nursing Education 2016; 5(2): 40-8. [In Persian].
- Boswell C, Cannon S. Introduction to Nursing Research: Incorporating Evidence-Based Practice. 4th ed. Jones & Bartlett Learning; 2015.
- Clandinin DJ, Murphy MS. Comments on coulter and smith: Relational ontological commitments in narrative research. Educational Researcher 2009; 38(8): 598-602. [DOI:10.3102/0013189X09353940]
- Lieblich A, Tuval-Mashiach R, Zilber T. Narrative research: Reading, analysis and interpretation. Thousand Oaks 1998; 47. [DOI:10.4135/9781412985253]
- Marshall MN. Sampling for qualitative research. Fam Pract 1996; 13(6): 522-5. [DOI:10.1093/fampra/13.6.522] [PMID]
- Victor S. Telling tales: a review of C. K. riessman's narrative methods for the human sciences. The Qualitative Report 2009; 14(3): 172-6.
- Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006; 3(2): 77-101. [DOI:10.1191/1478088706qp063oa]
- Loh J. Inquiry into issues of trustworthiness and quality in narrative studies: A perspective. The Qualitative Report 2013; 18(33):1.
- MacAllister L. Measuring the impacts of hospital nursing floor and patient room layouts on patients' experience with care in a major teaching hospital [dissertation]. Georgia: Georgia Institute of Technology; 2015.
- Deci EL, Ryan RM. Handbook of Self-Determination Research. Rochester: University of Rochester Press; 2004.
- Mendes A, Papoila AL, Carreiro-Martins P, Aguiar L, Bonassi S, Caires I, et al. The influence of thermal comfort on the quality of life of nursing home residents. J Toxicol Environ Health A 2017; 80(13-15): 729-39. [DOI:10.1080/15287394.2017.1286929] [PMID]
- Rogers B, Buckheit K, Ostendorf J. Ergonomics and nursing in hospital environments. Workplace Health Saf 2013; 61(10): 429-39. [DOI:10.1177/216507991306101003] [PMID]
- Kourkouta L, Papathanasiou IV. Communication in nursing practice. Mater Sociomed 2014; 26(1): 65-7. [DOI:10.5455/msm.2014.26.65-67] [PMID]
- Zimring C, Bosch S. Building the evidence base for evidence-based design. Environment and Behavior 2008; 40(2): 147-50. [DOI:10.1177/0013916507311545]
- Nesbitt K. Work breaks and well-being: The effect of nature on hospital Nurses [dissertation]. Michigan: University of Michigan; 2004.
- Ulrich RS. Effects of healthcare acoustics on medical outcomes. J Acoust Soc Am 2008; 123(5): 3094. [DOI:10.1121/1.2932937]
- Veitch JA, Newsham GR. Exercised control, lighting choices, and energy use: An office simulation experiment. Journal of Environmental Psychology 2000; 20(3): 219-37. [DOI:10.1006/jevp.1999.0169]
- Simmons D, Graves K, Flynn EA. Threading needles in the dark: The effect of the physical work environment on nursing practice. Crit Care Nurs Q 2009; 32(2): 71-4. [DOI:10.1097/CNQ.0b013e3181a27d99] [PMID]
- Buchanan TL, Barker KN, Gibson JT, Jiang BC, Pearson RE. Illumination and errors in dispensing. Am J Hosp Pharm 1991; 48(10): 2137-45. [DOI:10.1093/ajhp/48.10.2137] [PMID]
- Alimoglu MK, Donmez L. Daylight exposure and other predictors of burnout among nurses in a university hospital. Int J Nurs Stud 2005; 42(5): 549-55. [DOI:10.1016/j.ijnurstu.2004.09.001] [PMID]
- Agency for Healthcare Research and Quality. AHRQ Evidence Report Summaries. US: AHRQ; 1998-2005.
- Boivin DB, Boudreau P, James FO, Kin NM. Photic resetting in night-shift work: Impact on nurses' sleep. Chronobiology International. Journal of Biological and Medical Rhythm Research 2012; 29(5): 619-28. [DOI:10.3109/07420528.2012.675257] [PMID]
- Huang LB, Tsai MC, Chen CY, Hsu SC. The effectiveness of light/dark exposure to treat insomnia in female nurses undertaking shift work during the evening/night shift. J Clin Sleep Med 2013; 9(7): 641-6. [DOI:10.5664/jcsm.2824] [PMID]
- Prior D, Mitchell A, Nebauer M, Smith M. Oncology nurses' experience of dimethyl sulfoxide odor. Cancer Nurs 2000; 23(2): 134-40. [DOI:10.1097/00002820-200004000-00010] [PMID]
)