Thesis Chapters by Siddharta Jap A Joe
MBA Graduation Thesis, 2020
Being in an environment, which causes stress, anxiety and uncertainty, are some of the elements, ... more Being in an environment, which causes stress, anxiety and uncertainty, are some of the elements, which have an influence on the well-being of human beings. Health care providers, health care receivers and health care workers all universally agree upon the fact that the aforementioned elements are undesirable and that there exists a relationship between certain factors of the environment and its influence on patients' well-being. Several researchers such as Sakallaris, Macallister, Voss, Smith, & Jonas (2015), Ulrich et al. (2006) and Van den Berg (2005) agree that well-being depends upon individual perspectives and that there exists a positive 'symbiotic' relationship between physical factors within the environment and non-physical factors (namely the social and psychological factors). The central objective of this study focused on determining to what extent physical factors, psychological and social factors of the current design of hospital healing environments of Surinamese hospital wards influence the self-perception of patient well-being. To identify the determining factors and the extent to which they could have influence on the self-perception of a patients' well-being, a quantitative study approach was used. The measuring instrument utilized for measuring well-being of patients was the WHO-5 Well-Being Index Scale as it has been proved to be a good measurement tool for measuring well-being among patients. The study of what the influencing factors of the healing environment on our well-being is, is still an ongoing debate amongst researchers. Therefore, the focus of this study was towards identifying the factors which arose out of the literature and which proposes a relationship between the physical and social and psychological factors and the influence on in-patients self perceived well-being. Through literature review, 28 variables (factors) where chosen and 14 dimensions have been identified for the Hospital Healing Environment (HHE). The dimensions have been separated into physical factors and social and psychological factors. The results from the collected data from the respondents (n=401) reveal that for the physical factors only the dimensions of PF-Scent [Beta:.116, p < .05] and PF-Service [Beta: .179, p < 0.05] revealed enough statistical significant evidence as being a positive influence on Self-Perceived Patient Well Being (SPPWB). The research also found that for sec psychological factors, the dimension of PsF-Privacy and Safety [Beta: .114. p < .05] and for sec social factors, the dimension of SF-Service [Beta:.1173. p< .05] revealed enough statistical significant evidence as being a positive influence on Self-Perceived Patient Well-Being (SPPWB). It is also revealed that Length of Stay (LOS) both moderates the relationship between physical, psychological and social factors positively and no moderation could be found for Type of Room/Hospital Room Classification (ToR/HRC). Also no mediating effect has been found for social and psychological factors on the relationship between physical factors and patient self-perceived well-being. As hospitals of the 21st century strategically are gradually moving more towards becoming patient-centered institutions, than the results and recommendations derived from this study has implications for the application of Evidence Based Design for future hospitals. This study recommends that certain strategic policies should be undertaken by the management of hospitals regarding the redesign or creation of a Healing Environment for a Hospital.
Being in an environment, which causes stress, anxiety and uncertainty, are some of the elements, ... more Being in an environment, which causes stress, anxiety and uncertainty, are some of the elements, which have an influence on the well-being of human beings. Health care providers, health care receivers and health care workers all universally agree upon the fact that the aforementioned elements are undesirable and that there exists a relationship between certain factors of the environment and its influence on patients' well-being. Several researchers such as Sakallaris, Macallister, Voss, Smith, & Jonas (2015), Ulrich et al. (2006) and Van den Berg (2005) agree that well-being depends upon individual perspectives and that there exists a positive 'symbiotic' relationship between physical factors within the environment and non-physical factors (namely the social and psychological factors). The central objective of this study focused on determining to what extent physical factors, psychological and social factors of the current design of hospital healing environments of Surinamese hospital wards influence the self-perception of patient well-being. To identify the determining factors and the extent to which they could have influence on the self-perception of a patients' well-being, a quantitative study approach was used. The measuring instrument utilized for measuring well-being of patients was the WHO-5 Well-Being Index Scale as it has been proved to be a good measurement tool for measuring well-being among patients. The study of what the influencing factors of the healing environment on our well-being is, is still an ongoing debate amongst researchers. Therefore, the focus of this study was towards identifying the factors which arose out of the literature and which proposes a relationship between the physical and social and psychological factors and the influence on in-patients self perceived well-being. Through literature review, 28 variables (factors) where chosen and 14 dimensions have been identified for the Hospital Healing Environment (HHE). The dimensions have been separated into physical factors and social and psychological factors. The results from the collected data from the respondents (n=401) reveal that for the physical factors only the dimensions of PF-Scent [Beta:.116, p < .05] and PF-Service [Beta: .179, p < 0.05] revealed enough statistical significant evidence as being a positive influence on Self-Perceived Patient Well Being (SPPWB). The research also found that for sec psychological factors, the dimension of PsF-Privacy and Safety [Beta: .114. p < .05] and for sec social factors, the dimension of SF-Service [Beta:.1173. p< .05] revealed enough statistical significant evidence as being a positive influence on Self-Perceived Patient Well-Being (SPPWB). It is also revealed that Length of Stay (LOS) both moderates the relationship between physical, psychological and social factors positively and no moderation could be found for Type of Room/Hospital Room Classification (ToR/HRC). Also no mediating effect has been found for social and psychological factors on the relationship between physical factors and patient self-perceived well-being. As hospitals of the 21st century strategically are gradually moving more towards becoming patient-centered institutions, than the results and recommendations derived from this study has implications for the application of Evidence Based Design for future hospitals. This study recommends that certain strategic policies should be undertaken by the management of hospitals regarding the redesign or creation of a Healing Environment for a Hospital.
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Thesis Chapters by Siddharta Jap A Joe