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The experience of patients in an outpatient infusion facility: a qualitative study

Emma Zijlstra (Research Group Facility Management, Institute of Future Environments, Hanze University of Applied Sciences, Groningen, The Netherlands; Research Group Healthy Ageing Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands and Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands)
Mariët Hagedoorn (Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands)
Stefan C.M. Lechner (Research Group Facility Management, Institute of Future Environments, Hanze University of Applied Sciences, Groningen, The Netherlands)
Cees P. van der Schans (Research Group Healthy Ageing Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands; Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands and Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands)
Mark P. Mobach (Research Group Facility Management, Institute of Future Environments, Hanze University of Applied Sciences, Groningen, The Netherlands, and Research Group Spatial Environment and the User, Faculty of Management and Organisation, The Hague University of Applied Sciences, The Hague, The Netherlands)

Facilities

ISSN: 0263-2772

Article publication date: 23 December 2020

Abstract

Purpose

As hospitals are now being designed with an increasing number of single rooms or cubicles, the individual preference of patients with respect to social contact is of great interest. The purpose of this study is to gain a better understanding of the experience of patients in an outpatient infusion center.

Design/methodology/approach

A total of 29 semi-structured interviews were conducted, transcribed and analyzed by using direct content analysis.

Findings

Findings showed that patients perceived a lack of acoustic privacy and therefore tried to emotionally isolate themselves or withheld information from staff. In addition, patients complained about the sounds of infusion pumps, but they were neutral about the interior features. Patients who preferred non-talking desired enclosed private rooms and perceived negative distraction because of spatial crowding. In contrast, patients who preferred talking, or had no preference, desired shared rooms and perceived positive distraction because of spatial crowding.

Research limitations/implications

In conclusion, results showed a relation between physical aspects (i.e. physical enclosure) and the social environment.

Practical implications

The findings allow facility managers to better understand the patients’ experiences in an outpatient infusion facility and to make better-informed decisions. Patients with different preferences desired different physical aspects. Therefore, nursing staff of outpatient infusion centers should assess the preferences of patients. Moreover, architects should integrate different types of treatment places (i.e. enclosed private rooms and shared rooms) in new outpatient infusion centers to fulfill different preferences and patients should have the opportunity to discuss issues in private with nursing staff.

Originality/value

This study emphasizes the importance of a mix of treatment rooms, while new hospital designs mainly include single rooms or cubicles.

Keywords

Acknowledgements

This study was funded by the University Medical Center of Groningen, The Netherlands. The authors declare that they have no competing interests. The authors are grateful to the full cooperation of the outpatient infusion facility and the director Facilities and Estates, Jan Bouwhuis, of the University Medical Center of Groningen. The authors also like to thank all participants of the study for sharing their experiences.

Citation

Zijlstra, E., Hagedoorn, M., Lechner, S.C.M., van der Schans, C.P. and Mobach, M.P. (2020), "The experience of patients in an outpatient infusion facility: a qualitative study", Facilities, Vol. 39 No. 7/8, pp. 553-567. https://doi.org/10.1108/F-03-2020-0022

Publisher

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Emerald Publishing Limited

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