Forms of environmental support: The roles that contemporary outpatient oncology settings play in shaping patient experience

Sadek, A H and Willis, J (2023) Forms of environmental support: The roles that contemporary outpatient oncology settings play in shaping patient experience. Building Research & Information, 51(4), pp. 481-500. ISSN 0961-3218

Abstract

This article examines key aspects of built environment that shape the experience of patients undergoing intravenous anti-cancer treatment within outpatient settings. Eighteen patients or former patients participated in a series of in-depth interviews across two healthcare sites and two consumer groups in Victoria, Australia. Interviews were semi-structured with questions exploring the meaning and significance of patient experience of the hospital-built environment, as well as architectural aspects important for their wellbeing. Following a systematic thematic analysis, four themes highlighting the main contributions of contemporary healthcare design to patients' experiences were synthesized. This ranged from the role of built environment in shifting negative expectations and inducing positive impressions, to its role in breaking up the intensity of treatment when feeling overwhelmed and provoking engagement in activities beyond treatment and being sick. The discussion also considers the role of built environment in attending to patients' individual needs and treatment-related vulnerabilities. The findings expand existing theories of a supportive healthcare environment with further understanding of its potential constituent elements. They point to a refined, and more comprehensive, conceptual understanding of the way the built environment may promote wellbeing.

Item Type: Article
Uncontrolled Keywords: built environment; healthcare facilities; infusion treatment; outpatient oncology; patient experience; supportive design
Index terms: thematic analysis, Australia, well-being, Victoria, meaning, vulnerability, built environment, interview
Subjects: regions and continents, Geography, mental health and wellbeing, environmental hazards, data collection methods, sociology, infrastructure and transport systems, methods and analysis
Topics: Urban Studies, Health and Safety, Geographical Context, Research Practice, Sustainability
Descriptive scope: 4 PCEA

N.B. Descriptive scope is a count of how many of the five facets of empirical research are indicated by the words used in title, abstract and keywords. It is not intended as a judgement on the research; merely a count of the kind of word we would expect to indicate Phenomenon, Concepts, Theoretical framing, Empirical techniques, Analytical techniques. If all five are present, then a code of “5 PCTEA” will indicate this. If you feel the coding for this record is questionable, we welcome discussion around the terms we matched or the way we categorized them. The facet you would expect may not be coded, or a facet may be coded inappropriately. This can also bear on a larger question, of which facets should be treated as defining in construction management research. Please get in touch, and we will look at it. More details here