Journal of the Architectural Institute of Korea Planning & Design (대한건축학회논문집:계획계)

Architectural Institute of Korea (대한건축학회)
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A Research on the Waiting and Resting Behaviors of Children in the Outpatient Clinic of a Children's Hospital - Focused on the Comparative Analysis between Children with and without Disabilities -

어린이병원 외래진료부 이용자의 대기 및 휴게행태 연구 - 장애 및 비장애 어린이의 비교 분석을 중심으로 -

  • Received : 2017.07.31
  • Accepted : 2017.11.30
  • Published : 2017.12.26
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Abstract

This study investigates the waiting and resting behaviors of children within a restorative healthcare facility design. In particular, the aim is to compare children with and without disabilities and reveal similarities and differences in terms of their behavioral characteristics and uses of design facilities, related to positive distraction, for restoration in the hospital. Three major common spaces for outpatients in S children's hospital in Seoul were examined including the main lobby and two waiting and resting spaces in the pediatric and rehabilitation medicine departments, respectively. A total of 155 children under the age of 12-67 with physical disabilities and 88 without-were observed while they waited and rested at the three spaces before or after doctors' examination. Basic demographic information and waiting and resting behavioral characteristics were compared between the two groups. The results indicated that the disabled children were more restricted in terms of space, facilities used, and social behaviors. However, regardless of disabilities, the children showed more positive distractions related to cognitive and social behaviors in areas where restorative design elements such as an aquarium, garden, or visual images were available. Based on the results, design implications were discussed to strengthen positive distraction behaviors in children with and without disabilities and to foster the restorative quality of the spaces for waiting and resting in the children's hospital.

Keywords

Acknowledgement

Supported by : 한국연구재단

References

  1. Arneill, A. B. & Devlin, A. S. (2002). Perceived quality of care: The influence of the waiting room environment. Journal of Environmental Psychology, 22(4), 345-360. https://doi.org/10.1006/jevp.2002.0274
  2. Bishop, K. G. (2008). From Their Perspectives: Children and Young People's Experience of a Paediatric Hospital Environment and Its Relationship to Their Feeling of Well-Being, Doctorial Dissertation, The University of Sydney.
  3. Cho, B. Y. (2001). A Study on the Improvement of Education Space Planning for the Handicapped: In Consideration of Their Behavior, Master's Dissertation, Hoseo University.
  4. Cho, M. J. (2016). Research on the design guideline and implementations of barrier-free space for children: Focused on the common spaces of the outpatient clinics in pediatric rehabilitation hospital, Journal of the Korean Institute of Interior Design, 25(4), 131-124. https://doi.org/10.14774/JKIID.2016.25.2.131
  5. Choi, I. Y. & Park, H. K. (2017). Analysis of the spatial configuration of lobby in general hospital. Journal of the Korean Institute of Interior Design, 26(1), 134-141. https://doi.org/10.14774/JKIID.2017.26.1.134
  6. Choi, I. Y. & Park, S. B. (2014). A study on the space use and behavior of child patients: Focused on the rest and play activities, Journal of the Korean Institute of Interior Design, 23(6), 204-211.
  7. Coad, J. & Coad, N. (2008). Children and young people's preference of thematic design and colour for their hospital environment. Journal of Child Health Care, 12(1), 33-48. https://doi.org/10.1177/1367493507085617
  8. Devlin, A. (2014). Wayfinding in healthcare facilities: Contributions from environmental psychology. Behavioral Science, 4, 423-436 https://doi.org/10.3390/bs4040423
  9. Eisen, S. L., Ulrich, R. S., Shepley, M. M., Varni, J. W. & Sherman, S. (2008). The stress-reducing effects of art in pediatric health care: Art preferences of healthy children and hospitalized children. Journal of Child Health Care, 12(3), 173-190. https://doi.org/10.1177/1367493508092507
  10. Geller, G. & Warren, L. (2004) Toward an optimal healing environment in pediatric rehabilitation. The Journal of Alternative and Complementary Medicine, 10, 179-192. https://doi.org/10.1089/1075553042245999
  11. Ha, J. M. & Park, S. B. (2014). Child-friendly design factors for children's hospital planning. Journal of the Architectural Institute of Korea Planning & Design 30(10), 87-95. https://doi.org/10.5659/JAIK_PD.2014.30.10.87
  12. Haiat, H., Bar-Mor, G. & Shochat, M. (2003). The world of the child: A world of play even in the hospital. Journal of Pediatric Nursing, 18(3), 209-214. https://doi.org/10.1053/jpdn.2003.28
  13. Hussein, H. (2012). The influence of sensory gardens on the behaviour of children with special educational needs. Procedia- Social and Behavioral Sciences, 38, 343-354. https://doi.org/10.1016/j.sbspro.2012.03.356
  14. Jang, Y. J. (1999). Empirical Needs of the Disabled for Physical Living Environment. Master's Dissertation, Yonsei University.
  15. Jiang, S. & Verderber, S. (2017). On the planning and design of hospital circulation zones: A review of the evidence-based literature. HERD: Health Environments Research & Design Journal, 10(2), 124-146. https://doi.org/10.1177/1937586716672041
  16. Jun-Tai, N. (2008). Play in hospital. Paediatrics and Child Health, 18(5), 233-237. https://doi.org/10.1016/j.paed.2008.02.002
  17. Jung, S. N. (2014). The Study of Healing Environment and Service Perception in Rehabilitation-related Hospitals' Inpatients. Master's Dissertation, Daegu Hanny University.
  18. Jung, S. Y., Kim, Y. S. & Choi, K. S. (2013). A study on the healing rest space in pediatric ward. Journal of the Korea Institute of Healthcare Architecture, 19(1), 23-34. https://doi.org/10.15682/jkiha.2013.19.1.023
  19. Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15(3), 169-182. https://doi.org/10.1016/0272-4944(95)90001-2
  20. Kim, G. H. & Park, J. S. (2010). A study on the spatial organization methods of O.P.D & the construction of healing environment on O.P.D waiting area in children's hospital in Seoul metropolis. Journal of the Korea Institute of Healthcare Architecture, 16(3), 37-43.
  21. Kim, Y. E. (2004). A Study on the Planning of Integrated Play Environment Which Considers Children with Disabilities, Doctorial Dissertation, Kunkuk University.
  22. Kim, Y. J. (2007). Therapeutic Space Interior Design Plan for the Attention Deficit Hyperactive Disorder Children. Master's Dissertation, Hongik University.
  23. King, G., Cathers, T., King, S. & Rosenbaum, P. (2001). Major elements of parents' satisfaction and dissatisfaction with pediatric rehabilitation services. Children's Health Care, 30(2), 111-134. https://doi.org/10.1207/S15326888CHC3002_3
  24. Lambert, V., Coad, J., Hicks, P. & Glacken, M. (2014). Young children's perspectives of ideal physical design features for hospital-built environments. Journal of Child Health Care, 18(1), 57-71. https://doi.org/10.1177/1367493512473852
  25. Law, M., Haight, M., Milroy, B., Willms, D., Stewart, D. & Rosenbaum, P. (1999). Environmental factors affecting the occupations of children with physical disabilities. Journal of Occupational Science, 6(3), 102-110. https://doi.org/10.1080/14427591.1999.9686455
  26. Lee, B. R. (2012). A Study on Guidelines for Designing Healing Garden for Handicapped Children. Master's Dissertation, Seoul National University
  27. Lee, M. A., Gang, Y. S. & Kim, J. E. (2008). The preliminary study for social competence development of children with disabilities: Exploration of the constructs on social competence for elementary students based on implicit theory, The Journal of Special Children Education, 10(1), 53-73 https://doi.org/10.21075/kacsn.2008.10.1.53
  28. Lee, P. (2008). A Study on the Environmental Design of Therapy Education Through the Analysis of Play Therapy Space. Master's Dissertation, Sungsil University.
  29. Leibrock, C. A. & Harris, D. D. (2011). Design Details for Health: Making the Most of Design's Healing Potential (Vol. 9). John Wiley & Sons.
  30. Malkin, J. (1992). Hospital Interior Architecture: Creating Healing Environments For Special Patient Populations. Van Nostrand Reinhold Company.
  31. McCauley, D., Gorter, J. W., Russell, D. J., Rosenbaum, P., Law, M. & Kertoy, M. (2013). Assessment of environmental factors in disabled children 2-12 years: Development and reliability of the Craig Hospital Inventory of Environmental Factors (CHIEF) for Children-Parent Version. Child: Care, Health and Development, 39(3), 337-344. https://doi.org/10.1111/j.1365-2214.2012.01388.x
  32. Monti, F., Agostini, F., Dellabartola, S., Neri, E., Bozicevic, L. & Pocecco, M. (2012). Pictorial intervention in a pediatric hospital environment: Effects on parental affective perception of the unit. Journal of Environmental Psychology, 32(3), 216-224. https://doi.org/10.1016/j.jenvp.2012.03.001
  33. Nanda, U., Chanaud, C., Nelson, M., Zhu, X., Bajema, R. & Jansen, B. H. (2012). Impact of visual art on patient behavior in the emergency department waiting room. The Journal of Emergency Medicine, 43(1), 172-181. https://doi.org/10.1016/j.jemermed.2011.06.138
  34. Pati, D. & Nanda, U. (2011). Influence of positive distractions on children in two clinic waiting areas. HERD: Health Environments Research & Design Journal, 4(3), 124-140. https://doi.org/10.1177/193758671100400310
  35. Park, J. Y. & Park, J. S. (2001). A study on the architectural planning of outpatient clinic department in children's hospital: Focused on the movement and behavior of children patient. Journal of the Korea Institute of Healthcare Architecture, 7(12), 57-68.
  36. Park, M. S. (2005). A study on the preference for the healing environment of outpatient waiting space at the domestic general hospital in the patient-centered aspects: Centering in the outpatient waiting space at the department of internal medicine of general hospital in seoul area. Journal of Korea Institute of Interior Design, 14(4), 114-122.
  37. Schweitzer, M., Gilpin, L. & Frampton, S. (2004). Healing spaces: Elements of environmental design that make an impact on health. Journal of Alternative & Complementary Medicine, 10(Supplement 1), S-71.
  38. Sherman, S. A., Shepley, M. M. & Varni, J. W. (2005). Children's environments and health-related quality of life: Evidence informing pediatric healthcare environmental design. Children Youth and Environments, 15(1), 186-223.
  39. Streisand, R., Braniecki, S., Tercyak, K. P. & Kazak, A. E. (2001). Childhood illness-related parenting stress: The pediatric inventory for parents. Journal of Pediatric Psychology, 26(3), 155-162. https://doi.org/10.1093/jpepsy/26.3.155
  40. Ullan, A. M., Belver, M. H., Fernandez, E., Serrano, I., Delgado, J., & Herrero, C. (2012). Hospital designs for patients of different ages: Preferences of hospitalized adolescents, nonhospitalized adolescents, parents, and clinical staff. Environment and Behavior, 44(5), 668-694. https://doi.org/10.1177/0013916511403802
  41. Ulrich, R. S. (1991). Effects of interior design on wellness: Theory and recent scientific research. Journal of Health Care Interior Design, 3(1), 97-109.
  42. Ulrich, R. S., Simons, R. F., Losito, B. D., Fiorito, E., Miles, M. A. & Zelson, M. (1991). Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11(3), 201-230. https://doi.org/10.1016/S0272-4944(05)80184-7
  43. Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S. & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. HERD: Health Environments Research & Design Journal, 1(3), 61-125. https://doi.org/10.1177/193758670800100306
  44. Varni, J. W., Burwinkle, T. M., Dickinson, P., Sherman, S. A., Dixon, P., Ervice, J. A. & Sadler, B. L. (2004). Evaluation of the built environment at a children's convalescent hospital: Development of the pediatric quality of life inventory: Parent and staff satisfaction measures for pediatric health care facilities. Journal of Developmental & Behavioral Pediatrics, 25(1), 10-20. https://doi.org/10.1097/00004703-200402000-00002
  45. Weinberger, N., Butler, A. G., McGee, B., Schumacher, P. A. & Brown, R. L. (2017). Child life specialists' evaluation of hospital playroom design: A mixed method inquiry. Journal of Interior Design, 42(2), 71-91. https://doi.org/10.1111/joid.12097
  46. Whitehouse, S., Varni, J. W., Seid, M., Cooper-Marcus, C., Ensberg, M. J., Jacobs, J. R. & Mehlenbeck, R. S. (2001). Evaluating a children's hospital garden environment: Utilization and consumer satisfaction. Journal of Environmental Psychology, 21(3), 301-314. https://doi.org/10.1006/jevp.2001.0224