PNNL

Abstract

This study aims to differ in its methodological approach and reporting from previously-published research concerning environmental perceptions of med-surg nursing staff working in patient rooms. Here, qualitative results are reported, compared, and interpreted against existing literature to understand more extensively how nurses conceptualize med-surg patient rooms as productive work settings in relation to lighting, as well as the ways in which they believe these spaces could be enhanced for patient satisfaction. A general theme of environmental control over both overhead and task lighting in patient rooms emerged from words and phrases offered in response to all three items. Although control was reported as being among the ‘best’ lighting attributes in typical patient rooms, it was also something that nurses thought ought to be considered further by designers, facilities managers, and other decision-makers to refine these spaces for the productivity of staff, as well as for the satisfaction of patients. Daylighting was also considered to be among the best lighting-related design attributes in patient rooms. Control over the light level in patient rooms by providing additional dimming capability for patients, as well as additional light sources, came forward as prominent points in nurses’ narratives across the four hospitals. Unique to Hospital D, the trespassing of light was an issue for nurses considering the experiences of patients, suggesting that even when modern lighting models are in place, more attention can be paid to the ways in which window shades, and light sources outside of patient rooms, penetrate spaces and affect users. The finding that nurses and patients desire greater control over the lighting in patient rooms is consistent with Ulrich’s (1991) theory of supportive design for healthcare, and also coincides with recent advances in lighting technology. Further optimization of lighting frameworks in hospital patient rooms is necessary and desired by nursing staff. Despite differences in the level of technology and sophistication in lighting frameworks among the four facilities, lighting control continues to be a primary concern for med-surg nurses.