Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia

Tom Motzek, Kathrin Bueter, Gesine Marquardt

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The purpose of this study was to evaluate the effectiveness of different environmental cues in double-occupancy rooms of an acute care hospital to support patients’ abilities to identify their bed and wardrobe. Methods: The quasi-experiment was conducted on a geriatric ward of an acute care hospital. Patients with dementia were included (n = 42). To test the effectiveness of environmental cues, two rooms were enhanced with the environmental cue “color,” two rooms with the cue “number,” and two rooms with the cue “patient’s name”. Four rooms were not redesigned and were used as control rooms. For analysis, we pooled the intervention groups color and number (n = 14) and compared it with the control group (n = 22). Results: The environmental cues color and number were significantly effective to improve the identification of the wardrobe from the third to the fifth day after admission. However, for the 10th–12th day after admission, we found no difference in results. Furthermore, results indicate improvements in the ability to identify the bed by using the environmental cues color and number. Conclusions: As this study indicated, the environmental cues color and number are helpful for these patients to identify their bed and wardrobe. However, these cues were most effective from the third to the fifth day after admission. To sustain their effectiveness on patients’ identification abilities during their hospital stay, we discuss, whether verbal prompting and an ongoing mentioning of such cues, embedded in the daily work of nurses, could be beneficial.

Original languageEnglish (US)
Pages (from-to)106-115
Number of pages10
JournalHERD
Volume9
Issue number3
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • elder design
  • environment of care
  • environmental design
  • hospital
  • interior design
  • mental health
  • patient outcomes
  • patient room design
  • quantitative research
  • quasi-experimental

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Critical Care and Intensive Care Medicine

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