Evidence map›Paper›PMID 32133876›Full record

ArticleHERD2020

Environmental Needs, Barriers, and Facilitators for Optimal Healing in the Postoperative Process: A Qualitative Study of Patients' Lived Experiences and Perceptions.

Gijs Hesselink, Merlijn Smits, Mariël Doedens, Sharon M T Nijenhuis, Denise van Bavel, Harry van Goor, Tom H van de Belt

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in HERD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Gijs HesselinkRadboud Institute for Health Sciences, IQ Health Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Merlijn SmitsDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-2292-6950
Mariël DoedensDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Sharon M T NijenhuisDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Denise van BavelDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Harry van GoorDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Tom H van de BeltRadboud Institute for Health Sciences, Radboud REshape Innovation Center, Radboud University Medical Center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGaining an understanding of postoperative patients' environmental needs, barriers, and facilitators for optimal healing.

backgroundAn optimal hospital environment (the "healing environment") can enhance patients' postoperative recovery and shorten length of stay. However, insights lack into patients' lived environmental needs for optimal healing after surgery and how these needs are being met.

methodA qualitative study was conducted between August 2016 and August 2017 with 21 patients who underwent elective major abdominal surgery in a Dutch university hospital. Data were collected through context-mapping exercises and interviews to capture patients' lived experiences and explore the meaning of these experiences. Data were systematically analyzed according to the principles of thematic content analysis.

resultsThree themes were identified. First, participants want a sense of control over their treatment, ambient features, privacy, nutrition, and help requests. Participants described the need for positive distractions: personalizing the room, connecting with the external environment, and the ability to undertake activities. Finally, participants expressed the importance of functional, practical, and emotional support from professionals, peers, and relatives. According to participants, the hospital environment often does not meet their healing needs while being hospitalized.

conclusionThe hospital environment often does not meet patients' needs. Needs fulfillment can be improved by practical adjustments to the physical and interpersonal environment and considering patient's individual preferences and changing needs during recovery. Patient narratives, pictures, and drawings are valuable sources for hospital managers in their efforts to design evidence-based environments that anticipate to patient-specific needs for achieving early recovery.

Indexed as

Patient SatisfactionPostoperative CareAbdomenAdultAgedFemaleHospitals, UniversityHumansInternal-External ControlMaleMiddle AgedNetherlandsPatient-Centered CarePatients' RoomsPrivacyQualitative Researchevidence-based designhealthcare designhospitaloutcomes—patientpatient-/person-centered carepatient room designqualitative research

Identifiers

PMID32133876
PMCPMC7364789
OpenAlexW3009826175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.