ReviewNursing open2026
Beyond Satisfaction: Person-Centred Care and the Physical Environment Revisited-An Integrative Review.
Review in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
BACKGROUND AND
aimsTo explore literature in relation to the physical healthcare environment and person-centred care to understand how it can be better supported at the system level.
methodsAn integrative review using the work of Whittmore and Knafl. The review was designed around problem identification, literature search, data evaluation, data analysis and presentation of stages. DATA SOURCES: CINAHL, Embase, PubMed and Scopus databases were searched, and 29 articles were included.
findingsArticles were considered in relation to their context, and themes for each were generated. These were: Aged care (The 'Safety Gaze', Reconciling safety to support an environment of personhood and Nature and stimulation); Paediatrics and Neonatal (Supporting parenthood, Person-centred care (un)supported through control and Satisfaction and expertise); Maternity (Sterility versus person-centred care and Controlling the birth experience); Acute care (Participation in the environment, First and foremost a healing environment, Decentralised nurses station and single rooms); Mental Health (Safety versus person-centred care and Calming the environment); and Outpatient (Genuine access to information). The review found perceptions of safety and risk, and the idea of 'hotel culture', a negative connotation for healthcare staff. While person-centred design in hospitals makes for a more aesthetically pleasing environment and positive experience, it is argued these elements are superficial in nature, rather than authentic.
conclusionWhile described as person-centred, many design elements were more about satisfaction than engagement and shared decision-making. Healthcare policymakers, accreditors and leaders must move beyond satisfaction and consider environmental changes that genuinely engage people in their care and promote shared decision-making. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: What is already known? Person-centred care is a requirement of health services. Person-centred environmental changes have recently occurred to the healthcare environment. What this article adds? Many healthcare designs are more about satisfaction rather than genuine partnership. While aesthetics are important for experience, we must move beyond satisfaction to ensure that systems and environments supports person-centred care. REPORTING
methodPRISMA. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.