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Therapeutic goals of hospice care environment: A systematic literature review
Kader, Sharmin Diaz Moore, Keith
Kader, Sharmin
Diaz Moore, Keith
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Abstract
Identification of environmental Therapeutic Goals (TGs) has proven essential in providing
useful guidance for planning and design (Cohen & Weisman 1991 ). Though age-specific environmental
dimensions have been suggested by several researchers during 1980's to 1990's, none of them focused on
dying patients and their experience in hospice care environment, so the need for categorizing dimensions for
hospice environment is evident. The objective of this study is to identify the Therapeutic Goals of hospice
environment focusing on patients' experience. This study employed a systematic literature review with an
approach developed by Hawker and colleagues in 2002. This study had considered a wide-ranging literature
search: 7 electronic databases search (PubMed, PsyciNFO, Social Science Citation Index, Science Citation
Index, ProQuest Dissertations & Thesis, Avery, and Cochrane Library), reference list search, examination of
literatures recommended by relevant experts, and Google search for books, reports, and guidelines. In total
48 literatures included; 39 full text articles, 2 books, 5 guidelines, and 2 reports. The data has extracted from
these literatures onto a standard template (matrix) for comparison and analysis for coding and thematic
development. The study identified eight themes as TGs which have direct influence on patients' experience
of hospice care environment: provide continuity of self, provision of access to nature, provision of privacy,
facilitate social interaction, maximize safety & security, provision of autonomy, regulate stimulation, and
provision of spiritual care. These goals reflect two characteristics; each expresses a basic or derived major
patient's need, and a potential environmental facilitator for the satisfaction of the need (Lawton et al. 2000).
As the physical environment of hospice has significant impact on the patients' quality of life and the
possibility of a good death (Cohen et al. 2001 ), these TGs have a positive effect on patients' lives.
Description
This paper was presented at the Architectural Research Centers Consortium conference, FUTURE of Architectural Research, May 6-9, 2015.
Date
2015
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Perkins+Will
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Keywords
Hospice, Palliative care, End-of-life, Dying, Therapeutic environment
Citation
Kader, S. and Diaz Moore, K. (2015). Therapeutic Dimensions of Palliative Care Environment. In Proceedings of the ARCC Conference on Future of Architectural Research. 492-499.