Familial caregiving architectural provision in Nigerian hospital wards

The focus in hospital design now is on providing facilities that promote patients’ wellbeing and restoration. Recent trends in improvement of healthcare environment is approached from patient-centred perspective that has concerns for patients’ needs and preferences. Social support from family was fo...

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Main Author:	Abubakar, Alkali Ibrahim
Format:	Thesis
Language:	English
Published:	2015
Subjects:	NA Architecture
Online Access:	http://eprints.utm.my/id/eprint/54820/1/AlkaliIbrahimAbubakarPFAB2015.pdf
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id	my-utm-ep.54820
record_format	uketd_dc
spelling	my-utm-ep.548202020-11-08T06:48:39Z Familial caregiving architectural provision in Nigerian hospital wards 2015-10 Abubakar, Alkali Ibrahim NA Architecture The focus in hospital design now is on providing facilities that promote patients’ wellbeing and restoration. Recent trends in improvement of healthcare environment is approached from patient-centred perspective that has concerns for patients’ needs and preferences. Social support from family was found to be among the major patients’ needs and preferences during hospitalisation. Inevitably, family involvement in caring for their hospitalised relatives is an essential aspect of restoration, particularly in developing countries where the extent of family involvement goes beyond the provision of psychological and emotional support to the patients. In spite of the benefits ascribed to the family involvement in care, it appears as if there is little or no consideration given to their accommodation in the hospital wards, especially in developing countries like Nigeria. Therefore, this study is aimed at proposing an architectural design framework that will provide for familial caregiving in Nigerian hospital wards with a view to informing design decision. Accordingly, a pragmatic phenomenological approach was employed to elicit data related to familial caregiving concept and its implication on hospital ward spaces. This was achieved through (1) interview with 14 patients, (2) three rounds of non-participant observation and a behavioural mapping in a surgical ward setting of Federal Medical Centre (FMC) Gombe, (3) survey questionnaires administered to 144 respondents, (4) scrutiny of architectural drawings, and (5) conducting a visioning charrette with five professional bodies. Consequently, the data were analysed using content analysis and structural equation modelling (SEM). The result shows that familial caregiving is a crucial aspect of the hospital ward procedures that is inevitable in Nigerian hospital wards due to cultural etiquettes and the need to support poor hospital ward operations. Similarly, the study further identified family transaction spaces requiring design attention to be the bedside, corridors and foyer, camp, and open spaces. Consequently, further analytical interpretation of the findings identified the core familial caregiving activities, spatial ordering and spatial considerations as the design indicators required to inform design decision. This leads to a rethink in how hospital ward spaces can be restructured to allow for family presence and participation. Ultimately, based on this evidence-based approach, a design framework that suggests a redefined familial caregiving hospital ward typology is therefore achieved. 2015-10 Thesis http://eprints.utm.my/id/eprint/54820/ http://eprints.utm.my/id/eprint/54820/1/AlkaliIbrahimAbubakarPFAB2015.pdf application/pdf en public http://dms.library.utm.my:8080/vital/access/manager/Repository/vital:96447 phd doctoral Universiti Teknologi Malaysia, Faculty of Built Environment Faculty of Built Environment
institution	Universiti Teknologi Malaysia
collection	UTM Institutional Repository
language	English
topic	NA Architecture
spellingShingle	NA Architecture Abubakar, Alkali Ibrahim Familial caregiving architectural provision in Nigerian hospital wards
description	The focus in hospital design now is on providing facilities that promote patients’ wellbeing and restoration. Recent trends in improvement of healthcare environment is approached from patient-centred perspective that has concerns for patients’ needs and preferences. Social support from family was found to be among the major patients’ needs and preferences during hospitalisation. Inevitably, family involvement in caring for their hospitalised relatives is an essential aspect of restoration, particularly in developing countries where the extent of family involvement goes beyond the provision of psychological and emotional support to the patients. In spite of the benefits ascribed to the family involvement in care, it appears as if there is little or no consideration given to their accommodation in the hospital wards, especially in developing countries like Nigeria. Therefore, this study is aimed at proposing an architectural design framework that will provide for familial caregiving in Nigerian hospital wards with a view to informing design decision. Accordingly, a pragmatic phenomenological approach was employed to elicit data related to familial caregiving concept and its implication on hospital ward spaces. This was achieved through (1) interview with 14 patients, (2) three rounds of non-participant observation and a behavioural mapping in a surgical ward setting of Federal Medical Centre (FMC) Gombe, (3) survey questionnaires administered to 144 respondents, (4) scrutiny of architectural drawings, and (5) conducting a visioning charrette with five professional bodies. Consequently, the data were analysed using content analysis and structural equation modelling (SEM). The result shows that familial caregiving is a crucial aspect of the hospital ward procedures that is inevitable in Nigerian hospital wards due to cultural etiquettes and the need to support poor hospital ward operations. Similarly, the study further identified family transaction spaces requiring design attention to be the bedside, corridors and foyer, camp, and open spaces. Consequently, further analytical interpretation of the findings identified the core familial caregiving activities, spatial ordering and spatial considerations as the design indicators required to inform design decision. This leads to a rethink in how hospital ward spaces can be restructured to allow for family presence and participation. Ultimately, based on this evidence-based approach, a design framework that suggests a redefined familial caregiving hospital ward typology is therefore achieved.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Abubakar, Alkali Ibrahim
author_facet	Abubakar, Alkali Ibrahim
author_sort	Abubakar, Alkali Ibrahim
title	Familial caregiving architectural provision in Nigerian hospital wards
title_short	Familial caregiving architectural provision in Nigerian hospital wards
title_full	Familial caregiving architectural provision in Nigerian hospital wards
title_fullStr	Familial caregiving architectural provision in Nigerian hospital wards
title_full_unstemmed	Familial caregiving architectural provision in Nigerian hospital wards
title_sort	familial caregiving architectural provision in nigerian hospital wards
granting_institution	Universiti Teknologi Malaysia, Faculty of Built Environment
granting_department	Faculty of Built Environment
publishDate	2015
url	http://eprints.utm.my/id/eprint/54820/1/AlkaliIbrahimAbubakarPFAB2015.pdf
_version_	1747817734813515776

Familial caregiving architectural provision in Nigerian hospital wards

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