The Challenges of Nigerian Hospital Ward Setting in Providing for Family Participation

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Healthcare facilities design is a complex and dynamic process that considers meeting the needs of each of its stakeholders. The design becomes more complex when it involves building for particular user groups with non-standard specification. The Nigerian healthcare delivery system like many other health care systems in developing countries requires active participation of the patient's family member. However, the hospital setting in Nigeria has not been configured to accommodate their stay. This qualitative study is carried out to explore the extent of family participation in caring for their hospitalised ones with a view to identify design indices that will guide Nigerian hospital ward design. Data was obtained through observation and unstructured interview in a typical adult male and female surgical wards in one of the tertiary hospitals in Nigeria. Data was analysed using classical content analysis method. The result shows the design indices generated from patient's families involvement required in the Nigerian hospital ward configuration.

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142-151

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July 2014

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[1] A. Al Mutair, V. Plummer, A. Paul O'Brien, and R. Clerehan, Attitudes of healthcare providers towards family involvement and presence in adult critical care units in Saudi Arabia: a quantitative study, Journal of Clinical Nursing, vol. 23, no. 5–6, p.744–755, (2014).

DOI: 10.1111/jocn.12520

Google Scholar

[2] Z. Kuo, A. J. Houtrow, P. Arango, K. A. Kuhlthau, J. M. Simons, and N. M. John, Family Centered Care: Current Applications and Future Directions in Paediatric Healthcare, Maternal Child Health, vol. 16, p.297–305, (2012).

DOI: 10.1007/s10995-011-0751-7

Google Scholar

[3] K. Day and U. Cohen, The Role of Culture in Designing Environments for People with Dementia A Study of Russian Jewish Immigrants, Environment and Behavior, vol. 32, no. 3, p.361–399, May (2000).

DOI: 10.1177/00139160021972577

Google Scholar

[4] A. Ogunniyi, O. Baiyewu, O. Gureje, F. W. Unverzagt, S. Gao, and H. . Hendrie, CAring for individuals with dementia: The Nigerian experience., West African Journal of Medicine, vol. 24, no. 3, p.259–262, (2005).

DOI: 10.4314/wajm.v24i3.28211

Google Scholar

[5] R. Ter Meulen and K. Wright, Family Solidarity and Informal Care: The Case of Care for People with Dementia, Bioethics, vol. 26, no. 7, p.361–368, (2012).

DOI: 10.1111/j.1467-8519.2012.01992.x

Google Scholar

[6] M. U. Dada, N. O. Okewole, O. C. Ogun, and M. A. Bello-Mojeed, Factors associated with caregiver burden in a child and adolescent psychiatric facility in Lagos, Nigeria: a descriptive cross sectional study, BMC Pediatrics, vol. 11, no. 1, p.110, Dec. (2011).

DOI: 10.1186/1471-2431-11-110

Google Scholar

[7] T. G. Ijarogbe, G. T. Okulate, H. T. O. Ladapo, and R. A. Lawal, Prevalence of anxiety and depressive disorders among informal caregivers of patients attending the Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria, Nigerian Journal of Psychiatry, vol. 9, no. 2, (2010).

DOI: 10.4314/njpsyc.v9i2.69916

Google Scholar

[8] A. S. Al-Mutair, V. Plummer, R. Clerehan, and A. (Tony) O'Brien, Families' needs of critical care Muslim patients in Saudi Arabia: a quantitative study, Nursing in Critical Care, p. n/a–n/a, (2013).

DOI: 10.1111/nicc.12039

Google Scholar

[9] J. E. Davidson, Meeting the needs of the family and helping families adapt to critical illness, Critical Care Nursing, vol. 29, no. 3, p.28–33, Jun. (2009).

DOI: 10.4037/ccn2009611

Google Scholar

[10] S. -E. A, The evolution of health care systems in Nigeria: Which way forward in the twenty-first century, Nigerian Medical Journal, vol. 51, no. 2, p.53, Apr. (2010).

Google Scholar

[11] B. O. Akanji, A. Ogunniyi, and O. Baiyewu, Healthcare for Older Persons, A Country Profile: Nigeria, Journal of the American Geriatrics Society, vol. 50, no. 7, p.1289–1292, (2002).

DOI: 10.1046/j.1532-5415.2002.50319.x

Google Scholar

[12] Y. Evren and A. N. Okten, Family Solidarity and Place as Components of Hospital Provision in Istambul: The Dependence of Public Healthcare on Culture and the Local Economy, International Planning Studies, vol. 16, no. 1, p.97–108, Feb. (2011).

DOI: 10.1080/13563475.2011.552472

Google Scholar

[13] H. Brown, Hospital Domestics: Care Work in Kenyan Hospital, Space and Culture, vol. 15, no. 1, p.18–30, (2012).

DOI: 10.1177/1206331211426056

Google Scholar

[14] R. Ulrich, Evidence based environmental design for improving medical outcomes, in Healing By Design, Montreal, Canada, 2000, vol. 3, p.1–3.

Google Scholar

[15] L. M. Wright and M. Leahey, Nurses and Families, A Guide to Family Assessment and Intervention, 5th ed. Philadelphia: F.A. Davis company, (2009).

Google Scholar

[16] J. R. Kaakinen, V. Gelady-Duff, D. P. Coehlo, and S. M. H. Hanson, Family Health care nursing: Theory, Practise and research, 4th ed. Philadelphia: F. A. Davis, (2010).

DOI: 10.1177/1074840710383274

Google Scholar

[17] CAMH, Putting family centered care into practise, (2004).

Google Scholar

[18] V. Entwistle, Nursing shortages and patient safety problems in hospital care: is clinical monitoring by families part of the solution?, Health Expectations, vol. 7, no. 1, p.1–5, Mar. (2004).

DOI: 10.1046/j.1369-7625.2003.00259.x

Google Scholar

[19] E. Osso, Family Involvement in the Hospital - From a Nursing Perspective | Global Health Delivery Online: Improving health care delivery through global collaboration, 15-Oct-2012. [Online]. Available: http: /www. ghdonline. org/nursing/discussion/family-involvement-in-the-hospital--from-a-nursin/. [Accessed: 23-Mar-2014].

Google Scholar

[20] P. Åstedt-Kurki, M. Paunonen, and K. Lehti, Family members' experiences of their role in a hospital: a pilot study, Journal of Advanced Nursing, vol. 25, no. 5, p.908–914, (1997).

DOI: 10.1046/j.1365-2648.1997.1997025908.x

Google Scholar

[21] Ma. L. Mitchel and W. Chaboyer, Patient-Centered Care- A way to connect Patient, Families in critical care: A qualitative study using Telephone Interviews, Intensive and Critical Care Nursing, vol. 26, p.154–160, (2010).

DOI: 10.1016/j.iccn.2010.03.003

Google Scholar

[22] P. Åstedt-Kurki, M. Paunonen, and K. Lehti, Family members' experiences of their role in a hospital: a pilot study, Journal of Advanced Nursing, vol. 25, no. 5, p.908–914, (1997).

DOI: 10.1046/j.1365-2648.1997.1997025908.x

Google Scholar

[23] P. Laitinen and A. Isola, Promoting participation of informal caregivers in the hospital care of the elderly patient: informal caregivers' perceptions, J Adv Nurs, vol. 23, no. 5, p.942–947, May (1996).

DOI: 10.1046/j.1365-2648.1996.09012.x

Google Scholar

[24] K. D. Bertakis and R. Azari, Determinants and outcomes of patient-centered care, Patient Education and Counseling, vol. 85, no. 1, p.46–52, Oct. (2011).

DOI: 10.1016/j.pec.2010.08.001

Google Scholar

[25] C. Nord, The Visible Patient: Hybridity and inpatient ward design in Namibian Context, Stolkholm, (2003).

Google Scholar

[26] K. Gupta, S. K. Gupta, S. Kant, R. Chandrashekhar, and S. Satpathy, Modern Trends in Planning and Designing of Hospitals: Principles and Practice. Jaypee Brothers Publishers, (2007).

DOI: 10.5005/jp/books/10536

Google Scholar

[27] D. D. Harris, M. M. Shepley, R. D. White, K. J. S. Kolberg, and J. W. Harrell, The impact of single family room design on patients and caregivers: executive summary, Journal of Perinatology, vol. 26, pp. S38–S48, (2006).

DOI: 10.1038/sj.jp.7211583

Google Scholar

[28] S. Kant and S. K. Gupta, Patient focussed Architecture-An Art and Science, Journal of academy of hospital administration, vol. 14, no. 2, p.07–12, (2002).

Google Scholar

[29] B. Lawson, Evidence based Design for Health., Hospital Engineering and Facilities Management, (2005).

Google Scholar

[30] Y. Zhao and M. Mourshed, Design indicators for better accommodation environments in hospitals: inpatients' perceptions, Intelligent Buildings International, vol. 4, no. 4, p.199–215, (2012).

DOI: 10.1080/17508975.2012.701186

Google Scholar

[31] R. Khalaila, Patients' family satisfaction with needs met at the medical intensive care unit, Journal of Advanced Nursing, vol. 69, no. 5, p.1172–1182, (2013).

DOI: 10.1111/j.1365-2648.2012.06109.x

Google Scholar

[32] C. Habib, M. Atiya, and V. Maria, The Use of Single Patient Rooms versus Multiple Occupancy Rooms in Acute Care Environments, Simon Fraser University, Jan. (2005).

Google Scholar

[33] B. Lawson, Design and the Evidence, Procedia - Social and Behavioral Sciences, vol. 105, p.30–37, Dec. (2013).

Google Scholar

[34] A. M. El Husseini and A. A. El Husseini, Spirituality and Social Values vs. Material Formalism: An approach to a human architecture, Social and Behavioral Sciences, vol. 68, p.710–722, (2012).

DOI: 10.1016/j.sbspro.2012.12.261

Google Scholar

[35] A. L. Heindrich, J. W. Harrell, and A. K. Sorrels, . Effects of acuity-adaptable rooms on flow of patients and delivery of care, . American Journal of Critical Care, vol. 13, no. 1, p.34–45, (2004).

DOI: 10.4037/ajcc2004.13.1.35

Google Scholar

[36] O. Irinoye, A. Ogunfowokan, and A. Olaogun, Family nursing education and family nursing practice in Nigeria, J Fam Nurs, vol. 12, no. 4, p.442–447, Nov. (2006).

DOI: 10.1177/1074840706296000

Google Scholar

[37] N. J. F. Pease and I. G. Finlay, Do patients and their relatives prefer single cubicles or shared wards?, Palliat Med, vol. 16, no. 5, p.445–446, Sep. (2002).

DOI: 10.1191/0269216302pm577xx

Google Scholar

[38] K. Zarins, Family involvement in nurs¡ng care - a resource or burden? : from the perspective of Tanzanian nurses. (2010).

Google Scholar

[39] E. Taylor-Powel and S. Steele, Collecting Evaluation Data: Direct observation method. Wisconsin: University of wisconsin-extension, (1996).

Google Scholar

[40] S. Elo, M. Kääriäinen, O. Kanste, T. Pölkki, K. Utriainen, and H. Kyngäs, Qualitative Content Analysis A Focus on Trustworthiness, SAGE Open, vol. 4, no. 1, p.2158244014522633, Sep. (2014).

DOI: 10.1177/2158244014522633

Google Scholar

[41] H. M. Pattison and C. E. Robert, The effect of ward design on the well-being of post-operative patients., Journal of Advanced Nursing, vol. 23, no. 4, p.820–826, (1996).

DOI: 10.1111/j.1365-2648.1996.tb00056.x

Google Scholar

[42] Activities of Daily Living (ADL), Investopedia. [Online]. Available: http: /www. investopedia. com/terms/a/adl. asp. [Accessed: 26-Mar-2014].

Google Scholar

[43] C. Coughlin, An ethnographic study of main events during hospitalisation: perceptions of nurses and patients, Journal of Clinical Nursing, vol. 22, no. 15–16, p.2327–2337, (2013).

DOI: 10.1111/j.1365-2702.2012.04083.x

Google Scholar

[44] N. L. Leech, An Array of qualitative data analysis tools: A call for Data analysis Triangulation, School Psychology Quarterly, vol. 22, no. 4, p.577–584, (2007).

DOI: 10.1037/1045-3830.22.4.557

Google Scholar

[45] A. Street and S. Coleman, Introduction: Real and Imagined Spaces, Space and Culture, vol. 15, no. 1, p.4–17, (2012).

Google Scholar

[46] M. Q. patton, Qualitative evaluation and research methods, Second. California: SAGE, (1990).

Google Scholar

[47] P. T. Panos and A. J. Panos, A Model for a Culture-Sensitive Assessment of Patients in Health Care Settings, Social Work in Health Care, vol. 31, no. 1, p.49–62, (2000).

DOI: 10.1300/j010v31n01_04

Google Scholar

[48] S. Elo and H. Kyngäs, The qualitative content analysis process, Journal of Advanced Nursing, vol. 62, no. 1, p.107–115, Apr. (2008).

DOI: 10.1111/j.1365-2648.2007.04569.x

Google Scholar

[49] N. E. D. of Health, Ward layouts with single rooms and space for flexibility, 15-Jul-2005. [Online]. Available: http: /www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4119152. [Accessed: 30-Oct-2012].

Google Scholar