Research Article

A SYSTEMATIC REVIEW OF SPATIAL CONFIGURATION AND COMMUNICATION RELATED STUDIES IN HOSPITAL SETTINGS

Ejeh David Ekoja1*, SAGADA, MUSA LAWAL2, Oluigbo Stephen Nwabunwanne1, Maina Joy Joshua1, SufiyanMu'awiyyah Babale3
1 Department of Architecture, Ahmadu Bello University, Zaria.
2 Department of Architecture, Faculty of Environmental Design, Ahmadu Bello University, Zaria
3 Department of Community Medicine, Ahmadu Bello Unversity, Zaria
* Corresponding author: ejehdavidekoja@kesj.org.ng
Published: Dec, 2021
DOI: 10.66884/kesj.2021.n7epniiq
Pages: 61-75
Views: 53
Downloads: 20

Abstract

Hospitals are designed to provide efficient healthcare delivery. This has facilitated a lot ofresearch on the spatial configuration of hospitals and the subsequent effect on the delivery ofhealthcare. Also, research has shown the relationship between the spatial configuration ofhospitals and some physical and social outcomes in the hospital environment which contributein one way or the other to healthcare delivery. Recently, research has pointed out that mosterrors in healthcare delivery in Nigeria have been attributed to errors in communication.Thus,this study sought to conduct a systematic review of relevant literature on spatial configurationand communication-related concepts in Hospital settings. The systematic review was guided bythe following protocols namely: the theoretical framework (approach and focus), themethodology and the findings. Results, divided into two major categories research in spatialconfiguration and communication. This included a focus on the relationship between space andcommunication-related concepts and the influence of space on communication-relatedconcepts. Also, this paper found that communication as a concept in Hospital settings can beinterpreted into three subcategories namely social (Culture and social interactions),psychological (User Groups) and Technical (work processes and Healthcare outcomes). Thispaper concluded that most of the studies reviewed had focus on the technical aspects ofcommunication and or its relationship and influence on the spatial configuration of Hospitalswith a more comparative approach to gathering, analysing and interpreting data. This paperrecommends that the focus of spatial configuration and communication-related studies shouldshift to the social and psychological categories in the Hospital environment to build anddevelop more robust and evidence-based theory.

Keywords

Spatial configuration Communication Space syntax social network.

References

  1. Allen, T. J. (1977). Managing the flow of technology: Technology transfer and the dissemination of technological information within the R&D organisation. Cambridge, MA: The Massachusetts Institute of Technology.
  2. Barasa, E. W., Molyneux, S., English, M., & Cleary, S. (2017). Hospitals as complex adaptive systems: a case study of factors influencing priority setting practises at the hospital level in Kenya. Social Science & Medicine, 174, 104-112
  3. Bayramzadeh, S., & Alkazemi, M. F. (2014). Centralized vs. decentralized nursing stations: An evaluation of the implications of communication technologies in healthcare. HERD: Health Environments Research & Design Journal, 7(4), 62-80.
  4. Cai, H., & Zimring, C. (2012). Out of Sight, Out of Reach: Correlating spatial metrics of nurse station typology with nurses' communication and co-awareness in an intensive care unit. In Proceedings of the 8th International Space Syntax Symposium, Santiago, Chile 36(1) 381-391.
  5. Cai, H., & Zimring, C. (2019). Cultural impacts on nursing unit design: A comparative study on Chinese nursing unit typologies and their US counterparts using space syntax. Environment and Planning B: Urban Analytics and City Science, 46(3), 573-594.
  6. Fay, L., Cai, H., & Real, K. (2019). A systematic literature review of empirical studies on decentralized nursing stations. HERD: Health Environments Research & Design Journal, 12(1), 44-68.
  7. Gharaveis, A., Hamilton, D. K., & Pati, D. (2018). The impact of environmental design on teamwork and communication in healthcare facilities: a systematic literature review. HERD: Health Environments Research & Design Journal, 11(1), 119-137.
  8. Hanson, J., & Zako, R. (2005). Configuration and design in caring environments: Syntax and quality of life in a sample of residential care homes for older people. TU Delft, TU Delft.
  9. Hua, Y., Becker, F., Wurmser, T., Bliss-Holtz, J., & Hedges, C. (2012). Effects of nursing unit spatial layout on nursing team communication patterns, quality of care, and patient safety. HERD: Health Environments Research & Design Journal, 6(1), 8-38.
  10. Jamoh, B., Abubakar, S., & Isa, S. (2018). Morbidity and mortality profile of patients seen in medical emergency unit of a Teaching Hospital in Nigeria: A 4-year audit. Sahel Medical Journal, 21(4), 213-213.
  11. Liu, W., Manias, E., & Gerdtz, M. (2014). The effects of physical environments in medical wards on medication communication processes affecting patient safety. Health & place, 26, 188-198.
  12. Ogunola, A. A. (2015). The Relationship between Organisational Communication and Job Performance of Employees of Selected Nigerian Brewing Industries, 5(2), 85-92.
  13. Okonofua, F., Ntoimo, L., Ogu, R., Galadanci, H., Abdus-Salam, R., Gana, M., ...&Randawa, A. (2018). Association of the client-provider ratio with the risk of maternal mortality in referral hospitals: a multi-site study in Nigeria. Reproductive health, 15(1), 32.
  14. Pachilova, R. (2020). Exploring Quality of Care in Hospital Wards: The Effect of Spatial Layout, Staff Work Activities and Communication Patterns (Doctoral dissertation, UCL (University College London).
  15. Pachilova, R., & Sailer, K. (2013). The effect of hospital layout on caregiver-patient communication patterns.
  16. Pachilova, R., & Sailer, K. (2014). Evidence-Based Design: The Effect of Hospital Layouts on the Caregiver-Patient Interfaces. In Conference on Design 4 Health 2013 Sheffield, 3-5 July 2013 (p. 174).
  17. Pachilova, R., & Sailer, K. (2020). Providing care quality by design: a new measure to assess hospital ward layouts. The Journal of Architecture, 25(2), 186-202.
  18. Pachilova, R., Sailer, K. & King, M. (2017, July). The dynamic nature of caregiver communication networks and spatialised work processes in hospital wards. In Proceedings of the 11th International Space Syntax Symposium (Vol. 11, pp. 18-1). Instituto Superior Tecnico, Departamento de Engenharia Civil, Arquitetura e Georrecursos, Portugal.
  19. Peatross, F. (1997). The spatial dimension of control in restrictive settings. In Proceedings of the First International Space Syntax Symposium, London.
  20. Peatross, F. D., & Peponis, J. (1995). Space, education, and socialization. Journal of Architectural and Planning Research, 366-385.
  21. Penn, A., & Hillier, B. (1992). The social potential of buildings: spatial structure and the innovative milieu in scientific research laboratories. Ministere de l'Equipment du Logement et des Transports. Ministere de l'Equipment du Logement et des Transports.
  22. Penn, A., Desyllas, J., & Vaughan, L. (1999). The space of innovation: interaction and communication in the work environment. Environment and planning B: Planning and design, 26(2), 193-218.
  23. Penn, A., Martinez, M., & Lemlij, M. (2007, June). Structure, agency and space in the emergence of organisational culture. In Proceedings, 6th International Space Syntax Symposium, Istanbul (pp. 073-1).
  24. Peponis, J., Bafna, S., Bajaj, R., Bromberg, J., Congdon, C., Rashid, M., ...&Zimring, C. (2007). Designing space to support knowledge work. Environment and Behavior, 39(6), 815-840.
  25. Poole, M.S. (2014). Systemstheory. In L.L. Putnam & D. K. Mumby (Eds.), The SAGE Handbook of organisational communication (pp. 49–74). Thousand Oaks, CA: Sage
  26. Rashid, M. (2015). Research on nursing unit layouts: an integrative review. Facilities.
  27. Rashid, M., & Zimring, C. (2003). Organizational constructs and the structure of space: A comparative study of office layouts. In 4th International Space Syntax Symposium: 2003.
  28. Rashid, M., Kampschroer, K., Wineman, J., & Zimring, C. (2006). Spatial layout and face-to-face interaction in offices—a study of the mechanisms of spatial effects on face-to-face interaction. Environment and Planning B: Planning and Design, 33(6), 825-844.
  29. Rashid, M., Wineman, J., & Zimring, C. (2009). Space, behavior, and environmental perception in open plan offices: a prospective study.
  30. Rashid, M., Zimring, C., Wineman, J., Flaningam, T., Nuhari, L., & Hammash, R. (2005). The effects of spatial behaviors and layout attributes on individuals' perception of psychosocial constructs in offices. In Proceedings of the Fifth International Space Syntax Conference (pp. 71-87).
  31. Real, K., & Bardach, S. H., & Bardach, D. R. (2017). The role of the built environment: How decentralized nurse stations shape communication, patient care processes, and patient outcomes. Health communication, 32(12), 1557-1570.
  32. Rippin, A. S., Zimring, C., Samuel, O., & Denham, M. E. (2015). Finding a middle ground: Exploring the impact of patient-and family-centered design on nurse–family interactions in the neuro ICU. HERD: Health Environments Research & Design Journal, 9(1), 80-98.
  33. Sailer, K. (2007). Movement in workplace environments—configurational or programmed?: 6th International Space Syntax Symposium.
  34. Sailer, K., & Penn, A. (2007). The performance of space - exploring social and spatial phenomena of interaction patterns in an organisation. In Proceedings of the Architecture and Phenomenology Conference. Faculty of Architecture and Town Planning, The Technion, Israel Institute of Technology.
  35. Sailer, K., & Penn, A. (2009). Spatiality and transpatiality in workplace environments. Royal Institute of Technology (KTH).
  36. Sailer, K., Budgen, A., Lonsdale, N., Turner, A., & Penn, A. (2009). Comparative studies of offices pre and post—how changing spatial configurations affect organisational behaviours. Royal Institute of Technology (KTH).
  37. Sailer, K., Budgen, A., Lonsdale, N., Turner, A., & Penn, A. (2007). Effective workplaces—bridging the gap between architectural research and design practice.
  38. Sari, Y. K. (2017). Influence of Organisational Culture and Communication on employee performance BolongKaranganay village through Job Satisfaction and Organisational Commitment. eAbstract Excellent, 2(2)
  39. Schiavo, R. (2013). Health communication: From theory to practice (Vol. 217). John Wiley & Sons.
  40. Scott, J. (2017). Social network analysis. Sage.
  41. Serrato, M., & Wineman, J. (1999, March). Spatial and communication patterns in research & development facilities. In Second International Space Syntax Symposium (Vol. 1, pp. 11-1).
  42. Suvanajata, R. (2001). Relations in architectural space: designs and effects in space of the traditional Thai houses and temples.
  43. Tahir, M., Haming, M., & Bijaang, J. (2018). Organizational communication effect on lecturer performance in Muhammadiyah University of Makassar.
  44. Wagenaar, C., & Mens, N. (2018). Hospitals: a design manual. Birkhäuser.
  45. Wineman, J. D., Kabo, F. W., & Davis, G. F. (2009). Spatial and social networks in organizational innovation. Environment and Behavior, 41(3), 427-442.
  46. Wineman, J., & Adhya, A. (2007). Enhancing workspace performance. In Proceedings 6 th International Space Syntax Symposium, Istanbul, Turkey (Vol. 66, pp. 1-16)
  47. Wineman, J., & Serrato, M. (1997). Enhancing Communication in Lab-Based Organizations. In Space Syntax: First International Symposium, London.
How to Cite

Ekoja, E. D., LAWAL, S. M., Nwabunwanne, O. S., Joshua, M. J., & Babale, S. (2021). A SYSTEMATIC REVIEW OF SPATIAL CONFIGURATION AND COMMUNICATION RELATED STUDIES IN HOSPITAL SETTINGS. Kaduna State University Environmental Sciences Journal, 2(2), 61-75. https://doi.org/10.66884/kesj.2021.n7epniiq

E. D. Ekoja, S. M. LAWAL, O. S. Nwabunwanne, M. J. Joshua, and S. Babale, "A SYSTEMATIC REVIEW OF SPATIAL CONFIGURATION AND COMMUNICATION RELATED STUDIES IN HOSPITAL SETTINGS," Kaduna State University Environmental Sciences Journal, vol. 2, no. 2, pp. 61-75, December 2021. doi: 10.66884/kesj.2021.n7epniiq

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