Accessing the Physical Facilities Design: A Case of the South-Western University Teaching Hospital in Nigeria.
DOI:
https://doi.org/10.48047/dk6j2e15Keywords:
Assessment, Hospital, Teaching, Southwest, Physical Facilities, Nigeria,Abstract
This study assessed the South-Western University Teaching Hospitals Physical Facilities in Nigeria. This appraisal of the physical facilities results from aging facilities (built in the 1950s and 1970s) that no longer support efficient and safe care delivery. This study was limited to the Federal Universities Teaching Hospitals (FUTH) in the southwest, Nigeria. The University Teaching Hospitals offer a wide range of acute, convalescent, and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases, injuries, and genetic anomalies. In doing so, they generate essential information for research, education, and management. The layout, organization, Form/shape, movement pattern, accessibility, visibility, and number of windows and doors in the interior spaces were evaluated using a well-structured questionnaire that was randomly administered to 557 hospital users. These variables were analysed at univariate level using descriptive analysis. At bivariate level, Kendall-tau rank correlation coefficient was used to determine the relationship between the variables of the physical facilities. The result showed the satisfactory variation among the users and the relationship between the variables of the physical facilities of the selected FUTH. The results obtained were also supported with the information obtained through semi-structured interviews conducted with the principal officers. The study is expected to serve as reference materials to architects, healthcare researchers, facility administrators, policymakers and healthcare managers in the efficient realization of the design issues that affect University Teaching Hospitals' physical facilities in Nigeria.
Downloads
References
Akinluyi ,Muyiwa, L. (2024). Analysis of the Morphological Design Features of the Hospital Physical Facilities in Southwest, Nigeria. XXVII International Scientific Conference on Advance in Civil Engineering “Construction of the Formation of Living Environment” (FORM-2024). E3S Web of Conferences 533, 02034 (2024) Pp 1-19 .https://doi.org/10.1051/e3sconf/202453302034 June.
Akinluyi M.L, Fadamiro, J. A, Ayoola H. A and Alade M. J., 2021. Design Quality and Level of
Compliance for Out-Patient Physical Facilities: Lesson for Hospital
Developers in Southwest, Nigeria. International Journal of Research and Innovation
In Social Science (IJRISS) 5(2): 554, February, ISSN 2454-6186.
Www.rsisinternational.org.
Akinluyi , M.L, Awe, F.C , Adeleye, O.O. and Ogunruku M. P. 2019. Paediatric Physical Facilities Design
Characteristics in Southwestern Nigerian University Teaching Hospital: Lesson from Netherland Children Hospital. Universal Journal of Public Health 7(6): 233-254. Doi: 10.13189/ujph.2019.070602.
Abd al Kareem A., Aday, L. A and Walker, G. M. (1996). Patient satisfaction in government
Health facilities in the State of Qatar. Journal of Community Health.
Vol. 21, Issue 5, pp 349- 358
Abreu E and Potter D. (2001). Recommendations for renovating an operating theatre at an emergency
Obstetric care facility. International Journal of Gynecology Obstetrics ;75: 287– 94.
Alalouch, C., Aspinall, P.A and Smith, H. (2016). Design Criteria for Privacy-Sensitive
a. 10.7763/IJET.2016.V8.854 32. Vol. 8, No. 1, February.
Armstrong D, Kane M, Reid D, mcburney M, Aubrey-Rees R, Lawson B and Buchan J. (2004)
a. The role of hospital design in the recruitment, retention and performance of NHS
b. Nurses in England. Report. London: CABE, 2004.
Bayramzadeh,S. (2016). An Assessment of Levels of Safety in Psychiatric Units. Health
a. Environments Research & Design Journal. 1-15, sagepub.com/journals
b. Permissions nav DOI: 10.1177/1937586716656002 herd.sagepub.com
Becker, F. D., Sweeney, B. And Parsons, K. (2007). Ambulatory facility design and patients’
a. Perceptions of healthcare quality. Health Environments Research & Design
b. Journal, 1(4), 35-54.
Bitner, M. J. (1992). Servicescapes: The impact of physical surroundings on customers and employees. Journal of Marketing, 56(2), 57-71.
Caixeta, M. C. B. F. And Fabricio, M. M. (2013). A conceptual model for the design process of interventions in healthcare buildings: A method to improve design. Architectural Engineering and Design Management, 9, 95–109.
Ching, D., K. (2005). Interior Design Illustrated. New Jersey: John Wiley & Sons Chapter 1& 2.
Cho WH, Lee H, Kim C, Lee S and Choi KS. (2004). The impact of visit frequency on the relationship between service quality and outpatient satisfaction: a South Korean study. Health Serv Res. 2004;39:13–33. Doi: 10.1111/j.1475-6773.2004.00213.x.
Coile, R. (2002). Futures can 2002: A forecast of healthcare trends 2002-2006. Chicago, IL: Health Administration Press.
Davidson, P., Rhéaume., A., Dykeman, M., Ericson. P., Duffett-Leger, L., and Doucet, J.
a. (2007).Nurses' Voice: Influencing the Restructuring of the New Brunswick Healthcare
b. System. Journal of health services, management and policy research. Pp 100-114
c. Doi:10.12927/cjnl.2007.19474. December.
Dinesh, T.A., Sign, S., Nair, P. And Remya, T.R. (2013) Reducing Waiting Time in Outpatient Services of a Large University Teaching Hospital. Management in Health, 17, 31-37.
Dijkstra, K. (2006). Physical Environmental Stimuli That Turn Healthcare Facilities into Healing Environments through Psychologically Mediated Effects: Systematic Review. Journal of Advanced Nursing. 56(2)166-181.
Douglas, C.H. & Douglas, M.R. (2005). Patient-Centered Improvements in Health-Care Built
a. Environments: Per-Spectives and Design Indicators. Health Expectations, 8, 264-276.
b. Doi:10.1111/J.1369-7625.2005.00336.X .
Elsbach, K.D and Pratt, M.G. (2007). The Physical Environment in Organizations.
Academy of Management Annals. Vol. 1, No. 1 Original Articles. Published Online:1
a. Dec. Https://doi.org/10.5 5465/078559809.
Eriksson, J., Fro¨ st, P., and Ryd, N. (2012). Mapping a framework for co-design in healthcare buildings - an empirical study. Paper presented at the ARCH12, Chalmers University of Technology, Go¨tebor and Sweden.
Erim DO, Kolapo UM and Resch SC. (2012). A Rapid Assessment of the Availability and Use of Obstetric Care in Nigerian Healthcare Facilities; Vol. 7; Pp 1-8.
Ezegwui I.R, Okoye O.I, Aghaji A.E, Okoye O. And Oguego N. (2014). Patients’ satisfaction with eye care services in a Nigerian Teaching Hospital. Niger J Clin Pract, Pp. 585-8.
Fawole, A.O ; Okunlola, M.A and Adeyemi O. Adekunle, A.O. (2008). Clients’ Perceptions of the Quality of Antenatal Care. Journal of the National Medical Association; Vol. 100, No. 9, September.
Fischl, G. (2004). A Psychosocial Approach to Architectural Design: A Methodological Study. Division of Engineering Psychology, Department of Human Work Sciences, Luleå University of Technology, Sweden Pp 1-96.
Fornara, F., and Andrade, C. C. (2012). Healthcare environments. In S. D. Clayton (Ed), The Oxford handbook of environmental and conservation psychology (pp. 295–315). New York, NY: Oxford University Press.
Gill,T, P. Baileyb, R. Waxmana, J.B. and Smithba AMDD. (2004). A tool for assessing
a. ‘readiness’ in emergency obstetric care: The room-by-room ‘walk-through’.
b. International Journal of Gynecology and Obstetrics (2005) 89, 191—199.
Guenther, R. And Vittori,G. (2008). Sustainable Healthcare Architecture New Jersey Wiley & Sonsilne Beheshti Publications, Tehran.
Hatch, M., and Cunliffe, L. (2012). Organization theory: Modern, symbolic, and postmodern
a. Perspectives. New York, NY: Oxford University Press.
Henriksen, K., Isaacson, S., Sadler, L., and Zimring, M. C. (2007). The role of the physical environment in crossing the quality chasm. The Joint Commission Journal on Quality and Patient Safety, 33, 68–80.
Hughes, M.D. (2000). Analysis and design issues for studies using censored biomarker
a. Measurements with an example of viral load measurements in HIV clinical trials. National
b. Liberary of Medicine. National Centre for Biotechnical Information. Stat Med. 2000 Dec
c. 15;19(23):3171-91. Doi: 10.1002/1097-0258(20001215)19:23<3171: aid-
d. Sim619>3.0.co;2-t. PMID: 11113952.
Hutton JD, Richardson L.D. (1995). Healthscapes: the role of the facility and physical
a. Environment on consumer attitudes, satisfaction, quality assessments, and behaviors.
b. Health Care Manage Rev. 1995, 20 (2): 48-61.pubmedgoogle Scholar.
Johanes M and Atmodiwirjo P. (2015). Visibility Analysis of Hospital Inpatient Ward.
a. International Journal of Technology. Department of Architecture, Faculty of
b. Engineering, Universitas Indonesia, Kampus Baru UI Depok, Depok 16424,
c. Indonesia. Received: June 2015 / Revised: June 2015 / Accepted: July: 400-409 ISSN
d. 2086-9614 © ijtech 2015.
Joseph, C. And Quan, X. (2021). Impact of the Physical Environment of Residential Health. .
a. Https://www.healthdesign.org/knowledge-repository. CHD-KPS.pdf | 278.17 KB pd.
Joseph, A. (2006b). "The Role of the Physical and Social Environment in Promoting Health, Safety and
a. Effectiveness in the Healthcare Workplace." The Center for Health Design
Http://www.healthdesign.org/research/reports/workplace.
Khan, N., (2012). Analyzing Patient Flow: Reviewing Literature to Understand the
a. Contribution of Space Syntax to Improve Operational Efficiency in Healthcare Settings
b. Department of Architecture, University of Kansas, United States. Proceedings: Eighth
c. International Space Syntax Symposium Edited By M. Greene, J. Reyes and A. Castro.
d. Santiago, Pp 1-11.
Lavela, S .L , Etingen, Hill, J.N and Miskevics, S. (2015). Patient Perceptions of the Environment of Care in Which Their Healthcare is Delivered. Health Environments Research& Design Journal, Vol. 9(3) 31-46.
Levin, D. J and Joseph A. (2009). Planning, Design, and Construction of Health Care Facilities, Second
a. Edition. Joint Commission on Accreditation of Healthcare Organizations. Printed in the U.S.A. 5 4 3 2 1. PP.1-9
Mourshed, M. And Zhao, Y. (2012). Healthcare providers' perception of design factors related
a. To physical environments in hospitals. Journal of Environmental Psychology, 32(4),
b. Pp. 362 - 370.
Montello, D. R. (2007). The contribution of space syntax to a comprehensive theory of
a. Environmental psychology. In A. S. Kubat, O. Ertekin, Y. I. Gu¨ney, & E. Eyu¨bolou
b. (Eds.), Proceedings of the Sixth International Space Syntax Symposium (pp. 1–12).
c. Istanbul, Turkey: ITU Faculty of Architecture.
Nimlyat, P.S. Anumah,J.J, Odoala, M.C. and Benjamin, G.K. (2018). Spatial Distribution of
a. The Nature of Indoor Environmental Quality in Hospital Ward Buildings in Nigeria.
b. Indoor Environmental Quality. Intech Open pp1-32.
Ogaji, D.S., Giles, S., White G.D and Bower, P. (2015). Systematic review of patients’ views
a. On the quality of primary health care in sub-Saharan Africa 3: Pp 1-11
Oladejo, E., Umeh, E. Ogbuefi, J. (2015). An Examination of Impact of Tertiary Healthcare
a. Facility Design on User Needs and Satisfaction in South East Nigeria. Journal of
b. Environment and Earth Science, Vol.5, No.5, ISSN 2224-3216.
Parke, B. (2007). Physical Design Dimension of an Elder Friendly Hospital: An evidence-based
a. Practice review undertaken for the Vancouver Island Health Authority. University of Victoria
b. Centre on Aging. Pp 2-26.
Pellitteri, G. And Belvedere, F. (2011). Humanization and Architecture in Contemporary Hospital
a. Building. Medicine Engineering, ARCC Considering Research: Reflecting upon current themes
b. In Architecture Research. University of Palermo, Italy.Pp 225-233.
Phiri, M. (2003). "One Patient One Room - Theory and Practice: An Evaluation of the Leeds
a. Nuffield Hospital": University of Sheffield, School of Architecture.
Pitt, M, Chotipanich, S, Issarasak, S., Mulholland and Panupattanapong P. (2016). An examination of
a. Facility management, customer satisfaction and service relationship in the Bangkok healthcare
b. System. Indoor and Built Environment Vol. 25(3) 442–458.
Price, A. D. F. And Lu J. (2013). Impact of hospital space standardization on patient health and safety.
a. Architectural Engineering and Design Management. V:9, 49-61.
Reidenbach, R.E., Sandifer-Smallwood B. (1990). Exploring perceptions of hospital operations by a
a. Modified SERVQUAL approach. J. Health Care Mark. 1990; 10(4)
Reiling, J Ronda G. Hughes, R.G, Murphy, M.R. (2003). The Impact of Facility Design on Patient Safety. Patient Safety & the Built Environment. Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2 Pp 167-188.
Sadler, B. L., Berry, L. L., Guenther, R. D., Hamilton, D. K., Hessler, F. A., Merritt, C., and Parker, D. (2011). Fable hospital 2.0: The business case for building better health care facilities. The Hastings Center Report, 41(1) 13–23.
Santiago, C., Lazar, L., Jiang, D., and Burns, K. E. (2014). A survey of the attitudes and perceptions of multidisciplinary team members towards family presence at bedside rounds in the intensive care unit. Intensive and Critical Care Nursing, 30, 13–21.
Samah, Z.A, Ibrahim,N, Wahab, M.H. (2013). Users’ Assessment on Interior Environment of a Hospital Outpatient Unit in Malaysia. Asian Journal of Environment-Behaviour Studies, Vol. 4, Number 11, January/February.
Setola, N. (2009). A New Approach to the Flows System Analysis in the Teaching Hospitals. Proceedings of the 7th International Space Syntax Symposium edited by Daniel Koch, Lars Marcus and Jesper Steen, Stockholm: KTH, 099:1, Pp 1-7.
Steinke, C. (2015). Assessing the physical service setting: A look at emergency departments. Health Environment Research and Design Journal, 8, 31–42.
Sundstrom, E. (1980). Work places: The psychology of the physical environment in offices and factories. Cambridge, UK: Cambridge University Press.
Teicholz, E. (2001). Facilities Design and Management Handbook. New York. MCGAW-HILL
Tompkins, J.A & Reed, R. Jr. (1996). An applied model for the facilities design problem. International Journal of Production Research: 14:583- 595.
Varni J, Burwinkle T, Dickinson P, Sherman S, Dixon P, Ervice J, Leyden P and Sadler B. (2004). Evaluation of the built environment at a children’s convalescent hospital: development of the pediatric quality of Life Inventory TM parent and staff satisfaction measures for pediatric health care facilities. J Develop Behavior Pediatric; 25: 10–20.
Verschoren, L., Annemans M., Steenwinkel I. V. And Heylighen A. (2015). How to design child-friendly hospital architecture? Young patients speaking. Proceedings of the 3rd European Conferen on Design4Health, Sheffield-Hallam University, 13-16 July, Sheffield.
Yanga, T., Lib, M. & Shen, Z. (2015). Between morphology and function: How syntactic centers of the
a. Beijing city are defined. Journal of Urban Management Vol. 4 125–134.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
