liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Psychiatric ward design can reduce aggressive behavior
Chalmers Univ Technol, Sweden; Chalmers Univ Technol, Sweden.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Psychiatry. Sahlgrens Univ Hosp, Sweden.
Legacy Hlth, OR 97232 USA.
Chalmers Univ Technol, Sweden; White Arkitekter AB, Sweden.
2018 (English)In: Journal of Environmental Psychology, ISSN 0272-4944, E-ISSN 1522-9610, Vol. 57, p. 53-66Article in journal (Refereed) Published
Abstract [en]

The article describes a conceptual model proposing that aggression in psychiatric facilities may be reduced by designing the physical environment with ten evidence-grounded stress-reducing features. The model was tested in a newer hospital in Sweden having wards with nine of the ten features. Data on two clinical markers of aggressive behavior, compulsory injections and physical restraints, were compared with data from an older facility (replaced by the newer hospital) that had only one stress-reducing feature. Another hospital with one feature, which did not change during the study period, served as a control. The proportion of patients requiring injections declined (p amp;lt; 0.0027) in the new hospital compared to the old facility but did not change in the control hospital. Among patients who received injections, the average number of injections declined marginally in the new hospital compared to the old facility, but increased in the control hospital by 19%. The average number of physical restraints (among patients who received at least one) decreased 50% in the new hospital compared to the old. These findings suggest that designing better psychiatric buildings using reasoned theory and the best available evidence can reduce the major patient and staff safety threat posed by aggressive behavior.

Place, publisher, year, edition, pages
ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD , 2018. Vol. 57, p. 53-66
Keywords [en]
Aggressive behavior; Psychiatric hospital; Evidence-based design; Stress; Psychiatric patients
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-150882DOI: 10.1016/j.jenvp.2018.05.002ISI: 000441488200007OAI: oai:DiVA.org:liu-150882DiVA, id: diva2:1244853
Available from: 2018-09-03 Created: 2018-09-03 Last updated: 2018-09-03

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Search in DiVA

By author/editor
Bogren, Lennart
By organisation
Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Psychiatry
In the same journal
Journal of Environmental Psychology
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 130 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf