Abstract
Objective: To examine whether incorporation of simulated nature, in the form of ceiling mounted photographic sky compositions, influences patient outcomes. Background: Previous studies have shown that most forms of nature exposure have a positive influence on patients. However, earlier studies have mostly focused on wall-hung nature representations. The emergence of simulated nature products has raised the question regarding the effects of the new product on patient outcomes. Methods: A between-subject experimental design was adopted, where outcomes from five inpatient rooms with sky composition ceiling fixture were compared to corresponding outcomes in five identical rooms without the intervention. Data were collected from a total of 181 subjects on 11 outcomes. Independent sample tests were performed to identify differences in mean outcomes. Result: Significant positive outcomes were observed in environmental satisfaction and diastolic blood pressure (BP). Environmental satisfaction in the experimental group was 12.4% higher than the control group. Direction of association for diastolic BP, nausea/indigestion medication, acute stress, anxiety, pain, and environmental satisfaction were consistent with a priori hypothesis. A post hoc exploratory assessment involving patients who did not self-request additional pain and sleep medication demonstrated confirmatory directions for all outcomes except Systolic BP, and statistically significant outcomes for Acute Stress and Anxiety—Acute Stress and Anxiety levels of the experimental group subjects was 53.4% and 34.79% lower, respectively, than that of the control group subjects. Conclusion: Salutogenic benefits of photographic sky compositions render them better than traditional ceiling tiles and offer an alternative to other nature interventions.
| Original language | English |
|---|---|
| Pages (from-to) | 36-51 |
| Number of pages | 16 |
| Journal | Health Environments Research and Design Journal |
| Volume | 9 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 1 Jan 2016 |
| Externally published | Yes |
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Keywords
- access to nature
- acute care
- biophilia
- environmental design
- experimental
- interior design
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
- Public Health, Environmental and Occupational Health
Cite this
The Impact of Simulated Nature on Patient Outcomes : A Study of Photographic Sky Compositions. / Pati, Debajyoti; Freier, Patricia; O’Boyle, Michael; Amor, Cherif; Valipoor, Shabboo.
In: Health Environments Research and Design Journal, Vol. 9, No. 2, 01.01.2016, p. 36-51.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The Impact of Simulated Nature on Patient Outcomes
T2 - A Study of Photographic Sky Compositions
AU - Pati, Debajyoti
AU - Freier, Patricia
AU - O’Boyle, Michael
AU - Amor, Cherif
AU - Valipoor, Shabboo
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objective: To examine whether incorporation of simulated nature, in the form of ceiling mounted photographic sky compositions, influences patient outcomes. Background: Previous studies have shown that most forms of nature exposure have a positive influence on patients. However, earlier studies have mostly focused on wall-hung nature representations. The emergence of simulated nature products has raised the question regarding the effects of the new product on patient outcomes. Methods: A between-subject experimental design was adopted, where outcomes from five inpatient rooms with sky composition ceiling fixture were compared to corresponding outcomes in five identical rooms without the intervention. Data were collected from a total of 181 subjects on 11 outcomes. Independent sample tests were performed to identify differences in mean outcomes. Result: Significant positive outcomes were observed in environmental satisfaction and diastolic blood pressure (BP). Environmental satisfaction in the experimental group was 12.4% higher than the control group. Direction of association for diastolic BP, nausea/indigestion medication, acute stress, anxiety, pain, and environmental satisfaction were consistent with a priori hypothesis. A post hoc exploratory assessment involving patients who did not self-request additional pain and sleep medication demonstrated confirmatory directions for all outcomes except Systolic BP, and statistically significant outcomes for Acute Stress and Anxiety—Acute Stress and Anxiety levels of the experimental group subjects was 53.4% and 34.79% lower, respectively, than that of the control group subjects. Conclusion: Salutogenic benefits of photographic sky compositions render them better than traditional ceiling tiles and offer an alternative to other nature interventions.
AB - Objective: To examine whether incorporation of simulated nature, in the form of ceiling mounted photographic sky compositions, influences patient outcomes. Background: Previous studies have shown that most forms of nature exposure have a positive influence on patients. However, earlier studies have mostly focused on wall-hung nature representations. The emergence of simulated nature products has raised the question regarding the effects of the new product on patient outcomes. Methods: A between-subject experimental design was adopted, where outcomes from five inpatient rooms with sky composition ceiling fixture were compared to corresponding outcomes in five identical rooms without the intervention. Data were collected from a total of 181 subjects on 11 outcomes. Independent sample tests were performed to identify differences in mean outcomes. Result: Significant positive outcomes were observed in environmental satisfaction and diastolic blood pressure (BP). Environmental satisfaction in the experimental group was 12.4% higher than the control group. Direction of association for diastolic BP, nausea/indigestion medication, acute stress, anxiety, pain, and environmental satisfaction were consistent with a priori hypothesis. A post hoc exploratory assessment involving patients who did not self-request additional pain and sleep medication demonstrated confirmatory directions for all outcomes except Systolic BP, and statistically significant outcomes for Acute Stress and Anxiety—Acute Stress and Anxiety levels of the experimental group subjects was 53.4% and 34.79% lower, respectively, than that of the control group subjects. Conclusion: Salutogenic benefits of photographic sky compositions render them better than traditional ceiling tiles and offer an alternative to other nature interventions.
KW - access to nature
KW - acute care
KW - biophilia
KW - environmental design
KW - experimental
KW - interior design
UR - http://www.scopus.com/inward/record.url?scp=84951851724&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84951851724&partnerID=8YFLogxK
U2 - 10.1177/1937586715595505
DO - 10.1177/1937586715595505
M3 - Article
C2 - 26199272
AN - SCOPUS:84951851724
VL - 9
SP - 36
EP - 51
JO - HERD
JF - HERD
SN - 1937-5867
IS - 2
ER -