University of Twente Student Theses


Construction and Validation of a Hospital Environmental Rating Scale

Bothenius Lohman, Nienke (2007) Construction and Validation of a Hospital Environmental Rating Scale.

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Abstract:The purpose of this study is the construction and validation of a Hospital Environmental Rating Scale (HERS) for use in studies measuring the effect of physical environmental stimuli on patients in a hospital. This HERS can contribute a uniform way of rating the environment in studies on healing environments and provide insight into the psychologically mediated influence of the physical environment. Healing environments are environments that contribute to the well-being and speed of recovery of patients. The HERS will measure rating of the environment in a mostly cognitive way and contain dimensions of environmental perception. Eighty-four participants from seven wards in a hospital in Enschede took part in the study, 32 male and 57 female, average age 46.7. The survey included a list of 49 bipolar items from which the HERS was to be constructed and several control measures such as anxiety, pain, rating of care and number of hospital visits per year. Hospital rooms were also rated on several physical characteristics such as use of colour, number of windows and type of view. For construction of the HERS exploratory factor analysis was conducted. This did not yield a complete HERS that could be based on the dimensions of environmental perception. For further analysis in this study an HERS-10 was constructed containing the dimensions pleasantness and professional quality. Results show that pleasantness is related to pain, rating of received care, wall colour, floor colour, type of view, type of sunlight, number of occupied beds and number of windows. Professional quality is related to rating of received care, sunlight and number of windows. The results of this study provide a starting point from which to construct a standard HERS for use in hospitals
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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