TY  - JOUR
M3  - article

TI  - Built environments for inpatient stroke rehabilitation services and care : A systematic literature review
AU  - Lipson-Smith, R.
AU  - Pflaumer, L.
AU  - Elf, Marie
AU  - Blaschke, S. -M
AU  - Davis, A.
AU  - White, M.
AU  - Zeeman, H.
AU  - Bernhardt, J.
Y1  - 2021///
PY  - 2021
DA  - 2021
KW  - health services administration & management
KW  - rehabilitation medicine
KW  - stroke medicine
KW  - adult
KW  - built environment
KW  - caregiver
KW  - Cinahl
KW  - clinical outcome
KW  - clinical practice
KW  - controlled study
KW  - data extraction
KW  - drug safety
KW  - eligibility criteria
KW  - environmental enrichment
KW  - female
KW  - hospital patient
KW  - human
KW  - male
KW  - Medline
KW  - motivation
KW  - narrative
KW  - outcome assessment
KW  - quality control
KW  - quantitative analysis
KW  - rehabilitation
KW  - review
KW  - Scopus
KW  - stroke rehabilitation
KW  - stroke survivor
KW  - synthesis
KW  - systematic review
KW  - Web of Science
KW  - wellbeing
KW  - cerebrovascular accident
KW  - Caregivers
KW  - Humans
KW  - Inpatients
KW  - Stroke
JF  - BMJ Open
T2  - BMJ Open
KW  - Health Sciences
KW  - Hälsovetenskaper
VL  - 11
IS  - 8
C7  - e050247
PB  - BMJ Publishing Group Ltd
SN  - 20446055 (EISSN)
AD  - Caring Science/Nursing, School of Health and Welfare, Dalarna University
C2  - 34353805
DB  - DiVA
DO  - 10.1136/bmjopen-2021-050247
AB  - Objectives To identify, appraise and synthesise existing design evidence for inpatient stroke rehabilitation facilities; to identify impacts of these built environments on the outcomes and experiences of people recovering from stroke, their family/caregivers and staff. Design A convergent segregated review design was used to conduct a systematic review. Data sources Ovid MEDLINE, Scopus, Web of Science and Cumulative Index to Nursing and Allied Health Literature were searched for articles published between January 2000 and November 2020. Eligibility criteria for selecting studies Qualitative, quantitative and mixed-methods studies investigating the impact of the built environment of inpatient rehabilitation facilities on stroke survivors, their family/caregivers and/or staff. Data extraction and synthesis Two authors separately completed the title, abstract, full-text screening, data extraction and quality assessment. Extracted data were categorised according to the aspect of the built environment explored and the outcomes reported. These categories were used to structure a narrative synthesis of the results from all included studies. Results Twenty-four articles were included, most qualitative and exploratory. Half of the included articles investigated a particular aspect of the built environment, including environmental enrichment and communal areas (n=8), bedroom design (n=3) and therapy spaces (n=1), while the other half considered the environment in general. Findings related to one or more of the following outcome categories: (1) clinical outcomes, (2) patient activity, (3) patient well-being, (4) patient and/or staff safety and (5) clinical practice. Heterogeneous designs and variables of interest meant results could not be compared, but some repeated findings suggest that attractive and accessible communal areas are important for patient activity and well-being. Conclusions Stroke rehabilitation is a unique healthcare context where patient activity, practice and motivation are paramount. We found many evidence gaps that with more targeted research could better inform the design of rehabilitation spaces to optimise care. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 
LA  - eng
Y2  - 2021-09-10T15:40:23.797+02:00
N1  - 2023-08-28T15:04:38.818+02:00
L1  - http://du.diva-portal.org/smash/get/diva2:1593170/FULLTEXT01.pdf
L2  - https://doi.org/10.1136/bmjopen-2021-050247
UR  - http://urn.kb.se/resolve?urn=urn:nbn:se:du-38055
ER  -