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Benefits of a slideshow with nature pictures and music in the emergency department waiting room - a pilot study

Carina Elmqvist, Jeanette Lindahl, Paula Bergman, Birgitta Ekeberg, Idor Svensson

Abstract


Background: It is well recognized that long waiting times at Emergency Departments (ED) influence patient satisfaction rates. Evidence suggests that changes in the design of healthcare environments can improve patient care when these changes include the provision of nature and music elements in different ways.

Aim: To explore how patients, relatives and staff perceive a slideshow with nature pictures and music in the emergency department waiting room.

Method: A descriptive survey design including a slideshow with nature pictures and music shown in the waiting room. Questionnaires were distributed to patients and relatives (n=94) as well as to the staff (n=76), analysed with descriptive statistics and content analysis.

Results: A majority (67%) of the participants thought that the slideshow contributed to a positive environment in the waiting room. Content analysis of 254 comments demonstrated it to be experienced as relaxing and calming. There is, however, room for improvement regarding quality, length and variation of the slideshow.

Conclusion: An organized wait time with different alternative activities including nature elements and music in the waiting environment may have positive impacts. The challenge lies in creating a supportive design, which supports the three separate groups and their needs for control in terms of freedom of choice and variation.


Keywords


Caring environment, emergency department, music, nature pictures, patient choice, patient experience, patient outcomes, patients, person-centered healthcare, quality improvement, relatives, slideshow, staff, stress management, waiting room, wellbeing

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References


Richardson, L.D. & Hwang, U. (2001). Access to Care: A Review of the Emergency Medicine Literature. Academic Emergency Medicine 8 (11) 1030-1036.

Clarey, A.J. & Cooke, M.W. (2012). Patients who leave emergency departments without being seen: literature review and English data analysis. Emergency Medicine Journal 29, 617-621.

Pruyn, A. & Smidts, A. (1998). Effects of waiting on the satisfaction with the service: Beyond objective time measures. International Journal of Research in Marketing 15, 321-334.

Nairn, S., Whotton, E., Marshal, C., Roberts, M. & Swann, G. (2004). The patient experience in emergency departments: a review of the literature. Accident and Emergency Nursing 12 (3) 159-165.

Welch, S.J. (2010). Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. American Journal of Medical Quality 25 (1) 64-72.

Elmqvist, C., Fridlund, B. & Ekebergh, M. (2011). On a hidden game board: the patient’s first encounter with emergency care at the emergency department. Journal of Clinical Nursing 21, 2609-2616.

Buetow, S. (2004). Patient experience of time duration: strategies for ‘slowing time and ‘accelerating time’ in general practices. Journal of Evaluation in Clinical Practice 10 (1) 21-25.

Elmqvist, C. (2016). Inhabiting the interspaces - Emergency care on the scene of an accident and at the emergency department. European Journal for Person Centered Healthcare 4 (1) 1-12.

Edvardsson, J.D., Sandman, P-O. & Rasmussen, B.H. (2005). Sensing an atmosphere of ease: a tentative theory of supportive care settings. Scandinavian Journal of Caring Sciences 19 (4) 344-353.

Ulrich, R.S. (1991). Effects of health facility interior design on wellness: Theory and scientific research. Journal of Health Care Design 3, 97-109.

Ottosson, J. & Grahn, P. (2008). The Role of Natural Settings in Crisis Rehabilitation: How Does the Level of Crisis Influence the Response to Experiences of Nature with regard to Measures of Rehabilitation? Landscape Research 33 (1) 51-70.

Nanda, U., Chanaud, C.M., Brown, L., Hart, R. & Hathorn, K. (2009). Pediatric Art Preferences: Countering the “One-Size-Fits-All” Approach. Health Environments Research & Design Journal 2 (4) 46-61.

Cusack, P., Lankston, L. & Isles, C. (2010). Impact of visual art in patient waiting rooms: survey of patients attending a transplant clinic in Dumfries. Journal of the Royal Society of Medicine Short Reports 1 (52) 1-5.

Annerstedt, M. & Währborg, P. (2011). Nature-assisted therapy: Systematic review of controlled and observational studies. Scandinavian Journal of Public Health 39, 371-388.

Karnik, M., Printz, B. & Finkel, J. (2014). A Hospital´s Contemporary Art Collection: Effects on Patients Mood, Stress, Comfort, and expectations. Health Environments Research & Design Journal 7 (3) 60-77.

Ulrich, R.S. (1984). View through a window may influence recovery from surgery. Science 224, 420-421.

Nanda, U., Chanaud., C., Nelson, M., Bajerna, R. & Jansen, B.H. (2012). Impact of visual art on patient behavior in the emergency department waiting room. Journal of Emergency Medicine 43 (1) 172-181.

Cooper, L. & Foster, I. (2008). The use of music to aid patients´ relaxation in a radiotherapy waiting room. Radiography 14, 184-188.

Fredriksson, A-C., Hellström, L. & Nilsson, U. (2009). Patients´perception of music versus ordinary sound in a postanaesthesia care unit: A randomised crossover trial. Intensive and Critical Care Nursing 25, 208-213.

Nilsson, U., Unosson, M. & Rawal, N. (2005). Stress reduction and analgesia in patients exposed to calming music postoperatively: a randomized controlled trial. European Journal of Anaesthesiology 22, 96-102.

Nilsson, U. (2008). The anxiety- and pain-reducing effects of music interventions: A systematic review. AORN Journal 87 (4) 780-807.

Wakim, J.H., Smith, S. & Guinn, C. (2010). The efficiacy of Music Therapy. Journal of PeriAnestesthesia Nursing 25 (4) 226-232.

Lee, K.C., Chao, Y.H., Yiin, J.J., Chiang, P.Y. & Chao, Y.F. (2011). Effectiveness of different music-playing devices for reducing preoperative anxiety: A clinical control study. International Journal of Nursing Studies 48, 1180-1187.

Lee, K.C., Chao, Y.H., Yiin, J.J., Hsieh, H.Y., Dai, W.J. & Chao, Y.F. (2012). Evidence that music listening reduces preoperative patients’anxiety. Biological Research for Nursing 14 (1) 78-84.

Kipnis, G., Tabak, N. & Koton, S. (2016). Background music playback in the preoperative setting: Does it reduce the level of preoperative anxiety among candidates for elective surgery? Journal of PeriAnesthesia Nursing 31 (3) 209-216.

Engwall, M. & Sörensen, G. (2009). Music as a Nursing Intervention for Postoperative Pain: A systematic Review. Journal of PeriAnesthesia Nursing 24 (6) 370-383.

Parlar Kilic, P., Karadag, G., Oyucu, S., Kale, O., Zengin, S., Ozdemir, E. & Korhan, E.A. (2015). Effect of music on pain, anxiety, and patient satisfaction in patients who present to the emergency department in Turkey. Japan Journal of Nursing Science 12, 44-53.

Zorzi Gatti, M.F. & Paes da Silva, M.J. (2007). Ambient music in the emergency services: the professionals´perception. Revista Latino-Americana de Enfermagem 15 (3) 1-7.

Hansen, M.M. (2015). A feasibility pilot study on the use of complementary therapies delivered via mobile technologies on Icelandic surgical patients´reports of anxiety, pain, and self-efficiacy in healing. BMC Complementary & Alternative Medicine 15 (92) 1-12.

Public Health & Healthcare. (2009). Music and pictures for increased well-being in care and nursing. Regional Executive Office, Region Jönköping County.

World Medical Association. Declaration of Helsinki. (2013). Ethical principles for medical research involving human subjects.Available at: www.wma.net.

Polit, D.F. & Beck, C.T. (2012). Nursing Research: Generating and Assesing Evidence for Nursing Practice.(9th edn.). Philadelphia: Lippincott Williams & Wilkins.

Catania, C., De Pas, T., Minchella, I., De Braud, F., Micheli, D., Adamoli, L., Spitaleri, G., Noberasco, C., Milani, A., Zampino, M.G., Toffalorio, F., Radice, D., Goldhirsch, A. & Nolè, F. (2011). “Waiting and the Waiting Room: How Do You Experience Them?” Emotional Implications and Suggestions from Patients with cancer. Journal of Cancer Education 26 (2) 388-394.

Corbett, S.W., White, P.D. & Wittlake, W.A. (2000). Benefits of an Informational Videotape for Emergency Department Patients. American Journal of Emergency Medicine 18 (1) 67-71.

Papa, L., Seaberg, D.C., Rees, E., Ferguson, K., Stair, R., Goldfeder, B. & Meurer, D. (2008). Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction? Canadian Journal of Emergency Medicine 10 (4) 347-354.




DOI: http://dx.doi.org/10.5750/ejpch.v7i2.1682

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