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A POST OCCUPANCY EVALUATION OF PATIENTSʹ SATISFACTION WITH NIGER STATE GOVERNMENT HOSPITAL BUILDINGS.

 Format: MS-WORD   Chapters: 1-5

 Pages: 1-99   Attributes: DOWNLOADABLE

 Amount: 3,000

 Nov 10, 2022 |  04:52 pm |  44


A POST OCCUPANCY EVALUATION OF PATIENTSʹ SATISFACTION WITH NIGER STATE GOVERNMENT HOSPITAL BUILDINGS.


1.1 Background of the Study

 

Buildings can add substantial value to their clients, their occupiers, the economy and the  environment.  In  spite  of  this,  opportunities  are  regularly  missed  and  value needlessly subtracted because people do not learn enough from the buildings they construct (Olagunjuet al., 2013).


When undertaking a new project, to make the most of  the  potential and  to avoid  common  pitfalls,  construction  team  need  to  obtain feedback from the previous projects and their performance in use and feed forward into the building project and into the procurement process (Bordass, Leaman and Eley,  2006).Feedback  should  also  be obtained  from the project  itself, during  the construction process and  after  it  has  been constructed.  The feedback  obtained  is termed “post occupancy evaluation” (Khalil and Husin, 2009).


Buildings  are required  to  provide a  conducive  and  safe environment  for  various human activities. The ability of a hospital building to facilitate healing process is termed „therapeutic‟, which can be described as the overall environment both physical and  non-physical created to  aid the recovery process (Abbas and Ghazali,  2010; Dandajeh, 2011).Hospitals today have evolved as advanced centre for healthcare - diagnostics and research, recovery and preventive health facilities. Hospitals have a large  ecological  footprint.  The  wards  buildings  in  hospitals  form  the  largest component of any hospital setup. 


There are a number of factors such as privacy, comfortability, accessibility, design of the building, beyond good medical practices and safe environment that contribute to patient healing (Pritam and Mukta, 2012). The goal of every health institution is to provide patient care, produce medical and health manpower. In furtherance of this goal, staff and expertise based on the highest skill are motivated in an environment that is clean, conducive and patient friendly (Zubairu and Ayuba, 2012).


Patients in a healthcare facility are often fearful and uncertain about their health, their safety  and  their  isolation  from  normal  social  relationships.  The  large,  complex environment of a typical hospital further contributes to the stressful situation. While it is true that good patient care comes from dedicated individuals, it is equally true that the physical structures and hospital environment must be such that the safety and well-being of patients is protected (Shohet, 2003).


Patient‟s  perceptions  are  gaining  popularity to  evaluate  the  quality of healthcare facilities delivered (Pritam and Mukta, 2012). The most known evaluation method for buildings is Post Occupancy Evaluation (Preiser, 2001). Post Occupancy Evaluation (POE) consists of a set of methods and techniques applied in the built environment. It is the evaluation of the performance of buildings after occupancy. 


Its purpose is to evaluate  performance  from  the  perspective  of  specialists  and  from  that  of  the environment‟s users, and then draw up a systematic diagnosis of the positive and negative  functional aspects, as well as of the construction system, environmental comfort, cost/benefit relationships related to maintenance, and relationships between the built environment and human behaviour (Preiser, 2001). This diagnosis will serve as feedback for managing the quality of the construction process, as well as the use, management and maintenance of built environments. Importance of POEs has greatly increased in recent years, although it is a more typical activity in the USA and some European countries than it is in most developing countries (Adewunmie. al., 2009). 


Post-occupancy evaluation (POE) is a platform for the systematic study of buildings once occupied, so as to identify building performance issues that will improve their current conditions and guide the design of future buildings. Various aspects of the occupied buildings‟ functioning and performance can be assessed in a POE and that is why Post Occupancy Evaluation is important in order to avoid repeated mistakes in building designs.

 


1.2 Statement of the Research Problem

POE thoroughly appraises a particular environment to have a better understanding of the impact of a constructed or renovated facility on its occupants and environment, thus it analyses how it facilitates or inhibits health or daily activities of the occupants (Khalil &Husin, 2009). Therefore, the continuous and rekindled interest in natural condition  within  the  hospital  environment  has  increased  the  research  efforts in documenting  the  advantages of  nature for  lessening  stress,  improving  occupants‟ mood, and  increasing  healthcare satisfaction (Sherman, Varni, Ulrich &Malcarne, 2005). 


Sherman et al. (2005) argued that these efforts become necessary as a result of paradigmatic change in the subjective sphere of health outcome such as healthcare satisfaction and well-being, which are becoming gradually significant in health and hospital culture. This according to Sullivan (2003) has resulted in hospitals striving not only to cure physical conditions, but also to improve quality of life of healthcare seekers and hospital goers.


However,  most  of  the  studies  on  POE  of  hospital  buildings  have  mostly  been conducted in developed countries such as in USA and other European countries with little or no research in the developing world context such as Nigeria. A few number of studies on POE in Nigeria centred on public and residential buildings (Zubairu and Ayuba, 2012; Olagunjuet al., 2013). 


Meanwhile, previous studies have established that hospital environment replete with stressors and poor quality air can increase the rates of Sick Building Syndrome of occupants as well as high state of mental fatigue (Kaplan & Kaplan, 1983; Rdesinski, 2009).



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