关键词: architectural research built environment healthcare facilities patient shadowing recommendations stroke rehabilitation

来  源:   DOI:10.1177/10497323241236305

Abstract:
Shadowing is a research method that combines observing events and short on-the-go interviews to investigate people\'s roles and behaviours in various settings. Even though it is not a widely used method in architectural research, it can be adapted to focus on the interaction of individuals with the built environment. This is especially important in healthcare environments, where people are vulnerable and more dependent on their surroundings. In this article, I reflect on the experience of adapting and using the shadowing method to explore stroke inpatients\' interactions with the built environment during their recovery in rehabilitation centres. This research study was the first to employ shadowing in the stroke patient population on such a large scale. One day (12 consecutive hours) was spent with each of the 70 participating stroke inpatients, recording their interactions with the built environment in different forms - on the floor plans, as narrative descriptions, creating sketches of situations and noting down patients\' remarks. This method was useful in capturing the built environment\'s role in patients\' daily experiences in rehabilitation centres. Research in healthcare facilities includes various challenges, and close contact with the patient population of older adults with stroke introduces numerous unexpected events and ethical dilemmas in the field. At the same time, this method provides research insights that would otherwise be unobtainable. Researchers are given practical information and recommendations on how to prepare for using shadowing for architectural research and what to expect in the field.
摘要:
阴影是一种研究方法,结合观察事件和短期的采访来调查人们在各种环境中的角色和行为。尽管它不是建筑研究中广泛使用的方法,它可以适应于个人与建筑环境的相互作用。这在医疗保健环境中尤为重要。人们很脆弱,更依赖周围环境。在这篇文章中,我反思了适应和使用阴影方法来探索中风住院患者在康复中心康复期间与建筑环境的相互作用的经验。这项研究是第一个在如此大规模的中风患者人群中使用阴影的研究。每天(连续12小时)与70名参与中风住院的患者一起度过,以不同的形式记录他们与建筑环境的互动-在平面图上,作为叙述性描述,创建情况草图并记下患者的评论。此方法可用于捕捉建筑环境在康复中心患者日常体验中的作用。医疗保健设施的研究包括各种挑战,与老年卒中患者人群的密切接触在该领域引入了许多突发事件和伦理困境。同时,这种方法提供了否则无法获得的研究见解。研究人员获得了有关如何准备使用阴影进行建筑研究以及该领域的期望的实用信息和建议。
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