How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic
Objective To investigate how care is shaped through the material practices and spaces of healthcare environments during the COVID-19 pandemic.Design Critical interpretive synthesis (CIS) of qualitative research.Participants Studies included qualitative research investigating the experiences of healt...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e063867.full |
| _version_ | 1817979895471407104 |
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| author | Tim Rhodes Kari Lancaster Mia Harrison |
| author_facet | Tim Rhodes Kari Lancaster Mia Harrison |
| author_sort | Tim Rhodes |
| collection | DOAJ |
| description | Objective To investigate how care is shaped through the material practices and spaces of healthcare environments during the COVID-19 pandemic.Design Critical interpretive synthesis (CIS) of qualitative research.Participants Studies included qualitative research investigating the experiences of healthcare workers involved in the care of individuals during the COVID-19 pandemic.Results 134 articles were identified in the initial sampling frame with 38 studies involving 2507 participants included in the final synthesis. Three themes were identified in the analysis: (1) the hospital transformed, (2) virtual care spaces and (3) objects of care. Through the generation of these themes, a synthesising argument was developed to demonstrate how material spaces and practices of healthcare shape care delivery and to provide insights to support healthcare providers in creating enabling and resilient care environments.Conclusions The findings of this study demonstrate how healthcare environments enable and constrain modes of care. Practices of care are shaped through the materiality of spaces and objects, including how these change in the face of pandemic disruption. The implication is that the healthcare environment needs to be viewed as a critical adaptive element in the optimisation of care. The study also develops a versatile and coherent approach to CIS methods that can be taken up in future research. |
| first_indexed | 2024-04-13T22:48:05Z |
| format | Article |
| id | doaj.art-18385ff1531c4049a1e6a5e85e9e32de |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-13T22:48:05Z |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-18385ff1531c4049a1e6a5e85e9e32de2022-12-22T02:26:19ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-063867How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemicTim Rhodes0Kari Lancaster1Mia Harrison2Centre for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaCentre for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaObjective To investigate how care is shaped through the material practices and spaces of healthcare environments during the COVID-19 pandemic.Design Critical interpretive synthesis (CIS) of qualitative research.Participants Studies included qualitative research investigating the experiences of healthcare workers involved in the care of individuals during the COVID-19 pandemic.Results 134 articles were identified in the initial sampling frame with 38 studies involving 2507 participants included in the final synthesis. Three themes were identified in the analysis: (1) the hospital transformed, (2) virtual care spaces and (3) objects of care. Through the generation of these themes, a synthesising argument was developed to demonstrate how material spaces and practices of healthcare shape care delivery and to provide insights to support healthcare providers in creating enabling and resilient care environments.Conclusions The findings of this study demonstrate how healthcare environments enable and constrain modes of care. Practices of care are shaped through the materiality of spaces and objects, including how these change in the face of pandemic disruption. The implication is that the healthcare environment needs to be viewed as a critical adaptive element in the optimisation of care. The study also develops a versatile and coherent approach to CIS methods that can be taken up in future research.https://bmjopen.bmj.com/content/12/9/e063867.full |
| spellingShingle | Tim Rhodes Kari Lancaster Mia Harrison How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic BMJ Open |
| title | How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic |
| title_full | How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic |
| title_fullStr | How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic |
| title_full_unstemmed | How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic |
| title_short | How do care environments shape healthcare? A synthesis of qualitative studies among healthcare workers during the COVID-19 pandemic |
| title_sort | how do care environments shape healthcare a synthesis of qualitative studies among healthcare workers during the covid 19 pandemic |
| url | https://bmjopen.bmj.com/content/12/9/e063867.full |
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