Perceived hospital environment quality indicators: A study of orthopaedic units

The purposes of this study are to develop perceived hospital environment quality indicators for rating hospital settings, and to use those scales to compare hospitals selected to differ in their spatial–physical humanization (design features that support users’ needs and well-being). Orthopaedic units in three different hospitals in a major Italian city were selected to represent low, moderate and high levels of environmental humanization. Two architects rated the settings on 120 qualities and provided modest corroboration for the three levels. In each orthopaedic unit, patients, visitors and staff completed questionnaires including four scales about the physical and social environments (N=202). A total of 12 Perceived Hospital Environment Quality Indicators (PHEQIs) scales emerged from factor and reliability analyses of these responses. The PHEQIs had face validity, reflecting the main features articulated by the scientific literature on humanization, and overall had good inter-item reliability. ANOVAs supported hypotheses that patients and visitors would rate humanized environments more positively, although staff members seemed to be less sensitive than service users to differences in design quality.