{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:56:16Z","timestamp":1790708176137,"version":"4.1.0"},"reference-count":81,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,12,25]],"date-time":"2022-12-25T00:00:00Z","timestamp":1671926400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"South-Eastern Norway Health Authorities","award":["2014 no 13\/00367-96"],"award-info":[{"award-number":["2014 no 13\/00367-96"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HERD"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The goal of the current project was to enhance the feeling of dignity for patients in the seclusion unit in an acute psychiatric ward through environmental design changes and to evaluate the effect of the refurbishment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Treating people with dignity is essential in all health-related work and important for our mental health. Hospital architecture and design signal values that can promote dignity. Patients who must spend time in seclusion are at their most vulnerable mental state and the often worn-down like environment can challenge the feeling of dignity. How environmental design can promote dignity in seclusion units have not been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To reach suggestions for design changes enhancing dignity, we used service design that included a broad user group. The effect of design changes was evaluated by a questionnaire answered by the nursing staff during a 4-week period pre- and post refurbishment and included a control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The design concepts agreed upon were a welcoming atmosphere, contact with nature, room for privacy, close contact with staff, and a designated smoking area inside the unit. The evaluation found that the environmental design changes significantly supported the patients in their situation and the staff in their work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We conclude that dignity design concepts are highly applicable also in an acute psychiatric setting and improve the situation of secluded mental health patients, which is much needed. Findings align with other environmental changes in psychiatric wards that improve the patients\u2019 well-being and reduce aggression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19375867221136558","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T02:01:50Z","timestamp":1672020110000},"page":"55-72","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Environmental Transformations Enhancing Dignity in an Acute Psychiatric Ward: Outcome of a User-Driven Service Design Project"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-746X","authenticated-orcid":false,"given":"Ann","family":"Faerden","sequence":"first","affiliation":[{"name":"Department of Acute Psychiatry, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Rosenqvist","sequence":"additional","affiliation":[{"name":"User Representative Advisory Board, Department of Acute Psychiatry, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mats","family":"H\u00e5kansson","sequence":"additional","affiliation":[{"name":"Lovisenberg Diaconal Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eline","family":"Str\u00f8m-Gundersen","sequence":"additional","affiliation":[{"name":"EGGS Design Firm, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5shild","family":"Stav","sequence":"additional","affiliation":[{"name":"EGGS Design Firm, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Svartsund","sequence":"additional","affiliation":[{"name":"BRANDL Architect Firm, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trude","family":"R\u00f8ss\u00e6g","sequence":"additional","affiliation":[{"name":"Department of Acute Psychiatry, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Davik","sequence":"additional","affiliation":[{"name":"Department of Acute Psychiatry, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elfrida","family":"Kvarstein","sequence":"additional","affiliation":[{"name":"Section for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geir","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Section for Personality Psychiatry and Specialized Treatment, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Dieset","sequence":"additional","affiliation":[{"name":"Department of Acute Psychiatry, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders Q.","family":"Nyrud","sequence":"additional","affiliation":[{"name":"Norwegian University of Life Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9109-0034","authenticated-orcid":false,"given":"Harald","family":"Weedon-Fekj\u00e6r","sequence":"additional","affiliation":[{"name":"Oslo Center for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaja Misv\u00e6r","family":"Kistorp","sequence":"additional","affiliation":[{"name":"Oslo School of Architecture and Design, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,25]]},"reference":[{"key":"bibr1-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1177\/1937586720973767"},{"key":"bibr2-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12537"},{"key":"bibr3-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5348-4"},{"key":"bibr4-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2008.08.003"},{"key":"bibr5-19375867221136558","doi-asserted-by":"publisher","DOI":"10.7748\/nop2009.10.21.8.22.c7280"},{"key":"bibr6-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1176\/ps.62.5.pss6205_0477"},{"key":"bibr7-19375867221136558","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2008.01370.x"},{"key":"bibr8-19375867221136558","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr05210"},{"key":"bibr9-19375867221136558","unstructured":"Brambilla A., Rebecchi A., Capolongo S. 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