چكيده به لاتين
Abstract
Introduction: Over the past years, many researchers have studied the environmental factors affecting the outcomes of employees, all of which do not have the same effect on the employees. On the other hand, the non-developmental environment reduces the effectiveness of the healthcare facility. The purpose of this study is to design a manageable environment based on the development and the impact of physical and qualitative components on outcomes of employees.
Research Methodology: This descriptive cross-sectional study was done in a number of day clinics in Tehran (1396). To collect data in the field of extensibility, library studies have been used through documentary and written sources and previous research. Also, in the field of environmental factors, a demographic questionnaire and a questionnaire containing 13 physical and qualitative components on environmental factors were used. Data analysis was accomplished using descriptive statistics indices in SPSS software version 22.
Results:
The results of this study showed that the importance of each of the physical components in centers with the desirable environment (first group) is the same for personnel and is different for centers with an unfavorable environment (second group), so that in the first group, all components have the same importance and in the second group, the component of "layout and spatial planning" is in the highest significance and spatial dimensions has the least importance. There is also no significant difference in the choice of “layout and spatial planning" between the first and second groups (average difference = 0.015), and in other components there is a significant difference and the importance of this component on the outcomes of personnel is the same in both environments. Also, the results of this study showed that the importance of each of the qualitative factors in the centers with the favorable and unfavorable environment for the personnel varies, so that there is also no significant difference between the two groups in the component ergonomics, "color", "flooring" and "sound levels". But in other components there is a significant difference. In the first group, the "optimal lighting" component has the highest importance and "optimum flooring" component is at the lowest level and in the second group; the "nature relation" component has the highest importance and for the " optimum flooring " component, it is at the lowest level. Also, in the area of development, a schematic diagram of a combination of two sets of core areas of trauma centers and day clinics was drawn up.
Conclusion: It can be concluded that in the design of day clinics, attention to the physical component of “layout and spatial planning “along with other physical factors should be design prioritized. Also, several factors affect the quality of the components in the environment of day clinics, and the effects that exist in one component vary depending on the environment and interact with the environment. Also, the components of "ergonomics", "color", "flooring", and "sound levels" in desirable and unfavorable environments have the same importance for the outcomes of employees and their importance is independent and the impact of other components is dependent on the environment on the outcomes of the personnel varies. In the field of extensibility, the function of the emergency center (trauma) is recommended due to its importance with day clinics and the similarity of its core spaces with these centers as the developmental performance of the design. According to the integrated diagram, ICU area, the outpatient operating room was removed and the supervised care space and its extensions, acute care, emergency department entrance and its extensions (cardiopulmonary resuscitation bay and triage) and the isolation room were added.
Keywords: Environmental factors, physical components, qualitative components, day clinics, outcomes of employees, manageable environment, extensibility.
