Psychiatric hospitals are increasingly designed to reflect contemporary models of care. As such, inpatient settings are changing based on the promise that the built environment will promote patient recovery and support psychiatric work. While extant literature examines how such novel designs mediate health outcomes and shape patient experiences, less attention has been directed towards staff experiences and the mediating role of the built environment for staff/patient interaction. By focusing on the nursing station at two inpatient wards of a new, purpose-built psychiatric hospital in Denmark, this study shows that the transparent properties of the built environment produce an environment of uncertainty and distance instead of intelligibility and closeness, which in turn shapes the nature of staff/patient interaction according to a differential field of visibilities. This study indicates that greater attention must be directed towards analysing the impact of novel designs on the relational dynamics between spaces, visibilities and people to appreciate how, and for whom, the built environment makes a difference in practice. This study thus contributes to the literature on the unique characteristics of psychiatric inpatient settings and how such settings impact psychiatric staff.

中文翻译：

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相互可见和互动：工作人员对丹麦精神科住院病房“治愈结构”的反应

精神病医院的设计越来越多地反映当代护理模式。因此，基于建筑环境将促进患者康复和支持精神病学工作的承诺，住院环境正在发生变化。虽然现有文献研究了这种新颖的设计如何调节健康结果和塑造患者体验，但对员工体验和建筑环境对员工/患者互动的中介作用的关注较少。通过关注丹麦一家新建的专门建造的精神病医院的两个住院病房的护理站，这项研究表明，建筑环境的透明特性产生了一种不确定和距离的环境，而不是可理解性和亲近性，这反过来又根据不同的可见性领域塑造了工作人员/患者互动的性质。这项研究表明，必须更加关注分析新颖设计对空间、可见性和人之间关系动态的影响，以了解建筑环境如何以及为谁在实践中产生影响。因此，这项研究有助于研究精神病住院环境的独特特征以及这些环境如何影响精神病学工作人员。