Objective:This study aims (1) to understand the needs and challenges of the current intensive care unit (ICU) environments in supporting patient well-being from the perspective of healthcare professionals (HCPs) and (2) to explore the new potential of ICU environments enabled by technology.Background:Evidence-based design has yielded how the design of environments can advocate for patient well-being, and digital technology offers new possibilities for indoor environments. However, the role of technology in facilitating ICU patient well-being has been unexplored.Method:This study was conducted in two phases. First, a mixed-method study was conducted with ICU HCPs from four Dutch hospitals. The study investigated the current environmental support for care activities, as well as the factors that positively and negatively contribute to patient experience. Next, a co-creation session was held involving HCPs and health technology experts to explore opportunities for technology to support ICU patient well-being.Results:The mixed-method study revealed nine negative and eight positive patient experience factors. HCPs perceived patient emotional care as most challenging due to the ICU workload and a lack of environmental support in fulfilling patient emotional needs. The co-creation session yielded nine technology-enabled solutions to address identified challenges. Finally, drawing from insights from both studies, four strategies were introduced that guide toward creating technology to provide holistic and personalized care for patients.Conclusion:Patient experience factors are intertwined, necessitating a multifactorial approach to support patient well-being. Viewing the ICU environment as a holistic unit, our findings provide guidance on creating healing environments using technology.

中文翻译：

---

重新构想 ICU：医疗保健专业人员对环境如何促进患者福祉的看法

目的：本研究旨在 (1) 从医疗保健专业人员 (HCP) 的角度了解当前重症监护病房 (ICU) 环境在支持患者福祉方面的需求和挑战，以及 (2) 探索 ICU 的新潜力技术支持的环境。背景：基于证据的设计已经产生了环境设计如何倡导患者福祉，而数字技术为室内环境提供了新的可能性。然而，技术在促进 ICU 患者健康方面的作用尚未被探索。方法：本研究分两个阶段进行。首先，对来自四家荷兰医院的 ICU 医护人员进行了一项混合方法研究。该研究调查了当前对护理活动的环境支持，以及对患者体验产生积极和消极影响的因素。接下来，举行了一次由 HCP 和卫生技术专家参与的共同创造会议，探讨支持 ICU 患者福祉的技术机会。结果：混合方法研究揭示了 9 个负面和 8 个正面的患者体验因素。由于 ICU 的工作量和缺乏满足患者情感需求的环境支持，医护人员认为患者情感护理最具挑战性。共同创造会议产生了九个技术支持的解决方案来应对已确定的挑战。最后，根据这两项研究的见解，提出了四种策略，指导创建技术为患者提供全面和个性化的护理。结论：患者体验因素相互交织，需要采取多因素方法来支持患者的健康。将 ICU 环境视为一个整体单位，我们的研究结果为利用技术创建康复环境提供了指导。