Beyond Satisfaction: Person-Centred Care and the Physical Environment Revisited-An Integrative Review.
Amy-Louise Byrne, Ainslie Hall, Ellie Cutmore and 1 others
PMID 41565598WHAT IT FOUND
Hospital design often adds comfort and satisfaction.
Safety and staff workflow can override autonomy. Clinicians should look for layouts that support shared decisions, family presence, and equal access to information.
Key findings
01The 29 included articles linked person-centred care to aesthetic features and consumer comfort, including privacy, noise control, wayfinding, and personalisation.
02In aged care and mental health settings, safety was often dominant and described as balancing against privacy and person-centred care.
03Redesigning outpatient consultation rooms so patient and clinician sat on the same side of the desk with equal screen access was reported to improve care experience.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only published literature was searched, so grey literature and local implementation were not included. Some care contexts had few articles, so themes may not generalise. No articles were excluded based on quality appraisal, so weaker studies could influence the themes. The included articles used qualitative, quantitative and mixed methods, so the review reports themes rather than treatment effects. The review focused on system-level environment and not on clinical practice with patients.
Declared interests
Funded by Central Queensland Hospital and Health Service. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that adding plants, colour, single rooms, or decentralised stations creates genuine person-centred care. The review found many changes improved comfort and satisfaction, while safety, workflow, and staff concerns often overrode autonomy and shared decision-making.