Designing a MigrantFriendly Health Service Environment Hospitals in a culturally diverse Europe Amst

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Designing a Migrant-Friendly Health Service
EnvironmentHospitals in a culturally diverse
EuropeAmsterdam 9-11 December 2004Mark R D
Johnson with Kip Jones, Adam Hardy, Deborah
Biggerstaff, Jan BirkstedCentre for Evidence in
Ethnicity Health DiversityMary Seacole
Research Centre
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The Aim

• Spaces and Places must be seen to be equally
  accessible to all members of society to ensure
  equity of access
• The built environment rather than a neutral
  backdrop can uphold dominant cultural
  discourse, social divisions and inequalities
  (Gillespie)

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What IS a culturally specific (or sensitive)
healthcare setting?

• Decorative Art
• External Environment
• Building
• Gardens
• Safe approaches
• Colours
• Entrances and Welcomes

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How do we Use space?

• Gender Segregation
• Privacy
• Visitor Space
• Views (Ulrich)
• General preferences for sunny rooms
• Open-ness (Australian aboriginals)

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Spirituality

• Chaplaincy
• Prayer Space
• Rituals of Death and Passage
• Washing
• Gender separation (again)
• Orientation
• Family involvement
• Equipment and Symbols

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Communication

• Language
• Symbols
• Signifiers and Directions
• Language support (Interpreters)
• Space and placement
• Equipment phone lines etc
• Multi-lingual Information Technology

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Further suggestions

• Sacralising Space (Ownership)
• Art-as-process
• A Practice Question An Isolation Ward

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Gender
Disability

Geography
Ancestry
'Race'
Genetics
Migration
Diversity
Traditions
Religion
Family
Language
Class
Culture
Diet
Location
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A few references

• Beauchemin KM, Hays P 1996 'Sunny hospital rooms
  expedite recovery from severe and refractory
  depressions' Journal of Affective Disorders 40
  59-61
• Day K, Cohen U 2000 'The role of culture in
  designing environments for people with dementia
  a study of Russian Jewish immigrants' Environment
  and Behaviour 32,3 361-399
• Ford H 1995 The Signage Information Project
  Leeds NHS Ethnic Health Unit / Mancunian
  Community Health NHS Trust (Report kept at King's
  Fund, London)
• Gillespie R 2002 Architecture and Power a family
  planning clinic as a case study Health Place 8
  211-220
• Jackson M, Peters J (2003). Introducing
  touchscreens to black and ethnic minority groups
  - a report of processes and issues in the Three
  Cities project. Health Information and Libraries
  Journal 20 143-149
• Johnson MRD 2004 Faith Prayer and Religious
  Observances Clinical Cornerstone 6,1 17-24
• Leman P 1997 Interpreter use in an inner city
  accident and emergency department. Jnl Accident
  Emergency Medicine 14(2) 98-100.
• Marcus CC, Barnes M (Eds.), 1999 Healing Gardens
  Therapeutic benefits and design recommendations
  New York John Wiley Sons, Inc.
• Werbner P 1996 Stamping the Earth with the Name
  of Allah Zikr and the Sacralizing of Space among
  British Muslims Cultural Anthropology 11,3

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And a final thought

• Culturally diverse Art can be an enrichment for
  everyone as well as something meaningful for
  particular groups
• Carefully chosen artworks from less developed
  countries are better and often cheaper than
  reproductions and purchasing/ sourcing
  materials is itself an ethical and empowering
  activity that may increase sensitivity!

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Co-ordinates orContact Details

• CEEHD - Mary Seacole Research CentreDe Montfort
  University266 London Road, Leicester LE2
  1RQTel 44 116 201 3906 Fax [phone]
• seacole_at_dmu.ac.uk
• website www.dmu.ac.uk/msrc or http//users.wbs.ac
  .uk/group/ceehd

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