تهيئة البيئة الداخلية لعنابر ووحدات التمريض بالمستشفيات : دراسة حالة مستشفى الخرطوم

Abstract

In a visit to a researcher to an ill person, who was admitted in a hospital in grand Khartoum. He lost the location of the patient warden building which seems full of patients and visitors. The researcher was insulted by a bad internal environment of patient wardens. This picture was fixed in the researcher mind, whom demands to contribute in changing such status in the patients wardens of hospital in Khartoum state. This research orients around the adoption of the internal environment of the patient warden, and the nursing units in Khartoum hospital, which suffers poorness and ignorance. The bad internal environment of patient’s wardens in Khartoum hospital, it never helps to rest patients and aids the medical staff to perform its work. The research aim at providing the patients needs in the wards including rest, calmness, light, colors, ventilation, and the feeling of well being so as to improve the inner environment of the wards and to improve the physiological status of the patients in order to help his fast heeling. Also the research aims at providing a good environment that helps the medical staff to perform their work. To realize such objective, the research considers the four factors of the internal environment of the wardens: lighting and colors, the isolation of noise from the warden, a ventilation, and good internal ventilation at the wardens. The researcher supposed from the lighting side not to consider directing lighting leads to the presence of the lighting reflection in case of the increase bright lighting, since the beds and windows are facing in wardens. Also the uncontrollable lighting, and the unavailable lighting tasks (here as reading lighting, and light for investigation and complicated investigation...etc.) in colors side, dis considering selecting suitable colors, and placing it without study to the warden specialty and its type. In case of the isolation of noise from the warden, uncontrollable and undesirable noise leads to the lack of rest in wardens. From ventilation point of view, the presence of the internal bad control systems, and the lack of adeget inside air leads to impossible control of infection transfer in the warden. Also it leads to discomfort to anyone who uses the place, (patients, medical staff and visitors). The research used the descriptive analysis as a methodology for the study based on observation and evaluation, to ensure the correct hypotheses of the research to reach the required objectives. A case study was conducted in five chosen wards of Khartoum Hospital, and in field visits, to collect the necessary data from patients, visitors and medical staff, and from observation and visions from reality by the researcher. Data is analyzed by matrix method ,for easy show of data and its analysis (finding the four factors) and adding remarks. The most important results after approving the comectnese of the hypotheses. Is that all of the study samples suffer from the paper direction of light, and the presence of extreme glair in natural lighting. The unavailable function of light, also all the samples used colors without a scientific study, and without any consideration for the type of wards. Most of the samples suffer from bad ventelation and bad quality of air inside wards, which leads to lack of comfort. All five research samples suffer from lack comfort resulting from noise from wards. The research recommends the essential control of the natural lighting through providing curtains and changes the position of the vertical beds on the outer walls, we should not put light reflection colors on the ceiling of wardens prohibiting reflection and stopping eye excretion. We recommend to consider ceiling, and to break regularity by positioning painting or wall drawings on ceilings. Also we recommend less family members and less numbers of patient’s followers to provide calmness, finding regulations to rest net calmness, also should consider providing good inside air by removing of rotten air, smells, undesired gases by exhausting or other ways.