Presentation Outline. Creating Positive Patient Experiences. A. New Approach for MDA. B. Goals of the New MDA Art Program and Overview

Transcription

1 and Creating Positive Patient Experiences Presentation Outline A. New Approach for MDA B. Goals of the New MDA Art Program and Overview C. Criteria for Mays Clinic Art Selection D. Post Occupancy Evaluation 1

2 A. New Approach Five years ago The University of Texas M. D. Anderson Cancer Center recognized the need to change the fundamentals of its art program from an art-for-art s sake to a evidence-based approach. American Art Resources has been working throughout the campus to create a new standard of excellence that is patient-focused in both its theory and application. B. Goals of the New M.D. Anderson Art Program Create a Healing and Hopeful Environment Relieve Stresses Associated with a Healthcare Environment Reflect and Enhance Image Developed Through Design and Architecture Address a Culturally and Regionally Diverse Population Accommodate Needs of Special Patient Populations Reflect Overall Standard of Excellence of The University of Texas M. D. Anderson Cancer Center 2

3 Details of Mays Clinic Collection Commissioned Sculpture 1,431 2D Works 345 Originals 594 Photographs 492 Posters Budget: +/- $1.25 per square foot Duration: 1 1/2 years Mays Clinic, Public Services Floor 2nd Floor The University of Texas M. D. Anderson Cancer Center Mays Clinic 3

4 Typical Mays Clinic Floor Plan Floors 4-8 The University of Texas M. D. Anderson Cancer Center Mays Clinic Signature Piece Tree of Life 4

5 Architectural Sculpture Concept Main Lobby The University of Texas M. D. Anderson Cancer Center Mays Clinic Albert Paley Preliminary Design Albert Paley Tree of Life The University of Texas M. D. Anderson Cancer Center Mays Clinic 5

6 Entrance, Mays Clinic, M.D.Anderson 1st Floor Vestibule, Mays Clinic, M.D.Anderson 6

7 Connector to CPB (Cancer Prevention Building) 2nd Floor Main Reception Area, Mays Clinic 7

8 Second Floor Elevator Lobby, Mays Clinic 2nd Floor Public Corridor, Mays Clinic 8

9 2nd Floor Public Corridor, Mays Clinic Treatment Room, Mays Clinic 9

10 Fifth Floor, Clinic Waiting Area, Mays Clinic Lobby, BSRB (Basic Science Research Building) (no patients in this building) 10

11 Lobby, BSRB (Basic Science Research Building) (no patients in this building) Corridor, BSRB (Basic Science Research Building) (no patients in this building) 11

12 C. Criteria for Mays Clinic, M.D.Anderson Be Evidence-Based Provide Positive Patient Experiences Applicable to All Media Applicable to All Patient Spaces (Mays Clinic/CPB) Not Applicable to Academic or Research Spaces (BSRB) Evidence-based design is the deliberate attempt to base design decisions on the best available research evidence. D. Kirk Hamilton the four levels of evidence-based practice 12

13 Evidence-Based Guidelines for Selecting Healthcare Art Landscapes Visual depth or openness in immediate foreground. Landscapes depicting during warmer seasons when vegetation is verdant and flowers are in bloom. Scenes with positive cultural artifacts such as barns and older houses. Landscapes with low hills and distant mountains. Waterscapes Source: Ulrich and Gilpin, 2003 Calm or nonturbulent water. Evidence-Based Guidelines for Selecting Healthcare Art (Cont.) Flowers and Gardens Flowers that appear healthy and fresh. Types of flowers that are generally familiar to patients. Garden scenes with some openness in the immediate foreground. Figurative Art Emotionally positive facial expressions. Relationships among people that are friendly, caring, or nurturing. Generational and cultural diversity. Source: Ulrich and Gilpin, 2003 People at leisure in places predominately nature. 13

14 D. Testing the Criteria by conducting a P.O.E Research Areas identified by Criteria of Art Selection Patient Art Survey Developed Patients and Visitors approached in the waiting areas by Researcher who collects the surveys in person Total of 5 areas, and 210 respondents surveyed Staff Surveys conducted online over the entire facility, with specific questions on waiting areas/ staff areas and public areas. Total 240 staff members responded. POST OCCUPANCY EVALUATION- Feb 07 Criterion 1 Landscapes include Southwestern vegetation, crops, land forms, and positive cultural artifacts such as barns or houses. 14

15 OUTPATIENT M.R.I 30 RESPONDENTS Some Patient Comments: Peaceful, Pleasant, Relaxing, Calm, Serene, Comforting, Gives you Hope OUTPATIENT M.R.I 30 RESPONDENTS What do you think of the artwork in this waiting room? Mean 4.45 (significant) OK Good V. Good No Difference Better Much Better Better How does the artwork make you feel? Mean 3.77 (significant) PATIENT/ VISITOR RATINGS: Statistical Analysis- t-test. All means significant at 0.05 level (95% confidence) 15

16 Criterion 3 Landscapes reflect variety in seasons, with the majority of landscapes depicting spring and summer. DIAGNOSTIC IMAGING 50 RESPONDENTS Some Patient Comments: Soothing, Pleasant, Relaxing, Relief, Comfort, Not intimidating, Cheerful, Uplifting 16

17 DIAGNOSTIC IMAGING 50 RESPONDENTS What do you think of the artwork in this waiting room? Mean 4.35 (significant) Not Good OK Good V. Good No Difference Better Much Better How does the artwork make you feel? Mean 3.75 (significant) PATIENT/VISITOR RATINGS: Statistical Analysis- t-test. All means significant at 0.05 level (95% confidence) Criterion 4 Landscapes include positive images of fall. 17

18 CT-IMAGING 30 RESPONDENTS Some Patient Comments: Peaceful, Comforting, Relaxing, Calm, Serene, Innocuous scenes like sunshine- not protruding into your psyche CT-IMAGING 30 RESPONDENTS What do you think of the artwork in this waiting room? Mean 4.4 (significant) OK Good V. Good No Difference Better Much Better PATIENT/VISITOR RATINGS: How does the artwork make you feel? Mean 3.8 (significant) Statistical Analysis- t-test. All means significant at 0.05 level (95% confidence) 18

19 Criterion 9 Florals include familiar flowers. Criterion 10 Florals are bouquet or garden style. 19

20 RADIATION/ ONC- LEVEL P1 50 RESPONDENTS V. Good Not Good OK Good Some Patient Comments: Calming, Colorful, Soothing, Peaceful, Relaxing, Tranquil, Homey RADIATION/ ONC- LEVEL P1 50 RESPONDENTS What do you think of the artwork in this waiting room? Mean 4.5 (significant) V. Good Not Good OK Good No Difference Better Much Better PATIENT/ VISITOR RATINGS: How does the artwork make you feel? Mean 4.1 (significant) Statistical Analysis- t-test. All means significant at 0.05 level (95% confidence) 20

21 Criterion 12 Figurative images are observational rather than interpersonal in nature. Criterion 13 Figurative images depict people in positive relaxed natural environments. 21

22 BREAST IMAGING 50 RESPONDENTS Some Patient Comments: Peaceful, Relaxing, Calm, Serene, Comforting, Wish I were walking in these scenes BREAST IMAGING 50 RESPONDENTS What do you think of the artwork in this waiting room? Mean 4.14 (significant) OK Good V. Good No Difference Better Much Better How does the artwork make you feel? Mean 3.76 (significant) PATIENT/ VISITOR RATINGS: Statistical Analysis- t-test. All means significant at 0.05 level (95% confidence) 22

23 ART AT MAYS CLINIC OVERALL QUALITY- RATING RESPONDENTS- PATIENTS/ VISITORS Patient Art Rating (Overall) % 47% % 36% 30% Series % 1% 0.04% Very Good Good OK Not Good Terrible Did Not Notice What do you think of the art in the Mays Clinic, Overall? 0.03% Mean: (p value 0.00) Art is critical, not secondary. MD Anderson is a health experience, a consumer experience - not a hospital. Haven t seen anything else like this in the US. Its ahead of the industry by ten years. (Patient: Rad/Onc- Not from Houston) The Art exceeds Expectations. (Patient: Diagnostic) Testimonials 23

24 ART AT MAYS CLINIC OVERALL QUALITY- RATING RESPONDENTS - STAFF Staff-Art Rating (Overall) % 31% % Series % 16% 4% Very Good Good OK Not Good Terrible Did Not Notice Overall what do you think of the art at the Mays Clinic, M.D.Anderson? Mean: 3.96 (p value: 0.00) The Art demonstrates what M.D.Anderson is about, patients care to the maximum, its continuity of a cure for the disease. (Nursing Staff) The artwork is the main reason why the Mays Clinic doesn t feel like a hospital. Whenever friends or family visit me I make a point to have them tour the artwork in this building. (Staff: Patient Services) Testimonials 24

25 ART AT MAYS CLINIC OVERALL EMOTION- RATING RESPONDENTS - VISITORS/ PATIENTS Patient-Feeling % Series % 16.5% 1% Much Better Better No Difference Worse Much Worse How does the Art in the Mays Clinic, overall, make you feel? Mean: 3.98 (p value= 0.00) Lifts your mood when you get into the lobby from the traffic. Art reminds me that there is a future- sometimes you get bogged by the details, and you look at the art. I think its stunning. (Patient: Breast Imaging) Invokes a sense of tranquility and nature s beauty. (Patient: Rad/Onc) Takes you away from the pain, mind off treatments, worry and despair and puts up a smile. (patient: Outpatient MRI) Testimonials 25

26 ART AT MAYS CLINIC OVERALL EMOTION- RATING RESPONDENTS - STAFF Staff- Feelings % % 30% Series1 Mean: 3.93 (p value= 0.00) % Much Better Better No Difference Worse Much Worse How does the art at the Mays Clinic, M.D.Anderson, make you feel? Art plays a significant, if underappreciated role in the general sense of calm of patients and employees. This is definitely noticeable when I travel to other buildings that are not as well-lit or well- decorated. (Nursing Staff: Breast Imaging, GU) I think that peaceful and uplifting art is extremely important for patients and staff. I find that sometimes when I am having a bad day the good artwork that speaks to me can change my perspective and make me feel completely different. (Nurse: Sleep Lab) Testimonials 26

27 Staff Art Appropriateness Rating % 80 41% 60 Series Highly Appropriate Moderately Appropriate 2% Moderately Inappropriate Do you think the art is appropriate for patients in the unit? 1% Highly Inappropriate Mean: (p value= 0.00) Total Respondents: 174 Tree Sculpture Feedback 59.3% of the respondents (Patients/ Visitors) mentioned that the Tree Sculpture was the Artwork they remember particularly in the facility Comments: Unique Interesting Exuberant- Filled with Life Great Landmark Meet you at the Tree Awesome Fantastic Symbolizes a lot Colorful- Sense of Something Good Needs to be toned down Needs a description Unforgettable- Not necessarily good, but a great landmark 27

28 The tree sculpture- it is exuberant- filled with life- focal point (Patient: Rad/Onc) Tree sculpture- gives an impression not in a hospital. Forget being sick. (Visitor: Breast Imaging) Testimonials ROLE OF ART (EMERGENT FROM CONTENT ANALYSIS OF PATIENT/ VISITOR COMMENTS): HEALING Invokes a sense of tranquility and nature s beauty. Calming, something to take you back, healing Helps imagine a brighter place. Art sets a pleasing mood for the clinic, helps to soothe emotionally- very important for patients experiencing emotional lows with their illness. BRANDING Makes a patient think he s getting better care. External reflecting the Internal. Makes it seem like they are on the ball in taking care of things. DE-INSTITUTIONALIZATION makes it less hospitally. makes it easier to come in. POSITIVE DISTRACTION Diversion from cares, different emotions, Would be sad without it. Takes you away from the pain, mind off the treatments. You don t have to look at the other people in the room. 28

29 ROLE OF ART (EMERGENT FROM CONTENT ANALYSIS OF STAFF COMMENTS): HEALING The artwork on the main corridor level 2 is very calming and beautifully painted. I m often swept away by the detail and interpretation of the nature scenes. I can almost smell the fresh air. BRANDING Patients and staff come to our area just to see the artwork because they have heard how incredible it is from other visitors The artwork inspires trust in patients. DE-INSTITUTIONALIZATION Reminds us of where we are not. The artwork is one of the main reasons why Mays clinic doesn t feel like a hospital DE-STRESSOR On rainy days or muggy days if you see the art with the flowers and the grass the rainy days turn into a sunny day. Tends to take you to another place if you look at it long enough. WAYFINDING Patients refer to certain artwork as landmarks. Criticisms PATIENTS/ VISITORS (9% of total comments) Impersonal Too Serene Placid Generic STAFF (7% of total comments) Not Inspiring enough Should be challenging instead of soothing 29

30 To include: More Texan Art (local identity) Nature- Blue Bonnets/ landscapes Cowboys, Western motifs More Global Art- Different Places in the World (Global Identity) More Variety More Inspirational Work More Art in Staff areas More information about the art Brighter Colors where pastels Classics More of the larger pieces Pictures of children/ animals Suggestions To exclude: Abstract Art- art out there Museum Art Anything that doesn t make sense Dark or gloomy themes Too many people Theme art- like cowboys Rotate Existing Artwork Art and Recovery go hand in hand. (Nursing Staff: Rad/Onc) Thank You 30

31 and Creating Positive Patient Experiences 31