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University of Groningen

The impact of the hospital environment

Zijlstra, Emma

DOI:

10.33612/diss.161614165

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2021

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Zijlstra, E. (2021). The impact of the hospital environment: understanding the experience of the patient journey. University of Groningen. https://doi.org/10.33612/diss.161614165

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The impact of the

hospital environment

Understanding the experience of the patient journey

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This research was funded by the Department of Facilities and Estates of the University Medical Center Groningen and performed in a consortium of Hanze University of Applied Sciences and the University Medical Center Groningen.

The printing of this dissertation was financially supported by: – Hanze University of Applied Sciences

– University Medical Center of Groningen – University of Groningen

– Research Institute SHARE

Printing: Ridderprint, the Netherlands Paranimfen: Erzsi de Haan & Martijn Vos © Emma Zijlstra, 2021

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage or retrieval system, without permission from the author.

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The impact of the hospital

environment

Understanding the experience of the patient journey

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. C. Wijmenga en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 31 maart 2021 om 12.45 uur

door

Emma Zijlstra

geboren op 16 oktober 1986 te Smallingerland

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Promotores

Prof. dr. C.P. van der Schans Prof. dr. M. Hagedoorn

Copromotor

Dr. M.P. Mobach

Beoordelingscommissie

Prof. dr. R. Sanderman Prof. dr. H.S.M. Kort Prof. dr. E. Buskens

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5

Contents

Chapter 1 General introduction 7

Chapter 2 Route complexity and simulated physical ageing negatively influence wayfinding 17

Chapter 3 Motion nature projection reduces patient’s psycho-physiological anxiety during CT imaging 29

Chapter 4 The effect of a non-talking rule on the sound level and perception of patients in an outpatient infusion center 47

Chapter 5 The experience of patients in an outpatient infusion center: A qualitative study 63

Chapter 6 Experiencing the physical and psychosocial aspects in an oncology ward in the Netherlands 79

Chapter 7 Summary 93

Chapter 8 General discussion 99

Appendices Nederlandse samenvatting 119

References 127

Dankwoord 137

Research institute SHARE 141

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