Abstract

The importance of medication quality has made many researchers and hospital management tried to research the way to increase nurses work performance. Studies had found that motivation and work attitude in healthcare are critical to boost nurses work performance. Various methods were strived to improve motivation and work attitude, one of them is by applying nature elements. Other research found that nature restores both human physical and mind. The objective of this research is to improve Emergency Unit nurse motivation and attitude by placing nature form both natural and artificial, during night shift. Motivation and attitude can be measured by mood, further, positive mood improves motivation and work attitude. The experiment was held by giving 6 nature form conditions through digital animation walkthroughs as stimuli and evaluated by mood, motivation, and attitude questionaire using 7 scales of T'Likerts. Positive and Negative Affect Schedule (PANAS) is used as mood questionnaire, while motivation and attitude questionnaire adapt from nurses’ duties. The research found that mood, motivation, and attitude affect each other. Every nature form in interior stimulates specific mood, motivation, and attitude responses. Besides that, artificial nature form, especially nature form on the floor, is the most preferable to improve nurse motivation and attitude.

Highlights

  • Nurses’ tasks have enabled them to frequently and directly interact with their patients

  • The aforementioned statement was in line with the hypothesis of this study positing that the natural elements would develop positive mood which fostered work motivation and improved the positive attitude of the nurses who worked in the Emergency Department during the night shifts

  • This study found that the floor pattern became the best condition compared to the natural elements implemented in other medium because it enabled the escalation of mood, motivation, 55 Journal of Design and Built Environment, Vol18(2), December 2018

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Summary

Introduction

Nurses’ tasks have enabled them to frequently and directly interact with their patients. It is understandable that the success of health care services essentially relies on nurses’ participation in providing high quality services to their patients according to the latest functional specifications which meet and exceed the customer needs (Mosadeghrad, 2014). Nurses assigned in the Emergency Department for the night shifts have relatively more workload than medical staff in other departments in the same hospitals. This is true based on the fact that the Emergency Department nurses those who are in charge for the night shifts must stay awake throughout the night to control their patients. According to Boughattas and his colleagues (2014), night shifts at hospitals are likely to reduce nurses’ sleep quality, life quality, and alertness toward emergency or danger. Based on Ansari et al (2015) research findings, “Emergency Unit Staff suffer from great levels of stress leading to physician burnout and more likelihood of committing errors.” Pressure from which nurses suffer can decrease their motivation and change their attitude; as a result, their performance will drop

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