Architectural Response To Emergency Care In The Design Of Abuja General Hospital
Architectural Response To Emergency Care In The Design Of Abuja General Hospital.
ABSTRACT
Emergency care has been a vital part of Public Health supporting any thriving society for as long as hospital has been in existence.
More than 960 years later, such influence is still apparent and is regarded as the front gate demonstrating capacity and capability of medical infrastructure in providing prompt and acute medical relief of threat to health.
Such capacity and capability is considered to have immense contribution when delivered efficiently to reduction of needless and preventable deaths in General Hospitals across the broad spectrum of public health and wellness.
Contextualizing this situation to the Nigerian Secondary health cannot be over-emphasized.
Four General Hospitals were visited as case studies across the six local government area of the FCT, Abuja to investigate the current trend in Emergency care in General Hospitals.
The cases visited included Asokoro, Wuse, Kuje and Kwali General Hospitals. Data from the aforementioned cases were collected via semi structured interviews, unobtrusive observation and supported with literature review to improve validation.
The contents from the observation tool were analyzed ‘descriptively’ and contents from the interview tool analyzed ‘interpretatively’. Results were presented descriptively with charts, tables and plates.
Result findings revealed key design concepts aiding prompt delivery of emergency care as ‘Isolation’, ‘Decentralization’ and ‘Centralization’ and aided the development of a framework.
The framework is applied to General Hospital settings to reduce over dependence on centralized circulation, lack of capacity to care for multiple emergency cases and distant proximity/ non availability of vital units to and in emergency departments.
TABLE OF CONTENT
Title page….. i
Declaration……. ii
Certification….. iii
Acknowledgements iv
Abstract….. v
List of Figures…. x
List of Tables…. xiii
List of Plates. xiv
List of Appendices.. xv
CHAPTER ONE
- INTRODUCTION…. 1
- Background to the study…. 1
- Statement of the problem… 4
- Aims and objectives…6
- Research Questions……. 6
- Scope…….. 7
- Justification…… 7
CHAPTER TWO
- LITERATURE REVIEW. 8
- The concept of Health…. 8
- Current trend of emergency delivery in Nigeria….. 13
- Patient satisfaction to Emergency care…. 16
- Patient waiting time………………….. 17
- Input and Output variables of patient flow models……… 19
- Social determinants of Health and Public Health preparedness.. 21
- General Hospital in Nigeria.. 22
- Role and Function….. 23
- Administrative framework… 25
- Financing……….. 25
- Architecture of Hospitals…….. 27
- Historical review of the evolution of Hospital Architecture. 27
- Universal design for Health care facilities………….. 29
- Architecture of Emergency Department. 32
- Review of similar studies…………….. 34
- Wait time in Emergency Department processes….34
- Architectural designs and reducing waiting times in Emergency Department………36
- Framework…. 40
CHAPTER THREE
- RESEARCH METHODOLOGY….44
- Research Method……. 44
- Research Instrument….. 45
- Interview……. 46
- Observation…………47
- Validity and Reliability… 48
- Administration of Research Instrument……… 50
- Method of Data Analysis….. 51
CHAPTER FOUR
- FINDINGS AND DISCUSSION…….. 52
- Research Question one………. 52
- Findings from Interview schedule.. 52
- Research Question two……………. 56
- Findings at Asokoro General Hospital…. 56
- Findings at Kuje General Hospital…….. 58
- Findings at Wuse General Hospital………. 59
- Findings at Kwali General Hospital…………… 62
- Research Question three…… 63
- Findings at Asokoro General Hospital……. 64
- Findings Kuje General Hospital…………66
- Findings at Wuse General Hospital……… 65
- Findings at Kwali General Hospital…….67
- Discussion…………….. 68
CHAPTER FIVE
5.0 CONCLUSION.. 75
CHAPTER SIX
- DESIGN REPORT… 76
- Brief..76
- Proposed design of a model General Hospital, Lugbe, Nigeria……..77
- Site selection criteria….78
- Site Zoning…………………. 81
- Site Characteristic Analysis………… 83
- Aim and Objective……… 84
- Case Studies…………. 84
- Case study one (Asokoro General Hospital)….85
- Case study two (Wuse General Hospital)………87
- Case studies three and four (Kuje and Kwali General Hospitals)…. 89
- Research Pre- Design…….92
- Problem Statement………….94
- Design Concept…….. 95
- Research Design………96
REFERENCES..18
APPENDICES 126
INTRODUCTION
Background of the Study
An Emergency Department (ED) also referred to as ‘Accident and Emergency’ (A&E) or ‘Casualty Department’ and is usually a medical treatment facility of a Hospital or Primary health care specialized in the prompt or acute care of patients who present prior without appointment by their own means or by ambulance.
In over forty years, the Hospital ED has remarkably transformed into a highly effective setting for urgent and lifesaving care, as well as also a core provider for ambulatory care in significant number of communities (HCS, 2007).
Emergency Department is the coming together of extra ordinary range of capabilities operating every hour of every day of the week. But prior to the 1960s, emergency rooms were often underequipped, poorly staffed, poorly supervised and significantly ignored.
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