Hybrid space: constituting the hospital as a home space for patients

Abstract

A growing body of nursing writing is engaged in reviewing the material and relational world of nursing using geographical concepts. This paper draws upon research undertaken in hospital settings where nurses constituted the hospital as a home space for patients. Nurses' practices created an equitable and patient-centred use of physical space in the hospital ward, along with the intimate, extended and personal relationships associated by patients with a caring and homely environment. It is suggested that this constitution of space resonates with the geographic notion of the therapeutic landscape and can be read as a challenge to more conventional uses of hospital spaces shaped by biomedical concerns. The implications of merging the distinctly different spaces and places of home and hospital are also explored using the concepts of hybridity and spatial vulnerability. The complex hybrid nursing creation of home space within hospital places works against the grain of usual understandings of hospitals as specialised illness spaces that are the domain of the health professional inhabitants. While there are limitations and dangers in the representation, this constitution of space is an expression of core nursing values privileging patient-nurse relationships and supports the maintenance of identity and personal expression.

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