The experiences of cancer patients within the material hospital environment: three ways that materiality is affective

Gareth Wiltshire, Emma Pullen, Frankie Brown, Mike Osborn, Sarah Wexler, Mark Beresford, Mark Tooley, James Turner

Research output: Contribution to journalArticle

Abstract

Improving the patient experience is widely recognised as an important goal in the delivery of high-quality healthcare. This study contributes to this goal with a particular focus on the role of the material hospital environment for patients being treated for cancer. Extending the burgeoning literature utilising materialist theoretical approaches in social science and medicine, we report on qualitative data with 18 participants who had received cancer treatment from one UK hospital. Our analysis offers a typology of ways in which the material hospital environment is affective: through patients’ direct intra-actions with nonhuman materiality; through providing shared spaces within which human-human assemblages are actualised; and through being the material component of the practices of treatment. Within each process in this typology, the analysis highlights how the affective feeling states which play a critical role in patient wellbeing are in many ways contingent, fluid and context-sensitive. Amidst ambitions to improve the patient experience, these findings underline the significance of materialities of care and offer a broad explanatory typology with analytic and practical potential for healthcare staff, patient groups, architects and designers.
Original languageEnglish
Article number113402
JournalSocial Science and Medicine
Volume264
Early online date28 Sep 2020
DOIs
Publication statusE-pub ahead of print - 28 Sep 2020

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