It came out of UCL’s research on touch and handling in museums, as well as a strong strand of arts-in-health in the UCL Hospitals through the arts curator
National Hospital for Neurology and Neurosurgery Bridgeside elderly care home, Islington Prospect Park hospital in Reading
Box 2 The type of objects we used
Recruitment – used printwork
Decided to choose quantitative elements we felt would be affected by a short intervention in hospital: mood plus sense of wellbeing and happiness (measured with 3 scales) Accompanied by open-ended qualitative analysis – session recordings, observations and interviews Quantitative and qualitative methods come from different research paradigms. Qualitative research much more open ended – we analyse to ‘discover’ new theory, which we don’t pre-empt Quantitative research we begin with a hypotheses and test it Both should support each other and appeal to different stakeholders but criteria for quality and differing methods of collection create challenges Symbolic of different cultures of museums and hospitals in general
We looked to psychology for quantitative methods – wellbeing scales Did these before and after the session
Well AND Happy
Used grounded theory to analyse the text and words we collected. What was going on here? Why was wellbeing increasing or decreasing? And in what ways?
Highly significant increase in post-session Positive PANAS scores Highly significant decrease in post-session Negative PANAS scores Highly significant correlation of positive PANAS with Happiness scores Highly significant increase in post-session Wellbeing VAS scores Highly significant increase in post-session Wellbeing VAS scores Highly significant increase in post-session Happiness VAS scores No significant effect of researcher No significant effect of handling box
But als eed to add specific context of hosapital environemnt and experience. So distraction from negative feelings is important, as left a lone a lot, meaning and purpose may be invaluable according to where someone is emotionally, within an illness trajectory
Bed to bed, with print material and box Many ill, sleeping, with visitors, curtains round Check with nurses for unsuitable candidates Patients have lunch and quiet time till 3 pm Average 1 or 2 sessions per afternoon Little time to decide (and pilot last summer) More effective if there is a supporter Patients’ trust is higher Time used more effectively Relies on finding right person and making sure all staff understand what we’re offering. Carrying boxes – need to be flexible – carryable, well presented, keep objects in place and safe, easily opened and shown at bedside Working with a ‘system’ – we are not in the system Access - has been easy with help from Arts Curator and Gynaecological Oncology Support – is more difficult to achieve but makes much more effective Possibility of using more structured recruitment. Using hospital systems. Infection control Carrying boxes – transporting objects while making accessible has been an issue How can we maximise effectiveness of our time?
Heritage in Hospitals: using museum objects with hospital patients Erica Ander, Research Associate, UCL Museums and Collections Principal Investigator: Dr Helen Chatterjee, Deputy Director, UCL Museums & Collections + Senior Lecturer in Biology, UCL School of Life and Medical Sciences
Emu Egg Heritage in Hospitals flightless Australian bird 2nd fastest on foot - up to 50 km per hour young emus striped for camouflage 2nd largest bird in world - male 2m tall 35 to 50 kilo, female larger eggs are incubated by male emu and take 8 weeks to hatch 10-20 eggs laid each weight of dozen hen’s eggs male turns eggs over 10 times a day and does not leave nest emus form breeding pairs at 18 months during Summer
Qualitative methods for the subtle outcomes of a museum experience
Robust AND sensitive!
Quantitative measures: Mood adjective checklist Positive Affect Negative Affect Scale (PANAS) to assess psychological wellbeing developed by Watson, Clark and Tellegen (1988) nervous extremely 5 = inspired ashamed quite a bit 4 = alert irritable moderately 3 = proud enthusiastic a little 2 = hostile scared very slightly or not at all 1 = interested
Quantitative measures: Visual analogue scales EQ VAS to assess health status and general wellbeing developed by EuroQol Group (1990)
Qualitative research outcomes Narrative of museum/ hospital partner-ship Narrative arc of session Differences and similarities between sessions Differences and similarities in each healthcare context Fully contextualised understanding of how museum handling impacts on wellbeing in hospitals
“ - you can just sit and while the time away in the living room and not generate thoughts! A lot of people can’t read, when they’re here, because then your own thoughts come in, but this it’s a way of stimulating thoughts but an easier way, because you’re talking.”
“… when you’re dealing with something that’s millions of years old it puts your life into perspective and you’ve got something so beautiful here …removes them from their situation” Interview staff member
Comparing different hospitals Hospital environment and procedure Health and wellbeing of patient Hospital staff support Patient impairment Illness trajectory Treatment goals Scheduled treatment Length of hospital stay
Success factors Relatively high wellbeing of patients Say ‘yes’ to session Engage with objects more Fascinating Personally significant - Memories Privilege Beliefs Staff support Access Recruitment Facilitation Heritage objects Mysterious drives discovery Old Beautiful Object stories Session Facilitators Use ‘Collaborative Discovery’ Touching objects (not just looking) Holds attention Learning (discovery, what it is) Feelings (privilege, authentic)