heritage in hospitals


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  • 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
  • Box 2
  • Recruitment – used printwork
  • Box 2
  • 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

    1. 1. 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
    2. 2. Heritage in Hospitals <ul><li>Background to project </li></ul><ul><li>Methodology </li></ul><ul><li>Research findings </li></ul><ul><li>Working in hospitals </li></ul><ul><li>Implications </li></ul>
    3. 3. <ul><li>3 year research project funded by Arts and Humanities Research Council, based at University College London and UCL Hospital </li></ul><ul><li>Aim: To consider the potential of engaging with heritage objects as a therapeutic or enrichment activity within healthcare. </li></ul><ul><li>Exploring: </li></ul><ul><ul><li>Research methodology; </li></ul></ul><ul><ul><li>Evidence for impact of the museum activity; </li></ul></ul><ul><ul><li>Best practice (museums-in-healthcare) </li></ul></ul>
    4. 4. What we did… <ul><li>Over 200 museum object handling sessions with hospital patients </li></ul><ul><li>Collect data on patients’ wellbeing before and after the session(s) </li></ul><ul><li>Reflect on our experience of museums-in-healthcare </li></ul>
    5. 5. Co-Investigators and Partners: <ul><li>Dr Anne Lanceley & Dr Usha Menon, UCL Gynaecological Oncology </li></ul><ul><li>Guy Noble, UCLH Arts, UCL Hospitals NHS Foundation Trust </li></ul><ul><li>The British Museum </li></ul><ul><li>Oxford University Museums Service + John Radcliffe Hospital </li></ul><ul><li>Reading Museums Service + Prospect Park Psychiatric Hospital </li></ul><ul><li>Islington Education Library Service </li></ul><ul><li>The Museum, Libraries and Archives Council </li></ul>
    6. 6. Practice
    8. 8. Heritage in Hospitals
    9. 9. Heritage in Hospitals
    10. 10. Leaflet Poster
    11. 12. 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
    12. 13. Methodology
    13. 14. Concept of wellbeing <ul><li>Wellbeing is becoming important in government policy relevant to museums </li></ul><ul><li>BUT… </li></ul><ul><li>Commonly, not defined in literature and policy </li></ul><ul><li>So difficult to measure </li></ul>
    14. 15. Choosing a research method <ul><li>Quantitative results for medical clinicians </li></ul><ul><li>BUT ALSO </li></ul><ul><li>Qualitative methods for the subtle outcomes of a museum experience </li></ul><ul><li>Robust AND sensitive! </li></ul>
    15. 16. 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
    16. 17. Quantitative measures: Visual analogue scales EQ VAS to assess health status and general wellbeing developed by EuroQol Group (1990)
    17. 18. Qualitative research <ul><li>Studying the meaning of: </li></ul><ul><li>Words </li></ul><ul><li>Behaviour </li></ul><ul><li>Context </li></ul><ul><li>Through: </li></ul><ul><li>Interview, naturally occurring speech, text, observation, images </li></ul>
    18. 19. 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
    19. 20. Research results
    20. 27. Qualitative Wellbeing outcomes <ul><li>Museum sessions provided: </li></ul><ul><ul><li>Stimulation </li></ul></ul><ul><ul><li>Distraction </li></ul></ul><ul><li>Outcomes important in context of hospital experience </li></ul>
    21. 28. Handling outcomes - wellbeing Tactile experience (where none in hospital) Social Experience (where none in hospital) Passing time Calming, relieves anxiety Something different, inspiring Sense of identity Cheered up Energy, alertness, flow Learning (including skills and confidence) Excitement, enjoyment, wonder, positive feelings (e.g. privilege, luck, surprise) New perspectives
    22. 29. <ul><li>“ It does strangely reconnect you with life. They’re dead objects from thousands of years ago, but it does connect you with life.” </li></ul>
    23. 30. <ul><li>“ Because if you not coming I think of my ill, my operation, chemotherapy…Now I forget everything” </li></ul>
    24. 31. <ul><li>“ and the nature of the ward is we’ve not got a lot of things around for them to be touching ….so maybe the tactile aspect, just having new textures to touch” Interview, staff </li></ul><ul><li>“ Oh, I see. Can you actually feel like the little dents? Like the actual texture of the starfish? You can still feel it.” </li></ul>
    25. 32. <ul><li>“ Yeah I’m really happy about that, it’s cheered me up no end. Its just something from outside it is good, it is good” </li></ul>
    26. 33. <ul><li>“ alert, yes more alert than ever, ever, ever…..determined to go places, look up things…that’s got the active going it really has” </li></ul>
    27. 34. <ul><li>“ - 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.” </li></ul>
    28. 35. <ul><li>“… 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 </li></ul>
    29. 36. <ul><li>“ I feel extraordinary privileged to… To hold it. And it’s heavy and it’s real.” </li></ul>
    30. 37. A theory of wellbeing © NEF
    31. 38. 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
    32. 39. Working in a hospital ‘system’ <ul><li>Access </li></ul><ul><li>Support </li></ul><ul><li>Infection control </li></ul><ul><li>Transporting and caring for objects </li></ul><ul><li>How can we maximise effectiveness of our time? </li></ul>
    33. 40. 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)
    34. 41. Implications to research <ul><li>A wellbeing evaluation methodology for museums in healthcare </li></ul><ul><li>Evidence available on museum impact on health and wellbeing </li></ul><ul><li>A clearer understanding of how museums can contribute to wellbeing and health </li></ul><ul><li>Deeper understanding of healthcare-museum partnerships and how to approach them </li></ul><ul><li>Deeper understanding of best practice of handling objects in this context </li></ul>
    35. 42. UCL Museums & Collections Collaborators and Acknowledgements <ul><li>Dr Linda Thomson– project Research Associate </li></ul><ul><li>Guy Noble, Arts Curator, UCLH and Jonathan Webster, Consultant Nurse for Older People, UCLH </li></ul><ul><li>Dr Anne Lanceley and Dr Usha Menon, UCL Gynaecological Oncology </li></ul><ul><li>The British Museum, Reading Museums Service, Oxford University Museums Service + The John Radcliffe Hospital, Oxford </li></ul><ul><li>The Museums, Libraries and Archives Council </li></ul><ul><li>Staff and patients at UCLH and the National Hospital for Neurology and Neurosurgery </li></ul>
    36. 43. Contact and Further Information <ul><li>[email_address] or [email_address] </li></ul><ul><li>http://www.ucl.ac.uk/museums/research/touch/wellbeing </li></ul><ul><li>Forthcoming articles in Museum Management and Curatorship and other Heritage journals </li></ul>