Architectural Space in Respite and Intermediate Care: An Actor-Network Theory Analysis

Abstract

This article presents an analysis of 2 short-term care facilities using actor-network theory with the aim of revealing performative processes in different networks in the buildings in use. The 2 facilities differed in architectural design, which was expected to influence their care model and organization. One facility was larger and accommodated 4 patients/residents in double rooms as well as permanent residents who stayed in single rooms. The other facility was smaller and accommodated only short-term care patients in single rooms. The study revealed that the latter facility received more care-demanding people than the other. The size and the type of patients/residents influenced the social environment. The larger facility was more busy and lively than the smaller one. However, the analysis did not show any difference in quality of care or ambiance. Both facilities were valued as either good or bad by different residents or staff members. The study concludes that therapeutic values and outcomes are defined and redefined in the ongoing performances of everyday interactions.

KEYWORDS:

• respite care
• intermediate care
• architectural design
• actor-network theory
• care organization

Notes

¹ More interviews were planned in the Garden, but it closed down for renovations with very short notice, which scattered staff and patients and made further interviews virtually impossible.