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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 1 - 20 of 23

Influence of Bright Light Therapy on Postoperative Patients: A Pilot Study

Author(s): Taguchi, T., Yano, M. & Kido, Y.
While the use of light therapy in healthcare settings has been shown to be effective for the adjustment of the sleep-awake rhythm, it has not been applied to postoperative patients. Light is expected to be useful for the postoperative adjustment of the circadian rhythm by increasing the level of awakening during the daytime and inducing sleep during the night-time in patients under postoperative management in the ICU after major anaesthesia and surgery.
Key Point Summary
Added January 2016

Light Treatment for Neuropsychiatric Behaviors in Alzheimer's Disease

Author(s): Dowling, G. A., Graf, C. L., Hubbard, E. M. & Luxenberg, J. S.
Neuropsychiatric behaviors are common in people with Alzheimer’s disease (AD) and make both professional and lay caregiving difficult. Light therapy has been somewhat successful in ameliorating disruptive behaviors.
Key Point Summary
Added January 2016

Centralized and Decentralized Nurse Station Design: An Examination of Caregiver Communication, Work Activities, and Technology

Author(s): Gurascio-Howard, L., Malloch, K.
Patients need to be close to a nurse (RN) for easy access to care and to save travel time. Centralized nurse stations are placed in one location to serve a group of patient rooms.
Key Point Summary
Added August 2015

Physiological effects of Shinrin-Yoku (taking in the atmosphere of the forest)—using salivary cortisol and cerebral activity as indicators

Author(s): Park, B.J., Tsunetsugu, Y., Kasetani, T., Hirano, H., Kagawa, T., Sato, M., Miyazaki, Y.
Because humans have lived and adapted to their natural environment for the past 5 million years, it is deduced that humans function most optimally in natural environments such as the forest. It is from this philosophy that the Japanese concept and practice of Shinrin-yoku derived, defined as “making contact with nature and taking in the atmosphere of the forest.”
Key Point Summary
Added November 2014

Job Satisfaction and Intention to Quit Among Nursing Home Nursing Staff: Do Special Care Units Make a Difference?

Author(s): Robison, J., Pillemer, K.
Research regarding the impact of special care units (SCUs) on the experience of staff provides a somewhat inconsistent picture. Several studies have examined the effect on staff of working in a facility that has an SCU without including a comparison with staff who work on conventional units. These studies have found generally positive results, including lower turnover among nurses. Despite the promise of SCUs, the degree to which they differ in important outcomes from conventional nursing home care has not been firmly established. Some comparative studies have found no clear differences in resident outcomes for SCUs.
Key Point Summary
Added November 2014

Hospital-Acquired Legionnaires Disease in a University Hospital: Impact of the Copper-Silver Ionization System

Author(s): Mòdol, J., Sabrià, M., Reynaga, E., Pedro-Botet, M. L.
We evaluated the impact of the copper-silver ionization system in a hospital where hyperendemic nosocomial legionellosis and was present and all previous disinfection measures had failed. After implementation of the copper-silver ionization system, environmental colonization with Legionella species decreased significantly, and the incidence of nosocomial legionellosis decreased dramatically, from...
Key Point Summary
Added September 2014

Medical Complications of Intra-Hospital Patient Transports: Implications for Architectural Design and Research

Author(s): Ulrich, R., Zhu, X.
The transportation of patients inside a hospital, or intra-hospital transit (IHT), has received little attention in literature relating to hospital design despite having a negative impact. The layout and design can negatively affect travel distance and time, which can be reflected in patient complications and health outcomes.
Key Point Summary
Added September 2014

Nursing unit design and communication patterns: What is “real” work?

Author(s): Becker, F.
With billions of dollars spent each year on new hospital construction and an ever-growing shortage of nurses, more attention is being paid to the way in which design of new facilities and, more specifically, nursing units might better support nurse recruitment, their work process, and retention. There is growing concern about the quality of hospital environments and the impact on staff, which inherently impacts quality of care.
Key Point Summary
Added September 2014

Where Active Older Adults Walk: Understanding the Factors Related to Path Choice for Walking Among Active Retirement Community Residents

Author(s): Joseph, A., Zimring, C.
There is little evidence about how path-design characteristics at site and building scale may be related to where active older adults choose to walk. This article describes the findings from an empirical study examining the relationship between physical environmental characteristics of path segments and their use for walking for recreation or instrumental reasons by 114 active residents on three...
Key Point Summary
Added August 2014

Flooring as an intervention to reduce injuries from falls in healthcare settings: an overview

Author(s): Drahota, A., Gal, D., Windsor, J.
As the elderly population grows, the risk of falls in healthcare settings and of injuries resulting from falls will increase, as this population exhibits higher risk for falling due to age-related factors. Researchers have long focused on variables that impact fall prevention in healthcare settings; yet, since prevention of all falls is not possible, and about 30% of patient falls result in injury, there is growing interest in understanding strategies for injury prevention, to reduce the more serious cost and health implications of falls.
Key Point Summary
Added March 2014

The Relationships Between Nurses’ Perceptions of the Hemodialysis Unit Work Environment and Nurse Turnover, Patient Satisfaction, and Hospitalizations

Author(s): Gardner, J. K., Fogg, L., Thomas-Hawkins, C., Latham, C. E.
Nephrology nurses’ impressions of their work environments (professional/social, not physical) are related to nurse and patient outcomes, for example, nurses’ employment decisions.
Key Point Summary
Added March 2014

The design of psychologists’ offices: a qualitative evaluation of environment-function fit

Author(s): Watkins, N. J., Anthony, K. H.
Psychologists attempt to create office environments that support their therapeutic discussions with patients.
Key Point Summary
Added March 2014

Computerized mental health assessment in integrative health clinics: A cross-sectional study using structured interview

Author(s): Leung, S., French, P., Chui, C., Arthur, D.
People who completed computerized mental health assessments while waiting in integrative health clinics better understood their own mental health after completing the assessment and had positive feelings about using a computer to assess their mental health.
Key Point Summary
Added February 2014

Performance Obstacles of Intensive Care Nurses

Author(s): Gurses, A. P., Carayon, P.
There is little research about how the work environment of intensive care nurses impacts nursing outcomes and patient safety. Yet performance obstacles hinder intensive care nurses’ ability to perform their jobs.
Key Point Summary
Added January 2014

Mapping the Nursing Process: A New Approach for Understanding the Work of Nursing

Author(s): Potter, P., Grayson, D., Boxerman, S., Sledge, J., Wolf, L., Evanoff, B., Marshall, J.
Over the last 10 years, hospitals have tried to reconcile patients’ demands for high-quality, safe care along with payers’ demands for lower costs. As a result, many hospitals are looking for ways to streamline work processes, gain productivity, reduce costs, and maintain quality. Human factors engineering (HFE) techniques, drawn from the sciences of industrial engineering, ergonomics, and mathematics, have been used to analyze clinical care processes and restructure patient care delivery.
Key Point Summary
Added January 2014

Resident outcomes in small-house nursing homes: A longitudinal evaluation of the initial green house program

Author(s): Kane, R. A., Lum, T.Y., Cutler, L.J., Degenholtz, H.B., Yu, T.
Since 1995, there has been a huge emphasis on transforming the culture of long term care facilities as a way to improve the quality of care provided to elderly residents. The focus has shifted from a provider centered model to an individualized resident-centered model where the staffing, policies as well as the physical environment are designed to support the needs of the resident. There has been a movement towards designing physical environments that are smaller scale with more private rooms and baths and household-type neighborhoods for dining and occasional cooking. The Green House puts forth a set of principles to bring about this transformation and envisages a radically reconfigured nursing home.
Key Point Summary
Added November 2012

Antimicrobial drug use and infection control practices associated with the prevalence of methicillin-resistant Staphylococcus aureus in European hospitals

Author(s): MacKenzie, F. M., Bruce, J., Struelens, M. J., Goossens, H., Mollison, J., Gould, I. M.
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that are resistant to antibiotics such as methicillin and cephalosporins. MRSA may cause serious infections to patients with open wounds, invasive devices, and weakened immune systems, which are in some cases extremely difficult to treat. In recent years, the rate of MRSA infections has been increasing globally and causing high morbidity, mortality, and healthcare cost.
Key Point Summary
Added October 2012

Cost effectiveness of a medical vigilance system to reduce patient falls

Author(s): Spetz, J., Jacobs, J., Hatler, C.
Patient falls refer to patients’ unplanned descent to the floor with or without injuries to the patients. Patient falls are a leading cause of injuries and death and contribute to healthcare cost increase. The prevention of patient falls is especially important in certain patients and settings such as post-neurosurgery units where patients are often confused. A variety of fall-prevention programs have been implemented by many hospitals. Some of such programs include environmental modifications in addition to educational and operation al changes.
Key Point Summary
Added October 2012

Natural Ventilation for the Prevention of Airborne Contagion

Author(s): Escombe, R.R., Oeser, C.I., Gilman, R.H., Navincopa, M., Martinez, C., Chacaltana, J., Rodriguez, R., Moore, D.J., Friedland, J.S., Evans, C.A.
Controlling the break of nosocomial infections is arguably the highest priority in hospitals. Institutional transmission of airborne infections, such as Tubercolosis (TB) are, additionally, a public health concern. This is particularly true for developing countries, or other resource-limited settings where protective measures such as negative-pressure isolation rooms, which have become the norm in more modern settings, are difficult to implement. The global statistics on TB are staggering at 1.8 million dealths a year.
Key Point Summary
Added October 2012

Decreasing Airborne Contamination Levels in High-Risk Hospital Areas Using a Novel Mobile Air-Treatment Unit

Author(s): Bergeron, V., Reboux, G., Poirot, J.L., Laudinet, B.S.
To evaluate the performance of a new mobile air-treatment unit that uses nonthermal-plasma reactors for lowering the airborne bioburden in critical hospital environments and reducing the risk of nosocomial infection due to opportunistic airborne pathogens, such as Aspergillus fumigatus. Tests were conducted in 2 different high-risk hospital areas: an operating room under simulated conditions and...
Key Point Summary
Added October 2012