Objective and subjective evaluation of psychiatric ward redesign
1984
The American Journal of Psychiatry
Journal Article
Issue 5
Volume 141
Pages 639-644
Author(s): Whitehead, C. C., Polsky, R. H., Crookshank, C., Fik, E.
At the time of this study, relatively little research had been done to explore the potential benefits of incorporating architectural designs geared specifically towards improved patient well-being in psychiatric treatment environments. A “psychoenvironmental” model incorporating therapeutic architectural designs into psychiatric healthcare environments was developed before the publication of this study; however, this particular model had not yet been examined empirically.
Added August 2018
Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes?
2013
Psychiatric Services
Journal Article
Issue 8
Volume 64
Pages 804-807
Author(s): Urbanoski, K. A., Mulsant, B. H., Novotna, G., Ehtesham, S., Rush, B. R.
The overall “atmosphere” of a psychiatric treatment facility could be defined through the availability of patient autonomy and support from peers, the presence of aggressive behavior within the ward, and the general sense of ward organization and rule enforcement.
Added August 2018
Guidelines for the design of a healing garden for the rehabilitation of psychiatric patients
2015
Journal of Agricultural Engineering
Journal Article
Issue 2
Volume 46
Pages 43-51
Author(s): Erbino, C., Toccolini, A., Vagge, I., Ferrario, P. S.
Healing gardens can be defined as plant-populated areas designed to support and improve patient health and well-being. Previous studies have indicated that healing gardens are effective tools for improving physical and mental health in patients, families, and staff, ultimately leading to reduced care costs and general quality of life.
Added March 2018
Towards Healing Environment for the Inpatient Unit in Psychiatric Hospital
Author(s): Ramadan, M. G.
Previous research shows that physical designs within healthcare environments play a key role in promoting patient well-being. The design of a given healthcare facility directly affects the efficiency with which care is delivered, as well as affecting the attitudes, beliefs, and behaviors of its staff members.
Added June 2017
The Multisensory Environment (MSE) in Dementia Care: Examining Its Role and Quality From a User Perspective
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 39-51
Author(s): Collier, L., Jakob, A.
Multisensory environments (MSEs) are treatment spaces designed to stimulate a patient’s senses of sound, touch, sigh, smell, and movement. Over the past 20 years healthcare professionals have used MSEs in a variety of forms, particularly to provide treatment for patients living with dementia.
Added May 2017
Evidence-Based Design Features Improve Sleep Quality Among Psychiatric Inpatients
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 52-63
Author(s): Pyrke, R. J. L., McKinnon, M. C., McNeely, H. E., Ahern, C., Langstaff, K. L., Bieling, P. J.
There are many factors present within psychiatric care facilities that can contribute to disrupted patient sleep patterns. Since poor sleep is widely associated with adverse health outcomes, it is important for designers to understand how the physical environments within mental health facilities can contribute to patient sleep patterns.
Added May 2017
Seasonal Differences in Light Exposure and the Associations With Health and Well-Being in Older Adults Living: An Exploratory Study
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 64-79
Author(s): Nioi, A., Roe, J., Gow, A., McNair, D., Aspinall, P.
Exposure to appropriate levels of bright light directly affects human circadian rhythms. The circadian rhythm plays a key role in overall human well-being. Previous research suggests that elderly patients within residential care homes are often exposed to low levels of light, which can result in circadian misalignment and irregularities in sleep/wake cycles.
Added May 2017
Patient room lighting influences on sleep, appraisal and mood in hospitalized people
2017
Journal of Sleep Research
Journal Article
Issue 2
Volume 26
Pages 236-246
Author(s): Giménez, M. C., Geerdinck, L. M., Versteylen, M., Leffers, P., Meekes, G. J. B. M., Herremans, H., de Ruyter, B., Bikker, J. W., Kuijpers, P. M. J. C., Schlangen, L. J. M.
Hospitalized patients often struggle with sleeping soundly due to various factors that arise within the hospital environment, such as noise, pain, general discomfort, and irregular and inappropriate light exposure. Because sleep is such an integral part of the healing process, healthcare designers should consider different ways to improve hospital sleep conditions.
Added April 2017
Examining Relationships between Physical Environments and Behaviors of Residents with Dementia in a Retrofit Special Care Unit
2017
Journal of Interior Design
Journal Article
Issue 2
Volume 42
Pages 49-69
Author(s): Mobley, C., Leigh, K., Malinin, L.
Individuals with late-stage dementia often receive treatment in Specialized Care Units (SCUs) when other nursing home facilities can no longer support their socio-behavioral and physical needs. Generally, SCUs aim to maximize patient quality of life (QoL) by mitigating potential environmental stressors and improving the functional status of the patients themselves.
Added February 2017
Child Life Specialists' Evaluation of Hospital Playroom Design: A Mixed Method Inquiry
2017
Journal of Interior Design
Journal Article
Issue 2
Volume 42
Pages 71-91
Author(s): Weinberger, N., Butler, A. G., Schumacher, P. A., Brown, R. L., McGee, B.
Many children are hospitalized with chronic illnesses each year, experiences that may result in traumatic repercussions with lasting negative health effects as children grow older. Child life experts are individuals who help children and their families cope with the stresses and uncertainties of hospitalization.
Added February 2017
Mental and behavioral health settings: Importance & effectiveness of environmental qualities & features as perceived by staff
2017
Journal of Environmental Psychology
Journal Article
Issue June
Volume 50
Pages 37-50
Author(s): Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Fronsman, A., Kelkar, J.
While many previous studies have examined how facility designs can benefit patients within non-psychiatric acute care settings, there is a lack of research exploring how physical environments can be better suited to promote the health of patients in mental and behavioral health (MBH) facilities.
Added February 2017
Different Types of Door-Opening Motions as Contributing Factors to Containment Failures in Hospital Isolation Rooms
2013
PLOS ONE
Journal Article
Issue 6
Volume 8
Pages e66663
Author(s): Tang, J. W., Nicolle, A., Pantelic, J., Klettner, C. A., Su, R., Kalliomaki, P., Saarinen, P., Koskela, H., Reijula, K., Mustakallio, P., Cheong, D. K. W., Sekhar, C., Tham, K. W., Costa, C.
When under negative pressure, hospital isolation rooms are essential for both the containment of patients emitting airborne infectious agents as well as the protection of other patients from these agents. A plethora of different doors are used in the construction of these rooms, but relatively few studies have analyzed how certain door-opening motions and the passage of healthcare workers through these doors can affect the overall performance of isolation rooms.
Added December 2016
Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage
2016
Building and Environment
Journal Article
Author(s): Kalliomäki, p., Saarinen, P., Tang, J. W., Koskela, h.
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Added December 2016
Improving inpatient environments to support patient sleep
2016
International Journal for Quality in Health Care
Journal Article
Issue 5
Volume 28
Pages 540–553
Author(s): DuBose, J. R., Hadi, K.
The importance of sleep in the healing process, as well as the dangers of sleep deprivation, have been thoroughly studied within previously published literature.
Added December 2016
Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design
2016
Building and Environment
Journal Article
Author(s): Mousavi, E. S., Grosskopf, K. R.
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
Added December 2016
Low stimulus environments: reducing noise levels in continuing care
2016
BMJ Quality Improvement Reports
Journal Article
Issue 1
Volume 5
Pages 1-4
Author(s): Brown, J., Fawzi, W., Shah, A., Joyce, M., Holt, G., McCarthy, C., Stevenson, C., Marange, R., Shakes, J., Solomon-Ayeh, K.
This article highlights a project that aimed to reduce levels of intrinsic background noise on an adult mental health ward. Following intervention, the ward was able to decrease the background noise decibel level from 60dB to 53dB (on average).
Added November 2016
Individualizing hospital care for children and young people with learning disabilities: it's the little things that make the difference
2015
Journal of Pediatric Nursing
Journal Article
Issue 1
Volume 30
Pages 78-86
Author(s): Oulton, K., Sell, D., Kerry, S., Gibson, F.
People with learning disabilities (LDs) represent one of the largest groups with a lifelong disability, reaching nearly 60 million people worldwide. In England alone, it is estimated that 1.5 million people live with an LD, 286,000 of them being children and young people ages 0-17. It has been found that those with LD have more hospital admissions and greater hospital stays than those children without.
Added November 2016
Analysis of circadian stimulus allowed by daylighting in hospital rooms
2017
Lighting Research and Technology
Journal Article
Issue 1
Volume 49
Pages 49-61
Author(s): Acosta, I, Leslie, R. P., Figueiro, M. G.
Light is the major synchronizer of circadian rhythms to the 24-hour solar day. Compared to the visual system, the circadian system requires more light to be activated and is more sensitive to short-wavelength light. For those confined indoors, such as patients or residents in care facilities, the lack of access to daylight, or electric lighting providing a comparable amount, spectrum, distribution, duration, and timing, may compromise their human health and well-being.
Added November 2016
Systematic light exposure in the treatment of cancer-related fatigue: a preliminary study: Systematic light exposure in the treatment of cancer-related fatigue
2014
Psycho-Oncology
Journal Article
Issue 12
Volume 23
Pages 1431-1434
Author(s): Redd, W. H., Valdimarsdottir, H., Wu, L. M., Winkel, G., Byrne, E. E., Beltre, M. A., Liebman, E. S., Erazo, T., Hayes, J. A., Isola, L., Scigliano, E., Meschian, Y., Lutgendorf, S., Ancoli-Israel, S.
Patients with cancer frequently report the side effect of fatigue, which is described as distressing, persistent, and related to physical, emotional, and cognitive tiredness or exhaustion. Patients report feeling tired after resting during their treatments and long after the treatment has ended.
Added November 2016
Copper Surfaces Reduce the Rate of Healthcare-Acquired Infections in the Intensive Care Unit
2013
Infection Control & Hospital Epidemiology
Journal Article
Issue 05
Volume 34
Pages 479-486
Author(s): Salgado, C. D., Sepkowitz, K. A., John, J. F., Cantey, J. R., Attaway, H. H., Freeman, K. D., Sharpe, P. A., Michels, H. T., Schmidt, M. G.
Hospital-acquired infections (HAIs) have been known to substantially increase patient morbidity and mortality, while also creating considerable financial burdens on patients and healthcare providers. Patients in intensive care units (ICUs) are at higher risk for HAI due to the nature of the ICU environment. Metallic copper surfaces have been known to substantially reduce bacterial concentrations; however, the clinical efficacy of these surfaces in ICUs has not been previously measured.
Added October 2016
