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Knowledge Repository

The experience of person-centred practice in a 100% single-room environment in acute care settings – a narrative literature review

Author(s): Kelly, R., Brown, D., McCance, T., Boomer, C.
The increasing number of single-patient rooms in healthcare facilities around the world indicates a heightened focus on person-centered practice (PcP). This practice considers how the workflows and physical designs within healthcare environments influence the overall experiences of patients and staff alike.
Key Point Summary

Understanding Wayfinding Experience of Hospital Visitor through Tours and Maps Analysis

Author(s): Mustikawati, T., Yatmo, Y. A., Atmodiwirjo, P.
Hospitals are complex environments full of many visitors, staff members, and patients. This kind of environment can make simple navigation difficult for visitors in particular.
Key Point Summary

Meeting Patient Expectations During Hospitalization: A Grounded Theoretical Analysis of Patient-Centered Room Elements

Author(s): Patterson, E. S., Sanders, E. B.-N., Sommerich, C. M., Lavender, S. A., Li, J., Evans, K. D.
A 2016 study found that tens of millions of patients within the U.S. were hospitalized for an average of 4.8 days, while a separate study found that roughly 65.7 million people (or roughly 29% of the adult population) within the U.S. are considered caregivers for children or other adults. Other previous studies indicate that rooms that are specially designed to support patients and caregivers can reduce patient and caregiver stress and ultimately improve the overall healing processes.
Key Point Summary

Healing gardens in children’s hospitals: Reflections on benefits, preferences and design from visitors’ books

Author(s): Reeve, A., Nieberler-Walker, K., Desha, C.
Numerous previous studies have shown that gardens can provide healing and therapeutic benefits to patients. But lack of funding and space often impede the development of gardens in healthcare environments, as well as a lack of studies that focus on patient well-being after discharge.
Key Point Summary

Patient Needs and Environments for Cancer Infusion Treatment

Author(s): Wang, Z., Pukszta, M.
Roughly 1.5 million Americans are diagnosed with cancer every year, and more than 50% of cancer patients receive chemotherapy for treatment. Chemotherapy is delivered through infusion, which uses an intravenous (IV) administration and support system to deliver treatment.
Key Point Summary

Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

Author(s): Csipke, E., Papoulias, C., Vitoratou, S., Williams, P., Rose, D., Wykes, T.
Previous studies have shown repeatedly that the physical design of psychiatric wards has a significant impact on patient recovery and well-being. It has also been found that staff and patients often express conflicting expectations regarding the design of psychiatric wards. Therefore, it is important to better understand different stakeholder perceptions of the same environment so that the most effective design decisions can be made. One possible way of doing this would be using the “SURE model,” which is a participatory method involving collaborations with service users during all stages of the study.
Key Point Summary

Route complexity and simulated physical ageing negatively influence wayfinding

Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
Key Point Summary

Environmental Variables That Influence Patient Satisfaction: A Review of the Literature

Author(s): MacAllister, L., Zimring, C., Ryherd, E.
This paper is a literature review that compiles a number of studies investigating the layouts and designs of hospitals and work settings, and the influences that these environments have on health and behavioral outcomes in patients. More specifically, this review seeks to identify possible links between physical and social environmental influences to self-reported patient outcomes. The authors wish to more fully understand the elements that influence patient satisfaction, and then begin a discussion over how physical and social environments can be further analyzed to enhance satisfaction.
Key Point Summary

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary

Key Spatial Factors Influencing the Perceived Privacy in Nursing Units: An Exploration Study With Eight Nursing Units in Hong Kong

Author(s): Lu, Y., Cai, H., Bosch, S. J.
Healthcare designers are faced with a challenging task when trying to balance patient privacy with safety and well-being. While patients typically expect some degree of privacy during their treatment processes, it is also commonly understood that caregivers need appropriate access to them so that proper treatment can be administered.
Key Point Summary