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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 99

Acoustic assessment of speech privacy curtains in two nursing units

Author(s): Pope, D. S., Miller-Klein, E. T.
Hospitals are environments with complex soundscapes, and some elements of these soundscapes can impede upon patient health and overall communication. Numerous sources of noise from equipment, movement, and increased speaking volumes combine with high reverberation rates, resulting in the need to speak increasingly louder.
Key Point Summary
Added March 2017

Investigation of Eligible Picture Categories for Use as Environmental Cues in Dementia-Sensitive Environments

Author(s): Motzek, T., Bueter, K., Marquardt, G.
Dementia often manifests in populations of elderly people who are admitted to acute care facilities. The disorienting nature of hospital environments can exacerbate the condition of dementia, leading to challenging behavior from patients that can affect staff, other patients, and the patients themselves. Previous studies have found that personalized labels and signs, such as photographic portraits of residents themselves, are effective environmental markers in long-term healthcare facilities.
Key Point Summary
Added December 2016

Low stimulus environments: reducing noise levels in continuing care

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).
Key Point Summary
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

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.
Key Point Summary
Added November 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

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
Added September 2016

The ability of environmental healthcare design strategies to impact event related anxiety in pediatric patients: A comprehensive systematic review

Author(s): Norton-Westwood, D.
Healthcare settings such as hospitals or dentists’ offices have been known to contribute to the anxiety often experienced by patients receiving treatment. Anxiety has been linked to various health concerns, manifesting both physiologically and psychologically, that can result in prolonged hospital stays and other complications.
Key Point Summary
Added June 2016

Lost in space: The place of the architectural milieu in the aetiology and treatment of schizophrenia

Author(s): Golembiewski, J.
This article is a theoretical discussion concerning how designed and constructed environments can be significant factors in the psychogenesis of mental illnesses, particularly with non-affective psychoses. The authors believe that the current body of literature is lacking in resources that could help direct design decision-making to positively influence the well-being of mentally ill individuals. Discussing this matter may help identify specific qualities of the built environment that appear to be aetiologically related to psychosis.
Key Point Summary
Added June 2016

Effects of an Assisted Living Facility Specifically Designed for Individuals with Memory Disorders: A Pilot Study

Author(s): Springate, B. A., Talwar, A. K., Tremont, G.
A 2007 study estimated that 14% of individuals over the age of 71 have dementia, and many of those individuals require some level of support with daily life. Furthermore, many of these individuals eventually move to assisted living (AL) facilities or nursing homes as they begin to require more assistance. Many people choose AL facilities due to pricing or the desire to be assisted rather than nursed. Previous studies have indicated that the physical environment of nursing homes can influence the overall well-being of residents with dementia. However, relatively few studies have assessed the effects of AL facility environments on the well-being of dementia patients.
Key Point Summary
Added June 2016

A nursing home staff tool for the indoor visual environment: The content validity

Author(s): Sinoo, M. M., Kort, H. S. M., Loomans, M. G. L. C., Schols, J. M. G. A.
Visual impairments affecting residents of nursing homes can arise from numerous causes, and they can directly affect these residents’ quality of life by jeopardizing their ability to participate in daily activities such as reading, watching television, or even interacting with others. The physical makeup of the nursing home itself can work to either help or hinder its residents, and in cases in which the environment is beneficial, the nursing home can be called an “environmental fit.
Key Point Summary
Added June 2016

Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit

Author(s): Campion, N., Thiel, C. L., Focareta, J., Bilec, M. M.
The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment.
Key Point Summary
Added June 2016

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Key Point Summary
Added May 2016

The design and initial evaluation of visual cues in carpets to assist walking

Author(s): McNeil, S. J., Tapp, L. S.
One way to reduce the occurrence of indoor falls for both elderly people and other individuals is to improve the design of floor coverings so that they can help create a safer walking environment. A growing number of studies are showing that the design of products such as carpets can specifically help older people lead more productive and independent lives by empowering them through safer opportunities for mobility.
Key Point Summary
Added May 2016

Managing Patient Falls in Psychiatric Inpatient Units: Part 1

Author(s): Abraham, S.
A significantly higher number of patient falls occur in hospital inpatient psychiatric units than in medical-surgical areas, resulting in issues with overall patient safety. The Centers for Disease Control and Prevention considers patient falls a concern to society due to the safety issues they pose and financial strains they can cause for institutions.
Key Point Summary
Added April 2016

Shaping the slats of hospital patient room window blinds for daylighting and external view under desert clear skies

Author(s): Sherif, A., Sabry, H., Wagdy, A., Mashaly, I, Arafa, R.
Many previous studies have shown how natural lighting can contribute to the healing nature of a hospital’s environment by reducing patient fatigue, stress, and length of stay. Desert locations are often characterized by continually clear skies, making control of the sunlight even more essential to patient satisfaction. It is therefore important to determine the optimal shape of window blind slats so that discomfort can be reduced without compromising levels of illumination.
Key Point Summary
Added April 2016

Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study

Author(s): Foureur, M., Leap, N., Davis, D., Forbes, I., & Homer, C.
To develop a tool to assess the “optimality” of birth unit design. This is important because “Optimal birth spaces are likely to enable women to have physiologically normal labor and birth.”
Key Point Summary
Added January 2016

Review: The impact of art, design and environment in mental healthcare: A systematic review of the literature

Author(s): Daykin, N., Byrne, E., Soteriou, T., O'Connor, S.
There is increasing evidence that attractive environments can enhance the experiences of healthcare users. What creates attractive environments may be relative to the country where that healthcare is provided. This paper was written in the UK and was an attempt to find research that supports the use of art to create healing environments along with the role of art in encouraging civic pride. It was part of a two-year evaluation of a commissioned arts program in a UK mental health trust.
Key Point Summary
Added January 2016

Designing a “Think-Along Dwelling” for People with Dementia: A Co-Creation Project Between Health Care and the Building Services Sector

Author(s): Van Hoof, J., Blom, M. M., Post, H. N. A., & Bastein, W. L
Many of the elderly prefer to age-in-place. However, if one of the elderly developments dementia, particular challenges may be posed when designing, constructing, or retrofitting an existing home environment. In the Netherlands about two-thirds of the people with dementia live at home. This is the setting for this study.
Key Point Summary
Added January 2016

The Impact of Bedside Technology on Patients’ Well-Being

Author(s): Tanja-Dijkstra K.
The presence of wires, tubes, and monitors near the bedside may contribute to patients’ stress and anxiety. One of the trends in healthcare design is to organize the headwalls of patient rooms in such a way as to reduce clutter and minimize the visibility of medical equipment.
Key Point Summary
Added January 2016

The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Author(s): Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.
There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings.
Key Point Summary
Added January 2016