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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 121 - 140 of 226

Effect of intensive care environment on family and patient satisfaction: a before–after study

Author(s): Jongerden, I. P., Slooter, A. J., Peelen, L. M., Wessels, H., Ram, C. M., Kesecioglu, J., Schneider, M. M., van Dijk, D.
Intensive care units or ICUs are changing from multi-bed units to single-patient room units. According to the authors, these changes may have an impact on family satisfaction. With the patient often in a critical non-communicative position, it falls on family members to make decisions and evaluate satisfaction.
Key Point Summary
Added November 2014

Young children's perspectives of ideal physical design features for hospital-built environments

Author(s): Lambert, V., Coad, J., Hicks, P., Glacken, M.
Current research has sought to understand pediatric hospital environments through studies designed to gain insight into the hospital experience from a child’s perspective. While this research has provided insight into a child’s emotional response to being in a hospital environment, little has been done to gain insight into the physical design from a child’s perspective.
Key Point Summary
Added November 2014

Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial

Author(s): Weiland, T. J., Jelinek, G. A., Macarow, K. E., Samartzis, P., Brown, D. M., Grierson, E. M., Winter, C.
Patients being treated in emergency departments (EDs) might experience anxiety during their stay. The beneficial effect of music on anxiety has been well demonstrated in previous studies, but no previous study has investigated the potential anxiety-reducing effects of sound interventions or the use of binaural beats among adult ED patients.
Key Point Summary
Added September 2014

Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: A randomised controlled trial

Author(s): Han, L., Li, J. P., Sit, J. W. H., Chung, L., Jiao, Z. Y., Ma, W. G.
Mechanical ventilation (MV) is one of the most common treatments used in intensive care units (ICUs). MV is known for causing stress and anxiety in patients due to frequent instances of sleep deprivation, pain, fear, communication difficulties, loneliness, and lack of control. Heightened levels of anxiety can manifest in various detrimental physiological responses and ultimately lead to a sicker patient.
Key Point Summary
Added September 2014

Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial

Author(s): Chlan, L. L., Weinert, C. R., Heiderscheit, A., Tracy, M. F., Skaar, D. J., Guttormson, J. L., Savik, K.
Critically ill patients receiving treatment through mechanical ventilation (MV) are often given intravenous sedative and analgesic medications in order to reduce anxiety and promote ventilator synchrony and comfort. However, since these medications are often administered at high doses for long periods of time, they are frequently associated with various adverse health effects that can complicate healing and ultimately create more anxiety in the patient. Interventions that reduce anxiety with minimal use of sedative medications are needed.
Key Point Summary
Added September 2014

The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support

Author(s): Korhan, E. A., Khorshid, L., Uyar, M.
Mechanical ventilatory support is commonly used in critical care units for treating patients with breathing difficulties. Although mechanical ventilation is a life-saving treatment, an estimated 70-80% of patients depending on the mechanical system for respiratory function can experience significant levels of anxiety during the treatment process.
Key Point Summary
Added September 2014

Music increases satisfaction in elderly outpatients undergoing cataract surgery

Author(s): Cruise, C. J., Chung, F., Yogendran, S., Little, D.
Cataract surgery is one of the most common surgical procedures performed on elderly patients in North America. Sedative medications are often used to reduce patient anxiety throughout the surgical procedure, but elderly patients are more likely to experience adverse health effects from these medications. The anxiety-reducing effects of music have been widely studied previously, but never in the context of elderly patients undergoing cataract surgery.
Key Point Summary
Added September 2014

The antimicrobial efficacy of copper alloy furnishing in the clinical environment: a crossover study

Author(s): Karpanen, T. J., Casey, A. L., Lambert, P. A., Cookson, B. D., Nightingale, P., Miruszenko, L., Elliott, T. S.
Environmental hygiene has been regarded as one of the key areas in the prevention of HCAIs (healthcare associated infections) in hospital and acute care settings. Copper and its alloys have recently been considered for use in the healthcare environment as an antimicrobial surface material, and in 2008, the U.S. Environmental Protection Agency approved the registration of copper and its alloys as antimicrobial materials. The main aim of this study was to determine whether copper incorporated into hospital ward furnishings and equipment can reduce their surface microbial load.
Key Point Summary
Added September 2014

Implementation of innovative pulsed xenon ultraviolet (PX-UV) environmental cleaning in an acute care hospital

Author(s): Fornwalt, L., Riddell, B.
Cleaning of the hospital environment is considered crucial to the prevention of hospital-acquired infections (HAIs) and overall patient safety. The authors note that many European and American hospitals use new technologies like ultraviolet (UV) light and hydrogen peroxide vapor to clean their facilities, and that these have been effective in reducing the HAI rates.
Key Point Summary
Added September 2014

Promoting walking among older adults living in retirement communities

Author(s): Rosenberg, D. E., Kerr, J., Sallis, J. F., Norman, G. J., Calfas, K., Patrick, K.
The authors tested the feasibility and acceptability, and explored the outcomes, of 2 walking interventions based on ecological models among older adults living in retirement communities. An enhanced intervention (El) was compared with a standard walking intervention (SI) among residents in 4 retirement facilities (N = 87 at baseline; mean age = 84.1 yr). All participants received a walking...
Key Point Summary
Added September 2014

Keep music live: music and the alleviation of apathy in dementia subjects

Author(s): Holmes, C., Knights, A., Dean, C., Hodkinson, S., Hopkins, V.
Over 50% of all people diagnosed with dementia reportedly exhibit apathetic or socially withdrawn behaviors. These behaviors are often problematic for the patients themselves as well as for the individuals tending to the patient’s needs. Treatment with antidepressants is common in these situations, but their effectiveness is supported only by weak evidence, and the issue of over-prescription and its subsequent adverse effects has become a major problem in healthcare environments.
Key Point Summary
Added September 2014

Functional Outcomes of Nursing Home Residents in Relation to Features of the Environment: Validity of the Professional Environmental Assessment Protocol

Author(s): Slaughter, S. E., Morgan, D. G.
Research conducted in different settings shows that specialized environments designed for people with dementia may reduce the rate of functional loss. Different measures have been developed to assess the nursing home environments focused on the features of specialized dementia units. Among them, the Professional Environmental Assessment Protocol (PEAP) was developed to assess the quality of dementia care environments on nine dimensions. Assessment involves subjective evaluation of the physical and social environment on a 5-point scale for each dimension.
Key Point Summary
Added September 2014

Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff

Author(s): Verbeek, H., Zwakhalen, S. M. G., van Rossum, E., Ambergen, T., Kempen, G., Hamers, J. P. H.
Small-scale environments are increasing in popularity for the care of dementia patients. This study aims to evaluate the effectiveness of this strategy.
Key Point Summary
Added September 2014

Quality of life and building design in residential and nursing homes for older people

Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Key Point Summary
Added September 2014

Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi

Author(s): Rabig, J., Thomas, W., Kane, R. A., Cutler, L. J., McAlilly, S.
The Green House design should be considered as nursing home resident numbers are growing. Early experiences with the “pod-like” structure show positive effects on residents, families, and staff.
Key Point Summary
Added September 2014

Long-Term Efficacy of an Ergonomics Program That Includes Patient-Handling Devices on Reducing Musculoskeletal Injuries to Nursing Personnel

Author(s): Garg, A., Kapellusch, J. M.
The Bureau of Labor Statistics, according to the authors, reports that nursing staff face musculoskeletal injuries (MSDs) in all types of healthcare facilities. Nurse aides (NAs) in particular have the highest rate of staying away from work because of these injuries.
Key Point Summary
Added September 2014

Community-Based Versus Institutional Supportive Housing: Perceived Quality of Care, Quality of Life, Emotional Well-Being, and Social Interaction

Author(s): Robison, J., Shugrue, N., Reed, I., Thompson, N., Smith, P., Gruman, C.
Numerous options for residential supportive housing are available for people who need long-term care. Some options are categorized as institutional while others are designated community-based; the movement to rebalance the long-term care system emphasizes the latter category. This study examines the experiences of 150 residents of two types of community-based supportive housing-assisted living (...
Key Point Summary
Added September 2014

Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings

Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Key Point Summary
Added September 2014

Perceived barriers to physical activity among older adults residing in long-term care institutions

Author(s): Chen, Y. M.
It is well documented by the World Health Organization (WHO), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and other worldwide healthcare organizations that regular physical activity has several benefits, particularly for the elderly. The detriments to their physical and mental health are also well documented. Yet it is seen that a substantial proportion of the elderly do not pursue physical activity on a regular basis.
Key Point Summary
Added September 2014

Dying well: Factors that influence the provision of good end-of-life care for older people in acute and long-stay care settings in Ireland

Author(s): Casey, D., Murphy, K., Ni Leime, A., Larkin, P., Payne, S., Froggatt, K. A., O'Shea, E.
The authors surmise that in Ireland, care for older people, as they get closer to end-of-life (EoL), is usually provided in a healthcare facility – acute care hospital, nursing home, or long-stay care.
Key Point Summary
Added September 2014