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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 181 - 200 of 208

Noise in the Operating Room—What Do We Know? A Review of the Literature

Author(s): Hasfeldt, D., Laerkner, E., Birkelund, R.
Noise is a general stressor and should be avoided in the operating room (OR). However, over the last 10 years, while the focus has been on preventing air pollution and maximizing sterility in the OR, very little attention has gone toward preventing noise pollution. Meanwhile, there is more and more noisy technological equipment in the OR, and it can be assumed that problems with noise in the OR have not decreased.
Key Point Summary
Added January 2014

Patients’ Interactions in an Intensive Care Unit and Their Memories of Intensive Care: A Mixed Method Study

Author(s): Meriläinen, M, Kyngäs, H, Ala-Kokko, T
The various equipment and devices in the intensive care unit (ICU) make it the most technologically sophisticated environment in any hospital. But, from a patient’s perspective, being connected to various devices; experiencing unsettling noises, smells, lighting, and uncomfortable temperatures; and enduring the perceptions of other patients as care objects can cause both physical and mental stress.
Key Point Summary
Added January 2014

Bathing people with dementia: when education is not enough

Author(s): Gaspard, G., Cox, L.
Dementia is increasing at the rate of one case every 7 seconds. As such, the need for methods for caring for these patients with dignity also increases. Current research indicates that many people with dementia respond negatively to bathing, in part because they don’t feel comfortable being naked in front of other people or with unfamiliar bathing equipment, and may develop resistant behaviors.
Key Point Summary
Added January 2014

The Work of Adult and Pediatric Intensive Care Unit Nurses

Author(s): Douglas,. S., Cartmill, T., Brown, R., Hoonakker, P., Slagle, J., Van Roy, K. S, Walker, J, M.
Over the years, researchers have employed a variety of methods to describe and quantify nursing work. However, much of this research looked at nursing in general care settings and not at the unique work nurses perform in intensive care units (ICUs). This study uses behavioral task analysis to observe activities performed by adult ICU (AICU) and pediatric ICU (PICU) nurses as well as to compare the time they spent on various tasks across four different ICUs.
Key Point Summary
Added January 2014

Influence of nursing unit layout on staff communication and interaction patterns

Author(s): Dutta, R.
The quality and design of the built environment has acquired a very significant role in improving patient and staff satisfaction in terms of overall healthcare experience. There is evidence from health care and beyond that working in teams enhances an organization’s effectiveness, produce a better patient care both in terms of improving health delivery and staff motivation, and in superior patient outcomes. Communication among all team members of the groups is essential for the success of delivering healthcare services.
Key Point Summary
Added November 2012

Physical Environment and Job Satisfaction in a Community Mental Health Center.

Author(s): Folkins, C., O’Relly, C., Roberts, K., Miller, S.
Psychological evidence suggests that behavior is affected by situational and environmental settings. The health care satisfaction with physical environment contributes to overall job satisfaction of medical staff. Physical surroundings in a community mental health center may be a mediating variable for staff morale and effectiveness. Environmental effects could have dramatic implication for a mental health professionals who constantly must make decisions about patients on the basis of subjective impressions of appearance and behavior. The study deals with staff attitudes in the outpatient clinics of a community mental health center.
Key Point Summary
Added November 2012

Direct cellular vs. indirect pager communication during orthopaedic surgical procedures: A prospective study

Author(s): Ortega, G. R., Taksali, S., Smart, R., Baumgaertner, M. R.
Staff-to-staff communication is critical to quality and efficient healthcare. Physicians, nurses, and other healthcare workers all use various methods of communication in their daily work. Difficulties in staff communication often lead to interruptions and delays in patient care, variation in response time, medical errors, violation of privacy, and dissatisfaction in patient and staff.
Key Point Summary
Added October 2012

Predesign and Post-occupancy Analysis of Staff Behavior in a Neonatal Intensive Care Unit

Author(s): Shepley, M.M.
Advances in technology have resulted in an increase in the neonatal intensive care unit (NICU) population; allowing care for newborn babies who might have died in the absence of advanced medical care. The design of NICUs has therefore become an important concern in healthcare, and an ongoing debate is the merit of open bays over closed bays. s. Changes in design have a direct impact on staff experience, and potentially staff behavior, which in turn can impact patient care.
Key Point Summary
Added October 2012

Effects of different interior decorations in the seclusion area of a psychiatric acute ward

Author(s): Vaaler, A.E., Morken, G., Linaker, O.M.
Seclusion, or containment of a patient in an enclosed area, is a common practice in psychiatric acute wards. Traditionally such areas have been used for the dual purpose of meeting the safety and containment needs of behaviorally disturbed patients, and obtaining a decrease in sensory and emotional input (based on the belief that external stimuli would cause patients to suffer excessive mental anxiety). The design and furnishings of the seclusion area are influenced by this need to reduce external stimuli and maintain safety. They are typically sparsely furnished minimizing risk of any physical harm.
Key Point Summary
Added October 2012

The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses

Author(s): Tyson, G. A. , Lambert, G., Beattie, L.
Studies have shown that modifications to the physical environment of psychiatric institutions are associated with positive changes in patient behavior, attitudes and perceptions, but less attention has been paid to the impact of these changes on the nursing staff.
Key Point Summary
Added October 2012

Evaluation of the built environment at a Children's Convalescent Hospital: Development of the Pediatric Quality of Life Inventory (TM) parent and staff satisfaction measures for pediatric health care facilities

Author(s): Varni J. W., Burwinkle T. M., Dickinson P., Sherman S. A., Dixon P., Ervice J. A., Leyden P. A., Sadler B. L.
The expectation that the hospital built environment may affect the health and satisfaction of patients and their families continues to interest health care providers and hospital administrators as they differentiate and distinguish the quality and health outcomes of their services. In preparation for the design, construction, and postoccupancy evaluation of a new Children’s Convalescent Hospital, focus groups were conducted and measurement instruments were developed to quantify and characterize parent and staff satisfaction with the built environment of an existing pediatric health care facility, a 30-year-old, 59-bed, long-term, skilled nursing facility dedicated to the care of medically fragile children with complex chronic conditions. The measurement instruments were designed in close collaboration with parents, staff, and senior management involved with the existing and planned facility.
Key Point Summary
Added October 2012

Impact of Visual Art on Patient Behavior in the Emergency Department Waiting Room

Author(s): Nanda, U., Chanaud, C, , Nelson, M., Zhu, X., Bajema, R., Jansen, B. H.
Wait times have been reported to be one of the most important concerns for people visiting emergency departments (EDs). Additionally, distrust between the patients and staff of the hospital, patients’ consistent focus on their status, and an uncertainty about the waiting time have been identified as contributors to patient anxiety, fear, confusion, and annoyance. Affective states significantly impact perception of wait time and may be impacted by environmental interventions, such as art depicting nature that has been shown to reduce stress levels and anxiety.
Key Point Summary
Added October 2012

Wandering and the Physical Environment

Author(s): Algase, D., Beattie, E.R.A., Antonakos, C., Beel-Bates, C.A., Yao.L.
Wandering is one of the most challenging and potentially dangerous behavior seen among individuals with Alzheimer's Disease. Wandering is often associated with negative consequences such as getting lost, fatigue, injury and even death. The physical environment has been identified as a key component in addressing wandering and other dementia-related behavior. However, there is very little research that clearly identifies the role of specific physical environmental features either singly or in combination with other features in promoting or reducing dementia-related behaviors such as wandering.
Key Point Summary
Added October 2012

Factors Determining Inpatient Satisfaction With Care

Author(s): Thi, P. L.N. , Briancon,S., Empereur, F., Guillemin, F.
With the growing interest in patient-centered care, patient evaluations of their own experiences have been increasingly used to improve the quality of care. Factors associated with satisfaction are thought to include the structure, process and outcome of care as well as patient sociodemographic, physical and psychological status, and attitudes and expectations concerning medical care.
Key Point Summary
Added October 2012

Effect of Sacred Space Environment on Surgical Patient Outcomes: A Pilot Study

Author(s): Schmock, B. N., Breckenridge, D. M., Benedict, K.
With the growing trend to patient-centered care, nurses are often tasked to evaluate how care is delivered. The perioperative environment is highly technical in nature and is often perceived as cold, while creating a sense of fear in patients. This study's purpose was to create an alternative healing environment (termed a sacred space and comprised of both environmental and nurse behavioral factors) compared to the traditional environment for surgical patients in the operating room (OR).
Key Point Summary
Added October 2012

Outcomes of environmental appraisal of different hospital waiting areas

Author(s): Leather, P., Beale, D., Santos, A., Watts, J., Lee, L.
Hospitals can be unfamliar environments and can create negative feelings and stress. The physical environmentcan be a source of stress or haved an effect on coping resources. Past research identifies disparities and hierarchical differences between the way environmental needs and desires are prioritized for clinical and medical staff; inpatients; outpatients; and visitors. Few studies evaluate ambulatory care environments.
Key Point Summary
Added October 2012

Attribute correlates of hospital outpatient satisfaction

Author(s): Krueckeberg, H. F., Hubbert, A.
Patient satisfaction with hospital outpatient or ambulatory services is an important factor in influencing patient patronage and loyalty. With the increasing growth of revenue associated with outpatient procedures, this area of practice has important opportunities for market-share development through employee behavior and the influence of management and marketing strategies.
Key Point Summary
Added October 2012

Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain

Author(s): Hall, K. K., Kyriacou, D. N., Handler, J. A., Adams, J. G.
With millions of chest-pain related visits to the emergency department (ED) each year, this demographic one of the most frequently studied in the emergency medicine (ED) literature. As the timeliness of care can lead to significant decreases in both morbidity and mortality, the authors suggest that elements of the architectural design of an ED, specifically the location of the treatment rooms (distance from physician work areas), should be considered when evaluating factors related to quality of care.
Key Point Summary
Added October 2012

Premature infant responses to noise reduction by earmuffs: effects on behavioral and physiologic measures

Author(s): Zahr, L.K., de Traversay, J.
The continuous high-intensity noise in the neonatal intensive care unit (NICU) is both stressful and harmful for the premature infant. Although some researchers have found evidence that loud noise can cause hearing loss and alter physiologic and behavioral responses, no study to date has investigated the benefits of noise reduction by the use of earmuffs. In this study earmuffs were placed over...
Key Point Summary
Added October 2012

Influence of nursing-unit design on the activities and subjective feelings of nursing personnel

Author(s): Trites, D.K., Galbraith, F.D., Sturdavant, M., Leckwart, J.F.
Performed intensive comparisons of the effect of radial, double-corridor, and single-corridor nursing units on the activities and feelings of nursing personnel, using multiple linear regression methods to remove as many extraneous factors as possible from comparisons. The radial design was found to be superior to the double corridor, and superior to the single corridor in most instances. Nursing...
Key Point Summary
Added October 2012