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Knowledge Repository

How patients and nurses experience the acute care psychiatric environment

Author(s): Shattell, M. M., Andes, M., Thomas, S. P.

Leading Change During an Inpatient Critical Care Unit Expansion

Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity. 
Key Point Summary

Conveniently located “napping rooms” provide opportunity for night- and extended-shift providers to rest, leading to less fatigue and better performance.

 Healthcare providers are known for working unacceptably long hours and being chronically sleep deprived.  Often, physicians and nurses work 24+ hour shifts, leading to fatigue and avoidable errors that put both caregivers and patients at risk of serious injury or death.  Acute and chronic sleep deprivation can mimic the effects of drunkenness. 
Key Point Summary

Environmental evaluation for workplace violence in healthcare and social services

Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Key Point Summary

Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes

Author(s): Lin, B.Y.-J., Leu, W.-J., Breen, G.-M., Lin, W.-H.
Researchers have studied the healthcare work environment from a number of angles, from an organizational behavior perspective honing in on motivation and reward, to an occupational and environmental perspective concerned with comfort and ergonomics, to a pathogenic perspective interested in exposure to disease. The idea of a “servicescape” has arisen in healthcare marketing to investigate the impact of the physical environment of service settings on employees’ psychological states and perceptions.
Key Point Summary

Environmental Noise Sources and Interventions to Minimize Them: A Tale of Two Hospitals

Author(s): Dube, J. A. O., Barth, M. M., Cmiel, C. A. , Cutshall, S. M. , Olson, S. M., Sulla, S. J., Nesbitt, J. C. , Sobczak, S. C., Holland, D. E.
Delivering patient care in a hospital is noisy. Yet research shows that noise interferes with the healing process and can disrupt the patient’s experience. Higher noise levels are linked to stress reaction; sleep disturbance; and increased heart rate, blood pressure, and muscle tension, creating an overarching issue that touches multiple disciplines and departments in the hospital. 
Key Point Summary

Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice

Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Key Point Summary

Factors determining medical students’ and residents’ satisfaction during VA-based training: findings from the VA Learners’ Perceptions Survey

Author(s): Cannon, G. W. , Keitz, S. A. , Holland, G. J. , Chang, B. K., Byrne, J. M. , Tomolo, A., Aron, D. C. , Wicker, A. B., Kashner, T. M.
Patient satisfaction surveys of healthcare environments are often used to gauge perceptions of broad aspects of the built environment. In this large-scale study using a validated instrument, the study population is medical students and residents. The investigation simultaneously compares multiple domains of trainee satisfaction in a common clinical training environment through a serial cross-sectional national survey.
Key Point Summary

Building the evidence base for evidence-based design: Editors' introduction

Author(s): Zimring, C., Bosch, S.

Calculating the cost of a healthcare project

Author(s): Stichler, J.F.