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Knowledge Repository

The impact of health facilities on healthcare workers’ well-being and performance

Author(s): Rechel, B., Buchan, J., McKee, M.
There is extensive research on the effect of healthcare environments on patients. But much less is known about health facilities’ impact the staff, even while there is growing recognition of the need for healthy working environments. Poor healthcare working environments can relate to the nature of the work—long and antisocial hours, little administrative support, physical labor, and, sometimes, violence. 
Key Point Summary

Access and care issues in urban urgent care clinic patients

Author(s): Scott, D. , Batal, H. , Majeres, S, Adams, J. , Dale, R. , Mehler, P.
Patients generally seek care in urgent care settings because doing so is more convenient than alternative care options, and the care provided is timelier.
Key Point Summary

Effects of two hospital bed design features on physical demands and usability during brake engagement and patient transportation: A repeated measures experimental study

Author(s): Kim, S., Barker, L. M., Jia, B., Agnew, M. J., Nussbaum, M. A.
Healthcare work is physically demanding and often results in work-related musculoskeletal disorders (WMSDs). Most research in this area has focused on patient-handling techniques during activities that require direct patient contact, such as patient transfer. But healthcare providers perform other patient-handling tasks as well, such as engaging bed brakes and transporting patients in beds. These activities could also contribute to WMSDs.
Key Point Summary

Falls Aren't Us: State of the Science

Author(s): Cozart, H. T., Cesario, S. K.
Falls among the elderly can cause serious injury and sometimes even be fatal. However, in healthcare settings, many of these accidents can be avoided with fall-prevention interventions. The ninth goal of The Joint Commission is environmental intervention and addresses safety features such as patients’ introduction to hospital surroundings, appropriate lighting and noise reduction, call alarms, as well as reachable and available grab rails. 
Key Point Summary

Effects of low humidity and high air velocity in a heated room on physiological responses and thermal comfort after bathing: An experimental study

Author(s): Hashiguchi, N., Tochihara, T.
Winter often brings low humidity and high air flow from HVAC systems that may cause health-related issues for patients and can impact how comfortable they are before and after a bath.  
Key Point Summary

Interruptions and Geographic Challenges to Nurses' Cognitive Workload

Author(s): Redding, D., Robinson, S.
Inpatient care is fast-paced and requires nurses to constantly shift their attention to make clinical decisions and care for patients in a constantly environment. Nurses integrate complex thinking with psychomotor and affective skills to deliver interventions. This thinking is continually disrupted by interruptions and distractions, which compete for their attention and can lead to errors or omissions and potentially pose a risk to patient safety.
Key Point Summary

Using Rapid Assessment to Evaluate Noise on an In-Patient Unit

Author(s): Deitrick, L.M., Kennedy, P., Cyriax, C., Davies-Hathen, N.
Research shows that many hospitals are noisy from a variety of sources: people, environment, and machines. Further, this excessive noise can have negative effects on patients and staff including lost sleep, higher blood pressure, lower overall patient satisfaction, increased readmission rates, and increased employee stress levels.
Key Point Summary

Person-Environment Interactions Contributing to Nursing Home Resident Falls

Author(s): Hill, E. E., Nguyen, T. H., Shaha, M., Wenzel, J. A., DeForge, B. R., Spellbring, A. M.
Falls are common for older adults, with significant consequences, including injuries and even death as well as healthcare costs. However, few studies have looked at environmental factors, such as lighting, equipment, and slippery floor surfaces, as potential risk factors for falls by nursing home residents. This study explores the risk factors associated with resident falls in a nursing home using a focus group.
Key Point Summary

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

Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices

Author(s): Marras, W.S., Knapik, G.G., Ferguson, S.
Patient handling is an important concern in healthcare facilities linked to patient falls, as well as staff injury. It continues to represent a high risk for low back pain among caregivers. Research shows that manual transfer of patients can impose unacceptable loads on the spine (even when the task is shared by two caregivers). Due to this, patient lift devices have gained popularity and are frequently used. However the merits and demerits between the different systems continues to be explored.
Key Point Summary