The effect of hospital layout on caregiver-patient communication patterns
Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Added June 2016
Intensive care unit design and mortality in trauma patients
2014
Journal of Surgical Research
Journal Article
Issue 2
Volume 190
Pages 640-646
Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Added December 2015
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Added December 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Added April 2015
Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi
2006
The Gerontologist
Journal Article
Issue 4
Volume 46
Pages 533-539
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.
Added September 2014
A decade of adult intensive care unit design: a study of the physical design features of the best-practice examples
2006
Critical Care Nursing Quarterly
Journal Article
Issue 4
Volume 29
Pages 282-311
Author(s): Rashid, M., Abushousheh, A.
This article reports a study of the physical design characteristics of a set of adult intensive care units (ICUs), built between 1993 and 2003. These ICUs were recognized as the best-practice examples by the Society of Critical Care Medicine, the American Association of Critical Care Nurses, and the American Institute of Architects.
Added July 2014
Perceived hospital environment quality indicators: A study of orthopaedic units
2006
Journal of Environmental Psychology
Journal Article
Issue 4
Volume 26
Pages 321-334
Author(s): Fornara, F., Bonaiuto, M., Bonnes, M.
The field of healthcare design has increasingly recognized the need for building environments that are more ‘‘user-centered,’’ but spatial–physical features have not typically been included in assessment surveys on patient satisfaction.
Added July 2014
Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?
2011
Procedia-Social and Behavioral Sciences
Journal Article
Volume 30
Pages 1951-1958
Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Added April 2014
Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction
2012
Procedia - Social and Behavioral Sciences
Journal Article
Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process.
Added April 2014
Nurses’ Perception of Single-Occupancy Versus Multioccupancy Rooms in Acute Care Environments: An Exploratory Comparative Assessment
2006
Applied Nursing Research
Journal Article
Issue 3
Volume 19
Pages 118-125
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
As people are living longer and the baby boomers age, the demand for hospital beds will increase. As new facilities are built to handle this influx of patients, the challenge for hospital designers and administrators is to design patient rooms that promote therapeutic goals, foster positive patient outcomes, and function as intensive care rooms. Recent research suggests that single-occupancy rooms are more suitable for infection control and patient care than multioccupancy rooms. However, no research has been done about nursing staff members’ perception of single-occupancy and multioccupancy patient rooms in acute care settings as it relates to patient care.
Added April 2014
