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Knowledge Repository

Healing gardens in children’s hospitals: Reflections on benefits, preferences and design from visitors’ books

Author(s): Reeve, A., Nieberler-Walker, K., Desha, C.
Numerous previous studies have shown that gardens can provide healing and therapeutic benefits to patients. But lack of funding and space often impede the development of gardens in healthcare environments, as well as a lack of studies that focus on patient well-being after discharge.
Key Point Summary

Evaluation of hospital outdoor spaces through users’ participation analysis

Author(s): Djukanovic, Z., Maric, J., Giofrè, F.
Hospital outdoor spaces (HOS) have an important role in healthcare facilities that specifically impacts the healing process. Literature reviewed by the authors refers to HOS as left-over spaces for supporting other medical activities. 
Key Point Summary

Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

Author(s): Csipke, E., Papoulias, C., Vitoratou, S., Williams, P., Rose, D., Wykes, T.
Previous studies have shown repeatedly that the physical design of psychiatric wards has a significant impact on patient recovery and well-being. It has also been found that staff and patients often express conflicting expectations regarding the design of psychiatric wards. Therefore, it is important to better understand different stakeholder perceptions of the same environment so that the most effective design decisions can be made. One possible way of doing this would be using the “SURE model,” which is a participatory method involving collaborations with service users during all stages of the study.
Key Point Summary

Route complexity and simulated physical ageing negatively influence wayfinding

Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
Key Point Summary

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary

Healing gardens for the elderly: A review of design guidelines and the comparisons with the existing Senior Outdoor Survey (SOS) tool

Author(s): Chong, Y. E., Shukor, A., Faris, S.
As the demand increases for senior living facilities, it will be important for designers and healthcare providers to remember that incorporating access to specially designed outdoor spaces can have a positive influence on the psychosocial and physical health of patients. 
Key Point Summary

Performance Evaluation of 32 LEED Hospitals on Operation Costs

Author(s): Sadatsafavi, H., Shepley, M. M.
As healthcare needs increase, providers strive to reduce operational costs while simultaneously increasing healthcare facility construction and renovation efforts. At the same time, certification programs such as Leadership in Energy and Environmental Design (LEED) are examples of the emerging concerns regarding the environmental impact of healthcare facilities. The authors note that the number of studies documenting the benefits of more “green” facilities is limited; however, they hypothesize that upon comparing LEED-certified hospitals with uncertified ones, the LEED facilities will prove to have lower-than-average maintenance costs.
Key Point Summary

Analysis of Credits Earned by LEED Healthcare Certified Facilities

Author(s): Golbazi, M., Aktas, C. B.
Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
Key Point Summary

Meeting the Needs of Visually Impaired People Living in Lifetime Homes

Author(s): Rooney, C., Hadjri, K., Rooney, M., Faith, V., McAllister, K., Craig, C.
Lifetime Homes standards (LTHS) are a group of mandatory public-sector housing design interventions used in the U.K. They attempt to provide a model that ensures adaptable and accessible homes for the entire duration of an occupant’s stay. Changes in one’s physical environment, much like the ones implemented by LTHS, could help reduce the impact of disabilities such as visual impairment, and could help give patients different degrees of communal living with some level of independence.
Key Point Summary

Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay?

Author(s): Pierce, B. A., Gormley, D.
This paper presents a quality improvement (QI) project by comparing the performance of two different emergency departments (EDs). The idea behind the split flow model is to allow for a second flow stream of patients through the ED, parallel to the regular acute/critical care flow stream, that is ultimately intended for patients with problems that are not considered complex. The role of the provider in the triage (PIT) model is to enhance patient triage assessment by providing patients with an upfront evaluation upon entering the ED.
Key Point Summary