A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility
Journal of Psychosocial Nursing and Mental Health Services
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.
Meeting the Needs of Visually Impaired People Living in Lifetime Homes
Journal of Housing For the Elderly
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.
The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience
Annals of the American Thoracic Society
Prior to the 2014 Ebola virus disease (EVD) outbreak in West Africa, the United States had only one to three specialized biocontainment units. Once the EVD crisis began, a group of reputable American healthcare institutions worked together to renovate a deactivated clinical space into a functioning biocontainment unit (BCU).
An Assessment of Levels of Safety in Psychiatric Units
HERD: Health Environments Research & Design Journal
As mental treatment facilities see increases in the number of patients seeking care, facilities face mounting pressure in their attempts to promote patient well-being and safety. The author suggests that there is a lack of systematic empirical studies that examine how the design of mental healthcare facilities contributes to patient care and safety.
Security Implications of Physical Design Attributes in the Emergency Department
HERD: Health Environments Research & Design Journal
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage
Building and Environment
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Centralized to hybrid nurse station: Communication and teamwork among nursing staff
Journal of Nursing Education and Practice
Nursing stations often act as the primary workspaces for various members of a healthcare team while patients aren’t being directly worked with. Centralized nursing stations can lead to higher rates of telephone and computer use and administrative tasks while decreasing time spent caring for patients. Conversely, decentralized nursing stations have been found to create feelings of isolation and poor communication among staff. To emphasize the positive aspects of both formats, the authors propose a hybrid nursing station design that features decentralized stations connected to centralized meeting spaces.
Room for caring: patients' experiences of well-being, relief and hope during serious illness
Scandinavian Journal of Caring Sciences
The positive impact of pleasing hospital aesthetics, both in terms of uplifted moods and improved health outcomes in patients, has been documented and discussed throughout history. From ancient Greeks to Florence Nightingale to modern evidence-based health design, the belief that the hospital environment itself, apart from its technical and clinical abilities, actively contributes to the healing process has resurfaced repeatedly. Despite this, scarcely any empirical research has been done to show how seriously ill patients personally experience their hospital rooms, and what these experiences mean to them during the healing process.
Do Cost Savings from Reductions in Nosocomial Infections Justify Additional Costs of Single-Bed Rooms in Intensive Care Units? A Simulation Case Study
Journal of Critical Care
Nosocomial infections are infections that are acquired in healthcare facilities. They are a key factor in decisions to construct and maintain single-patient bedrooms in intensive care units (ICUs), since single-patient rooms have been shown to greatly reduce instances of nosocomial infections. However, no prior studies have investigated whether the resource savings incurred from reducing nosocomial infections are worth the construction and maintenance costs required for single-patient bedrooms in ICUs.
The effects of physical environments in medical wards on medication communication processes affecting patient safety
Health & Place
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.