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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 81 - 100 of 296

Does proper design of an intensive care unit affect compliance with isolation practices?

Author(s): Rodriguez, M., Ford, D., Adams, S.
This article tackles these questions, as well as looks at the importance of end-user input to renovation and construction healthcare projects.
Key Point Summary
Added November 2014

Designing Safety-Net Clinics for Flexibility

Author(s): Taylor, E., Joseph, A., Keller, A., Quan, X.
Added October 2014

Impact of Place of Residence on Relationship Between Quality of Life and Cognitive Decline in Dementia

Author(s): Missotten, P., Thomas, P., Squelard, G., Di Notte, D., Fontaine, O., Paquay, L., De Lepeleire, J., Buntinx, F., Ylieff, M.
Added September 2014

Promoting walking among older adults living in retirement communities

Author(s): Rosenberg, D. E., Kerr, J., Sallis, J. F., Norman, G. J., Calfas, K., Patrick, K.
The authors tested the feasibility and acceptability, and explored the outcomes, of 2 walking interventions based on ecological models among older adults living in retirement communities. An enhanced intervention (El) was compared with a standard walking intervention (SI) among residents in 4 retirement facilities (N = 87 at baseline; mean age = 84.1 yr). All participants received a walking...
Key Point Summary
Added September 2014

Influence of an Outdoor Garden on Mood and Stress in Older Persons

Author(s): Rodiek, S. D.
Research conducted in healthcare settings shows that the presence of plants and natural environments in healthcare environments has a positive impact on patient outcome. The value of nature and gardening to the older adult is also reported in literature.
Key Point Summary
Added September 2014

Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff

Author(s): Verbeek, H., Zwakhalen, S. M. G., van Rossum, E., Ambergen, T., Kempen, G., Hamers, J. P. H.
Small-scale environments are increasing in popularity for the care of dementia patients. This study aims to evaluate the effectiveness of this strategy.
Key Point Summary
Added September 2014

Contributions of Environment, Comorbidity, and Stage of Dementia to the Onset of Walking and Eating Disability in Long-Term Care Residents

Author(s): Slaughter, S. E., Hayduk, L. A.
Objectives To estimate the relative effects of environment, comorbidities, stage of dementia and other variables on disability onset. Design A 1-year prospective cohort study was conducted in which the walking and eating abilities of long-term care residents were observed fortnightly. Structural equation modeling was used to assess the contributions of individual and environmental factors to the...
Key Point Summary
Added September 2014

Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi

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.
Key Point Summary
Added September 2014

Community-Based Versus Institutional Supportive Housing: Perceived Quality of Care, Quality of Life, Emotional Well-Being, and Social Interaction

Author(s): Robison, J., Shugrue, N., Reed, I., Thompson, N., Smith, P., Gruman, C.
Numerous options for residential supportive housing are available for people who need long-term care. Some options are categorized as institutional while others are designated community-based; the movement to rebalance the long-term care system emphasizes the latter category. This study examines the experiences of 150 residents of two types of community-based supportive housing-assisted living (...
Key Point Summary
Added September 2014

Wayfinding behavior and spatial knowledge of adults and children in a virtual environment: The role of the environmental structure

Author(s): Jansen-Osmann, P., Schmid, J., Heil, M.
Added September 2014

Where Active Older Adults Walk: Understanding the Factors Related to Path Choice for Walking Among Active Retirement Community Residents

Author(s): Joseph, A., Zimring, C.
There is little evidence about how path-design characteristics at site and building scale may be related to where active older adults choose to walk. This article describes the findings from an empirical study examining the relationship between physical environmental characteristics of path segments and their use for walking for recreation or instrumental reasons by 114 active residents on three...
Key Point Summary
Added August 2014

Perceived hospital environment quality indicators: A study of orthopaedic units

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.
Key Point Summary
Added July 2014

Effects of indoor gardening on sleep, agitation, and cognition in dementia patients - A pilot study

Author(s): Lee, Y., Kim, S.
Pharmacological intervention including sedative hypnotics and neuroleptics is a common treatment for sleep and behavioral problems in dementia. However, the high risk of adverse effects of those drugs indicates that non-pharmacological interventions are needed as well. Among those non-pharmacological interventions physical activity is one approach that influences the circadian timing system and was suggested to be effective for sleep and behavioral disturbances of dementia patients. In addition, the positive effects of physical activities, especially exercise, on cognition were suggested.
Key Point Summary
Added July 2014

Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities

Author(s): Joseph, A., Zimring, C., Harris-Kojetin, L., Kiefer, K.
Regular physical activity contributes to better health among old and very old individuals, allowing them to remain independent for a longer period of time. As with other factors, researchers are increasingly examining the role of the physical setting in encouraging or discouraging physical activity and providing convergent evidence on neighborhood design associated with physical activity by older people.
Key Point Summary
Added July 2014

Does a wander garden influence inappropriate behaviors in dementia residents?

Author(s): Detweiler, M. B., Murphy, P. F., Myers, L. C., Kim, K. Y.
Most cognitively impaired dementia unit residents are dependent and confined to a safe custodial environment with limited exposure to natural settings. However, the mandatory indoor confinement of dementia residents has been known to increase verbal and physical agitation and use of psychotropic medications. Several studies have reported that having access to unlocked doors leading to a garden or outdoor area may reduce the level of inappropriate behaviors in both residential and long-term dementia care facilities. This study explores the effect of adding a wander garden to an existing dementia unit on inappropriate behaviors of residents.
Key Point Summary
Added May 2014

Scheduled Medications and Falls in Dementia Patients Utilizing a Wander Garden

Author(s): Detweiler, M. B., Murphy, P. F., Kim, K. , Myers, L. , Ashai, A.
Among dementia residents, fall risk is often compounded by the side effects of the medications routinely used to treat comorbid medical issues, in addition to treating concurrent depression, agitation, psychosis, anxiety, and insomnia. Of all the types of medications involved in increased fall risk, psychotropic medications have been identified as having the highest risk. Studies suggest that dementia patients using a wander garden may have decreased indices of agitation and reduced use of as-needed (pro re nata [PRN]) medications. In addition, the wander garden has been reported to be a positive environmental intervention to reduce falls in residents with dementia.
Key Point Summary
Added May 2014

Life Safety Code Comparison

Author(s): Crowley, M. A., Harper, J. E.
Added May 2014

Perceptions of the Physical Environment, Stage of Change for Physical Activity, and Walking Among Australian Adults

Author(s): Carnegie, M. A., Bauman, A., Marshall, A. L., Mohsin, M., Westley-Wise, V., Booth, M. L.
The health benefits of regular physical activity are well-established. An understanding of the factors that influence physical activity behaviors is greatly needed to influence sedentary population groups to become more physically active. Psychological, physiological, demographic, and environmental factors are known to influence physical activity. The increasing interest in physical environmental factors such as pleasant walking paths away from traffic, bike paths, weather conditions, and neighborhood safety has arisen due to broader, integrated models developed to more comprehensively explain physical activity behavior.
Key Point Summary
Added May 2014

Promoting physical activity in rural communities: Walking trail access, use, and effects

Author(s): Brownson, R. C., Housemann, R. A., Brown, D. R., Jackson-Thompson, J, King, A. C., Malone, B. R., Sallis, J. F.
The health benefits of physical activity are well established. Physical activity contributes to a lower risk of coronary heart disease, as well as a variety of other chronic diseases including hypertension, non-insulin-dependent diabetes (Type 2), osteoarthritis, and osteoporosis. To promote physical activity, more environmental and policy strategies are needed. Examples of environmental and policy approaches to increase physical activity include walking and bicycle trails, liability legislation, zoning and land use, mall walking programs, building construction that encourages physical activity, policies and incentives promoting physical activity during the workday, and policies requiring comprehensive school physical health education programs.
Key Point Summary
Added April 2014

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

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.
Key Point Summary
Added April 2014