Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
Journal of Nursing Administration
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.
The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
International Journal of Gerontology
Older patients who visit the emergency department in developed countries are more likely to require a more specialized nature of treatment in comparison to younger patients. The authors believe that current-day emergency departments are not equipped to adequately treat these patients in terms of design and staff training for assessments and evaluations unique to this age group. The authors recommend a geriatric-specific approach to designing patient treatment spaces, medical evaluations, neurocognitive assessments, and post-ED visit support.
Home Modification and Prevention of Frailty Progression in Older Adults: A Japanese Prospective Cohort Study
Journal of Gerontological Nursing
In a study involving 574 Japanese adults 65 years or older who required a low or moderate level of care, 34% modified their homes over the course of the study. Modification of these older adults’ homes prevented the progression of frailty (requiring higher level of care).
Designing a “Think-Along Dwelling” for People with Dementia: A Co-Creation Project Between Health Care and the Building Services Sector
Journal of Housing for the Elderly
Many of the elderly prefer to age-in-place. However, if one of the elderly developments dementia, particular challenges may be posed when designing, constructing, or retrofitting an existing home environment. In the Netherlands about two-thirds of the people with dementia live at home. This is the setting for this study.
Life Safety Code Comparison
American Society for Healthcare Engineering
Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction
Procedia - Social and Behavioral Sciences
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.
Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?
Procedia-Social and Behavioral Sciences
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.
Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study
Health Environments Research & Design Journal
To develop a tool to assess the “optimality” of birth unit design. This is important because “Optimal birth spaces are likely to enable women to have physiologically normal labor and birth.”
The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature
Environment and Behavior
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
Transforming care in children's hospitals through environmental design: Literature Review
Evidence for Innovation: Transforming Children's Health Through the Physical Environment