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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 1 - 20 of 111

Operating room nurses’ experiences of limited access to daylight in the workplace – a qualitative interview study

Author(s): Golvani, J., Roos, L., Henricson, M.
Artificial light can result in headaches, fatigue, and decreased eyesight. Lack of natural daylight can cause vitamin D deficiency, sleep difficulty, and mood and memory changes, including depression. Surgical nurses spend long hours in windowless environments, under artificial lights, with few opportunities to go outside during work.
Key Point Summary
Added November 2021

Comparing light and noise levels before and after a NICU change of design

Author(s): Aita, M., Robins, S., Charbonneau, L., Doray-Demers, P., Feeley, N.
Previous studies have found that small changes in lighting and sound can create adverse health effects in preterm infants in neonatal intensive care units (NICUs). Many NICUs are shifting from open ward (OW) designs to single-family rooms (SFRs) and multi-bed pods, allowing for better control over lighting and sound levels while promoting familial involvement.
Key Point Summary
Added March 2021

An experiment of double dynamic lighting in an office responding to sky and daylight: Perceived effects on comfort, atmosphere and work engagement

Author(s): Hansen, E. K., Bjørner, T., Xylakis, E., Pajuste, M.
Previous research has found that indoor lighting can directly impact staff satisfaction and engagement within the workplace. New technologies allow for “double dynamic” lighting installations that can integrate with natural daylight; however, most studies have examined the effects of other dynamic installations through the use of preset lighting settings.
Key Point Summary
Added March 2021

The energy saving potential of wide windows in hospital patient rooms, optimizing the type of glazing and lighting control strategy under different climatic conditions

Author(s): Cesari, S., Valdiserri, P., Coccagna, M., Mazzacane, S.
The heating and cooling of patient rooms creates extremely high energy demands, especially since these rooms typically are located around building perimeters to provide natural daylight, and therefore are most affected by the condition of the building’s envelope.
Key Point Summary
Added October 2020

Application of different circadian lighting metrics in a health residence

Author(s): Busatto, N., Mora, T. D., Peron, F., Romagnoni, P.
Previous studies have established that indoor illuminance must reach certain levels for proper visual performance, and should also work to enhance spatial perception, security, and well-being. Insufficient indoor lighting can adversely influence patient health outcomes, particularly patient circadian rhythms. The circadian rhythms of elderly patient populations may be especially sensitive to illuminance levels.
Key Point Summary
Added March 2020

An assessment of a hybrid lighting system that employs ultraviolet-A for mitigating healthcare-associated infections in a newborn intensive care unit

Author(s): Brons, J. A., Bierman, A., White, R., Benner, K., Deng, L., Rea, M. S.
Healthcare-associated infections (HAIs) affect approximately one in 25 patients in the US. One study found that an average of fewer than 50% of patient room surfaces are properly cleaned, making infection spread more easily. This study explores the use of a no-touch decontamination method that employs hybrid lighting technology with both white light and UV-A optical radiation.
Key Point Summary
Added February 2020

Daylight and health: A review of the evidence and consequences for the built environment

Author(s): Aries, M. B. C, Aarts, M. P. J., van Hoof, J.
This paper is an overview of studies on the effects of daylight exposure on human health.
Key Point Summary
Added December 2019

Effects of adjustable dynamic bedroom lighting in a maternity ward

Author(s): Canazei, M., Pohl, W., Weninger, J., Bliem, H., Weiss, E. M., Koch, C., Berger, A., Firulovic, B., Marth, C.
This study considered the impact of dynamic vs. static lighting color and intensity on mothers who had scheduled C-section deliveries of healthy babies in a single Austrian maternity clinic.
Key Point Summary
Added July 2019

Lighting assessment of ergonomic workstation for radio diagnostic reporting

Author(s): Leccese, F., Salvadori, G., Montagnani, C., Ciconi, A., Rocca, M.
Diagnostic imaging involves traditional radiology, computerized tomography (CT), and magnetic resonance imaging (MRI). Each of these procedures involves assessment, planning, execution, reporting, and verifying results. Present-day technology involves the processing of images by computer software. Reporting involves viewing these images on diagnostic monitors. While the authors contend that there...
Key Point Summary
Added December 2017

Environment in pediatric wards: Light, sound, and temperature

Author(s): Oliveira, L., Gomes, C., Bacelar Nicolau, L., Ferreira, L., Ferreira, R.
Sleep is crucial to the well-being of humans, especially so for the recovery of those undergoing treatment or recuperating in hospitals. The authors cite studies that allude to the relevance quality of sleep has on health, neurodevelopment, generally, and to immune functioning and healing in patients.
Key Point Summary
Added November 2017

Bright Light Delights: Effects of Daily Light Exposure on Emotions, Restactivity Cycles, Sleep and Melatonin Secretion in Severely Demented Patients

Author(s): Münch, M., Schmieder, M., Bieler, K., Goldbach, R., Fuhrmann, T., Zumstein, N., Vonmoos, P., Scartezzini, J.-L., Wirz-Justice, A., Cajochen, C.
Exposure to sufficient light on a daily basis is important for individuals to maintain their health. Studies have shown that light has an effect on heart rate, body temperature, human behavior, mood, body hormones, genes, and cognitive ability.
Key Point Summary
Added November 2017

Blue-Enriched Lighting for Older People Living in Care Homes: Effect on Activity, Actigraphic Sleep, Mood and Alertness

Author(s): Hopkins, S., Morgan, P. L., Schlangen, L. J. M., Williams, P., Skene, D. J., Middleton, B.
Residents of long-term care homes suffer from natural light deprivation and other age-related physical conditions. This includes changes in sleep patterns and a decrease in sleep efficiency. Lack of light exposure negatively affects circadian systems and consequently affects sleep.
Key Point Summary
Added November 2017

Implementation of Dynamic Lighting in a Nursing Home: Impact on Agitation but not on Rest-Activity Patterns

Author(s): Wahnschaffe, A., Nowozin, C., Haedel, S., Rath, A., Appelhof, S., Münch, M., Kunz, D.
A common issue within different subtypes of dementia is nighttime agitation, which often manifests as confusion, aggressive behavior, aimless movement, and general disruption of sleep cycles. Nighttime agitation is the most common cause for nursing home admission, and many medical treatments for the condition only target specific symptoms, sometimes resulting in unwanted side effects for patients.
Key Point Summary
Added November 2017

Unweaving the human response in daylighting design

Author(s): Andersen, Marilyne
The term “daylighting” can be broadly defined as the amount of natural light that is present within a given space due to its structural makeup. Structural designs that allow for certain levels of daylighting may have a positive impact on energy use, since lighting is one of the most energy-demanding building functions.
Key Point Summary
Added June 2017

Seasonal Differences in Light Exposure and the Associations With Health and Well-Being in Older Adults Living: An Exploratory Study

Author(s): Nioi, A., Roe, J., Gow, A., McNair, D., Aspinall, P.
Exposure to appropriate levels of bright light directly affects human circadian rhythms. The circadian rhythm plays a key role in overall human well-being. Previous research suggests that elderly patients within residential care homes are often exposed to low levels of light, which can result in circadian misalignment and irregularities in sleep/wake cycles.
Key Point Summary
Added May 2017

Patient room lighting influences on sleep, appraisal and mood in hospitalized people

Author(s): Giménez, M. C., Geerdinck, L. M., Versteylen, M., Leffers, P., Meekes, G. J. B. M., Herremans, H., de Ruyter, B., Bikker, J. W., Kuijpers, P. M. J. C., Schlangen, L. J. M.
Hospitalized patients often struggle with sleeping soundly due to various factors that arise within the hospital environment, such as noise, pain, general discomfort, and irregular and inappropriate light exposure. Because sleep is such an integral part of the healing process, healthcare designers should consider different ways to improve hospital sleep conditions.
Key Point Summary
Added April 2017

Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia

Author(s): van der Ploeg, E. S., O'Connor, D. W.
Research studies conducted in the past 20 years have failed to validate the effectiveness of bright white light treatment of sleep disorders in nursing home or long-stay hospital residents with dementia. This trend is documented in a Cochrane Collaboration meta-analysis of 10 selected studies where problems in the research methodologies were identified. The prevalence of sleep disorders among residents diagnosed with dementia varies from 40% to 70%.
Key Point Summary
Added November 2016

Light at Night and Measures of Alertness and Performance: Implications for Shift Workers

Author(s): Figueiro, M. G., Sahin, L., Wood, B., Plitnick, B.
Rotating-shift workers, particularly those working at night, are likely to experience sleepiness, decreased productivity, and impaired safety while on the job. Light at night has been shown to have acute alerting effects, reduce sleepiness, and improve performance. However, light at night can also suppress melatonin and induce circadian disruption, both of which have been linked to increased health risks. Previous studies have shown that long-wavelength (red) light exposure increases objective and subjective measures of alertness at night, without suppressing nocturnal melatonin.
Key Point Summary
Added November 2016

Analysis of circadian stimulus allowed by daylighting in hospital rooms

Author(s): Acosta, I, Leslie, R. P., Figueiro, M. G.
Light is the major synchronizer of circadian rhythms to the 24-hour solar day. Compared to the visual system, the circadian system requires more light to be activated and is more sensitive to short-wavelength light. For those confined indoors, such as patients or residents in care facilities, the lack of access to daylight, or electric lighting providing a comparable amount, spectrum, distribution, duration, and timing, may compromise their human health and well-being.
Key Point Summary
Added November 2016

Systematic light exposure in the treatment of cancer-related fatigue: a preliminary study: Systematic light exposure in the treatment of cancer-related fatigue

Author(s): Redd, W. H., Valdimarsdottir, H., Wu, L. M., Winkel, G., Byrne, E. E., Beltre, M. A., Liebman, E. S., Erazo, T., Hayes, J. A., Isola, L., Scigliano, E., Meschian, Y., Lutgendorf, S., Ancoli-Israel, S.
Patients with cancer frequently report the side effect of fatigue, which is described as distressing, persistent, and related to physical, emotional, and cognitive tiredness or exhaustion. Patients report feeling tired after resting during their treatments and long after the treatment has ended.
Key Point Summary
Added November 2016