Ergonomics in Healthcare Facility Design, Part 1: Patient Care Areas
2011
Journal of Nursing Administration
Journal Article
Issue 2
Volume 41
Pages 49-51
Author(s): Stichler, J. F., Feiler, J. L.
Added December 2015
The Green House Model of Nursing Home Care in Design and Implementation
2015
Health Services Research
Journal Article
Issue S1
Volume 51
Pages 352-377
Author(s): Cohen, L. W., Zimmerman, S., Reed, D., Brown, P., Bowers, B. J., Nolet, K., Hudak, S., Horn, S., the THRIVE Research Collaborative
The Green House (GH) model of nursing home (NH) care is a trademarked model created in 2012 that seeks to undo the social stigmas and inefficiencies commonly associated with NHs. GH homes are marked by smaller-sized homes (10-12 residents) located in community neighborhoods, personalized care procedures that are tailored to individual patient needs, and 24-hour nurse availability.
Added November 2015
Physical Design Correlates of Efficiency and Safety in Emergency Departments: A Qualitative Examination
2014
Critical Care Nursing Quarterly
Journal Article
Issue 3
Volume 37
Pages 299-316
Author(s): Pati, D., Harvey, T. E., Pati, S.
The objective of this study was to explore and identify physical design correlates of safety and efficiency in emergency department (ED) operations. This study adopted an exploratory, multimeasure approach to (1) examine the interactions between ED operations and physical design at 4 sites and (2) identify domains of physical design decision-making that potentially influence efficiency and safety. Multidisciplinary gaming and semistructured interviews were conducted with stakeholders at each site.
Added November 2015
Evaluation of factors and approaches affecting emergency department space planning
2014
Facilities
Journal Article
Issue 13/14
Volume 32
Pages 761-785
Author(s): Pascale, F., Achour, N., Price, A. D. F., Polverino, F.
Increasing demand for care in emergency departments (EDs) is a widespread issue that has provoked the development of different processes to help reduce the struggles faced by healthcare providers. By investigating the different methods healthcare designers have implemented to reduce the costs and complications associated with ED overcrowding and inefficiency, more resilient designs may be realized in the future.
Added November 2015
Do Cost Savings from Reductions in Nosocomial Infections Justify Additional Costs of Single-Bed Rooms in Intensive Care Units? A Simulation Case Study
2015
Journal of Critical Care
Journal Article
Issue 1
Volume 31
Pages 194-200
Author(s): Sadatsafavi, H., Niknejad, B., Zadeh, R., Sadatsafavi, M.
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.
Added October 2015
Implications of the emergency department triage environment on triage practice for clients with a mental illness at triage in an Australian context
2014
Australasian Emergency Nursing Journal
Journal Article
Issue 1
Volume 17
Pages 23-29
Author(s): Broadbent, M., Moxham, L., Dwyer, T.
Emergency departments (EDs) in Australia have been seeing an increase in recent years in the number of patients presenting with mental illness. This study aims to determine if the triage environment of the ED influences the triage practice of ED nurses. Using an ethnographic approach, the research found that ED nurses felt that triaging mentally ill patients in an area that is very public, noisy, and lacks privacy can impact their ability to effectively conduct assessments and manage patients.
Added October 2015
Impact of the physical environment of psychiatric wards on the use of seclusion
2013
The British Journal of Psychiatry
Journal Article
Issue 2
Volume 202
Pages 142-149
Author(s): van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., Noorthoorn, E. O.
Disturbed behavior and patient aggression within psychiatric wards can threaten both patient and staff safety. To manage these patients, psychiatric wards often will use coercive measures such as solitary confinement. Patient aggression arises from a complex interaction between patient characteristics, staff characteristics, and the characteristics of the physical environment of the psychiatric ward itself. Most studies have focused on the dynamics between patient and staff characteristics; little research has been done to investigate how the physical environment of psychiatric wards might influence patient aggression and subsequently the use of coercive measures.
Added October 2015
Finding a Middle Ground: Exploring the Impact of Patient- and Family-Centered Design on Nurse–Family Interactions in the Neuro ICU
2015
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 9
Pages 80-98
Author(s): Rippin, A. S., Zimring, C., Samuels, O., Denham, M. E.
Added September 2015
Detection and Measurement of Unhealthy, Environment-Derived Aerosol Materials in an Emergency Department
2015
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 9
Pages 34-53
Author(s): Choi, B. Y., Kobayashi, L., Pathania, S., Miller, C. B., Locke, E. R., Stearns, B. C., Hudepohl, N. J., Patefield, S. S., Suner, S., Williams, K. A., Machan, J. T., Jay, G. D.
Added September 2015
Design of the environment of care for safety of patients and personnel: Does form follow function or vice versa in the intensive care unit?
2010
Critical Care Medicine
Journal Article
Issue 8 Supplement
Volume 38
Pages S388-S398
Author(s): Bartley, J., Streifel, A. J.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
The single-patient room in the NICU: maternal and family effects
2012
Journal of Perinatology
Journal Article
Issue 7
Volume 32
Pages 545-551
Author(s): Pineda, R. G., Stransky, K. E., Rogers, C., Duncan, M. H., Smith, G. C., Neil, J., Inder, T.
The authors allude to the references in literature about the stress associated with being the parent of an infant in the Neonatal Intensive Care Unit (NICU). Indicating that the physical environment of a NICU may afford the possibility of alleviating such stress, the authors present the findings of this study which aimed to explore the relationship between the type of NICU room (single-patient versus open bay), parental practices and maternal health.
Added July 2015
Impact of NICU design on environmental noise
2014
Journal of Neonatal Nursing
Journal Article
Issue 2
Volume 20
Pages 77-81
Author(s): Szymczak, S. E., Shellhaas, R. A.
Literature shows that preterm infants can be adversely affected by sounds in a hospital. Yet completely quiet environments may potentially limit a much-needed exposure to language. This presents a challenge to designing an optimal sound environment in NICUs. This study examined the acoustic variance in open bay and single room NICUs and found that there was little variability in the acoustic environment of the two NICU models. It also found that the single room NICU had longer periods of silence than the open bay NICU.
Added July 2015
Impact of the Design of Neonatal Intensive Care Units on Neonates, Staff, and Families: A Systematic Literature Review
2012
The Journal of Perinatal & Neonatal Nursing
Journal Article
Issue 3
Volume 26
Pages 267-268
Author(s): Shahheidari, M., Homer, C.
The authors indicate that the design of NICUs incorporating single family rooms as evidence indicates this room type contributes to the better development of babies, facilitates increased parental involvement in care, controls infection, and reduces noise and length of stay.
Added July 2015
Implications of design on infection prevention and control practice in a novel hospital unit: the Medical Ward of the 21st Century
2015
Anthropology & Medicine
Journal Article
Author(s): VanSteelandt, A., Conly, J., Ghali, W., Mather, C.
The design of a hospital has an important role to play in the prevention and control of infections in hospitals, as does healthcare worker compliance with preventive measures of infection control. Evidence has shown that single-patient rooms are more effective in the control of infection than multi-patient rooms. This study examined the relationship between the design of a hospital unit and the practice of infection control.
Added June 2015
Design for Safety in the Critical Care Environment: An Evidence-Based Approach
2014
Critical Care Nursing Quarterly
Journal Article
Issue 1
Volume 37
Pages 103-114
Author(s): Stroupe, J. M.
Added May 2015
A companionship between strangers – the hospital environment as a challenge in patient–patient interaction in oncology wards
2014
Journal of Advanced Nursing
Journal Article
Issue 2
Volume 70
Pages 395-404
Author(s): Larsen, L. S., Larsen, B. H., Birkelund, R.
The authors allude to existing literature indicating the healing and therapeutic effect of hospital environments and the increasing evidence between healthcare environments and patient outcomes. In this study the authors explore through observations and interviews of patients how the hospital environment impacts the interaction between hospitalized cancer patients.
Added May 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
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.
Added April 2015
Emergency department observation units: A clinical and financial benefit for hospitals
2011
Health Care Management Review
Journal Article
Issue 1
Volume 36
Pages 28-37
Author(s): Baugh, C.W., Venkatesh, A. K., Bohan, J. S.
This article presents a review of literature to make a clinical and business case for establishing EDOUs. The literature was found to indicate that EDOU care contributes to more effective clinical decision-making and the generation of higher revenue than the same patients would if admitted and then discharged.
Added March 2015
Accessibility for mental healthcare
2013
Facilities
Journal Article
Issue 9/10
Volume 31
Pages 418-426
Author(s): Chrysikou, E.
Mental health facilities, according to the author, are designed and built to limit the mobility of patients, whether or not they are limited by physical disability. While physical mobility may be a consequence of the illness, in other cases the potential flight risk of a patient may require the facility policy to be restrictive regarding patient access to open spaces.
Added December 2014