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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 21 - 40 of 421

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
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.
Key Point Summary
Added June 2016

A nursing home staff tool for the indoor visual environment: The content validity

Author(s): Sinoo, M. M., Kort, H. S. M., Loomans, M. G. L. C., Schols, J. M. G. A.
Visual impairments affecting residents of nursing homes can arise from numerous causes, and they can directly affect these residents’ quality of life by jeopardizing their ability to participate in daily activities such as reading, watching television, or even interacting with others. The physical makeup of the nursing home itself can work to either help or hinder its residents, and in cases in which the environment is beneficial, the nursing home can be called an “environmental fit.
Key Point Summary
Added June 2016

Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

Author(s): Csipke, E., Papoulias, C., Vitoratou, S., Williams, P., Rose, D., Wykes, T.
Previous studies have shown repeatedly that the physical design of psychiatric wards has a significant impact on patient recovery and well-being. It has also been found that staff and patients often express conflicting expectations regarding the design of psychiatric wards. Therefore, it is important to better understand different stakeholder perceptions of the same environment so that the most effective design decisions can be made. One possible way of doing this would be using the “SURE model,” which is a participatory method involving collaborations with service users during all stages of the study.
Key Point Summary
Added June 2016

Healthcare Staffs’ Experiences and Perceptions of Caring for People with Dementia in the Acute Setting: Qualitative Evidence Synthesis

Author(s): Houghton, C., Murphy, K., Brooker, D., Casey, D.
Dementia is an international health issue that greatly impacts healthcare delivery systems. Individuals with dementia have specific needs when it comes to healthcare, and it seems that, generally, acute care environments aren’t suitable for these individuals. Considering how previous studies have shown that as much as a quarter of individuals utilizing acute hospital services are likely to have dementia, the authors posit that there needs to be a shift in ethos, organization, and environment in which more appropriate care is provided to patients with dementia in acute care settings.
Key Point Summary
Added June 2016

Analysis of Credits Earned by LEED Healthcare Certified Facilities

Author(s): Golbazi, M., Aktas, C. B.
Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
Key Point Summary
Added June 2016

The effect of hospital layout on caregiver-patient communication patterns

Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Key Point Summary
Added June 2016

Route complexity and simulated physical ageing negatively influence wayfinding

Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
Key Point Summary
Added May 2016

Meeting the Needs of Visually Impaired People Living in Lifetime Homes

Author(s): Rooney, C., Hadjri, K., Rooney, M., Faith, V., McAllister, K., Craig, C.
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.
Key Point Summary
Added May 2016

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Key Point Summary
Added May 2016

The design and initial evaluation of visual cues in carpets to assist walking

Author(s): McNeil, S. J., Tapp, L. S.
One way to reduce the occurrence of indoor falls for both elderly people and other individuals is to improve the design of floor coverings so that they can help create a safer walking environment. A growing number of studies are showing that the design of products such as carpets can specifically help older people lead more productive and independent lives by empowering them through safer opportunities for mobility.
Key Point Summary
Added May 2016

Managing Patient Falls in Psychiatric Inpatient Units: Part 1

Author(s): Abraham, S.
A significantly higher number of patient falls occur in hospital inpatient psychiatric units than in medical-surgical areas, resulting in issues with overall patient safety. The Centers for Disease Control and Prevention considers patient falls a concern to society due to the safety issues they pose and financial strains they can cause for institutions.
Key Point Summary
Added April 2016

Shaping the slats of hospital patient room window blinds for daylighting and external view under desert clear skies

Author(s): Sherif, A., Sabry, H., Wagdy, A., Mashaly, I, Arafa, R.
Many previous studies have shown how natural lighting can contribute to the healing nature of a hospital’s environment by reducing patient fatigue, stress, and length of stay. Desert locations are often characterized by continually clear skies, making control of the sunlight even more essential to patient satisfaction. It is therefore important to determine the optimal shape of window blind slats so that discomfort can be reduced without compromising levels of illumination.
Key Point Summary
Added April 2016

Measuring the Structure of Visual Fields in Nursing Units

Author(s): Lu, Y.
A nurses’ central role is to treat and attend to patients’ needs in a timely manner. This becomes complicated when managing several patients simultaneously, especially those in critical care. Therefore, developing an efficient system that helps nurses manage patient care and reduces nurse burnout rates is critical.
Key Point Summary
Added January 2016

Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study

Author(s): Foureur, M., Leap, N., Davis, D., Forbes, I., & Homer, C.
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.”
Key Point Summary
Added January 2016

Review: The impact of art, design and environment in mental healthcare: A systematic review of the literature

Author(s): Daykin, N., Byrne, E., Soteriou, T., O'Connor, S.
There is increasing evidence that attractive environments can enhance the experiences of healthcare users. What creates attractive environments may be relative to the country where that healthcare is provided. This paper was written in the UK and was an attempt to find research that supports the use of art to create healing environments along with the role of art in encouraging civic pride. It was part of a two-year evaluation of a commissioned arts program in a UK mental health trust.
Key Point Summary
Added January 2016

Designing a “Think-Along Dwelling” for People with Dementia: A Co-Creation Project Between Health Care and the Building Services Sector

Author(s): Van Hoof, J., Blom, M. M., Post, H. N. A., & Bastein, W. L
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.
Key Point Summary
Added January 2016

The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Author(s): Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.
There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings.
Key Point Summary
Added January 2016

Specialized Design for Dementia

Author(s): Habell, M.
Designing for people with dementia is a major need in elderly care buildings. However, it is difficult to design for this population, as the parameters of dementia itself are often vague. The author also notes that the registration requirements in the UK for a care home make no distinction between the type of dementia or the severity of the dementia.
Key Point Summary
Added January 2016

Role of Bed Design and Head-of-Bed Articulation on Patient Migration

Author(s): Davis, K. G., & Kotowski, S. E.
Patients often migrate towards the foot of the bed. Two reasons are cited for this occurrence: gravity over time and bed design. Patients are exposed to friction from sliding on the mattress.
Key Point Summary
Added January 2016

The Business Case for Building Better Neonatal Intensive Care Units

Author(s): Shepley, M., Smith, J.A., Sadler, B.L. & White, R.D.
There is increasing evidence that the physical environment of the Neonatal Intensive Care Unit (NICU) has a tangible effect on the vulnerable infants who spend the first crucial weeks or months of their life there.
Key Point Summary
Added January 2016