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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 61 - 80 of 453

Effectiveness of an extended period of flashing lights and strategic signage to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance

2016
American Journal of Infection Control
Journal Article
Issue 7
Volume 44
Pages 782-785
Author(s): Rashidi, B., Li, A., Patel, R., Harmsen, I. E., Sabri, E., Kyeremanteng, K., D'Egidio, G.
Hospitals are often full of information and attention-seeking signs, colors, and noises, making it difficult for something as inconspicuous as alcohol-gel hand dispensers to stand out apart from everything else. Therefore if a hospital wishes to increase rates of hand hygiene compliance, the design and location of hand sanitizer dispensers is of high importance. In a previous study, the authors of this paper showed that affixing a flashing red light to alcohol-gel dispensers for one week doubled hand hygiene rates from 12.4% to 25.3%.
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Added May 2016

Effect of hand sanitizer location on hand hygiene compliance

2015
American Journal of Infection Control
Journal Article
Issue 9
Volume 43
Pages 917-921
Author(s): Cure, L., Van Enk, R.
Hand hygiene is the most important intervention to prevent infection in hospitals. Health care workers should clean their hands at least before and after contact with patients. Hand sanitizer dispensers are important to support hand hygiene because they can be made available throughout hospital units. The aim of this study was to determine whether the usability of sanitizer dispensers correlates...
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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

2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
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.
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Added May 2016

To see or not to see: Investigating the links between patient visibility and potential moderators affecting the patient experience

2016
Journal of Environmental Psychology
Journal Article
Volume 47
Pages 33-43
Author(s): Bosch, S. J., Apple, M., Hiltonen, B., Worden, E., Lu, Yi, Nanda, U., Kim, D.
The amount of visibility between patients and nursing staff contributes significantly to the balance between feelings of security and autonomy. Hospitals in which patients are in constant view of the staff can create a sense of restricted freedom, but high visibility can also be associated with higher levels of patient safety. There has been ongoing debate within the medical community as to how a perfect balance between security and autonomy can be implemented. This study took place at a hospital with a radial nursing unit.
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Added April 2016

Lighting and Nurses at Medical–Surgical Units: Impact of Lighting Conditions on Nurses’ Performance and Satisfaction

2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 9
Pages 17-30
Author(s): Hadi, K., DuBose, J. R., Ryherd, E.
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Added April 2016

Environmental factors and their association with emergency department hand hygiene compliance: an observational study

2016
BMJ Quality & Safety
Journal Article
Issue 5
Volume 25
Pages 372-378
Author(s): Carter, E. J., Wyer, P., Giglio, J., Jia, H., Nelson, G., Kauari, V. E., Larson, E. L.
Adherence to proper hand hygiene procedures has been repeatedly shown to help prevent healthcare-associated infections (HAIs). Emergency departments (EDs) often experience environmental conditions such as crowding and subsequently end up using non-traditional patient care areas such as hallways to administer treatment. It is possible that the use of non-traditional patient care areas contributes to lower levels of hand hygiene compliance.
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Added March 2016

Measuring the Structure of Visual Fields in Nursing Units

2010
Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 3
Pages 48-59
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.
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Added January 2016

Hospital waiting time: the forgotten premise of healthcare service delivery?

2011
International Journal of Health Care Quality Assurance
Journal Article
Issue 7
Volume 24
Pages 506-522
Author(s): Pillay, D. I., Ghazali, R. J. D. M., Manaf, N. H. A., Abdullah, Abu Hassan Asaari, Bakar, A. A., Salikin, F., Umapathy, M., Ali, R., Bidin, N., Ismail, W. I. W.
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Added January 2016

Characteristics Associated with Low Food and Fluid Intake in Long-Term Care Residents with Dementia

2005
The Gerontologist
Journal Article
Issue 1
Volume 45
Pages 74-80
Author(s): Reed, P.S., Zimmerman, S., Sloane, P.D, Williams, C. S., Boustani, M.
Research conducted on residents of different nursing homes shows that the older people who had been suffering with impaired mobility and cognition face serious malnutrition resulting from insufficient food intake and dehydration problems due to less consumption of fluid intake. The resident characteristics that contribute to food and fluid intake include cognitive status, ability to drink independently, and physical limitations such as difficulty swallowing.
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Added January 2016

Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period

2009
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 3
Pages 79-96
Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
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Added January 2016

Making acuity-adaptable units work: lessons from the field

2012
Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 5
Pages 115-128
Author(s): Zimring, C., Seo, H.
Acuity-Adaptable Units (AAUs) are rooms with a treatment model that allows all stages of patient care to come to the patient’s unit from the time of admission to discharge. Minimizing the amount of patient transfers helps decrease medication errors, infection rates, and medical complications. This helps avoid injuries and infections connected with patient transfers from unit to unit through transitions in stages of care.
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Added January 2016

Leading Change During an Inpatient Critical Care Unit Expansion

2008
Journal of Nursing Administration
Journal Article
Issue 11
Volume 38
Pages 461-467
Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity.
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Added January 2016

Development of a Tool to Measure User Experience Following Electronic Health Record Implementation

2014
Journal of Nursing Administration
Journal Article
Issue 7/8
Volume 44
Pages 423-428
Author(s): Xiao, Y., Montgomery, D. C., Philpot, L. M., Barnes, S. A., Compton, J. & Kennerly, D.
This article outlines the development and validation of a tool to capture and prioritize improvement efforts related to electronic health record (EHR) implementation.
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Added January 2016

A Conceptual Model for Healthcare Facility Design

2014
Journal of Nursing Administration
Journal Article
Issue 6
Volume 44
Pages 321-325
Author(s): Stichler, J. F.
This study article presents a conceptual model to explain the interrelationships among healthcare design elements.
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Added January 2016

Hospital Nurses’ Perceptions of Human Factors Contributing to Nursing Errors

2015
Journal of Nursing Administration
Journal Article
Issue 5
Volume 45
Author(s): Roth, C., Wieck, K. L., Fountain, R. & Haas, B. K.
This study built upon results from a previous study. The aim was to understand details about how human factors contribute to nursing errors.
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Added January 2016

Using Lean Methodology to Decrease Wasted RN Time in Seeking Supplies in Emergency Departments

2014
Journal of Nursing Administration
Journal Article
Issue 11
Volume 44
Pages 606-611
Author(s): Richardson, D. M., Rupp, V. A., Long, K. R., Urquhart, M. C., Ricart, E., Newcomb, L. R., Myers, P. J., & Kane, B. G.
This study addresses the issue of supply availability in an emergency department.
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Added January 2016

Applying Lean Six Sigma for Innovative Change to the Post-Anesthesia Care Unit

2015
Journal of Nursing Administration
Journal Article
Issue 4
Volume 45
Pages 185-187
Author(s): Haenke. R & Stichler, J. F.
This case study outlined the application of the Lean Six Sigma quality improvement framework to a post-anesthesia care unit redesign project.
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Added January 2016

How Can We Help Staff transition to a New NICU design?

2015
Journal of Neonatal Nursing
Journal Article
Issue 5
Volume 21
Pages 180-185
Author(s): Broom, M., Gardner, A., Kecskes, Z. , Kildea, S.
This article highlights the results of a literature review undertaken to identify transition strategies for staff who moved from an open plan unit layout to a single-room design (SRD) neonatal intensive care unit (NICU) layout.
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Added January 2016

An Empirical Examination of Patient Room Handedness in Acute Medical-Surgical Settings

2010
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 4
Pages 11-33
Author(s): Pati, D., Cason, C., Harvey Jr., T.E., Evans, J.
The initial cost of designing hospitals with standardized same-handed patient rooms is typically much higher than the cost of hospitals designed with mirror-image configurations. This is because same-handed units require separate utility lines for each patient room rather than shared medical gas lines and bathroom plumbing lines between every two rooms.
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Added January 2016

Destination Bedside

2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
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Added January 2016