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.
Added January 2016
Conveniently located “napping rooms” provide opportunity for night- and extended-shift providers to rest, leading to less fatigue and better performance.
2008, last updated October 23, 2013
US Department of Health and Human Services; AHRQ (Agency for Healthcare Research and Quality) website
Journal Article
Author(s):
Healthcare providers are known for working unacceptably long hours and being chronically sleep deprived. Often, physicians and nurses work 24+ hour shifts, leading to fatigue and avoidable errors that put both caregivers and patients at risk of serious injury or death. Acute and chronic sleep deprivation can mimic the effects of drunkenness.
Added November 2014
How patients and nurses experience the acute care psychiatric environment
2008
Nursing Inquiry
Journal Article
Issue 3
Volume 15
Pages 242-250
Author(s): Shattell, M. M., Andes, M., Thomas, S. P.
Added November 2014
Environmental evaluation for workplace violence in healthcare and social services
2008
Journal of Safety Research
Journal Article
Issue 2
Volume 39
Pages 237-50
Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Added April 2014
Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes
2008
Health Care Management Review
Journal Article
Issue 2
Volume 33
Pages 156-168
Author(s): Lin, B.Y.-J., Leu, W.-J., Breen, G.-M., Lin, W.-H.
Researchers have studied the healthcare work environment from a number of angles, from an organizational behavior perspective honing in on motivation and reward, to an occupational and environmental perspective concerned with comfort and ergonomics, to a pathogenic perspective interested in exposure to disease. The idea of a “servicescape” has arisen in healthcare marketing to investigate the impact of the physical environment of service settings on employees’ psychological states and perceptions.
Added February 2014
Environmental Noise Sources and Interventions to Minimize Them: A Tale of Two Hospitals
2008
Journal of Nursing Care Quality
Journal Article
Issue 3
Volume 23
Pages 216-224
Author(s): Dube, J. A. O., Barth, M. M., Cmiel, C. A. , Cutshall, S. M. , Olson, S. M., Sulla, S. J., Nesbitt, J. C. , Sobczak, S. C., Holland, D. E.
Delivering patient care in a hospital is noisy. Yet research shows that noise interferes with the healing process and can disrupt the patient’s experience. Higher noise levels are linked to stress reaction; sleep disturbance; and increased heart rate, blood pressure, and muscle tension, creating an overarching issue that touches multiple disciplines and departments in the hospital.
Added January 2014
Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice
2008
British Journal of General Practice
Journal Article
Issue 552
Volume 58
Pages 465-470
Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Added November 2012
Factors determining medical students’ and residents’ satisfaction during VA-based training: findings from the VA Learners’ Perceptions Survey
2008
Academic Medicine
Journal Article
Issue 6
Volume 83
Pages 611-620
Author(s): Cannon, G. W. , Keitz, S. A. , Holland, G. J. , Chang, B. K., Byrne, J. M. , Tomolo, A., Aron, D. C. , Wicker, A. B., Kashner, T. M.
Patient satisfaction surveys of healthcare environments are often used to gauge perceptions of broad aspects of the built environment. In this large-scale study using a validated instrument, the study population is medical students and residents. The investigation simultaneously compares multiple domains of trainee satisfaction in a common clinical training environment through a serial cross-sectional national survey.
Added October 2012
Building the evidence base for evidence-based design: Editors' introduction
2008
Environment and Behavior
Journal Article
Issue 2
Volume 40
Pages 147-150
Author(s): Zimring, C., Bosch, S.
Added October 2012
Calculating the cost of a healthcare project
2008
Journal of Nursing Administration
Journal Article
Issue 2
Volume 38
Pages 53-7
Author(s): Stichler, J.F.
Added October 2012
Finding evidence to support facility design decisions
2008
Journal of Nursing Administration
Journal Article
Issue 4
Volume 38
Pages 153-6
Author(s): Stichler, J.F.
Added October 2012
Biobehavioral measures in a critical-care healing environment
2008
Journal Holistic Nursing
Journal Article
Issue 2
Volume 26
Pages 128-35; quiz 136-8
Author(s): Mellott, K.G., Sharp, P.B., Anderson, L.M.
Added October 2012
Design of Australasian intensive care units: time for change or time for more research?
2008
Critical Care Resuscitation
Journal Article
Issue 1
Volume 10
Pages 70
Author(s): Cheung, W.
Added October 2012
Symposium looks into healthy designs
2008
Pebble Project-Published Articles
Journal Article
Issue August 2008
Volume Daily Journal of Commerce
Pages 1
Author(s): Bennett, S.
Added October 2012
Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
2008
Journal of Nursing Administration
Journal Article
Issue 5
Volume 38
Pages 223-9
Author(s): Aiken, L.H., Clarke, S.P., Sloane, D.M., Lake, E.T., Cheney, T.
Added October 2012
