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
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