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Knowledge Repository

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

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.
Key Point Summary

Key Spatial Factors Influencing the Perceived Privacy in Nursing Units: An Exploration Study With Eight Nursing Units in Hong Kong

Author(s): Lu, Y., Cai, H., Bosch, S. J.
Healthcare designers are faced with a challenging task when trying to balance patient privacy with safety and well-being. While patients typically expect some degree of privacy during their treatment processes, it is also commonly understood that caregivers need appropriate access to them so that proper treatment can be administered.
Key Point Summary

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

Room for caring: patients' experiences of well-being, relief and hope during serious illness

Author(s): Timmermann, C., Uhrenfeldt, L., Birkelund, R.
The positive impact of pleasing hospital aesthetics, both in terms of uplifted moods and improved health outcomes in patients, has been documented and discussed throughout history. From ancient Greeks to Florence Nightingale to modern evidence-based health design, the belief that the hospital environment itself, apart from its technical and clinical abilities, actively contributes to the healing process has resurfaced repeatedly. Despite this, scarcely any empirical research has been done to show how seriously ill patients personally experience their hospital rooms, and what these experiences mean to them during the healing process.
Key Point Summary

Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project

Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Key Point Summary

Intensive care unit design and mortality in trauma patients

Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Key Point Summary

Delusions and Underlying Needs in Older Adults with Alzheimer’s Disease

Author(s): Wang, J., Cheng, W., Lai, P., & Pai, M.
The purpose of this study was to understand the influences of earlier life experiences and the current environment on delusions, as well as the underlying needs of individuals with Alzheimer’s disease (AD) experiencing delusions.
Key Point Summary

Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units

Author(s): Rashid, M., Boyle, D. K., Crosser, M.
Using three spatial network measures of “space syntax”, this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs.
Key Point Summary

Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room

Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Key Point Summary

Utilizing Integrated Facility Design to Improve the Quality of a Pediatric Ambulatory Surgery Center

Author(s): Pelly, N., Zeallear, B., B., Reed, M., Martin, L.
Integrated Facility Design (IFD) comes from the Toyota 3P (Production, Preparation, Process) program used to reduce initial cost, while accelerating development time.
Key Point Summary