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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 101 - 120 of 471

Bright Light Delights: Effects of Daily Light Exposure on Emotions, Restactivity Cycles, Sleep and Melatonin Secretion in Severely Demented Patients

Author(s): Münch, M., Schmieder, M., Bieler, K., Goldbach, R., Fuhrmann, T., Zumstein, N., Vonmoos, P., Scartezzini, J.-L., Wirz-Justice, A., Cajochen, C.
Exposure to sufficient light on a daily basis is important for individuals to maintain their health. Studies have shown that light has an effect on heart rate, body temperature, human behavior, mood, body hormones, genes, and cognitive ability.
Key Point Summary
Added November 2017

The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature

Author(s): Chaudhury, H., Cooke, H. A., Cowie, H., Razaghi, L.
Several studies have shown that properly designed interior spaces have a positive effect on residents with dementia in long-term care facilities. Wayfinding and orientation can be enhanced through good planning of the facility as well as activities of daily living and autonomy.
Key Point Summary
Added November 2017

The effects of spectral tuning of evening ambient light on melatonin suppression, alertness and sleep

Author(s): Rahman, S. A., St Hilaire, M. A., Lockley, S. W.
Added November 2017

Night-time activity forecast by season and weather in a longitudinal design - natural light effects on three years' rest-activity cycles in nursing home residents with dementia

Author(s): Wahnschaffe, A., Nowozin, C., Rath, A., Floessner, T., Appelhoff, S., Münch, M., Kunz, D.
Elderly nursing home residents with dementia suffer from night-time agitation due to the lack of adequate exposure to natural light. Short winter days and overcast skies have a strong effect on circadian rhythm and motor activities.
Key Point Summary
Added November 2017

Implementation of Dynamic Lighting in a Nursing Home: Impact on Agitation but not on Rest-Activity Patterns

Author(s): Wahnschaffe, A., Nowozin, C., Haedel, S., Rath, A., Appelhof, S., Münch, M., Kunz, D.
A common issue within different subtypes of dementia is nighttime agitation, which often manifests as confusion, aggressive behavior, aimless movement, and general disruption of sleep cycles. Nighttime agitation is the most common cause for nursing home admission, and many medical treatments for the condition only target specific symptoms, sometimes resulting in unwanted side effects for patients.
Key Point Summary
Added November 2017

The effects of the indoor environment of residential care homes on dementia suffers in Hong Kong: A critical incident technique approach

Author(s): Wong, J. K.-W., Skitmore, M., Buys, L., Wang, K.
The authors introduce their paper pointing to the increase, globally, in the number of individuals affected with dementia, and a growing need to improve the quality of life of such individuals. The behavioral and psychological challenges associated with this syndrome often necessitates the referral of the patient to be placed in residential care homes. Literature indicates that the physical environments of facilities designed for dementia patients impact their well-being and quality of life. However, there are few studies addressing all such indoor environmental (IE) factors potentially affecting the behavior of the residents of these facilities. This paper reports findings from research conducted in six residential care homes (RCH) in Hong Kong studying the impact of IE factors on the behavior of dementia residents. The study found lighting, acoustic, and thermal environments to be the main IE factors that impact the behavior of dementia patients.
Key Point Summary
Added October 2017

Exploring staff perceptions on the role of physical environment in dementia care setting

Author(s): Lee, S. Y., Chaudhury, H., Hung, L.
Person-centered care is spreading into environments for the elderly population, particularly those with dementia. It is a philosophy of care recognizing that each person has an equal right to dignity, respect, and to participate in their environment (Alzheimer Society of Canada, 2011; Brooker & Surr, 2005). Recently, attention in the literature has been paid to studying the impact the built...
Key Point Summary
Added October 2017

Impact of Multisensory Environments on Behavior for People With Dementia: A Systematic Literature Review

Author(s): Lorusso, L. N., Bosch, S. J.
Added September 2017

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

Author(s): Anåker, A., von Koch, L., Sjöstrand, C., Bernhardt, J., Elf, M.
Several previous studies have shown that effective care in a stroke unit requires early rehabilitation and mobilization among patients, as well as the presence of multidisciplinary stroke experts and comprehensive therapies. Though the concept of evidence-based design have been applied to a wide variety of specific medical environments and situations, its application to the physical environment surrounding patients who are recovering from strokes requires further investigation.
Key Point Summary
Added September 2017

Evaluation of hospital outdoor spaces through users’ participation analysis

Author(s): Djukanovic, Z., Maric, J., Giofrè, F.
Hospital outdoor spaces (HOS) have an important role in healthcare facilities that specifically impacts the healing process. Literature reviewed by the authors refers to HOS as left-over spaces for supporting other medical activities.
Key Point Summary
Added August 2017

Towards Healing Environment for the Inpatient Unit in Psychiatric Hospital

Author(s): Ramadan, M. G.
Previous research shows that physical designs within healthcare environments play a key role in promoting patient well-being. The design of a given healthcare facility directly affects the efficiency with which care is delivered, as well as affecting the attitudes, beliefs, and behaviors of its staff members.
Key Point Summary
Added June 2017

Field Observations into the Environmental Soul: Spatial Configuration and Social Life for People Experiencing Dementia

Author(s): Ferdous, F., Moore, K. D.
Long-term care facilities (LTCFs) serving people with dementia are often designed with visiting family members or friends in mind rather than the needs of the patients themselves. The authors suggest that architectural designs within LTCFs should be considered from the perspective of the patients occupying these environments.
Key Point Summary
Added June 2017

Environmental audits and process flow mapping to assess management of solid waste and wastewater from a healthcare facility: an Italian case study

Author(s): Vaccari, M., Montasser, W., Tudor, T., Leone, L.
Despite the growing number of policies and legislative drivers aiming for more sustainable resource management approaches and general environmental improvements, there is still a need for more research focusing on the improvement of waste and wastewater management.
Key Point Summary
Added June 2017

Noise Reduction in the Neonatal Intensive Care Unit: A Quality Improvement Initiative

Author(s): Ahamed, M. F., Campbell, D., Horan, S., Rosen, O.
Elevated noise levels are regularly associated with adverse health effects among patients within healthcare environments. Infants are particularly vulnerable to elevated noise levels due to the immaturity of their auditory pathways, implying that neonatal intensive care units (NICUs) have an even greater responsibility for reducing noise levels.
Key Point Summary
Added June 2017

Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study

Author(s): Sundberg, F., Olausson, S., Fridh, I., Lindahl, B.
Intensive care unit nurses use technology and systems that may not have existed when their nursing units were constructed. Nurses often must work around machines and in narrow spaces to deliver complex care to critically ill patients.
Key Point Summary
Added June 2017

Designing Team Rooms for Collaboration In The Outpatient Clinics

Author(s): DuBose, J., Lim, L., Westlake, R.
Healthcare systems in the U.S. are gradually shifting from “episodic” care delivered in silos to more team-oriented and coordinated approaches. Ambulatory care environments in particular are adopting the Patient Centered Medical Home (PCMH) model, which is an integrated, team-based model designed to optimize treatment and management of patients.
Key Point Summary
Added April 2017

Mental and Behavioral Health Environments: Measurement of Building Performance

Author(s): Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Fronsman, A., Kelkar, J.
Added April 2017

Reducing hospital noise with sound acoustic panels and diffusion: a controlled study

Author(s): Farrehi, P. M., Nallamothu, B. K., Navvab, M.
Ambient noise is a well-known source of stress in healthcare environments. Hospitals have employed methods such as shielding patients with closed doors, altering staff behaviors, and moving equipment, but these approaches can disrupt workflows and do not address the realities of sound generation within hospitals.
Key Point Summary
Added March 2017

Balancing the Human Touch with the Need for Integrating Technology in Ambulatory Surgical Environments: Barriers and Facilitators to Nursing Work and Care Team Interactions

Author(s): Joseph, A., Wingler, D., Zamani, Z.
There is a lack of information to support the design of the rapidly growing number of ambulatory surgical centers (ASCs). These centers have become more popular as trends in reimbursement, technology, and services have evolved. Research is needed to inform how the built environment of ambulatory surgical environments impacts the critical interactions between people, supplies, and equipment.
Key Point Summary
Added February 2017

Examining Relationships between Physical Environments and Behaviors of Residents with Dementia in a Retrofit Special Care Unit

Author(s): Mobley, C., Leigh, K., Malinin, L.
Individuals with late-stage dementia often receive treatment in Specialized Care Units (SCUs) when other nursing home facilities can no longer support their socio-behavioral and physical needs. Generally, SCUs aim to maximize patient quality of life (QoL) by mitigating potential environmental stressors and improving the functional status of the patients themselves.
Key Point Summary
Added February 2017