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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 1 - 20 of 45

Evaluating occupant light exposure and usage patterns in an inpatient behavioral health unit

Author(s): Banasiak, M., Wilkerson, A., Safranek, S.
Added April 2023

An explorative investigation of the effect of naturalistic light on agitation-associated behavior in nursing home residents with dementia: A pilot study

Author(s): Saidane, H. A., Rasmussen, T., Andersen, K., Iversen, H. K., West, A. S.
Added December 2022

Effects of adjustable dynamic bedroom lighting in a maternity ward

Author(s): Canazei, M., Pohl, W., Weninger, J., Bliem, H., Weiss, E. M., Koch, C., Berger, A., Firulovic, B., Marth, C.
This study considered the impact of dynamic vs. static lighting color and intensity on mothers who had scheduled C-section deliveries of healthy babies in a single Austrian maternity clinic.
Key Point Summary
Added July 2019

The perceptions of nurses about the behavioral needs for daylighting and view to the outside in inpatient facilities

Author(s): Gharaveis, A., Yekita, H., Shamloo, G.
Added May 2019

Psychiatric ward design can reduce aggressive behavior

Author(s): Ulrich, R. S., Bogren, L., Gardiner, S. K., Lundin, S.
Added July 2018

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

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

Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia

Author(s): van der Ploeg, E. S., O'Connor, D. W.
Research studies conducted in the past 20 years have failed to validate the effectiveness of bright white light treatment of sleep disorders in nursing home or long-stay hospital residents with dementia. This trend is documented in a Cochrane Collaboration meta-analysis of 10 selected studies where problems in the research methodologies were identified. The prevalence of sleep disorders among residents diagnosed with dementia varies from 40% to 70%.
Key Point Summary
Added November 2016

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

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.
Key Point Summary
Added May 2016

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
Added January 2016

Destination Bedside

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.
Key Point Summary
Added January 2016

Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

Author(s): Quan, X., Joseph, A., Nanda, U., Moyano-Smith, O., Kanakri, S., Ancheta, C, Loveless, E. A.
To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction.
Key Point Summary
Added September 2015

Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities

Author(s): Figueiro, M. G., Plitnick, B. A., Lok, A., Jones, G. E., Higgins, P., Hornick, T. R., Rea, M. S.
In 2010, an estimated 5.1 million elderly Americans were affected by Alzheimer’s disease and related dementia (ADRD). Individuals with ADRD are often transferred into controlled environments due to common behavioral symptoms such as nocturnal wandering, disturbed sleep-wake patterns, agitation, and verbal or physical abuse.
Key Point Summary
Added March 2015

The Impact of Windows and Daylight on Acute-Care Nurses' Physiological, Psychological, and Behavioral Health

Author(s): Zadeh, R. S., Shepley, M. M., Williams, G., Chung, S. S..
Added December 2014

A plasma display window? – the shifting baseline problem in a technologically mediated natural world

Author(s): Kahn, P. H. Jr., Friedman, B., Brian Gill, Hagman, J., Severson, R. L., Freier, N. G., Feldman, E. N., Carrere, S., Stolyar, A.
The general purpose of this study is to test the physical and psychological effects of experiencing nature through a technology medium. Past research has shown that contact with nature can lead to “enjoyment, satisfaction, and increased levels of satisfaction with one’s home, one’s job, and with life in general” (Kaplan & Kaplan, 1989, p. 173). So in an fast-changing world of technology-mediated healthcare, the question posed in this study revolves around whether simulated nature scenes can elicit the same health benefits that real nature has shown to produce.
Key Point Summary
Added November 2014

Keep music live: music and the alleviation of apathy in dementia subjects

Author(s): Holmes, C., Knights, A., Dean, C., Hodkinson, S., Hopkins, V.
Over 50% of all people diagnosed with dementia reportedly exhibit apathetic or socially withdrawn behaviors. These behaviors are often problematic for the patients themselves as well as for the individuals tending to the patient’s needs. Treatment with antidepressants is common in these situations, but their effectiveness is supported only by weak evidence, and the issue of over-prescription and its subsequent adverse effects has become a major problem in healthcare environments.
Key Point Summary
Added September 2014

Light therapy for insomnia in older adults

Author(s): Gammack, J. K.
Added September 2014

Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings

Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Key Point Summary
Added September 2014

Evidence-based design for infants and staff in the neonatal intensive care unit

Author(s): Shepley, M. M.
There has been a marked increase in evidence-based studies relating to neonatal intensive care units in pediatric healthcare literature. While it is acknowledged that clinical, operational, and social dimensions play the most significant role in healing, the physical environment has also been universally identified as a critical factor. Conscientious architects are becoming increasingly aware of the impact of design decisions on the sensory environment of the neonatal intensive care unit.
Key Point Summary
Added July 2014

The effects of refurbishment on residents' quality of life and wellbeing in two Swedish residential care facilities

Author(s): Falk, H., Wijk, H., Persson, L.-O
The prevalence of elderly people with cognitive impairment in Swedish residential care facilities has been estimated to be approximately 50%, usually resulting in integrated populations with both cognitively intact and impaired residents. The physical environment must respond to the changing characteristics of their residents and variations within individuals over time to be able to provide for more than a single stage of fragility.
Key Point Summary
Added May 2014