The effect of hospital layout on caregiver-patient communication patterns
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Building and Testing a Patient-centric Electronic Bedside Communication Center
Journal of Gerontological Nursing
This study builds upon previous research that demonstrated improved outcomes when patients had access to tailored information related to falls.
When the World Is Closing In: Effects of Perceived Room Brightness and Communicated Threat During Patient-Physician Interaction
HERD: Health Environments Research & Design Journal
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
How Strongly Programmed is a Strong Programme Building? A Comparative Analysis of Outpatient Clinics in Two Hospitals
The spatial configuration of a given building can be classified into one of two popular theoretical categories: weakly programmed or strongly programmed. These terms have become increasingly more commonly used when analyzing the spatial syntax of buildings; however, the authors suggest that their definitions and criteria are not clearly defined.
NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions
Journal of Perinatology
For the past 20 years, floor plans incorporating single-patient room designs have been growing in popularity, especially in the context of neonatal intensive care units (NICUs). The differences between private-room (PR) floor plans and open-ward (OW) floor plans have been thoroughly studied, with previous research showing how OW NICUs can limit privacy and generate other negative environmental effects for patients and family members.
Effect of noise on auditory processing in the operating room
Journal of the American College of Surgeons
Noise in operating rooms (ORs), defined as any unwanted sound impeding on normal hearing, can be grouped into two categories: equipment-related noise and staff-created noise. Equipment-related noise can come from anesthesia equipment and alarms, suction devices, or surgical instruments such as cautery devices, dissection tools, and drills. Staff-created noise can come from opening and closing doors, conversations, overhead pages, and music. All of these noise sources contribute to the average ambient noise in ORs, which is 65 dBA with peak levels reaching120 dBA.
Effect of intensive care environment on family and patient satisfaction: a before–after study
Intensive Care Medicine
Intensive care units or ICUs are changing from multi-bed units to single-patient room units. According to the authors, these changes may have an impact on family satisfaction. With the patient often in a critical non-communicative position, it falls on family members to make decisions and evaluate satisfaction.
Patients’ Interactions in an Intensive Care Unit and Their Memories of Intensive Care: A Mixed Method Study
Intensive and Critical Care Nursing
The various equipment and devices in the intensive care unit (ICU) make it the most technologically sophisticated environment in any hospital. But, from a patient’s perspective, being connected to various devices; experiencing unsettling noises, smells, lighting, and uncomfortable temperatures; and enduring the perceptions of other patients as care objects can cause both physical and mental stress.
Impact of the physical environment of psychiatric wards on the use of seclusion
The British Journal of Psychiatry
Disturbed behavior and patient aggression within psychiatric wards can threaten both patient and staff safety. To manage these patients, psychiatric wards often will use coercive measures such as solitary confinement. Patient aggression arises from a complex interaction between patient characteristics, staff characteristics, and the characteristics of the physical environment of the psychiatric ward itself. Most studies have focused on the dynamics between patient and staff characteristics; little research has been done to investigate how the physical environment of psychiatric wards might influence patient aggression and subsequently the use of coercive measures.