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Knowledge Repository

The Role of the Built Environment: How Decentralized Nurse Stations Shape Communication, Patient Care Processes, and Patient Outcomes

Author(s): Real, K., Bardach, S. H., Bardach, D. R.
This study compared nurse communication using a new decentralized nurse station model in a newly built urban, trauma-1 level hospital with the experiences at the “old” hospital where there was a centralized work space where nurses could easily hear one another and worked in close proximity to each other.
Key Point Summary

The Impact of Visibility on Teamwork, Collaborative Communication, and Security in Emergency Departments: An Exploratory Study

Author(s): Gharaveis, A., Hamilton, D. K., Pati, D., Shepley, M.

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

Author(s): Gharaveis, A., Hamilton, D. K., Pati, D.

Electromagnetic Interference with Wireless Communication in Hospitals Newly Identified Problems with Medical Telemeter Systems

Author(s): Hanada, E., Ishida, Kai, Kudou, T.

Wayfinding for health seeking: Exploring how hospital wayfinding can employ communication design to improve the outpatient experience

Author(s): Short, Eden Jayne, Reay, S., Gilderdale, P.
​Hospital spaces have the ability to provide physical and emotional well-being. However, the journey through health systems is becoming stressful. 
Key Point Summary

A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room

Author(s): Wessman, B. T., Sona, C., Schallom, M.
The Institute of Medicine has identified poor communication among the patient care team as one of the most common causes of serious errors in patient care. There was a desire in this organization to create a culture of team-oriented continuity of care by changing the mindset of handoff reporting to handover reporting communication among multidisciplinary care team members on key aspects of the patient’s daily plan of care. They developed a communication tool that included key areas of care (tests, care goals and progress toward those goals, treatments, and consultation recommendations) and printed the topic areas on the glass door of the patient room. The information was updated regularly throughout the day/night so that the most current information on patient status was available any time for rounding by various care providers, specialists, and consultants. The information was also available for viewing by the patient’s family.
Key Point Summary

Time, space and technology in radiotherapy departments: how do these factors impact on patients' experiences of radiotherapy?

Author(s): Merchant, S., O'Connor, M., Halkett, G.
Radiation therapy is one of the more common treatments available to cancer patients. Radiation therapists (RTs) are the clinical providers who interact with patients and provide the treatment. The authors note that different organizations like the National Comprehensive Cancer Network in the U.S., the National Institute of Health and Clinical Excellence in the UK, and the National Breast Cancer Center and National Cancer Care Initiative in Australia either have or recommend developing guidelines for palliative, supportive, and psychosocial care in oncology settings. Literature shows that patients have reported anxiety about the illness, the treatment, and its impact on their everyday activities, which in turn has the potential for non-compliance with the treatment requirements. In this study, RTs, nurses, and patients in two treatment centers (of two different large public hospitals in Australia) were observed and interviewed. The study sought to assess to what extent the physical and cultural environment of the treatment unit was supportive for care and communication. Findings indicate that the physical design of the two centers was not conducive for patient-centered care or for effective communication between patient and RT.
Key Point Summary

Nursing work and sensory experiences of hospital design: A before and after qualitative study following a move to all-single room inpatient accommodation

Author(s): Donetto, S., Penfold, C., Anderson, J., Robert, G., Maben, J.
The term “embodiment” refers to the experience of living within a human body while conducting daily activities. The authors of this study suggest that empirical investigation of embodiment within the field of nursing has been relatively neglected. 
Key Point Summary

Developing an evidence base of best practices for integrating computerized systems into the exam room: A systematic review.

Author(s): Patel, M. R., Vichich, J., Lang, I., Lin, J., Zheng, Kai
​The use of electronic health records (EHR) is increasing at medical facilities across the US. Computerized systems provide a better infrastructure for healthcare delivery.
Key Point Summary

Factors Affecting Acoustics and Speech Intelligibility in the Operating Room: Size Matters

Author(s): McNeer, R. R., Bennett, C. L., Horn, D. B., Dudaryk, R.
Previous studies have shown that noise levels within healthcare environments have been increasing steadily since 1960. Noise is a prominent source of discomfort for both patients and staff, and can also interfere with important interpersonal communications.
Key Point Summary