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Knowledge Repository

The effect of hospital layout on caregiver-patient communication patterns

Author(s): Pachilova, R., Sailer, K.
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.
Key Point Summary

"Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare

Author(s): Dean, M., Gill, R., Barbour, J. B.
Due to the fact that emergency department (ED) caregivers are constantly involved in interprofessional, knowledge-intensive conversations, effective modes of communication necessarily play a key role in promoting patient health and safety. Previous studies have explored how the physical environment directly affects modes of communication, and how these two dimensions of the healthcare environment constantly intersect with each other.
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The effects of physical environments in medical wards on medication communication processes affecting patient safety

Author(s): Liu, W., Manias, E., Gerdtz, M.
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.
Key Point Summary

Centralized to hybrid nurse station: Communication and teamwork among nursing staff

Author(s): Zhang, Y., Soroken, L., Laccetti, M., Castillero, E. R. d., Konadu, A.
Nursing stations often act as the primary workspaces for various members of a healthcare team while patients aren’t being directly worked with. Centralized nursing stations can lead to higher rates of telephone and computer use and administrative tasks while decreasing time spent caring for patients. Conversely, decentralized nursing stations have been found to create feelings of isolation and poor communication among staff. To emphasize the positive aspects of both formats, the authors propose a hybrid nursing station design that features decentralized stations connected to centralized meeting spaces.
Key Point Summary

Centralized and Decentralized Nurse Station Design: An Examination of Caregiver Communication, Work Activities, and Technology

Author(s): Gurascio-Howard, L., Malloch, K.
Patients need to be close to a nurse (RN) for easy access to care and to save travel time. Centralized nurse stations are placed in one location to serve a group of patient rooms. 
Key Point Summary

Parental visiting, communication, and participation in ethical decisions: a comparison of neonatal unit policies in Europe

Author(s): Cuttini, M., Rebagliato, M., Bortoli, P., Hansen, G., de Leeuw, R., Lenoir, S., Persson, J., Reid, M., Schroell, M., de Vonderweid, U., Kaminski, M., Lenard, H., Orzalesi, M., Saracci, R.

Out of Sight, Out of Reach. Correlating spatial metrics of nurse station typology with nurses’ communication and co ‐ awareness in an intensive care unit

Author(s): Cai, H., Zimring, C.

Maximizing the Impact of Nursing Care Quality: A Closer Look at the Hospital Work Environment and the Nurse’s Impact on Patient-Care Quality

Author(s): Hendrich, A., Chow, M.
Current hospital work environments have inefficient work processes, physical designs, technology infrastructure, and organizational cultures that cause inefficiencies and nursing stressors that compromise direct patient care. This article reviewed the evidence relating to nursing work processes, physical space, infrastructure, and patient safety to promote transformational change to the nursing work environment.
Key Point Summary

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Author(s): Gum, Lyn Frances, Prideaux, David, Sweet, Linda, Greenhill, Jennene
The nurses’ station serves a diverse array of purposes, one being that it acts as a space for communication and interprofessional collaboration. Previous studies have shown that the design of the nurses’ station alone can impact aspects of patient and staff privacy, walking distance, and access to resources. But no known studies prior to this paper have examined specifically the influence of nurse station design on the frequency and quality of interprofessional practice.
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