Pod Nursing on a Medical/Surgical Unit
2014
Journal of Nursing Administration
Journal Article
Issue 4
Volume 44
Pages 207-211
Author(s): Friese, C. R., Grunawalt, J. C., Bhullar, S., Bihlmeyer, K., Chang, R., & Wood, W.
The project reported in this article uses a Pod Nursing (PN) care delivery model to enhance patient-nurse proximity and a team-based patient assignment to improve select nurse and patient outcomes.
Added January 2016
How Can We Help Staff transition to a New NICU design?
2015
Journal of Neonatal Nursing
Journal Article
Issue 5
Volume 21
Pages 180-185
Author(s): Broom, M., Gardner, A., Kecskes, Z. , Kildea, S.
This article highlights the results of a literature review undertaken to identify transition strategies for staff who moved from an open plan unit layout to a single-room design (SRD) neonatal intensive care unit (NICU) layout.
Added January 2016
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
Added December 2015
Finding privacy from a public death: A qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families
2015
Journal of Clinical Nursing
Journal Article
Issue 15-16
Volume 24
Pages 2164-2174
Author(s): Slatyer, S., Pienaar, C., Williams, A. M., Proctor, K., Hewitt, L.
Seriously ill patients die in hospitals around the world, and previous studies have shown that the factors that constitute a “good death” from the perspective of patients include control, comfort, family inclusion, sensitive communication, and peace. The quality of care provided to dying patients affects not only the patients, but bereaved families as well. It is therefore important for hospital environments to carefully consider the resources they provide towards quality end-of-life care.
Added December 2015
Centralized to hybrid nurse station: Communication and teamwork among nursing staff
2015
Journal of Nursing Education and Practice
Journal Article
Issue 12
Volume 5
Pages 34-41
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.
Added October 2015
Impact of the physical environment of psychiatric wards on the use of seclusion
2013
The British Journal of Psychiatry
Journal Article
Issue 2
Volume 202
Pages 142-149
Author(s): van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., Noorthoorn, E. O.
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.
Added October 2015
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs
2015
BMJ Quality & Safety
Journal Article
Issue 4
Volume 25
Pages 241-256
Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Added September 2015
Finding a Middle Ground: Exploring the Impact of Patient- and Family-Centered Design on Nurse–Family Interactions in the Neuro ICU
2015
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 9
Pages 80-98
Author(s): Rippin, A. S., Zimring, C., Samuels, O., Denham, M. E.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Centralized and Decentralized Nurse Station Design: An Examination of Caregiver Communication, Work Activities, and Technology
2007
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 1
Pages 44-57
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.
Added August 2015
Impact of the Design of Neonatal Intensive Care Units on Neonates, Staff, and Families: A Systematic Literature Review
2012
The Journal of Perinatal & Neonatal Nursing
Journal Article
Issue 3
Volume 26
Pages 267-268
Author(s): Shahheidari, M., Homer, C.
The authors indicate that the design of NICUs incorporating single family rooms as evidence indicates this room type contributes to the better development of babies, facilitates increased parental involvement in care, controls infection, and reduces noise and length of stay.
Added July 2015
Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 84-92
Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Added June 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Added April 2015
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station
2012
BMJ Quality & Safety
Journal Article
Issue 11
Volume 21
Pages 939-947
Author(s): Colligan, L., Guerlain, S., Steck, S. E., Hoke, T. R.
According to the authors, literature indicates that interruptions during the administration of medication in healthcare settings can lead to errors, and that such errors are likely to cause more harm in pediatric settings. The medication station in the study hospital is centrally located with an open design targeted to reduce nurse walking and increase time with patients.
Added December 2014
The relationship between birth unit design and safe, satisfying birth: Developing a hypothetical model
2010
Midwifery
Journal Article
Issue 5
Volume 26
Pages 520-525
Author(s): Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. E.
The authors assert that just as the designed environment can impact health outcomes by disrupting effective communication and increasing patient and staff stress, it can also impact the experiences and outcomes for birthing women.
Added December 2014
NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions
2013
Journal of Perinatology
Journal Article
Issue 6
Volume 33
Pages 466-469
Author(s): Swanson, J. R., Peters, C., Lee, B. H.
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.
Added November 2014
The effects of physical environments in medical wards on medication communication processes affecting patient safety
2014
Health & Place
Journal Article
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.
Added November 2014
An exploration of the meanings of space and place in acute psychiatric care
2006
Issues in Mental Health Nursing
Journal Article
Issue 6
Volume 27
Pages 699-707
Author(s): Andes, M., Shattell, M. M.
The effectiveness of acute psychiatric care (or short-term psychiatric care) owes much to the design of the physical space inhabited by both patients and mental health professionals. The structure of psychiatric care centers and the barriers they either create or remove between patients and healthcare practitioners can potentially influence patient recovery and employee well-being. Some argue that private, physically exclusionary spaces designed specifically for nurses are necessary in order to protect sensitive information and provide psychological solace for the nurses themselves.
Added November 2014
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.
Added November 2014
Effect of intensive care environment on family and patient satisfaction: a before–after study
2013
Intensive Care Medicine
Journal Article
Issue 9
Volume 39
Pages 1626-1634
Author(s): Jongerden, I. P., Slooter, A. J., Peelen, L. M., Wessels, H., Ram, C. M., Kesecioglu, J., Schneider, M. M., van Dijk, D.
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.
Added November 2014
