Individualizing hospital care for children and young people with learning disabilities: it's the little things that make the difference
2015
Journal of Pediatric Nursing
Journal Article
Issue 1
Volume 30
Pages 78-86
Author(s): Oulton, K., Sell, D., Kerry, S., Gibson, F.
People with learning disabilities (LDs) represent one of the largest groups with a lifelong disability, reaching nearly 60 million people worldwide. In England alone, it is estimated that 1.5 million people live with an LD, 286,000 of them being children and young people ages 0-17. It has been found that those with LD have more hospital admissions and greater hospital stays than those children without.
Added November 2016
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.
Added June 2016
Measuring the Structure of Visual Fields in Nursing Units
2010
Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 3
Pages 48-59
Author(s): Lu, Y.
A nurses’ central role is to treat and attend to patients’ needs in a timely manner. This becomes complicated when managing several patients simultaneously, especially those in critical care. Therefore, developing an efficient system that helps nurses manage patient care and reduces nurse burnout rates is critical.
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
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
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
Luminous environment in healthcare buildings for user satisfaction and comfort: an objective and subjective field study
2015
Indoor and Built Environment
Journal Article
Issue 5
Volume 25
Pages 809-825
Author(s): Lo Verso, V. R.M., Caffaro, F., Aghemo, C.
Lighting is important in healthcare, and the authors indicate its relevance to patient recovery and staff satisfaction. According to the authors, luminous environmental quality affects visual comfort, which is related to both natural and artificial lighting.
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
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
Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit
2006
Advances in Neonatal Care
Journal Article
Issue 5
Volume 6
Pages 271-280
Author(s): Carlson, B., Walsh, S., Wergin, T., Schwarzkopf, K., Ecklund, S.
The need for neonatal intensive care units (NICU) is increasing at a time when research suggests their designs need to change to provide a developmentally appropriate healing environment. One approach is a private room NICU model versus a large multibed ward. However, such a radical design change could be challenging to implement.
Added April 2014
Noise in the Operating Room—What Do We Know? A Review of the Literature
2010
Journal of PeriAnesthesia Nursing
Journal Article
Issue 6
Volume 25
Pages 380-386
Author(s): Hasfeldt, D., Laerkner, E., Birkelund, R.
Noise is a general stressor and should be avoided in the operating room (OR). However, over the last 10 years, while the focus has been on preventing air pollution and maximizing sterility in the OR, very little attention has gone toward preventing noise pollution. Meanwhile, there is more and more noisy technological equipment in the OR, and it can be assumed that problems with noise in the OR have not decreased.
Added January 2014
Bathing people with dementia: when education is not enough
2012
Journal of Gerontological Nursing
Journal Article
Issue 9
Volume 38
Pages 43-51
Author(s): Gaspard, G., Cox, L.
Dementia is increasing at the rate of one case every 7 seconds. As such, the need for methods for caring for these patients with dignity also increases. Current research indicates that many people with dementia respond negatively to bathing, in part because they don’t feel comfortable being naked in front of other people or with unfamiliar bathing equipment, and may develop resistant behaviors.
Added January 2014
The Ecology of the Patient Visit: Physical Attractiveness. Waiting Times and Perceived Quality of Care
2008
Journal of Ambulatory Care Management
Journal Article
Issue 2
Volume 31
Pages 128-141
Author(s): Becker, F, Douglass, S
Waiting times can be a challenge in outpatient facilities. This may impact the satisfaction of patients as well as the efficiency of staff. While the actual waiting time is often a result of process, the quality of the wait, and the overall waiting experience, can be effected by the environment.
Added October 2012
Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace
2006
The Center for Health Design
Report
Author(s): Joseph, A.
Added October 2012
Hospital staff perceptions of parental involvement in paediatric hospital care
2006
Journal of Advanced Nursing
Journal Article
Issue 5
Volume 53
Pages 534-542
Author(s): Ygge, B.M., Lindholm, C., Arnetz, J.
Added October 2012
Interactions between family members and staff in intensive care units - An observation and interview study
2006
International Journal of Nursing Studies
Journal Article
Issue 6
Volume 43
Pages 707-716
Author(s): Soderstrom, I,-M. , Saveman, B.-I., Benzein, E.
Added October 2012
