The healthcare workspace: Understanding the role of decentralized nursing stations, corridors, and huddle spaces as locations for teamwork in a neonatal intensive care unit
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 270-282
Author(s): Fay, L., Real, K., Haynes, S.
Neonatal intensive care units (NICUs) host fragile and vulnerable patients. Research studies on NICUs with a single-family room (SFR) layout demonstrate benefits to both neonates and their parents but the impact on staff remains unclear. The decentralization associated with SFRs may impair teamwork.
Added June 2022
Efficiency and teamwork in emergency departments: Perception of staff on design interventions
2021
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 14
Pages 310-323
Author(s): Ahmadpour, S., Bayramzadeh, S., Aghaei, P.
The authors build on previous research regarding emergency department (ED) layout and teamwork. When clinicians can move efficiently in a space that allows for collaboration, both staff and patients benefit.
Added July 2021
Effects of Emergency Department Physical Design Elements on Security, Wayfinding, Visibility, Privacy, and Efficiency and its Implications on Staff Satisfaction and Performance
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 72-88
Author(s): Zamani, Z.
While it is commonly known that emergency departments (EDs) are often challenging and stressful work environments, it is less understood how the physical design of the ED environment contributes to staff performance and satisfaction, especially in the context of five important subtopics: security, visibility, wayfinding, privacy, and efficiency.
Added September 2018
Nursing work and sensory experiences of hospital design: A before and after qualitative study following a move to all-single room inpatient accommodation
2017
Health & Place
Journal Article
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.
Added June 2017
Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study
2017
Intensive and Critical Care Nursing
Journal Article
Author(s): Sundberg, F., Olausson, S., Fridh, I., Lindahl, B.
Intensive care unit nurses use technology and systems that may not have existed when their nursing units were constructed. Nurses often must work around machines and in narrow spaces to deliver complex care to critically ill patients.
Added June 2017
Post-Occupancy Evaluation of a Mental Healthcare Facility Based on Staff Perceptions of Design Innovations
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 10
Pages 121-135
Author(s): Kalantari, S., Snell, R.
Post-occupancy evaluation (POE) is a research method for gathering information on the effectiveness of new architectural designs in healthcare environments. POE can help healthcare providers and designers gauge whether or not a given design is achieving its intended purpose. Since evidence-based designs are becoming more widely implemented in a variety of healthcare environments, POE could prove useful in many different departmental contexts. The authors note that the application of POE in research focusing on mental healthcare facilities is rare, signaling a need for exploration
Added February 2017
Objective acoustical quality in healthcare office facilities
2016
Canadian Acoustics
Journal Article
Issue 3
Volume 44
Pages 1-2
Author(s): Hodgson, M.
In this relatively brief study, the author chooses to survey a number of different healthcare offices in different locations in order to describe their acoustical nature and identify how certain design elements affect acoustical properties. Many different aspects of the offices’ physical design are taken into account in order to produce a comprehensive analysis of what exactly affects a given environment’s acoustical characteristics, and what could potentially be done to improve these characteristics.
Added September 2016
From the nurses' station to the health team hub: How can design promote interprofessional collaboration?
2012
Journal of Interprofessional Care
Journal Article
Issue 1
Volume 26
Pages 21-27
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.
Added June 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
Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period
2009
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 3
Pages 79-96
Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
Added January 2016
Making acuity-adaptable units work: lessons from the field
2012
Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 5
Pages 115-128
Author(s): Zimring, C., Seo, H.
Acuity-Adaptable Units (AAUs) are rooms with a treatment model that allows all stages of patient care to come to the patient’s unit from the time of admission to discharge. Minimizing the amount of patient transfers helps decrease medication errors, infection rates, and medical complications. This helps avoid injuries and infections connected with patient transfers from unit to unit through transitions in stages of care.
Added January 2016
Leading Change During an Inpatient Critical Care Unit Expansion
2008
Journal of Nursing Administration
Journal Article
Issue 11
Volume 38
Pages 461-467
Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity.
Added January 2016
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
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 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 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
Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room
2013
Anesthesiology
Journal Article
Issue 5
Volume 119
Pages 1066-1077
Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Added March 2015