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
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Added March 2015
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
Effect of noise on auditory processing in the operating room
2013
Journal of the American College of Surgeons
Journal Article
Issue 5
Volume 216
Pages 933-8
Author(s): Way, T. J., Long, A., Weihing, J., Ritchie, R., Jones, R., Bush, M., Shinn, J. B.
Noise in operating rooms (ORs), defined as any unwanted sound impeding on normal hearing, can be grouped into two categories: equipment-related noise and staff-created noise. Equipment-related noise can come from anesthesia equipment and alarms, suction devices, or surgical instruments such as cautery devices, dissection tools, and drills. Staff-created noise can come from opening and closing doors, conversations, overhead pages, and music. All of these noise sources contribute to the average ambient noise in ORs, which is 65 dBA with peak levels reaching120 dBA.
Added September 2014
Music increases satisfaction in elderly outpatients undergoing cataract surgery
1997
Canadian Journal of Anesthesia
Journal Article
Issue 1
Volume 44
Pages 43-8
Author(s): Cruise, C. J., Chung, F., Yogendran, S., Little, D.
Cataract surgery is one of the most common surgical procedures performed on elderly patients in North America. Sedative medications are often used to reduce patient anxiety throughout the surgical procedure, but elderly patients are more likely to experience adverse health effects from these medications. The anxiety-reducing effects of music have been widely studied previously, but never in the context of elderly patients undergoing cataract surgery.
Added September 2014
Quality of life and building design in residential and nursing homes for older people
2004
Ageing and Society
Journal Article
Issue 6
Volume 24
Pages 941-962
Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Added September 2014
Dying well: Factors that influence the provision of good end-of-life care for older people in acute and long-stay care settings in Ireland
2010
Journal of Clinical Nursing
Journal Article
Volume 20
Pages 1824-1833
Author(s): Casey, D., Murphy, K., Ni Leime, A., Larkin, P., Payne, S., Froggatt, K. A., O'Shea, E.
The authors surmise that in Ireland, care for older people, as they get closer to end-of-life (EoL), is usually provided in a healthcare facility – acute care hospital, nursing home, or long-stay care.
Added September 2014
Centralized vs. Decentralized Nursing Stations: Effects on Nurses’ Functional Use of Space and Work Environment
2010
Health Environments Research and Design Journal (HERD)
Journal Article
Issue 4
Volume 3
Pages 19-42
Author(s): Zborowsky, T., Bunker Hellmich, L., Morelli, A., O’Neill, M.
Information technology enables nurses to move away from traditional centralized paper-charting stations to smaller decentralized work stations and charting substations located closer to, or inside of, patient rooms. Understanding the tradeoffs presented by centralized and decentralized nursing station design could provide useful information for future design and the nurse environment "fit."
Added May 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
Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice
2008
British Journal of General Practice
Journal Article
Issue 552
Volume 58
Pages 465-470
Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Added November 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
The Role of the Physical Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace
2006
The Center for Health Design
Journal Article
Issue #3
Volume 2006 November
Author(s): Joseph, A.
Added October 2012
Work satisfaction and dissatisfaction – caregivers’ experiences after a two-year intervention in a newly opened nursing home
2005
Journal of Clinical Nursing
Journal Article
Issue 1
Volume 14
Pages 9-19
Author(s): Häggström, E., Skovdahl, K., Fläckman, B., Kihlgren, A.L., Kihlgren, M.
Added October 2012
Family‐centered Care in the NICU
2006
The Journal Of Perinatal & Neonatal Nursing
Journal Article
Issue 1
Volume 20
Pages 98-102
Author(s): Griffin, T.
Added October 2012
A model of nursing care microsystems for a large neonatal intesnsive care unit
2006
Advances in Neonatal Care
Journal Article
Author(s): Goldschmidt, K.A., Gordin, P.
Added October 2012
