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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 81 - 100 of 171

Job Satisfaction and Intention to Quit Among Nursing Home Nursing Staff: Do Special Care Units Make a Difference?

Author(s): Robison, J., Pillemer, K.
Research regarding the impact of special care units (SCUs) on the experience of staff provides a somewhat inconsistent picture. Several studies have examined the effect on staff of working in a facility that has an SCU without including a comparison with staff who work on conventional units. These studies have found generally positive results, including lower turnover among nurses. Despite the promise of SCUs, the degree to which they differ in important outcomes from conventional nursing home care has not been firmly established. Some comparative studies have found no clear differences in resident outcomes for SCUs.
Key Point Summary
Added November 2014

A plasma display window? – the shifting baseline problem in a technologically mediated natural world

Author(s): Kahn, P. H. Jr., Friedman, B., Brian Gill, Hagman, J., Severson, R. L., Freier, N. G., Feldman, E. N., Carrere, S., Stolyar, A.
The general purpose of this study is to test the physical and psychological effects of experiencing nature through a technology medium. Past research has shown that contact with nature can lead to “enjoyment, satisfaction, and increased levels of satisfaction with one’s home, one’s job, and with life in general” (Kaplan & Kaplan, 1989, p. 173). So in an fast-changing world of technology-mediated healthcare, the question posed in this study revolves around whether simulated nature scenes can elicit the same health benefits that real nature has shown to produce.
Key Point Summary
Added November 2014

Impact of place of residence on relationship between quality of life and cognitive decline in dementia.

Author(s): Missotten, P., Thomas, P., Squelard, G., Di Notte, D., Fontaine, O., Paquay, L., Ylieff, M.
In patients with dementia and their family members and caregivers, quality of life (QOL) is an important parameter; much attention is given to its improvement. However, the theory of improved QOL at home compared with that at institutional residences for dementia patients has not been tested by a comparison of two groups of people according to their place of residence. Furthermore, there are few studies of populations of people with dementia, living at home or in an institution, distributed across all different stages of cognitive decline.
Key Point Summary
Added November 2014

Can flooring and underlay materials reduce hip fractures in older people?

Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Key Point Summary
Added November 2014

Sustained reduction in serious fall-related injuries in older people in hospital.

Author(s): Fonda, D., Cook, J., Sandler, V., Bailey, M.
Falls are the leading cause of injury in Australian hospitals, with 38 percent of all hospital incidents related to falls. In hospital settings, single interventions have not been proven successful in preventing or reducing falls, whereas multisystem or multi-strategy approaches have shown to be more effective.
Key Point Summary
Added November 2014

Healthcare providers' perception of design factors related to physical environments in hospitals

Author(s): Mourshed, M., Zhao, Y.
Most aspects of the physical environment having an impact on staff outcome are determined during early design stages of a building’s lifecycle. Subsequent modifications at later stages are expensive and sometimes difficult to achieve due to the multidisciplinary nature of design decision making.
Key Point Summary
Added November 2014

Emergency medical equipment storage: Benefits of visual cues tested in field and simulated settings

Author(s): Grundgeiger, T., Harris, B., Ford, N., Abbey, M., Sanderson, P. M., Venkatesh, B.
Ready availability and easy accessibility of equipment and supplies are important in intensive care units (ICUs) to be prepared for emergent situations. Bedside drawers are where all emergency items are stored for imminent use.
Key Point Summary
Added November 2014

Return on investment of a LEED platinum hospital: the influence of healthcare facility environments on healthcare employees and organizational effectiveness

Author(s): Harris, D. D.
The author mentions that there is increasing evidence that indicates the connection between facility design and staff satisfaction. In comparison, there are few rigorous studies that examine the impact of sustainable building design and outcomes pertaining to patients, staff, and organizational goals.
Key Point Summary
Added November 2014

A controlled evaluation of comprehensive geriatric assessment in the emergency department: the ‘Emergency Frailty Unit’

Author(s): Conroy, S. P., Ansari, K., Williams, M., Laithwaite, E., Teasdale, B., Dawson, J., Mason, S., Banerjee, J.
Referring to data from emergency departments (EDs) in England, the authors infer that as the number of elderly grow, so does their number attending emergency departments. The data also shows that almost 62% of seniors (80 years and over) visiting EDs in England are transferred to hospitals for further treatment. Literature indicates that such transfers result in increased use of resources, higher risk of adverse events, longer stays, and higher rates of readmission and use of long-term facilities.
Key Point Summary
Added November 2014

Patients' experience of important factors in the healthcare environment in oncology care

Author(s): Browall, M., Koinberg, I., Falk, H., Wijk, H.
Psychological stress can be caused by the healthcare system and especially for patients with cancer in oncology clinics. How patients perceive their healthcare environment was found to have an impact on their well-being.
Key Point Summary
Added November 2014

Study of relative color stability and corrosion resistance of commercial copper alloys exposed to hand contact and synthetic hand sweat

Author(s): Fredj, N., Kolar, J. S., Prichard, D. M., Burleigh, T. D.
The authors acknowledge that the U.S. Environmental Protection Agency (EPA) recognizes more than 300 copper alloys to have antibacterial properties. They refer to different studies that have demonstrated substantial decreases in bacterial and fungal colonies on various hospital surfaces that are made of copper alloys versus plastic and stainless steel.
Key Point Summary
Added November 2014

Moderating role of interior amenities on hospital medical directors' patient-related work stresses

Author(s): Lin, B. Y.-J., Lin, Y.-K., Juan, C. W., Lee, S., Lin, C.C.
Prior research has shown that senior physicians with management positions report lower self-rated health due to the high stress associated with their jobs. Research has looked to assess how the built environment can support stress management and promote wellness for patients within healthcare facilities.
Key Point Summary
Added September 2014

The Effect of Garden Designs on Mood and Heart Output in Older Adults Residing in an Assisted Living Facility

Author(s): Goto, S., Park, B.-J., Tsunetsugu, Y., Herrup, K., Miyazaki, Y.
This research focuses on the impact that different garden designs have on people's mood and heart rate in a retirement community setting. The researchers had previously piloted a study focusing on elderly participants' aesthetic preferences for garden designs; they wanted to move beyond this to better understand where these preferences come from, and whether they are actually somehow hardwired in the brain from more innate psychological and biological responses, rather than cultural or learned.
Key Point Summary
Added September 2014

The Environment of Inpatient Healthcare Delivery and Its Influence on the Outcome of Care

Author(s): O'Connor, M., O'Brien, A., Bloomer, M., Morphett, J., Peters, L., Hall, H., Parry, A., Recoche, K., Lee, S., Munro, I.
There is a growing body of evidence demonstrating that in all healthcare settings, the design of discipline-specific space can influence patients and their health outcomes. The contribution of the physical environment to quality of life and well-being is also supported. Healthcare delivery has changed over the last three decades; however, the authors note that some ICUs and emergency departments have not fully adapted to these changes, whereas palliative care and women’s health have adapted to include more family involvement and patient-driven changes. Environments such as labor and delivery units have benefitted from active consumer involvement in design.
Key Point Summary
Added September 2014

Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety

Author(s): Hua, Y., Becker, F., Wurmser, T., Bliss-Holtz, J., Hedges, C.
A number of studies have looked at the impact of different types of healthcare staff communication on patient outcomes, as communication and collaboration are crucial for patient care. One topic that is starting to be studied but requires more research is the effect of nursing unit layout and design on nurse communication. While traditionally nursing units have a centralized layout with one main nursing station used by all staff in the unit, more recently there has been movement toward other types of layouts in an attempt to impact patient care.
Key Point Summary
Added September 2014

Promoting walking among older adults living in retirement communities

Author(s): Rosenberg, D. E., Kerr, J., Sallis, J. F., Norman, G. J., Calfas, K., Patrick, K.
The authors tested the feasibility and acceptability, and explored the outcomes, of 2 walking interventions based on ecological models among older adults living in retirement communities. An enhanced intervention (El) was compared with a standard walking intervention (SI) among residents in 4 retirement facilities (N = 87 at baseline; mean age = 84.1 yr). All participants received a walking...
Key Point Summary
Added September 2014

Influence of an Outdoor Garden on Mood and Stress in Older Persons

Author(s): Rodiek, S. D.
Research conducted in healthcare settings shows that the presence of plants and natural environments in healthcare environments has a positive impact on patient outcome. The value of nature and gardening to the older adult is also reported in literature.
Key Point Summary
Added September 2014

Quality of life and building design in residential and nursing homes for older people

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...
Key Point Summary
Added September 2014

Person-Environment Fit and Functioning Among Older Adults in a Long-Term Care Setting

Author(s): Pomeroy, S. H., Scherer, Y., Runkawatt, V., Iamsumang, W., Lindemann, J., Resnick, B.
Research conducted in different nursing homes (NHs) shows that the main focus of care in nursing homes is to meet the physical and medical care needs of residents with emphasis on basic care such as bathing, dressing, medication administration, nutrition, providing wound care, and other types of medically driven procedures, not on maximizing the function and time spent in physical activity.
Key Point Summary
Added September 2014

Flexibility: Beyond the Buzzword—Practical Findings from a Systematic Literature Beview

Author(s): Carthey, J., Chow, V., Jung, Y. M., Mills, S.
While many healthcare facilities claim to have incorporated flexibility and adaptability into their new design, few have documented the outcomes of such claims. In reality, many healthcare facilities are outdated before they are built and fully occupied. These facilities then require extensive renovation and replacement during their life cycle to respond to changing demands of demographics, technology, and care delivery models.
Key Point Summary
Added September 2014