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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 121 - 140 of 469

Patient room lighting influences on sleep, appraisal and mood in hospitalized people

Author(s): Giménez, M. C., Geerdinck, L. M., Versteylen, M., Leffers, P., Meekes, G. J. B. M., Herremans, H., de Ruyter, B., Bikker, J. W., Kuijpers, P. M. J. C., Schlangen, L. J. M.
Hospitalized patients often struggle with sleeping soundly due to various factors that arise within the hospital environment, such as noise, pain, general discomfort, and irregular and inappropriate light exposure. Because sleep is such an integral part of the healing process, healthcare designers should consider different ways to improve hospital sleep conditions.
Key Point Summary
Added April 2017

Meeting Patient Expectations During Hospitalization: A Grounded Theoretical Analysis of Patient-Centered Room Elements

Author(s): Patterson, E. S., Sanders, E. B.-N., Sommerich, C. M., Lavender, S. A., Li, J., Evans, K. D.
A 2016 study found that tens of millions of patients within the U.S. were hospitalized for an average of 4.8 days, while a separate study found that roughly 65.7 million people (or roughly 29% of the adult population) within the U.S. are considered caregivers for children or other adults. Other previous studies indicate that rooms that are specially designed to support patients and caregivers can reduce patient and caregiver stress and ultimately improve the overall healing processes.
Key Point Summary
Added March 2017

Reducing hospital noise with sound acoustic panels and diffusion: a controlled study

Author(s): Farrehi, P. M., Nallamothu, B. K., Navvab, M.
Ambient noise is a well-known source of stress in healthcare environments. Hospitals have employed methods such as shielding patients with closed doors, altering staff behaviors, and moving equipment, but these approaches can disrupt workflows and do not address the realities of sound generation within hospitals.
Key Point Summary
Added March 2017

Acoustic assessment of speech privacy curtains in two nursing units

Author(s): Pope, D. S., Miller-Klein, E. T.
Hospitals are environments with complex soundscapes, and some elements of these soundscapes can impede upon patient health and overall communication. Numerous sources of noise from equipment, movement, and increased speaking volumes combine with high reverberation rates, resulting in the need to speak increasingly louder.
Key Point Summary
Added March 2017

Improving inpatient environments to support patient sleep

Author(s): DuBose, J. R., Hadi, K.
The importance of sleep in the healing process, as well as the dangers of sleep deprivation, have been thoroughly studied within previously published literature.
Key Point Summary
Added December 2016

Low stimulus environments: reducing noise levels in continuing care

Author(s): Brown, J., Fawzi, W., Shah, A., Joyce, M., Holt, G., McCarthy, C., Stevenson, C., Marange, R., Shakes, J., Solomon-Ayeh, K.
This article highlights a project that aimed to reduce levels of intrinsic background noise on an adult mental health ward. Following intervention, the ward was able to decrease the background noise decibel level from 60dB to 53dB (on average).
Key Point Summary
Added November 2016

Individualizing hospital care for children and young people with learning disabilities: it's the little things that make the difference

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.
Key Point Summary
Added November 2016

Light at Night and Measures of Alertness and Performance: Implications for Shift Workers

Author(s): Figueiro, M. G., Sahin, L., Wood, B., Plitnick, B.
Rotating-shift workers, particularly those working at night, are likely to experience sleepiness, decreased productivity, and impaired safety while on the job. Light at night has been shown to have acute alerting effects, reduce sleepiness, and improve performance. However, light at night can also suppress melatonin and induce circadian disruption, both of which have been linked to increased health risks. Previous studies have shown that long-wavelength (red) light exposure increases objective and subjective measures of alertness at night, without suppressing nocturnal melatonin.
Key Point Summary
Added November 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

Objective acoustical quality in healthcare office facilities

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.
Key Point Summary
Added September 2016

Environmental Variables That Influence Patient Satisfaction: A Review of the Literature

Author(s): MacAllister, L., Zimring, C., Ryherd, E.
This paper is a literature review that compiles a number of studies investigating the layouts and designs of hospitals and work settings, and the influences that these environments have on health and behavioral outcomes in patients. More specifically, this review seeks to identify possible links between physical and social environmental influences to self-reported patient outcomes. The authors wish to more fully understand the elements that influence patient satisfaction, and then begin a discussion over how physical and social environments can be further analyzed to enhance satisfaction.
Key Point Summary
Added September 2016

Optimizing Ceiling Systems and Lightweight Plenum Barriers to Achieve Ceiling Attenuation Class (CAC) Ratings of 40, 45 and 50

Author(s): Madaras, Gary S., Heuer, Andrew E.
Added September 2016

Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging

Author(s): Bowling, A.
Added August 2016

Acoustical standards and criteria documentation of sustainability in hospital design and construction

Author(s): Evans, J., Himmel, C.
Added June 2016

The Effect of a Safe Zone on Nurse Distractions, Interruptions, and Medication Administration Errors

Author(s): Yoder, M., Schadewald, D.
Added May 2016

Effectiveness of an extended period of flashing lights and strategic signage to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance

Author(s): Rashidi, B., Li, A., Patel, R., Harmsen, I. E., Sabri, E., Kyeremanteng, K., D'Egidio, G.
Hospitals are often full of information and attention-seeking signs, colors, and noises, making it difficult for something as inconspicuous as alcohol-gel hand dispensers to stand out apart from everything else. Therefore if a hospital wishes to increase rates of hand hygiene compliance, the design and location of hand sanitizer dispensers is of high importance. In a previous study, the authors of this paper showed that affixing a flashing red light to alcohol-gel dispensers for one week doubled hand hygiene rates from 12.4% to 25.3%.
Key Point Summary
Added May 2016

To see or not to see: Investigating the links between patient visibility and potential moderators affecting the patient experience

Author(s): Bosch, S. J., Apple, M., Hiltonen, B., Worden, E., Lu, Yi, Nanda, U., Kim, D.
The amount of visibility between patients and nursing staff contributes significantly to the balance between feelings of security and autonomy. Hospitals in which patients are in constant view of the staff can create a sense of restricted freedom, but high visibility can also be associated with higher levels of patient safety. There has been ongoing debate within the medical community as to how a perfect balance between security and autonomy can be implemented. This study took place at a hospital with a radial nursing unit.
Key Point Summary
Added April 2016

Pre-Occupancy Evaluation of Patient Satisfaction in Hospitals

Author(s): van der Zwart, J., van der Voordt, T. J. M.
Added April 2016

Characteristics Associated with Low Food and Fluid Intake in Long-Term Care Residents with Dementia

Author(s): Reed, P.S., Zimmerman, S., Sloane, P.D, Williams, C. S., Boustani, M.
Research conducted on residents of different nursing homes shows that the older people who had been suffering with impaired mobility and cognition face serious malnutrition resulting from insufficient food intake and dehydration problems due to less consumption of fluid intake. The resident characteristics that contribute to food and fluid intake include cognitive status, ability to drink independently, and physical limitations such as difficulty swallowing.
Key Point Summary
Added January 2016

Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period

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.
Key Point Summary
Added January 2016