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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 141 - 160 of 473

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

Nurses’ Perception of Noise Levels in Hospitals in Spain

Author(s): del Pilar Marques Sanchez, M., Calle Pardo, A. P., Calvo Sanchez, D., Nunez Gelado, Y. & Mompart Garcia, M. P.
Even though we know that noise has an impact on patients, how noise impacts the work environment of nurses is not well understood. In general, relevant studies show that the worse types of noise for patients are background noise, vibrations, screen alarms, and other people talking. Nurse researchers in Spain recently completed the first phase of a multiphase study to identify the most annoying noises in the practice environment.
Key Point Summary
Added January 2016

The Design of Adult Acute Care Units in U.S. Hospitals

Author(s): Catrambone, C., Johnson, M. E., Mion, L. C. & Minnick, A. F.
In 2005, the Agency for Healthcare Research & Quality (AHRQ) publicized a commissioned report about hospital environments (Nelson, West, & Goodman, 2005). The report included a summary of all published research (N=328 reports) about those environments and patient and staff outcomes, including safety, satisfaction, and efficiency, as well as clinical outcomes.
Key Point Summary
Added January 2016

Sleep in Hospitalized Elders: A Pilot Study

Author(s): Missildine, K., Bergstrom, N., Meininger, J., Richards, K. & Foreman, M. D.
Sleep complaints are common among elders at home and in the hospital. These complaints include insomnia, difficulty falling sleep, and difficulty maintaining sleep, yet adequate sleep is commonly considered a necessary prerequisite to healing and recovery from illness.
Key Point Summary
Added January 2016

Eye Masks and Earplugs Improve Patient’s Perception of Sleep

Author(s): Jones, C. & Dawson, D.
Sleep disruption is commonly identified as a feature of admission to critical care units. The environment, level of intervention, and patient morbidity are understood to influence patients’ poor experiences of sleep in critical care. This study discusses the impact of the built environment on Intensive Care Unit (ICU) patients’ sleep.
Key Point Summary
Added January 2016

Impact of healthcare design on patients’ perception of a rheumatology outpatient infusion room: an interventional pilot study

Author(s): Bukh, G., Tommerup, A. M. M., Madsen, O. R.
Evidence-based healthcare design is a concept aimed at reducing stress factors in the physical environment for the benefit of patients and the medical staff. The objective of this study was to examine the impact of room modifications on patients’ perception of an outpatient infusion room used for treating rheumatologic diseases. Patient and nurse interviews, a staff workshop and field...
Key Point Summary
Added December 2015

Design, Operation, and Safety of Single-Room Interventional MRI Suites: Practical Experience From Two Centers

Author(s): White, M. J., Thornton, J. S., Hawkes, D. J., Hill, D. L .G., Kitchen, N., Mancini, L., McEvoy, A. W., Razavi, R., Wilson, S., Yousry, T., Keevil, S. F.
Designing and operating healthcare spaces to accommodate magnetic resonance imaging (MRI) scanners presents a variety of challenges. These spaces are often populated with larger amounts of sensitive equipment than typical patient care units, while receiving a nearly equal amount of foot traffic.
Key Point Summary
Added December 2015

The effectiveness of environmental strategies on noise reduction in a pediatric intensive care unit: Creation of single-patient bedrooms and reducing noise sources

Author(s): Kol, E., Aydın, P., Dursun, O.
Noise has been documented to be an adverse issue for patients and workers in a healthcare setting. The authors refer to literature that indicates that in intensive care units (ICUs), an increasing number of medical devices, equipment, and healthcare providers add to the crowding and ensuing noise levels in the ICUs.
Key Point Summary
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

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.
Key Point Summary
Added December 2015

Centralized to hybrid nurse station: Communication and teamwork among nursing staff

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.
Key Point Summary
Added October 2015

Exploring Direct and Indirect Influences of Physical Work Environment on Job Satisfaction for Early-Career Registered Nurses Employed in Hospitals

Author(s): Djukic, M., Kovner, C. T., Brewer, C. S., Fatehi, F., Greene, W. H.
We explored direct and indirect influences of physical work environment on job satisfaction in a nationally representative sample of 1,141 early-career registered nurses. In the fully specified model, physical work environment had a non-significant direct effect on job satisfaction. The path analysis used to test multiple indirect effects showed that physical work environment had a positive...
Key Point Summary
Added October 2015

The role of noise in clinical environments with particular reference to mental health care: A narrative review

Author(s): Brown, B., Rutherford, P., Crawford, P.
The problem of noise in healthcare environments has been discussed in a variety of contexts, including psychology, sociology, built environment studies, and nursing. It has been well documented that the element of noise within clinical settings can elevate stress, impede recovery, and disturb sleep. But despite the extensive literature discussing the effects of noise in clinical settings, scarcely any research has been done on the role noise plays in mental healthcare environments.
Key Point Summary
Added October 2015

Noise Levels in Patient Rooms and at Nursing Stations at Three VA Medical Centers

Author(s): Hill, J. N., LaVela, S. L.
Added September 2015

Acoustical Design Features Associated With Noise Level In Health Facilities: The Case Of Dialysis Facilities

Author(s): Bame, S. I., Wells, W.
Added September 2015

Impact of NICU design on environmental noise

Author(s): Szymczak, S. E., Shellhaas, R. A.
Literature shows that preterm infants can be adversely affected by sounds in a hospital. Yet completely quiet environments may potentially limit a much-needed exposure to language. This presents a challenge to designing an optimal sound environment in NICUs. This study examined the acoustic variance in open bay and single room NICUs and found that there was little variability in the acoustic environment of the two NICU models. It also found that the single room NICU had longer periods of silence than the open bay NICU.
Key Point Summary
Added July 2015

The Influence of Neonatal Intensive Care Unit Design on Sound Level

Author(s): Chen, H.-L., Chen, C.-H., Wu, C.-C., Huang, H.-J., Wang, T.-M., Hsu, C.-C.
Preterm infants receiving care in neonatal intensive care units (NICUs) are especially susceptible to adverse effects caused by excessive noise. Previous studies indicate that the physical designs of NICUs themselves hold a large influence over the overall noise level.
Key Point Summary
Added July 2015

Impact of the Design of Neonatal Intensive Care Units on Neonates, Staff, and Families: A Systematic Literature Review

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.
Key Point Summary
Added July 2015