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Knowledge Repository

Objective and subjective evaluation of psychiatric ward redesign

Author(s): Whitehead, C. C., Polsky, R. H., Crookshank, C., Fik, E.
At the time of this study, relatively little research had been done to explore the potential benefits of incorporating architectural designs geared specifically towards improved patient well-being in psychiatric treatment environments. A “psychoenvironmental” model incorporating therapeutic architectural designs into psychiatric healthcare environments was developed before the publication of this study; however, this particular model had not yet been examined empirically.
Key Point Summary

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Key Point Summary

The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Author(s): Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.
There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings.
Key Point Summary

Developing family rooms in mental health inpatient units: An exploratory descriptive study

Author(s): Isobel, S., Foster, K., Edwards, C.
Adult inpatients receiving treatment at mental health facilities often wish to visit with family members. Indeed, previous research indicates that caregivers, consumers, and medical professionals agree that children of parents with mental illness (COPMI) should be able to spend time with their parents for the mutual benefit of both patients and families.
Key Point Summary

Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes?

Author(s): Urbanoski, K. A., Mulsant, B. H., Novotna, G., Ehtesham, S., Rush, B. R.
The overall “atmosphere” of a psychiatric treatment facility could be defined through the availability of patient autonomy and support from peers, the presence of aggressive behavior within the ward, and the general sense of ward organization and rule enforcement.
Key Point Summary

Facilities and equipment

Author(s): Public Health Agency of Canada

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

Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care

Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit. 
Key Point Summary

Suicide in recently admitted psychiatric inpatients: a case-control study

Author(s): Hunt, M., Bickley, H., Windfuhr, K., Shaw, J., Appleby, L., Kapur, N.
Research studies have shown that the risk of hospitalized patients dying by suicide is still extremely high—around 40 to 50 times higher than in the general population. A number of studies have reported that the first week of admission is a time of particularly acute risk.
Key Point Summary

Specialized Design for Dementia

Author(s): Habell, M.
Designing for people with dementia is a major need in elderly care buildings. However, it is difficult to design for this population, as the parameters of dementia itself are often vague. The author also notes that the registration requirements in the UK for a care home make no distinction between the type of dementia or the severity of the dementia.
Key Point Summary