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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 1 - 17 of 17

Qualitative Analysis of Therapeutic Light Effects on Global Function in Alzheimer’s Disease

Author(s): Nowak, L., Davis, J.
The occurrence of Alzheimer’s disease (AD) is growing, with 68% of cases occurring in women. In addition to declines in global function, patients with AD experience reversal of day–night patterns, disturbed sleep–wake rhythms, and excessive daytime sleepiness, making managing AD difficult. Symptom management includes pharmacologic measures, environmental or milieu management, and behavioral interventions.
Key Point Summary
Added January 2014

Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?

Author(s): Watkins, N., Kennedy, M., Ducharme, M., Padula, C.
Awareness of the impact of healthcare facility design on a number of diverse patient and staff outcomes is growing. From patient recovery time, satisfaction, and comfort to nursing staff efficiency, error rates, and distraction, varied outcomes are being linked to environmental conditions and design attributes in hospital settings. Inpatient unit configurations, specifically same-handed configurations vs. mirrored units, are a particular area of interest for researchers, with implications for practitioners and patient care. Same-handed configurations, which standardize all rooms within a unit such that they are all identical, may allow for reduced noise as headwalls are no longer shared.
Key Point Summary
Added February 2014

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm.
Key Point Summary
Added March 2014

Nighttime Noise Issues That Interrupt Sleep After Cardiac Surgery

Author(s): Spence, J., Murray, T., Tang, A. S., Butler, R. S., Albert, N. M.
Hospital unit environments have excessive environmental ambient sound levels. In cardiac-surgical, general, and neonatal intensive care units, sound levels were commonly more than 50 dBand spiked to 80 dB and 100.9 dB. Common sounds associated with routine care in a postsurgical intermediate care unit have a decibel level in the range of heavy truck traffic (about 80 dB). Noise influences the physiological state of sleep. It is important to reduce nurse-generated and environmental noise when patients are trying to sleep.
Key Point Summary
Added January 2014

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Key Point Summary
Added April 2014

Can modifications to the bedroom environment improve the sleep of new parents? Two randomized controlled trials

Author(s): Lee, K. A., Gay, C. L.
One of the major challenges of new parenthood is adjusting to the sleep disruption that comes with caring for a newborn. Parents-to-be know that caring for an infant with random sleep and feeding patterns will mean sleep deprivation and fatigue, but few are prepared for the actual physical and emotional demands.
Key Point Summary
Added January 2014

Efficacy of controlling night-time noise and activities to improve patients’ sleep quality in a surgical intensive care unit

Author(s): Li, S., Wang, T., Wu, S. F. V., Liang, S., Tung, H.
In the intensive care unit (ICU), noises, continuous lighting, and constant care-related activities disrupt patients’ sleep. Patients also may struggle to sleep because they are in an unfamiliar environment, feel isolated, are in pain, have various tubes or other equipment to deal with, as well as just general treatment activities.
Key Point Summary
Added January 2014

Directed visibility analysis: Three case studies on the relationship between building layout, perception and behavior

Author(s): Lu, Y.
Added November 2014

To explore relationships between physiological stress signals and stress behaviors in preterm infants during periods of exposure to environmental stress in the hospital

Author(s): Peng, N.-H., Chen, C.-H., Bachman, J., Lin, H.-C., Wang, T.-M., Chang, Y.-C., Chang, Y.-S.
Added September 2014

Factors Associated With Delirium Severity Among Older Persons With Dementia

Author(s): Voyer, P., Richard, S., Doucet, L., Carmichael, P. H.
Added September 2014

Influences of Physical Environment on Corridor Walking Among Assisted Living Residents: Findings From Focus Group Discussions

Author(s): Lu, Z., Rodiek, S. D., Shepley, M. M., Duffy, M.
Added September 2014

Triangulating the extrinsic risk factors for inpatient falls from the fall incident reports and nurse's and patient's perspectives

Author(s): Tzeng, H. M.
The safety of patients in hospitals is paramount during their treatment period. Accidental falls account for the most dangerous of reported incidents for a number of reasons.
Key Point Summary
Added September 2014

Neighborhood environment and physical activity among youth a review

Author(s): Ding, D., Sallis, J. F., Kerr, J., Lee, S., Rosenberg, D. E.
Added August 2016

Wayfinding for People With Dementia: A Review of the Role of Architectural Design

Author(s): Marquardt, G.
Wayfinding in medical facilities is difficult without proper orientation and visual cues. It is especially more challenging for people with dementia who struggle to remember where they have been.
Key Point Summary
Added September 2014

Estimates of Crowding in Long-Term Care: Comparing Two Approaches

Author(s): Algase, D. L., Antonakos, C., Beattie, E., Beel-Bates, C., Song, J. A.
People’s psychological responses to the feeling or sense of being crowded (known as crowding) has been widely examined in the literature on health, disease, and housing regulation and can be associated with negative outcomes. For vulnerable groups where crowding has been studied (such as in low-income housing, prisons, daycare centers, schools, and refugee camps), these negative outcomes include...
Key Point Summary
Added September 2014

Influence of Positive Distractions on Children in Two Clinic Waiting Areas

Author(s): Pati, D., Nanda, U.
Studies show that the quality of waiting environments influences the perception of quality of care and caregivers, that perception of waiting time is a better indicator of patient satisfaction than actual waiting time, and that the waiting environment contributes to the perception of wait time.
Key Point Summary
Added September 2014

Lactation Space Design: Supporting Evidence-Based Practice and the Baby-Friendly Hospital Initiative

Author(s): Thompson, T. S., Heflin, L.
Many studies support the philosophy that breast-feeding is the best nutritional option for babies. There is a strong movement to go back to breast-feeding newborn children for their first six months of life because it has been shown that breast-feeding helps reduce the rate of illness for both mother and child. One study done by Simkin showed that infants fed breast milk exclusively for their first three months of life were nine times less likely to be hospitalized for infection.
Key Point Summary
Added September 2014