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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

Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction

Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process.
Key Point Summary
Added April 2014

Physical Environment Provisions of USP “Pharmaceutical Compounding—Sterile Preparations”

Author(s): Beebe, C.
USP <797> reports standards and policies for all physical environments in which compounded sterile preparations (CSPs) are prepared, packaged, and stored. The standards apply specifically to people who prepare CSPs and must take care to reduce the risk of contamination from their behaviors, hygiene, and clothing (i.e., garb). Clinical workers whose work lies within this realm must be individually trained and evaluated to maintain the standards and reduce microbial contamination that results from contact.
Key Point Summary
Added September 2014

Conditions Associated with Wandering in People With Dementia From the Viewpoint of Self-Awareness: Five Case Reports

Author(s): Yokoi, T. , Aoyama, K. , Ishida, K. , Okamura, H.
One of the conditions of behavioral and psychological symptoms of dementia (BPSD), namely, wandering, which can trigger a need for institutionalization and can cause traffic accidents was investigated.
Key Point Summary
Added May 2014

Bathing people with dementia: when education is not enough

Author(s): Gaspard, G., Cox, L.
Dementia is increasing at the rate of one case every 7 seconds. As such, the need for methods for caring for these patients with dignity also increases. Current research indicates that many people with dementia respond negatively to bathing, in part because they don’t feel comfortable being naked in front of other people or with unfamiliar bathing equipment, and may develop resistant behaviors.
Key Point Summary
Added January 2014

Traffic Flow in the Operating Room: An Explorative and Descriptive Study on Air Quality During Orthopedic Trauma Implant Surgery

Author(s): Andersson, A.E., Bergh, I., Karlsson, J., Eriksson, B.I. MD, Nilsson,K.
Three main strategies exist to prevent surgical site infections following surgery: 1) the patient, 2) the surgical technique, 3) the surgical environment. This study focuses on optimizing the effect of the surgical environment in preventing SSIs (surgical site infections). The authors attempt to understand that the protective potential of operating room (OR) ventilation under different conditions is crucial to optimizing the surgical environment.
Key Point Summary
Added April 2014

The sound environment in an ICU patient room—a content analysis of sound levels and patient experiences

Author(s): Johansson, L., Bergbom, I., Wayeb, K. P., Ryherd, E., Lindahl, B.
This study was a prestudy for the planning and design of a larger one, where the aim is to investigate the relationship between sound (objective and subjective) and adult intensive care unit (ICU) delirium and/or other factors. It used sound measurement, behavioral observation, and interview methods. The results provide a good list of sound/noise impact on patients and subsequent ICU design considerations.
Key Point Summary
Added January 2014

Quality of life of residents with dementia in traditional versus small-scale long-term care settings: a quasi-experimental study

Author(s): de Rooij, A. H. P. M., Luijkx, K. G., Schaafsma, J., Declercq, A. G., Declercq, A. G., Emmerink, P. M. J., Schols, J. M. G. A.
Due to the rapid increase in the number of people suffering from dementia worldwide, more residential care is greatly needed. Traditionally, residential dementia care has been carried out with a medical- and nursing-based care approach, which has been criticized for focusing mainly on the care aspects. Experts argue that dementia care should also pay attention to creating the environment that offers a better balance between living, well-being, and care. In an effort for better balance, small-scale living facilities for older persons have been developed. However, limited research has been done to identify their impact on quality of life of residents.
Key Point Summary
Added May 2014

Infection Prevention Promotion Program Based on the PRECEDE Model: Improving Hand Hygiene Behaviors Among Healthcare Personnel

Author(s): Aboumatar, H., Ristaino, P., Davis, R. O., Thompson, C. B., Maragakis, L., Cosgrove, S., Rosenstein, B., Perl, T. M.
Hand hygiene is critical to prevent transmission of multidrug-resistant organisms and the development of healthcare-associated infections, yet compliance with recommendations is poor.
Key Point Summary
Added August 2014

Impact of Visual Art on Patient Behavior in the Emergency Department Waiting Room

Author(s): Nanda, U., Chanaud, C, , Nelson, M., Zhu, X., Bajema, R., Jansen, B. H.
Wait times have been reported to be one of the most important concerns for people visiting emergency departments (EDs). Additionally, distrust between the patients and staff of the hospital, patients’ consistent focus on their status, and an uncertainty about the waiting time have been identified as contributors to patient anxiety, fear, confusion, and annoyance. Affective states significantly impact perception of wait time and may be impacted by environmental interventions, such as art depicting nature that has been shown to reduce stress levels and anxiety.
Key Point Summary
Added October 2012

Destination Bedside

Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
Key Point Summary
Added January 2016

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station

Author(s): Colligan, L., Guerlain, S., Steck, S. E., Hoke, T. R.
According to the authors, literature indicates that interruptions during the administration of medication in healthcare settings can lead to errors, and that such errors are likely to cause more harm in pediatric settings. The medication station in the study hospital is centrally located with an open design targeted to reduce nurse walking and increase time with patients.
Key Point Summary
Added December 2014

Environmental determinants of quality of life in nursing home residents with severe dementia

Author(s): Garre-Olmo, J., López-Pousa, S., Turon-Estrada, A., Juvinyà, D., Ballester, D., Vilalta-Franch, J.
Studies show that more than 50% of the residents in nursing homes suffer from moderate or severe dementia. The authors refer to literature that indicates that in the last 20 years, the culture of imparting care in nursing homes has evolved from a focus on safety, uniformity, and medical concerns to health promotion and Quality of Life (QOL).
Key Point Summary
Added September 2014

The Effect of Hospital Unit Layout on Nurse Walking Behavior

Author(s): Yi, L., Seo, H.-B.
Over the course of a typical shift, nurses spend a lot of time on their feet, walking back and forth on the unit to take care of patients' needs. The long distances that nurses walk is a topic of concern in the industry. Some believe it may potentially impact the amount of time spent with patients and also because of the physical toll on nurses, day after day. Researchers are attempting to understand whether unit layout and design might be revised to reduce walking distances and create efficiencies that enhance patient care.
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

Image and Emotion: From Outcomes to Brain Behavior

Author(s): Nanda, U., Zhu, X., Jansen, B. H.
Existing outcome studies have proven the link between exposure to visual images (with nature content) and improvements in stress, anxiety, and pain perception. However, an understanding of the underlying perceptual mechanisms has been lacking.
Key Point Summary
Added September 2014

A Cottage Model for Eldercare

Author(s): Thistleton, W. W., Jacqueline, J. J.
Some healthcare facilities are moving from traditional ward designs with high patient-to-caregiver ratios to environments that are designed with patients and their families in mind. Research suggests that patients prefer spaces that promote a homely normal lifestyle and proper family functions. To that end, some long-term care residences are now built in a cottage-style. Some examples of this are The Green House model, used in The Green House Homes at Traceway in Tupelo, Mississippi, and the Adards Nursing Home in Warrane, Tasmania, Australia.
Key Point Summary
Added September 2014

Perceived Neighborhood Environments and Leisure-Time Walking Among Korean Adults: An Application of the Theory of Planned Behavior

Author(s): Lee, H.-S., Shepley, M. M.
The prevalence of overweight and obese Korean adults has risen due to physical inactivity that is supported by a sedentary lifestyle. Recent research has sought to understand the interconnection between the Theory of Planned Behavior (TPB) and environmental variables such as sidewalk condition, land-use mix, proximity of parks or recreational facilities, neighborhood aesthetics, and perceived neighborhood safety.
Key Point Summary
Added September 2014