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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 - 20 of 95

A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff: A controlled before-after study

Author(s): Risør, B. W., Casper, S. D., Andersen, L.L, Sørensen, J.
Added December 2016

Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

Author(s): Quan, X., Joseph, A., Nanda, U., Moyano-Smith, O., Kanakri, S., Ancheta, C, Loveless, E. A.
To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction.
Key Point Summary
Added September 2015

Can Hospital Form Trigger Fear Response?

Author(s): Pati, D., O’Boyle, M., Hou, J., Nanda, U., Ghamari, H.
Added April 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

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

Investigation of Eligible Picture Categories for Use as Environmental Cues in Dementia-Sensitive Environments

Author(s): Motzek, T., Bueter, K., Marquardt, G.
Dementia often manifests in populations of elderly people who are admitted to acute care facilities. The disorienting nature of hospital environments can exacerbate the condition of dementia, leading to challenging behavior from patients that can affect staff, other patients, and the patients themselves. Previous studies have found that personalized labels and signs, such as photographic portraits of residents themselves, are effective environmental markers in long-term healthcare facilities.
Key Point Summary
Added December 2016

Fall prevention and bathroom safety in the epilepsy monitoring unit

Author(s): Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B. M., Gerke, J. K., Hoerth, M. T., Crepeau, A. Z., Drazkowski, J. F., Sirven, J. I., Noe, K. H.
Injury-inducing falls are one of the most common harmful events that occur in epilepsy monitoring units (EMUs). Considering the risk provoked by epileptic symptoms such as spontaneous seizures, patients admitted to EMUs may be more likely to sustain falling injuries over patients in other areas of the hospital.
Key Point Summary
Added September 2015

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
Added May 2016

Emergency medical equipment storage: Benefits of visual cues tested in field and simulated settings

Author(s): Grundgeiger, T., Harris, B., Ford, N., Abbey, M., Sanderson, P. M., Venkatesh, B.
Ready availability and easy accessibility of equipment and supplies are important in intensive care units (ICUs) to be prepared for emergent situations. Bedside drawers are where all emergency items are stored for imminent use.
Key Point Summary
Added November 2014

Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities

Author(s): Figueiro, M. G., Plitnick, B. A., Lok, A., Jones, G. E., Higgins, P., Hornick, T. R., Rea, M. S.
In 2010, an estimated 5.1 million elderly Americans were affected by Alzheimer’s disease and related dementia (ADRD). Individuals with ADRD are often transferred into controlled environments due to common behavioral symptoms such as nocturnal wandering, disturbed sleep-wake patterns, agitation, and verbal or physical abuse.
Key Point Summary
Added March 2015

Managing Elders’ Wandering Behavior Using Sensors-based Solutions: A Survey

Author(s): Lin, Q., Zhang, D., Chen, L., Ni, H., Zhou, X.
Added November 2014

Accuracy of a radiofrequency identification (RFID) badge system to monitor hand hygiene behavior during routine clinical activities

Author(s): Pineles, L. L., Morgan, D. J., Limper, H. M., Weber, S. G., Thom, K. A., Perencevich, E. N., Harris, A. D., Landon, E.
Added November 2014

Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording

Author(s): Park, M., Kohlrausch, A., de Bruijn, W., de Jager, P., Simons, K.
Patients receiving treatment in intensive care units (ICUs) are often subjected to elevated noise levels that can complicate recovery by disturbing sleep patterns and causing stress, anxiety, and changes in cardiovascular response. Although previous research has thoroughly analyzed the various sources of noise in ICUs, the authors of this study believe that inadequate recording and sound analysis techniques, as well as the presence of human observers collecting data, have restricted the depth of previous findings.
Key Point Summary
Added November 2014

Research note: Physical Activity in Pediatric Healing Gardens

Author(s): Pasha, S., Shepley, M., M.
Research has shown that frequency and duration of garden use within urban and hospital settings can be hindered through barriers such as uncomfortable seating and lack of shade. However, once barriers like these are removed, it is unknown if an increase in frequency and duration of garden use has an impact on the level of physical activity during garden visitation.
Key Point Summary
Added May 2014

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Key Point Summary
Added March 2015

Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings

Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Key Point Summary
Added September 2014

Impact of the physical environment of psychiatric wards on the use of seclusion

Author(s): van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., Noorthoorn, E. O.
Disturbed behavior and patient aggression within psychiatric wards can threaten both patient and staff safety. To manage these patients, psychiatric wards often will use coercive measures such as solitary confinement. Patient aggression arises from a complex interaction between patient characteristics, staff characteristics, and the characteristics of the physical environment of the psychiatric ward itself. Most studies have focused on the dynamics between patient and staff characteristics; little research has been done to investigate how the physical environment of psychiatric wards might influence patient aggression and subsequently the use of coercive measures.
Key Point Summary
Added October 2015

Assessing the optimal location for alcohol-based hand rub dispensers in a patient room in an intensive care unit

Author(s): Boog, M. C., Erasmus, V., de Graaf, J. M., van Beeck, E. A. H. E., Melles, M, van Beeck, E. F.
The authors allude to literature which says that compliance of hand hygiene (which is crucial to reducing the spread of infectious disease) is low among healthcare workers (HCWs). Literature also shows that alcohol-based hand rubs (ABHRs) improve hand-hygiene compliance by HCWs, which in turn is impacted by location, access to, and visibility of the ABHR dispenser.
Key Point Summary
Added November 2014

Lost in space: The place of the architectural milieu in the aetiology and treatment of schizophrenia

Author(s): Golembiewski, J.
This article is a theoretical discussion concerning how designed and constructed environments can be significant factors in the psychogenesis of mental illnesses, particularly with non-affective psychoses. The authors believe that the current body of literature is lacking in resources that could help direct design decision-making to positively influence the well-being of mentally ill individuals. Discussing this matter may help identify specific qualities of the built environment that appear to be aetiologically related to psychosis.
Key Point Summary
Added June 2016

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