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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 82

Small-scale living environments' impact on positive behaviors and quality of life for residents with dementia

Author(s): Brennan, S., Doan, T.
Added February 2022

Environmental transformations enhancing dignity in an acute psychiatric ward: Outcome of a user-driven service design project

Author(s): Faerden, A., Rosenqvist, C., Håkansson, M., Strøm-Gundersen, E., Stav, Å., Svartsund, J., Røssæg, T., Davik, N., Kvarstein, E., Pedersen, G., Dieset, I., Nyrud, A. Q., Weedon-Fekjær, H., Kistorp, K. M.
Research shows that the concept of dignity within psychiatric health seclusion is reflected mainly in patient care delivery rather than the environmental components of a healthcare setting. Still common are sparsely furnished rooms, white paint, and limited access to natural light or views of the outdoors.
Key Point Summary
Added December 2022

An exploratory study testing environmental wayfinding aids as an intervention for children with autism

Author(s): Irish, J. E. N.
Previous research has found that some people with autism spectrum disorder (ASD) have difficulties navigating complex physical environments, such as hospitals. Previous research has also indicated that due to the hypersensitive nature of some people living with ASD, sensitive environmental designs may be especially important for them.
Key Point Summary
Added July 2022

Exploring the spatial arrangement of patient rooms for minimum nurse travel in hospital nursing units in Korea

Author(s): Lee, J., Lee, H., Shepley, M. M.
Studies have shown that when nurses have to walk long distances, time at the patient bedside is reduced and nursing fatigue and stress increase. The arrangement of patient rooms within a nursing unit can impact nurse well-being and optimize patient care.
Key Point Summary
Added September 2020

A systems framework for understanding the environment’s relation to clinical teamwork: A systematic literature review of empirical studies

Author(s): Peavey, E., Cai, H.
Added December 2018

Psychiatric ward design can reduce aggressive behavior

Author(s): Ulrich, R. S., Bogren, L., Gardiner, S. K., Lundin, S.
Added July 2018

Balancing the Human Touch with the Need for Integrating Technology in Ambulatory Surgical Environments: Barriers and Facilitators to Nursing Work and Care Team Interactions

Author(s): Joseph, A., Wingler, D., Zamani, Z.
There is a lack of information to support the design of the rapidly growing number of ambulatory surgical centers (ASCs). These centers have become more popular as trends in reimbursement, technology, and services have evolved. Research is needed to inform how the built environment of ambulatory surgical environments impacts the critical interactions between people, supplies, and equipment.
Key Point Summary
Added February 2017

Examining Relationships between Physical Environments and Behaviors of Residents with Dementia in a Retrofit Special Care Unit

Author(s): Mobley, C., Leigh, K., Malinin, L.
Individuals with late-stage dementia often receive treatment in Specialized Care Units (SCUs) when other nursing home facilities can no longer support their socio-behavioral and physical needs. Generally, SCUs aim to maximize patient quality of life (QoL) by mitigating potential environmental stressors and improving the functional status of the patients themselves.
Key Point Summary
Added February 2017

Noise Reduction in the Neonatal Intensive Care Unit: A Quality Improvement Initiative

Author(s): Ahamed, M. F., Campbell, D., Horan, S., Rosen, O.
Elevated noise levels are regularly associated with adverse health effects among patients within healthcare environments. Infants are particularly vulnerable to elevated noise levels due to the immaturity of their auditory pathways, implying that neonatal intensive care units (NICUs) have an even greater responsibility for reducing noise levels.
Key Point Summary
Added June 2017

The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature

Author(s): Chaudhury, H., Cooke, H. A., Cowie, H., Razaghi, L.
Several studies have shown that properly designed interior spaces have a positive effect on residents with dementia in long-term care facilities. Wayfinding and orientation can be enhanced through good planning of the facility as well as activities of daily living and autonomy.
Key Point Summary
Added November 2017

The influence of spatial configuration on the frequency of use of hand sanitizing stations in health care environments

Author(s): Neo, J. R. J., Zadeh, R.
Healthcare-associated infections (HAIs) affect over 1.7 million people each year, and subsequently cost the U.S. economy approximately $8.2 billion each year. Hand hygiene compliance (HHC), which involves washing hands thoroughly with alcohol-based rubs or soap and water, is widely regarded as a major prevention measure against the transmission of pathogens that cause HAIs.
Key Point Summary
Added December 2018

Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study

Author(s): Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., Manser, T.
Errors and interruptions are commonplace during medication preparation procedures in healthcare environments. One study found that one interruption occurred for every 3.2 drugs administered during nurses’ medication rounds.
Key Point Summary
Added December 2016

Design to improve visibility: Impact of corridor width and unit shape

Author(s): Hadi, K., Zimring, C.
Added June 2016

Healthcare Staffs’ Experiences and Perceptions of Caring for People with Dementia in the Acute Setting: Qualitative Evidence Synthesis

Author(s): Houghton, C., Murphy, K., Brooker, D., Casey, D.
Dementia is an international health issue that greatly impacts healthcare delivery systems. Individuals with dementia have specific needs when it comes to healthcare, and it seems that, generally, acute care environments aren’t suitable for these individuals. Considering how previous studies have shown that as much as a quarter of individuals utilizing acute hospital services are likely to have dementia, the authors posit that there needs to be a shift in ethos, organization, and environment in which more appropriate care is provided to patients with dementia in acute care settings.
Key Point Summary
Added June 2016

Mental and Behavioral Health Environments: Critical Considerations for Facility Design

Author(s): Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Kelkar, J., Fronsman, A.
Mental and behavioral health (MBH) facilities are being built and renovated at an increasing rate, but research concerning best building practices has not kept pace with construction. Evidence-based design (EBD) involves the use of research to help multidisciplinary design teams create the most appropriate built environments.
Key Point Summary
Added July 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

Security Implications of Physical Design Attributes in the Emergency Department

Author(s): Pati, D., Pati, S., Harvey, T. E.
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Key Point Summary
Added September 2016

Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design

Author(s): Mousavi, E. S., Grosskopf, K. R.
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
Key Point Summary
Added December 2016

Towards Healing Environment for the Inpatient Unit in Psychiatric Hospital

Author(s): Ramadan, M. G.
Previous research shows that physical designs within healthcare environments play a key role in promoting patient well-being. The design of a given healthcare facility directly affects the efficiency with which care is delivered, as well as affecting the attitudes, beliefs, and behaviors of its staff members.
Key Point Summary
Added June 2017

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