On the restorative break: Understanding the role of break room design on nurse engagement and satisfaction
2023
Workplace Health & Safety
Journal Article
Issue 7
Volume 71
Pages 329-336
Author(s): Lorusso, L., Ossmann, M., Orozco, T., Lawson, L.
Research demonstrates that breaks are important in mitigating the physical, cognitive, and emotional demands of nursing work. It is important that nursing unit break areas are not only accessible but also restorative.
Added April 2023
Effects of Emergency Department Physical Design Elements on Security, Wayfinding, Visibility, Privacy, and Efficiency and its Implications on Staff Satisfaction and Performance
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 72-88
Author(s): Zamani, Z.
While it is commonly known that emergency departments (EDs) are often challenging and stressful work environments, it is less understood how the physical design of the ED environment contributes to staff performance and satisfaction, especially in the context of five important subtopics: security, visibility, wayfinding, privacy, and efficiency.
Added September 2018
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
2017
Applied Ergonomics
Journal Article
Author(s): Risør, B. W., Casper, S. D., Andersen, L.L, Sørensen, J.
Added December 2016
Mental and behavioral health settings: Importance & effectiveness of environmental qualities & features as perceived by staff
2017
Journal of Environmental Psychology
Journal Article
Issue June
Volume 50
Pages 37-50
Author(s): Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Fronsman, A., Kelkar, J.
While many previous studies have examined how facility designs can benefit patients within non-psychiatric acute care settings, there is a lack of research exploring how physical environments can be better suited to promote the health of patients in mental and behavioral health (MBH) facilities.
Added February 2017
Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study
2017
Intensive and Critical Care Nursing
Journal Article
Author(s): Sundberg, F., Olausson, S., Fridh, I., Lindahl, B.
Intensive care unit nurses use technology and systems that may not have existed when their nursing units were constructed. Nurses often must work around machines and in narrow spaces to deliver complex care to critically ill patients.
Added June 2017
Does Space Matter? An Exploratory Study for a Child-Adolescent Mental Health Inpatient Unit
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 10
Pages 23-44
Author(s): Trzpuc, S. J., Wendt, K. A., Heitzman, S. C., Skemp, S., Thomas, D., Dahl, R.
Added June 2016
Mental and Behavioral Health Environments: Critical Considerations for Facility Design
2016
General Hospital Psychiatry
Journal Article
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.
Added July 2016
Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
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.
Added May 2016
Building spatial layout that supports healthier behavior of office workers: a new performance mandate for sustainable buildings
2014
Work
Journal Article
Issue 3
Volume 49
Pages 373-380
Author(s): Hua, Y., Yang, E.
Added May 2016
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Added December 2015
The Impact of Windows and Daylight on Acute-Care Nurses' Physiological, Psychological, and Behavioral Health
2014
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 7
Pages 35-61
Author(s): Zadeh, R. S., Shepley, M. M., Williams, G., Chung, S. S..
Added December 2014
The effect of hospital layout on caregiver-patient communication patterns
Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Added June 2016
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
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.
Added March 2015
Including patients, staff and visitors in the design of the psychiatric milieu
2013
Facilities
Journal Article
Issue 9/10
Volume 31
Pages 379-390
Author(s): Perkins, N. H.
Most research addressing environmental design for healthcare facilities focuses on expert-determined and expert-driven outcomes. Little attention has been given to the perspectives offered by those who are ultimately using the facilities, namely the patients, staff, and visitors. Participatory design and planning (PDP) is a method that takes these non-expert opinions into consideration while operating under three assumptions. First, healthcare facilities are complex environments that require a team of people who can understand and maintain structured information necessary for optimum design.
Added December 2014
Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction
2012
Procedia - Social and Behavioral Sciences
Journal Article
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.
Added April 2014
Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?
2011
Journal of Nursing Administration
Journal Article
Issue 6
Volume 41
Pages 273-279
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.
Added February 2014
Dying well: Factors that influence the provision of good end-of-life care for older people in acute and long-stay care settings in Ireland
2010
Journal of Clinical Nursing
Journal Article
Volume 20
Pages 1824-1833
Author(s): Casey, D., Murphy, K., Ni Leime, A., Larkin, P., Payne, S., Froggatt, K. A., O'Shea, E.
The authors surmise that in Ireland, care for older people, as they get closer to end-of-life (EoL), is usually provided in a healthcare facility – acute care hospital, nursing home, or long-stay care.
Added September 2014
The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature
2009
Environment and Behavior
Journal Article
Issue 6
Volume 41
Pages 755-786
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
Added April 2014
Building the evidence base for evidence-based design: Editors' introduction
2008
Environment and Behavior
Journal Article
Issue 2
Volume 40
Pages 147-150
Author(s): Zimring, C., Bosch, S.
Added October 2012
Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes
2008
Health Care Management Review
Journal Article
Issue 2
Volume 33
Pages 156-168
Author(s): Lin, B.Y.-J., Leu, W.-J., Breen, G.-M., Lin, W.-H.
Researchers have studied the healthcare work environment from a number of angles, from an organizational behavior perspective honing in on motivation and reward, to an occupational and environmental perspective concerned with comfort and ergonomics, to a pathogenic perspective interested in exposure to disease. The idea of a “servicescape” has arisen in healthcare marketing to investigate the impact of the physical environment of service settings on employees’ psychological states and perceptions.
Added February 2014
