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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 81 - 100 of 1177

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

Effects of an Assisted Living Facility Specifically Designed for Individuals with Memory Disorders: A Pilot Study

Author(s): Springate, B. A., Talwar, A. K., Tremont, G.
A 2007 study estimated that 14% of individuals over the age of 71 have dementia, and many of those individuals require some level of support with daily life. Furthermore, many of these individuals eventually move to assisted living (AL) facilities or nursing homes as they begin to require more assistance. Many people choose AL facilities due to pricing or the desire to be assisted rather than nursed. Previous studies have indicated that the physical environment of nursing homes can influence the overall well-being of residents with dementia. However, relatively few studies have assessed the effects of AL facility environments on the well-being of dementia patients.
Key Point Summary
Added June 2016

Effective Use of the Built Environment to Manage Behavioural and Psychological Symptoms of Dementia: A Systematic Review

Author(s): Soril, L. J. J., Leggett, L. E., Lorenzetti, D. L., Silvius, J., Robertson, D., Mansell, L., Holroyd-Leduc, J., Noseworthy, T. W., Clement, F. M., Laks, J.
There is a lack of valid and reliable research in the area of impact of built environment interventions in managing behavioral and psychological symptoms of dementia.
Key Point Summary
Added June 2016

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary
Added June 2016

Mental health facility design: The case for person-centred care

Author(s): Golembiewski, J. A.
Added June 2016

A nursing home staff tool for the indoor visual environment: The content validity

Author(s): Sinoo, M. M., Kort, H. S. M., Loomans, M. G. L. C., Schols, J. M. G. A.
Visual impairments affecting residents of nursing homes can arise from numerous causes, and they can directly affect these residents’ quality of life by jeopardizing their ability to participate in daily activities such as reading, watching television, or even interacting with others. The physical makeup of the nursing home itself can work to either help or hinder its residents, and in cases in which the environment is beneficial, the nursing home can be called an “environmental fit.
Key Point Summary
Added June 2016

Impact of Neonatal Intensive Care Bed Configuration on Rates of Late-Onset Bacterial Sepsis and Methicillin-Resistant Staphylococcus aureus Colonization

Author(s): Julian, S., Burnham, C.-A., Sellenriek, P., Shannon, W. D., Hamvas, A., Tarr, P. I., Warner, B. B.
Late-onset infections are a continuing issue, causing notable levels of morbidity and mortality in neonatal intensive care units (NICUs), while also increasing the length of patient stay and financial burdens on healthcare institutions. Few previous studies have tested the hypothesis that infants in single-patient rooms have a lower risk of methicillin-resistant Staphylococcus aureus (MRSA) colonization, late-onset sepsis, and death.
Key Point Summary
Added June 2016

Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

Author(s): Csipke, E., Papoulias, C., Vitoratou, S., Williams, P., Rose, D., Wykes, T.
Previous studies have shown repeatedly that the physical design of psychiatric wards has a significant impact on patient recovery and well-being. It has also been found that staff and patients often express conflicting expectations regarding the design of psychiatric wards. Therefore, it is important to better understand different stakeholder perceptions of the same environment so that the most effective design decisions can be made. One possible way of doing this would be using the “SURE model,” which is a participatory method involving collaborations with service users during all stages of the study.
Key Point Summary
Added June 2016

Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation, early treatment initiation, hospital safety and health system functioning

Author(s): Johnson, O., Youkee, D., Brown, C. S., Lado, M., Wurie, A., Bash-Taqi, D., Hall, A., Hanciles, E., Kamara, I., Kamara, C., Kamboz, A., Seedat, A., Thomas, S., Kamara, T. B., Leather, A. J. M., Kargbo, B.
The outbreak of Ebola Virus Disease (EVD) in West Africa during 2014-2015 was an unprecedented modern crisis that required novel approaches to outbreak containment and management. In response, the Ministry of Health and Sanitation (MOHS) and the King’s Sierra Leone Partnership (KSLP) in Freetown, Sierra Leone, worked to develop and implement five new Ebola Holding Units (EHUs) in government hospitals, which successfully isolated 37% of the 3,097 confirmed EVD cases within the country’s Western Urban and Rural district.
Key Point Summary
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

Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices:

Author(s): Arbogast, J. W., Moore-Schiltz, L., Jarvis, W. R., Harpster-Hagen, A., Hughes, J., Parker, A.
Added June 2016

Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay?

Author(s): Pierce, B. A., Gormley, D.
This paper presents a quality improvement (QI) project by comparing the performance of two different emergency departments (EDs). The idea behind the split flow model is to allow for a second flow stream of patients through the ED, parallel to the regular acute/critical care flow stream, that is ultimately intended for patients with problems that are not considered complex. The role of the provider in the triage (PIT) model is to enhance patient triage assessment by providing patients with an upfront evaluation upon entering the ED.
Key Point Summary
Added June 2016

Altering micro-environments to change population health behaviour: Towards an evidence base for choice architecture interventions

Author(s): Hollands, G. J., Shemilt, I., Marteau, T. M., Jebb, S. A., Kelly, M. P., Nakamura, R., Suhrcke, M., Ogilvie, D.
Added June 2016

Analysis of Credits Earned by LEED Healthcare Certified Facilities

Author(s): Golbazi, M., Aktas, C. B.
Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
Key Point Summary
Added June 2016

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.
Key Point Summary
Added June 2016

Participatory ergonomics in design processes: The role of boundary objects

Author(s): Broberg, O., Andersen, V., Seim, R.
Added June 2016

Keeping an Eye Out: Real Time, Real World Modeling of Behavior in Health Care Settings

Author(s): Beorkrem, C., Danilowicz, S., Sauda, E., Souvenir, R., Spurlock, S., Lanclos, D., Thomsen, R. M., Tamke, M., Gengnagel, C., Faircloth, B., Scheurer, F.
Added May 2016

Route complexity and simulated physical ageing negatively influence wayfinding

Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
Key Point Summary
Added May 2016

The Effect of a Safe Zone on Nurse Distractions, Interruptions, and Medication Administration Errors

Author(s): Yoder, M., Schadewald, D.
Added May 2016

Nebraska Biocontainment Unit perspective on disposal of Ebola medical waste

Author(s): Lowe, J. J., Gibbs, S. G., Schwedhelm, S. S., Nguyen, J., Smith, P. W.
Added May 2016