A regional survey on residents’ preferences on patient-centered medical home design in rural areas
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 187-205
Author(s): Cai, H., Spreckelmeyer, K., Mendenhall, A., Li, D., Holmes, C., Levy, M.
The patient-centered medical home (PCMH) is a delivery model for primary care that is characterized by the recognition of unique patient needs while providing accessible services, a focus on safety and quality, comprehensive care, and coordinated care.
Added December 2018
Acoustic assessment of speech privacy curtains in two nursing units
2016
Noise & Health
Journal Article
Issue 80
Volume 18
Pages 26-35
Author(s): Pope, D. S., Miller-Klein, E. T.
Hospitals are environments with complex soundscapes, and some elements of these soundscapes can impede upon patient health and overall communication. Numerous sources of noise from equipment, movement, and increased speaking volumes combine with high reverberation rates, resulting in the need to speak increasingly louder.
Added March 2017
Individualizing hospital care for children and young people with learning disabilities: it's the little things that make the difference
2015
Journal of Pediatric Nursing
Journal Article
Issue 1
Volume 30
Pages 78-86
Author(s): Oulton, K., Sell, D., Kerry, S., Gibson, F.
People with learning disabilities (LDs) represent one of the largest groups with a lifelong disability, reaching nearly 60 million people worldwide. In England alone, it is estimated that 1.5 million people live with an LD, 286,000 of them being children and young people ages 0-17. It has been found that those with LD have more hospital admissions and greater hospital stays than those children without.
Added November 2016
Radical systems change. Innovative strategies to improve patient satisfaction.
2003
The Journal of Ambulatory Care Management
Journal Article
Issue 2
Volume 26
Pages 159-174
Author(s): Rave, N., Geyer, M., Reeder, B., Ernst, J., Goldberg, L., Barnard, C.
Added August 2016
Patient Engagement in the Medical Facility Waiting Room Using Gamified Healthcare Information Delivery
Volume 9752
Pages 412-423
Author(s): Nah, F. F.-H., Tan, C.-H., Hassan, R., Twyman, N. W., Nah, F. F.-H., Siau, K.
Added July 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.
Added June 2016
Being Wheeled or Walking: A Qualitative Study of Patients’ Spatial Experience in Two Distinct Day Surgery Centers
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 9
Pages 176-189
Author(s): Annemans, M., Audenhove, C. V., Vermolen, H., Heylighen, A.
Added April 2016
How Universal Are Universal Symbols? An Estimation of Cross-Cultural Adoption of Universal Healthcare Symbols
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 9
Pages 116-134
Author(s): Joy Lo, C.-W., Yien, H.-W., Chen, I.-P.
Added April 2016
Measuring the Structure of Visual Fields in Nursing Units
2010
Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 3
Pages 48-59
Author(s): Lu, Y.
A nurses’ central role is to treat and attend to patients’ needs in a timely manner. This becomes complicated when managing several patients simultaneously, especially those in critical care. Therefore, developing an efficient system that helps nurses manage patient care and reduces nurse burnout rates is critical.
Added January 2016
Delusions and Underlying Needs in Older Adults with Alzheimer’s Disease
2014
Journal of Gerontological Nursing
Journal Article
Issue 12
Volume 40
Pages 38-47
Author(s): Wang, J., Cheng, W., Lai, P., & Pai, M.
The purpose of this study was to understand the influences of earlier life experiences and the current environment on delusions, as well as the underlying needs of individuals with Alzheimer’s disease (AD) experiencing delusions.
Added January 2016
COMMUNI-CARE: Assessment Tool for Reactions and Behaviors of Patients with Dementia in a Multisensory Stimulation Environment
2014
Dementia
Journal Article
Author(s): Lopez, J. J. B., Martorell, J., & Bolivar, J. C. C.
Snoezelen translated into Dutch means “smell, feel and snooze/relax.” Snoezelen is either a room or room enhancements that provide a multisensory experience. They were created to reduce the unpleasant effects of sensory deprivation in patients with learning disabilities. Today they are used on patients with a variety of psychological and behavorial symptoms.
Added January 2016
Pod Nursing on a Medical/Surgical Unit
2014
Journal of Nursing Administration
Journal Article
Issue 4
Volume 44
Pages 207-211
Author(s): Friese, C. R., Grunawalt, J. C., Bhullar, S., Bihlmeyer, K., Chang, R., & Wood, W.
The project reported in this article uses a Pod Nursing (PN) care delivery model to enhance patient-nurse proximity and a team-based patient assignment to improve select nurse and patient outcomes.
Added January 2016
Building and Testing a Patient-centric Electronic Bedside Communication Center
2013
Journal of Gerontological Nursing
Journal Article
Issue 1
Volume 30
Pages 15-19
Author(s): Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., Chang, F., Pozzar, R., and Caligtan. C. A.
This study builds upon previous research that demonstrated improved outcomes when patients had access to tailored information related to falls.
Added January 2016
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
Added December 2015
Finding privacy from a public death: A qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families
2015
Journal of Clinical Nursing
Journal Article
Issue 15-16
Volume 24
Pages 2164-2174
Author(s): Slatyer, S., Pienaar, C., Williams, A. M., Proctor, K., Hewitt, L.
Seriously ill patients die in hospitals around the world, and previous studies have shown that the factors that constitute a “good death” from the perspective of patients include control, comfort, family inclusion, sensitive communication, and peace. The quality of care provided to dying patients affects not only the patients, but bereaved families as well. It is therefore important for hospital environments to carefully consider the resources they provide towards quality end-of-life care.
Added December 2015
Centralized to hybrid nurse station: Communication and teamwork among nursing staff
2015
Journal of Nursing Education and Practice
Journal Article
Issue 12
Volume 5
Pages 34-41
Author(s): Zhang, Y., Soroken, L., Laccetti, M., Castillero, E. R. d., Konadu, A.
Nursing stations often act as the primary workspaces for various members of a healthcare team while patients aren’t being directly worked with. Centralized nursing stations can lead to higher rates of telephone and computer use and administrative tasks while decreasing time spent caring for patients. Conversely, decentralized nursing stations have been found to create feelings of isolation and poor communication among staff. To emphasize the positive aspects of both formats, the authors propose a hybrid nursing station design that features decentralized stations connected to centralized meeting spaces.
Added October 2015
Impact of the physical environment of psychiatric wards on the use of seclusion
2013
The British Journal of Psychiatry
Journal Article
Issue 2
Volume 202
Pages 142-149
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.
Added October 2015
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs
2015
BMJ Quality & Safety
Journal Article
Issue 4
Volume 25
Pages 241-256
Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Centralized and Decentralized Nurse Station Design: An Examination of Caregiver Communication, Work Activities, and Technology
2007
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 1
Pages 44-57
Author(s): Gurascio-Howard, L., Malloch, K.
Patients need to be close to a nurse (RN) for easy access to care and to save travel time. Centralized nurse stations are placed in one location to serve a group of patient rooms.
Added August 2015