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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 61 - 80 of 171

Care Home Design for People with Dementia: What do People with Dementia and Their Family Carers Value?

Author(s): Innes, A., Kelly, F., Dincarslan, O.
A ‘dementia-friendly’ environment is argued to compensate for disability and should consider both the importance for the person with dementia of his/her experiences within the environment and also the social, physical, and organizational environments that impact on these experiences.
Key Point Summary
Added January 2016

Light for Nurses’ Work in the 21st Century: A Review of Lighting, Human Vision Limitations, and Medication Administration

Author(s): Graves, K., Symes, L., & Cesario, S. K.
While there has been previous documentation about the impact of the built environment on staff efficiency, little has been documented about the role of architectural lighting on staff’s ability to perform work tasks. The authors cite specific examples of how medications are often distributed on night shifts, sometimes when nurses use pen lights so as not to disturb patients.
Key Point Summary
Added January 2016

Impact of healthcare design on patients’ perception of a rheumatology outpatient infusion room: an interventional pilot study

Author(s): Bukh, G., Tommerup, A. M. M., Madsen, O. R.
Evidence-based healthcare design is a concept aimed at reducing stress factors in the physical environment for the benefit of patients and the medical staff. The objective of this study was to examine the impact of room modifications on patients’ perception of an outpatient infusion room used for treating rheumatologic diseases. Patient and nurse interviews, a staff workshop and field...
Key Point Summary
Added December 2015

Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards

Author(s): Singh, I., Okeke, J., Edwards, C.
Patient falls are a major safety concern in hospitals. The authors report that up to 30% of patient falls result in injury, and that in the National Health Service (NHS) ward of U.K., 200,000 falls a year are documented. Of these, 900 incidents have been severe and 90 had resultant deaths.
Key Point Summary
Added December 2015

Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow

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.
Key Point Summary
Added December 2015

Intensive care unit design and mortality in trauma patients

Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Key Point Summary
Added December 2015

Wayfinding Behaviors In A Healthcare Environment: A Case Study Analysis Of Individual Differences

Author(s): Sevinç, Z., Bozkurt, E.
Wayfinding in healthcare facilities is often a challenge. Given the complexity of the space, its multi-functionality and the assortment of activities that take place on its premises, the inability to smoothly find one’s way in a hospital can add to a patient’s stress.
Key Point Summary
Added December 2015

A study protocol for performance evaluation of a new academic intensive care unit facility: impact on patient care

Author(s): Ferri, M., Zygun, D. A., Harrison, A., Stelfox, H. T.
Added November 2015

Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units

Author(s): Rashid, M., Boyle, D. K., Crosser, M.
Using three spatial network measures of “space syntax”, this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs.
Key Point Summary
Added November 2015

Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results

Author(s): Gustavsson, J., Bonander, C., Andersson, R., Nilson, F.
Added October 2015

A study of agitation, conflict and containment in association with change in ward physical environment

Author(s): Jenkins, O., Dye, S., Foy, C.
Patients in psychiatric intensive care units or PICUs can be a threat to themselves, staff, and other patients because of aggressive and agitated behavior. The authors allude to past research where such behavior has been attributed to age, gender, diagnosis, psychopathology, substance abuse, staff-patient interaction, as well as staff, patient, and environmental traits.
Key Point Summary
Added October 2015

The health-care environment through the eyes of a child—Does it soothe or provoke anxiety?

Author(s): Norton-Westwood, D.
Added September 2015

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 NICU design on environmental noise

Author(s): Szymczak, S. E., Shellhaas, R. A.
Literature shows that preterm infants can be adversely affected by sounds in a hospital. Yet completely quiet environments may potentially limit a much-needed exposure to language. This presents a challenge to designing an optimal sound environment in NICUs. This study examined the acoustic variance in open bay and single room NICUs and found that there was little variability in the acoustic environment of the two NICU models. It also found that the single room NICU had longer periods of silence than the open bay NICU.
Key Point Summary
Added July 2015

Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia

Author(s): Burpee, H., McDade, E.
Today, operational hospitals in the United States consume an enormous amount of energy. This study is an outgrowth of previous research evaluating high-quality, low-energy hos pitals that serve as examples for new high-performance hospital design, construction, and operation.
Key Point Summary
Added May 2015

The effect of changes in servicescape and service quality perceptions in a maternity unit

Author(s): Holder, M., Berndt, A.
Quality of service in healthcare is pertinent to patient experience and satisfaction, and can impact customer (patient) loyalty, cost savings, profits and market share of the healthcare facility. The authors indicate that the servicescape, or the physical environment of a facility, has an impact on a patient’s perception of the quality of service.
Key Point Summary
Added May 2015

Users' views of hospital environmental quality: Validation of the Perceived Hospital Environment Quality Indicators (PHEQIs)

Author(s): Andrade, C., Lima, M. L., Fornara, F., Bonaiuto, M
The hospital physical environment has been researched for years but its impact on patient outcomes is still in need of validation. The perception of the medical facility as a “healing environment” rather than a “curing machine” is being adopted by new hospitals. Improved physical environments generate overall satisfaction with medical services.
Key Point Summary
Added May 2015

A companionship between strangers – the hospital environment as a challenge in patient–patient interaction in oncology wards

Author(s): Larsen, L. S., Larsen, B. H., Birkelund, R.
The authors allude to existing literature indicating the healing and therapeutic effect of hospital environments and the increasing evidence between healthcare environments and patient outcomes. In this study the authors explore through observations and interviews of patients how the hospital environment impacts the interaction between hospitalized cancer patients.
Key Point Summary
Added May 2015

Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: A systematic review

Author(s): Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., Zimring, C. M.
Falls are the most frequently reported negative events in hospitals in the United States and other countries, and about one-third of them result in injury of some type. Injury from falls can result in increased hospital stays, increased costs and litigation, among other problems. The authors reviewed the literature on falls, fall injuries, fall risk factors, and interventions to better understand the effectiveness of different methods for fall prevention in hospital settings.
Key Point Summary
Added December 2014

Outdoor Wandering Parks for Persons with Dementia

Author(s): Cohen-Mansfield, J., Rodiek, S., Schwarz, B.
Outdoor spaces in nursing homes are documented to be beneficial to residents. The author alludes to literature to highlight the specific advantages exposure to different types of outdoor spaces brings to the daily lives of people suffering from dementia.
Key Point Summary
Added December 2014