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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 101 - 120 of 171

Life-space mobility of middle-aged and older adults at various stages of usage of power mobility devices

Author(s): Auger, C., Demers, L., Linas, I. G., Miller, W. C., Jutai, J. W., Noreau, L.
Measuring the use of PMDs involves examining the life-space mobility of their users. The authors refer to literature where life-space mobility is defined as the area within which a person moves over time; it entails characterizing the distance travelled, the frequency of travel, and assistance (if any) availed by older adults.
Key Point Summary
Added September 2014

Evaluation of the Built Environment: Staff and Family Satisfaction Pre- and Post-Occupancy of The Children's Hospital

Author(s): Kotzer, A. M., Zacharakis, S. K., Raynolds, M., Buenning, F.
As healthcare organizations begin to address the issues of quality and safety, patient-centered care, and emerging technologies through the replacement of old and outdated facilities, understanding the impact of the built environment on patient and staff health outcomes becomes increasingly necessary to make valued decisions throughout the process.
Key Point Summary
Added September 2014

Relationships between exterior views and nurse stress: An exploratory examination

Author(s): Pati, D., Harvey, T. E., Barach, P.
Nursing is a stressful job, and the impacts of stress on performance are well documented. Nursing stress, however, has been typically addressed through operational interventions, even though the ability of the physical environment to modulate stress in humans is well known. This study explores the outcomes of exposure to exterior views from nurse work areas.
Key Point Summary
Added September 2014

Quantifying the Relationship Among Hospital Design, Satisfaction, and Psychosocial Functioning in a Pediatric Hematology-Oncology Inpatient Unit

Author(s): Sherman-Bien, S. A., Malcarne, V. L., Roesch, S., Varni, J. W., Katz, E. R.
Prior research has shown that healthcare satisfaction and physical and psychological outcomes in adults are affected by the built environment. Research has also suggested that perceived built environment satisfaction acts as a mediator between the objective built environment and healthcare satisfaction and health-related quality of life in adults. However, minimal research has been conducted to understand these concepts within the pediatric population.
Key Point Summary
Added September 2014

Exploring the Impact of the Physical Environment on Patient Outcomes in Ambulatory Care Settings

Author(s): Gulwadi, G., Joseph, A., Keller, A.
Recent trends in healthcare have seen a shift in treating episodic care within acute care environments to ambulatory care centers (ACCs). These facilities distribute care based upon prevention and wellness to combat chronic disease and provide care management. Ambulatory care environments consist of a broad platform of care settings and deliver many types of care to a wide range of populations. Due to these and other complexities, research linking the impact of the physical design of ACCs on patient health outcomes has yet to be documented.
Key Point Summary
Added September 2014

Understanding the Role of Hospital Design on the Psychological Trauma of Hospitalization for Children

Author(s): Cartland, J.
The Ann & Robert H. Lurie Children’s Hospital of Chicago (formerly, Children’s Memorial Hospital) has gone through many transformations since its founding in a small North Side cottage 130 years ago. Lurie Children’s recently executed one of the most significant transformations in its history. It moved into a replacement facility, leaving its historic home in the Lincoln Park neighborhood of Chicago and moving near its academic partner, Northwestern Memorial Hospital, in the Streeterville neighborhood.
Key Point Summary
Added June 2014

Physical activity, functional limitations, and disability in older adults.

Author(s): Miller, M. E., Rejeski, W. J., Reboussin, B. A., Ten Have, T. R., Ettinger, W. H.
Research suggests that physical activity slows the progression of disability in seniors and, thus, prolongs independent living. Geriatric care-givers often use the activities of daily living (ADL), such as feeding and grooming, and instrumental activities of daily living (IADL), such as managing finances and housework, to determine if older adults have the skills necessary to live independently.
Key Point Summary
Added May 2014

Fall and Injury Prevention in Older People Living in Residential Care Facilities: A Cluster Randomized Trial

Author(s): Jensen, J., Lundin-Olsson, L., Nyberg, L., Gustafson, Y.
Despite the fact that falls and resulting injuries are common in the residential care population, little is known about how to prevent falls. Research during the past 10 years around fall prevention has shown positive and negative results. Some of these inconsistent results could be explained by differences in target groups, interventions, and outcome measures.
Key Point Summary
Added May 2014

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

Author(s): Norton-Westwood, D.
Research has shown that the hospital environment can be distressing to a child. However, introducing design features that spark a child’s imagination can help to reduce anxiety.
Key Point Summary
Added May 2014

Pictorial Intervention in a Pediatric Hospital Environment: Effects on Parental Affective Perception of the Unit

Author(s): Monti, F., Dellabartola, S., Neri, E., Bozicevic, L., Pocecco, M. , Agostini, F.
Prior research has shown that the physical, emotional, and social health of a parent, during the course of their child’s hospitalization, directly affects the health and well-being of their child.
Key Point Summary
Added May 2014

Quality of life of residents with dementia in traditional versus small-scale long-term care settings: a quasi-experimental study

Author(s): de Rooij, A. H. P. M., Luijkx, K. G., Schaafsma, J., Declercq, A. G., Declercq, A. G., Emmerink, P. M. J., Schols, J. M. G. A.
Due to the rapid increase in the number of people suffering from dementia worldwide, more residential care is greatly needed. Traditionally, residential dementia care has been carried out with a medical- and nursing-based care approach, which has been criticized for focusing mainly on the care aspects. Experts argue that dementia care should also pay attention to creating the environment that offers a better balance between living, well-being, and care. In an effort for better balance, small-scale living facilities for older persons have been developed. However, limited research has been done to identify their impact on quality of life of residents.
Key Point Summary
Added May 2014

Physical Restraint Initiation in Nursing Homes and Subsequent Resident Health

Author(s): Engberg, J., Castle, N. G., McCaffrey, D.
Previous studies have shown that restraint use may be associated with mental health problems, including increased social isolation and decreased cognitive function. Social isolation negatively affects the health of elders. Facilities with restrained residents also have poor restraint-management practices. Two other well-known consequences of immobility are pressure ulcers and contractures. Pressure ulcers affect both the comfort and the medical outcomes of nursing home residents with impaired mobility.
Key Point Summary
Added May 2014

Effect of light treatment on sleep and circadian rhythms in demented nursing home patients

Author(s): Ancoli-Israel, S., Martin, J. L., Kripke, D. F., Marler, M., Klauber, M. R.
The disturbed sleep seen in nursing home residents may be due to changes in circadian rhythms. Human circadian rhythms are biological cycles of about 24 hours that include sleep/wake, body temperature, and melatonin secretion cycles. A second reason for sleep disturbances in this population may be decreased exposure to bright light. Bright light (≥ 2,000 lux) appears to be one of the most powerful synchronizers of circadian rhythms, directly influencing melatonin secretion, sleep/wake patterns, and other circadian rhythms.
Key Point Summary
Added April 2014

Increased Light Exposure Consolidates Sleep and Strengthens Circadian Rhythms in Severe Alzheimer's Disease Patients Increased Light Exposure Consolidates Sleep and Strengthens Circadian Rhythms in Severe Alzheimer's Disease Patients

Author(s): Ancoli-Israel, S., Gehrman, P., Martin, J. L., Shochat, T., Marler, M., Corey-Bloom, J., Levi, L.
Studies with examined levels of illumination in adults have shown that the average level and the average amount of bright light exposure is lower in the elderly compared to younger adults, particularly in patients who are institutionalized with dementia. Although insufficient light exposure has been implied as a cause of sleep fragmentation, until recently there had been little direct evidence for this correlation. A recent study suggested that daytime light exposure impacts both nighttime sleep consolidation and timing of peak activity level (Shochat et al., 2000). In an attempt to improve sleep in nursing home patients, the current laboratory study exposed patients with mixed types of dementia to 2,500 lux for two hours a day for 10 days either in the morning or in the evening and tested the impact of the bright lighting on sleep and circadian rhythms.
Key Point Summary
Added April 2014

The Impact of Virtual Reality Distraction on Pain and Anxiety during Dental Treatment in 4-6 Year-Old Children: a Randomized Controlled Clinical Trial

Author(s): Aminabadi, N. A., Erfanparast, L., Oskouei, S. G., Naghili, A.
Immersive distraction techniques have been shown to be an effective method to control anxiety and pain in children during dental treatment.
Key Point Summary
Added April 2014

Impact of Music Therapy Interventions (Listening, Composition, Orff-Based) on the Physiological and Psychosocial Behaviors of Hospitalized Children: A Feasibility Study

Author(s): Colwell, C. M., Edwards, R., Hernandez, E., Brees, K.
The hospital experience can impact the physical and mental health of a child. Prior research has shown that music therapy can have a positive effect on mood, anxiety, respiratory distress, and behavioral distress. And although listening to music is the most common form of music therapy, songwriting and physically making music have also been used as a positive coping strategy for children within a hospital environment.
Key Point Summary
Added April 2014

A novel night lighting system for postural control and stability in seniors

Author(s): Figueiro, M. G., Gras, L., Qi, R., Rizzo, P., Rea, M., Rea, M. S.
Age-related changes may result in impaired balance control, and thus can lead to increase risk of falls among the elderly. Visual information provides a spatial reference for self-position and location of obstacles within a person’s environment. Lack of this information results in increased body sway. In addition, low ambient light levels reduce postural control. Therefore, this study investigated the effectiveness of a novel self-luminous light emitting diode (LED) night-lighting system that provided linear spatial orientation cues plus low ambient lighting for enhancing postural control in healthy seniors.
Key Point Summary
Added April 2014

Being hospitalized with a newly- diagnosed chronic illness - A phenomenological study of children’s lifeworld in the hospital

Author(s): Ekra, E. M. R., Gjengedal, E.
Research regarding children within the hospital environment has typically been investigated using adult insight into the needs and preferences of children. However, current research has begun to use the child’s perspective to gain understanding on how the quality of the hospital environment influences the child’s experiences when facing an illness that requires hospitalization.
Key Point Summary
Added April 2014

Quality Improvement Practices: Enhancing Quality of Life During Mealtimes

Author(s): Evans, B. C., Crogan, N. L.
Studies identified that malnutrition affects up to 54% of the 1.5 million Americans over age 65 who reside in the nation’s 20,000 nursing homes and can lead to death or chronic disability. Physical causes of malnutrition include altered sensation, medication effects, and impaired feeding ability. Psychological causes include cognitive impairment, depression, and social isolation. Mealtime is also a very important time of day for residents of nursing homes since it is a time for socialization, remembering family and past events, and enjoying the sensory experience of eating. The mealtime experience can enhance the quality of life for residents in nursing homes.
Key Point Summary
Added April 2014

Nurses’ Perception of Single-Occupancy Versus Multioccupancy Rooms in Acute Care Environments: An Exploratory Comparative Assessment

Author(s): Chaudhury, H., Mahmood, A., Valente, M.
As people are living longer and the baby boomers age, the demand for hospital beds will increase. As new facilities are built to handle this influx of patients, the challenge for hospital designers and administrators is to design patient rooms that promote therapeutic goals, foster positive patient outcomes, and function as intensive care rooms. Recent research suggests that single-occupancy rooms are more suitable for infection control and patient care than multioccupancy rooms. However, no research has been done about nursing staff members’ perception of single-occupancy and multioccupancy patient rooms in acute care settings as it relates to patient care.
Key Point Summary
Added April 2014