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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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Travel in Nursing Units

Author(s): Lippert, S.
The author refers to previous studies where the comparison of nurses’ travel in nursing units was done using different methods and on the basis of the unit layout, without taking into consideration nurses’ activities. The author developed a mathematical model, the Tour Model, to enable a universal comparison of nurses’ travels in units with different layouts.
Key Point Summary
Added January 2015

Outdoor environments in healthcare settings: A quality evaluation tool for use in designing healthcare gardens

Author(s): Bengtsson, A., Grahn, P.
Post-occupancy evaluations (POEs) are the more common means of assessing the effectiveness of these environments. With the advent and growing trend of incorporating evidence-based design (EBD), the authors emphasize the need for an EBD tool.
Key Point Summary
Added December 2014

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

Stress Reduction in the Hospital Room: Applying Ulrich’s Theory of Supportive Design

Author(s): Andrade, C. C., Devlin, A. S.
In this study the authors intended to empirically test Ulrich’s (1991) theory of supportive design. According to this, the physical-socio environment of a healthcare facility affects the well-being of patients, which is promoted through perception of control (PC), social support (SS), and positive distraction (PD). The authors point to literature that separately provides evidence for the relevance of each of the above aspects.
Key Point Summary
Added December 2014

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs

Author(s): France, D. J., Throop, P., Walczyk, B., Allen, L., Parekh, A. D., Parsons, A., Rickard, D., Deshpande, J. K.
According to the authors, “human factors engineering is the study of human beings and their interaction with products, environment, and equipment”, and that over the years it has evolved from systems- centered to user-centered to socially-centered care.
Key Point Summary
Added December 2014

Inpatient fall prevention: Use of in-room Webcams

Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Key Point Summary
Added December 2014

Accessibility for mental healthcare

Author(s): Chrysikou, E.
Mental health facilities, according to the author, are designed and built to limit the mobility of patients, whether or not they are limited by physical disability. While physical mobility may be a consequence of the illness, in other cases the potential flight risk of a patient may require the facility policy to be restrictive regarding patient access to open spaces.
Key Point Summary
Added December 2014

Collaborative design: outdoor environments for veterans with PTSD

Author(s): Wagenfeld, A., Roy‐Fisher, C., Mitchell, C.
The environment has a positive impact on health outcomes. The authors indicate that this is particularly significant in the case of residential healthcare facilities where patients are required to stay for long periods of time.
Key Point Summary
Added December 2014

Including patients, staff and visitors in the design of the psychiatric milieu

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.
Key Point Summary
Added December 2014

Creating ‘therapeutic landscapes’ for mental health carers in inpatient settings: A dynamic perspective on permeability and inclusivity

Author(s): Wood, V. J., Curtis, S. E., Gesler, W., Spencer, I. H., Close, H. J., Mason, J., Reilly, J. G.
Added December 2014

Evaluating the Built Environment in Inpatient Psychiatric Wards

Author(s): Sheehan, B., Burton, E., Wood, S., Stride, C., Henderson, E., Wearn, E.
The authors allude to the dearth of research on the built environment in psychiatric wards and emphasize that the significance of the impact of the physical environment on the mental health and well-being of patients cannot be overlooked. This research involved examining the physical aspects of 98 psychiatric wards in urban and rural England and identifying those aspects associated with staff satisfaction.
Key Point Summary
Added December 2014

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Author(s): Curtis, S., Gesler, W., Wood, V., Spencer, I., Mason, J., Close, H., Reilly, J.
The authors allude to the challenge of managing risk to the security of patients and staff in psychiatric wards and how design of psychiatric hospitals contributes to it. The authors conducted an evaluation of a mental health inpatient facility.
Key Point Summary
Added December 2014

The Impact of Windows and Daylight on Acute-Care Nurses' Physiological, Psychological, and Behavioral Health

Author(s): Zadeh, R. S., Shepley, M. M., Williams, G., Chung, S. S..
Added December 2014

Effect of an Emergency Department Fast Track on Press-Ganey Patient Satisfaction Scores

Author(s): Hwang, C. E., Lipman, G. S., Kane, M.
On the lines of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient experience surveys, the Centers for Medicare and Medicaid Services have announced a similar survey for Emergency Departments (EDs). This study examined Press-Ganey scores of patient satisfaction in an academic hospital that recently implemented an ED Fast Track program and found a clear association between the program and higher patient satisfaction.
Key Point Summary
Added December 2014

Space to care and treat safely in acute hospitals: Recommendations from 1866 to 2008

Author(s): Hignett, S., Lu, J.
Bed space, defined in this study as the area around an individual bed offering privacy either as a curtained or screened cubicle or a single room in a ward holding multiple occupants, is the most frequently repeated design envelope in an acute care hospital. Since patients, staff, visitors, and other people will occupy this space at one point or another for a variety of different purposes, a complex design challenge exists. In 1893, Florence Nightingale successfully argued for less cramped bedrooms and overall improvements in hospital designs.
Key Point Summary
Added December 2014

In-patient falls: What can we learn from incident reports?

Author(s): Hignett, S., Sands, G., Griffiths, P.
Added December 2014

Exploring the contributory factors for un-witnessed in-patient falls from the National Reporting and Learning System database

Author(s): Hignett, S., Sands, G., Griffiths, P.
Added December 2014

Health care aides use of time in a residential long-term care unit: A time and motion study

Author(s): Mallidou, A. A., Cummings, G. G., Schalm, C., Estabrooks, C. A.
Added December 2014

A Comparitive Analysis of Centralised and Decentralised Nurse Station and Patient’s Satisfaction

Author(s): Manzoor, S. J.
A healing environment arises from careful design that demonstrates measurable improvements in the psychological and/or physical states of staff, patients, and/or visitors. When focusing on Evidence-Based Design, deliberate efforts based off of solid evidence should be made to construct the most effective possible ICU layout, thereby creating the best possible healing environment for patients and a suitable work environment for staff.
Key Point Summary
Added December 2014

Translating Quality Care Factors to Quality Space: Design Criteria for Outpatient Facility

Author(s): Samah, Z. A., Ibrahim, N., Amir, J. S.
Added December 2014