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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 3901 - 3920 of 6333

Perceptions of the Physical Environment, Stage of Change for Physical Activity, and Walking Among Australian Adults

Author(s): Carnegie, M. A., Bauman, A., Marshall, A. L., Mohsin, M., Westley-Wise, V., Booth, M. L.
The health benefits of regular physical activity are well-established. An understanding of the factors that influence physical activity behaviors is greatly needed to influence sedentary population groups to become more physically active. Psychological, physiological, demographic, and environmental factors are known to influence physical activity. The increasing interest in physical environmental factors such as pleasant walking paths away from traffic, bike paths, weather conditions, and neighborhood safety has arisen due to broader, integrated models developed to more comprehensively explain physical activity behavior.
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

Traffic Flow in the Operating Room: An Explorative and Descriptive Study on Air Quality During Orthopedic Trauma Implant Surgery

Author(s): Andersson, A.E., Bergh, I., Karlsson, J., Eriksson, B.I. MD, Nilsson,K.
Three main strategies exist to prevent surgical site infections following surgery: 1) the patient, 2) the surgical technique, 3) the surgical environment. This study focuses on optimizing the effect of the surgical environment in preventing SSIs (surgical site infections). The authors attempt to understand that the protective potential of operating room (OR) ventilation under different conditions is crucial to optimizing the surgical environment.
Key Point Summary
Added April 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

Suicide in Older Adults in Long-Term Care: 1990 to 2005

Author(s): Briana Mezuk, Marta R. Prescott, Kenneth Tardiff, David Vlahov, Sandro Galea
Few studies have examined the intersection between suicide risk and residency in long term care settings. This study attempts to describe the characteristics associated with suicide in older persons residing in long-term care (LTC) facilities, to compare the characteristics of suicide cases in LTC with those of cases in the community, and to evaluate trends in suicide in these settings over the past 15 years.
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

Promoting physical activity in rural communities: Walking trail access, use, and effects

Author(s): Brownson, R. C., Housemann, R. A., Brown, D. R., Jackson-Thompson, J, King, A. C., Malone, B. R., Sallis, J. F.
The health benefits of physical activity are well established. Physical activity contributes to a lower risk of coronary heart disease, as well as a variety of other chronic diseases including hypertension, non-insulin-dependent diabetes (Type 2), osteoarthritis, and osteoporosis. To promote physical activity, more environmental and policy strategies are needed. Examples of environmental and policy approaches to increase physical activity include walking and bicycle trails, liability legislation, zoning and land use, mall walking programs, building construction that encourages physical activity, policies and incentives promoting physical activity during the workday, and policies requiring comprehensive school physical health education programs.
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

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Key Point Summary
Added April 2014

Considering the impact of medicine label design characteristics on patient safety

Author(s): Hellier, E. , Edworthy, J. , Derbyshire, N. , Costello, A.
The premise of this study is that there is sufficient evidence-based research in areas such as food labeling, chemical labeling, and general warnings that provides systematic evidence on the effects of medication label design characteristics such as font size, color, use of specific language and signal words/warnings on performance behavioral variables such as safety, compliance, understandability, and discriminability.
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

Inclusive Indoor Play: Children at play

Author(s): Endicott, S., Kar, G., Mullick, A.
Prior research has shown that children with disabilities exhibit a more limited play repertoire than children without disabilities, due to barriers within indoor play environments that do not allow for equitable play amongst all children. This study is one part of the Inclusive Indoor Play project. This research project seeks to develop universal guidelines for design within indoor play environments, and design models of play environments that are inclusive to all children.
Key Point Summary
Added April 2014

Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction

Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process.
Key Point Summary
Added April 2014

Effectiveness of overhead lifting devices in reducing the risk of injury to care staff in extended care facilities

Author(s): Engst, C., Chhokar, R. , Miller, A., Tate, R. B., Yassi, A.
Healthcare facilities often install mechanical lifts to help staff avoid injuries from patient handling. However, some mechanical lifts require more time and space and are not always as comfortable, safe, and secure as manual patient handling. Few studies have used a prospective controlled design to evaluate the effectiveness of ceiling lifts in reducing risk of musculoskeletal injury to care staff; increasing staff satisfaction; and assessing preferred methods of lifting, transferring, and repositioning residents.
Key Point Summary
Added April 2014

Suicide amongst psychiatric inpatients who abscond from the ward: a national clinical survey

Author(s): Hunt, I. M., Windfuhr, K., Swinson, N., Shaw, J., Appleby, L., Kapur, N.
Research studies have shown that about 34-39% of patients in psychiatric wards go absconding. The goal of this study was to describe the social and clinical characteristics of people who had absconded from an inpatient psychiatric ward prior to suicide, including aspects of the clinical care they received.
Key Point Summary
Added April 2014

Suicide in recently admitted psychiatric inpatients: a case-control study

Author(s): Hunt, M., Bickley, H., Windfuhr, K., Shaw, J., Appleby, L., Kapur, N.
Research studies have shown that the risk of hospitalized patients dying by suicide is still extremely high—around 40 to 50 times higher than in the general population. A number of studies have reported that the first week of admission is a time of particularly acute risk.
Key Point Summary
Added April 2014

The Effect of Aromatherapy Massage With Music on the Stress and Anxiety Levels of Emergency Nurses

Author(s): Davis, C., Cooke, M., Holzhauser, K., Jones, M., Finucane, J.
Nurses who work in emergency and intensive care units and new graduates suffer from high levels of stress, which is associated with sick leave. Some research shows that massage with aromatherapy relieves stress. However, this research is not specific to emergency room nursing staff.
Key Point Summary
Added April 2014