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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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Light is beneficial for infant circadian entrainment: an actigraphic study

Author(s): Tsai, S., Thomas, K. A., Lentz, M. J., Barnard, K. E.
When babies have their days and nights mixed up, it puts stress on the parents, disrupting their sleep, causing fatigue, and even leading to depression. Ambient light regulates the sleep-awake cycle in adults, however, it is less clear what role it plays in developing the circadian rhythms of infants. This paper takes a look at how light is related to infants’ circadian rest-activity patterns.
Key Point Summary
Added February 2014

Threading Needles in the Dark: The Effect of the Physical Work Environment on Nursing Practice

Author(s): Simmons, D., Graves, K., Flynn, E. A.
People’s ability to perform reliably and safely relies on the physical work environment. Nowhere is this connection more critical than in healthcare environments, which can be noisy, dimly lit, and chaotic. The United States Pharmacopeia addresses this issue in its draft general chapter of standards, “Physical Environments that Promote Safe Medication Use,” which specifies work environment guidelines to support efficient and safe medication use.
Key Point Summary
Added February 2014

Sleep in Acute Care Settings: An Integrative Review

Author(s): Redeker, N. S.
Despite three decades of research, little is known about sleep in acute care settings. Yet, for many adults in these settings, disturbed sleep is common. This literature review looks at studies of hospitalized patients in intensive care and medical surgical units.
Key Point Summary
Added February 2014

The impact of health facilities on healthcare workers’ well-being and performance

Author(s): Rechel, B., Buchan, J., McKee, M.
There is extensive research on the effect of healthcare environments on patients. But much less is known about health facilities’ impact the staff, even while there is growing recognition of the need for healthy working environments. Poor healthcare working environments can relate to the nature of the work—long and antisocial hours, little administrative support, physical labor, and, sometimes, violence.
Key Point Summary
Added February 2014

Implementing a Pediatric Obesity Care Guideline in a Freestanding Children’s Hospital to Improve Child Safety and Hospital Preparedness

Author(s): Porter, R. M., Thrasher, J, Krebs, N. F.
Over the past three decades, the number of children who are overweight has grown, with the greatest increase among those categorized as severely obese. Providing healthcare for these children is complicated, yet there is little information about the patient, provider, and institutional needs for the severely obese pediatric patient.
Key Point Summary
Added February 2014

Nurses and stress: recognizing causes and seeking solutions

Author(s): Happell, B., Dwyer, T., Reid-Searl, K., Burke, K. J., Caperchione, C. M., Gaskin, C. J.
Nursing is a stressful job. This occupational stress can have negative consequences in terms of nurses’ physical and psychological health as well as for healthcare organizations and the community. Yet little is known about identifying sources of occupational stress and reducing it.
Key Point Summary
Added February 2014

Outpatient pharmacy redesign to improve work flow, waiting time, and patient satisfaction

Author(s): Pierce, R., Rogers, E., Sharp, M., M. Musulin, M.
The open pharmacy approach tested increased the efficiency of the pharmacy operation, reduced patient waiting time, and increased patient and pharmacist satisfaction with their experiences at the pharmacy.
Key Point Summary
Added February 2014

Nurses’ Perceptions of How physical Environment Affects Medication Errors in Acute Care Settings

Author(s): Mahmood, A., Chaudhury, H., Valente, M.
Medication errors in hospitals occur for a number of reasons, stemming from staff and organizational issues to aspects of the physical environment. Errors include omissions, giving the wrong type or amount of medication, and giving the wrong patient unneeded medication. Research has indicated that a significant amount of these errors are avoidable.
Key Point Summary
Added February 2014

Parental Views of the Social Environment of an Outpatient Bone Marrow Transplant Clinic

Author(s): Pritchett, J. K., Buckner, E. B.
Researchers learned that when the waiting room was eliminated and all patients and caregivers at a pediatric bone marrow transplant (BMT) clinic waited and received treatment in a single room with all the other patients and caregivers (except for in certain specific situations, as noted below), a social environment developed that was, the authors state, “complementary to the technical aspects of medical care.”
Key Point Summary
Added February 2014

Access and care issues in urban urgent care clinic patients

Author(s): Scott, D. , Batal, H. , Majeres, S, Adams, J. , Dale, R. , Mehler, P.
Patients generally seek care in urgent care settings because doing so is more convenient than alternative care options, and the care provided is timelier.
Key Point Summary
Added February 2014

Nursing Staff, Patient, and Environmental Factors Associated With Accurate Pain Assessment

Author(s): Shugarman, L., Goebel, J., Ianto, A., Asch, S., Sherbourne, C., Lee, M., Rubenstein, L., Wen, L., Meredith, L., Lorenz, K.
Caregiver assessments of patient pain are important for diagnostic and other reasons. Distracting environments when vital-sign measurement during intake were linked with inaccurate estimates of pain by nurses and nursing support staff (for example, licensed vocational nurses).
Key Point Summary
Added February 2014

Adding additional grab bars as a possible strategy for safer hospital stays

Author(s): Tzeng, H.-M., Yin, C.-Y., Schechtman,S.
Inpatient falls are the most commonly reported incidents in hospitals, yet they are largely avoidable and, therefore, an unsolved issue in patient care. It comes as no surprise that patient falls tend to occur most frequently in patient rooms, patient bathrooms, and hallways—the places in which patients spend the majority of their time during their hospital stay. Falls are attributed to breakdowns in communication between patients and caregivers, inadequate assistance, and also the design of the physical environment.
Key Point Summary
Added February 2014

Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes

Author(s): Lin, B.Y.-J., Leu, W.-J., Breen, G.-M., Lin, W.-H.
Researchers have studied the healthcare work environment from a number of angles, from an organizational behavior perspective honing in on motivation and reward, to an occupational and environmental perspective concerned with comfort and ergonomics, to a pathogenic perspective interested in exposure to disease. The idea of a “servicescape” has arisen in healthcare marketing to investigate the impact of the physical environment of service settings on employees’ psychological states and perceptions.
Key Point Summary
Added February 2014

Improving the quality of palliative care for ambulatory patients with lung cancer

Author(s): Von Plessen, C., Aslaksen, A.
This is a case study based at a Norwegian university hospital where people receive treatment for lung cancer. Many changes were made to processes at the treatment facility and a few to the physical plant. The interventions, in total, “increased satisfaction for patients and staff, reduced waiting time, and reduced variability of waiting time,” according to the paper.
Key Point Summary
Added February 2014

Computerized mental health assessment in integrative health clinics: A cross-sectional study using structured interview

Author(s): Leung, S., French, P., Chui, C., Arthur, D.
People who completed computerized mental health assessments while waiting in integrative health clinics better understood their own mental health after completing the assessment and had positive feelings about using a computer to assess their mental health.
Key Point Summary
Added February 2014

Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?

Author(s): Watkins, N., Kennedy, M., Ducharme, M., Padula, C.
Awareness of the impact of healthcare facility design on a number of diverse patient and staff outcomes is growing. From patient recovery time, satisfaction, and comfort to nursing staff efficiency, error rates, and distraction, varied outcomes are being linked to environmental conditions and design attributes in hospital settings. Inpatient unit configurations, specifically same-handed configurations vs. mirrored units, are a particular area of interest for researchers, with implications for practitioners and patient care. Same-handed configurations, which standardize all rooms within a unit such that they are all identical, may allow for reduced noise as headwalls are no longer shared.
Key Point Summary
Added February 2014

Randomised Controlled Trial of Music on State Anxiety and Physiological Indices in Patients Undergoing Root Canal Treatment

Author(s): Lai, H., Hwang, M., Chen, C., Chang, K., Peng, T., Chang, F.
People who were able to listen to soothing piano music on headphones during root canal procedures were less anxious than people who did not listen to the music during the same procedure.
Key Point Summary
Added February 2014

Non-Direct Patient Care Factors Influencing Nursing Workload: A Review of the Literature

Author(s): Myny, D., Van Goubergen, D., Gobert, M., Vanderweek, K., Van Hecke, A.
For decades, researchers have been studying nursing workloads, yet amount of complaints about the high workload keep climbing. Because workload contributes to nurses’ job satisfaction, burnout, and stress, it is important to get a better idea of how nondirect patient care elements impact nurses.
Key Point Summary
Added February 2014

Garden Walking for Depression: A Research Report

Author(s): McCaffrey, R., Hanson, C., McCaffrey, W.
Millions of people experience depression every year, including the elderly, where it can be particularly debilitating as it effects physical, mental, and social functioning. Access to the outdoors, and increased sunlight, might help treat depression, as well as improve morale, self-confidence, cooperation, social interaction, and physical functioning for residents of a geriatric facility.
Key Point Summary
Added February 2014

Efficacy of controlling night-time noise and activities to improve patients’ sleep quality in a surgical intensive care unit

Author(s): Li, S., Wang, T., Wu, S. F. V., Liang, S., Tung, H.
In the intensive care unit (ICU), noises, continuous lighting, and constant care-related activities disrupt patients’ sleep. Patients also may struggle to sleep because they are in an unfamiliar environment, feel isolated, are in pain, have various tubes or other equipment to deal with, as well as just general treatment activities.
Key Point Summary
Added January 2014