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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 81 - 100 of 291

Research note: Physical Activity in Pediatric Healing Gardens

Author(s): Pasha, S., Shepley, M., M.
Research has shown that frequency and duration of garden use within urban and hospital settings can be hindered through barriers such as uncomfortable seating and lack of shade. However, once barriers like these are removed, it is unknown if an increase in frequency and duration of garden use has an impact on the level of physical activity during garden visitation.
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

Using external memory aids to increase room finding by older adults with dementia

Author(s): Nolan, B. A., Mathews, R. M., Harrison, M.
Memory deficits are commonly experienced by seniors with Alzheimer's disease and dementia. Disorientation is a memory-related skill deficit that leads to reduced mobility and inhibits independence. Further, it is upsetting for residents when they can't find their rooms and often repeatedly ask staff to help them. Some research suggests that display cases with the residents’ personal memorabilia can help those with moderately severe dementia locate their rooms.
Key Point Summary
Added May 2014

Life Safety Code Comparison

Author(s): Crowley, M. A., Harper, J. E.
Added May 2014

Multisensory Stimulation to Improve Functional Performance in Moderate to Severe Dementia—Interim Results

Author(s): Collier, L., McPherson, K., Ellis-Hill, C., Staal, J., Bucks, R.
One of the innovative interventions for dementia care is the use of multisensory environments (MSEs). It is designed to stimulate senses, providing an activity-based intervention and is argued to address imbalance in sensory stimulation by pacing sensory-stimulating activity with sensory-calming activity. This sensory pacing may assist people with dementia in coping with confusion and behavior changes that are the consequences of this progressive, debilitating illness. However, the value of MSEs for people with dementia has yet to be established. Therefore, this study aimed to explore to what extent the sensory components of MSEs influence functional performance in people with moderate to severe dementia.
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

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

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

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

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

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

Environmental evaluation for workplace violence in healthcare and social services

Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Key Point Summary
Added April 2014

Noise and related events in neonatal intensive care unit

Author(s): Chang, Y. J., Lin, C. H., Lin, L. H.
Noise contributes to environmental stress to premature infants, who often spend long periods of time in neonatal intensive care units (NICU). Some research indicates that noise contributes to higher incidences of hearing loss, as well as cardiovascular, respirator, endocrine, and behavioral deficits. Some of the noise might be reduced by studying different aspects of NICU settings (i.e., wards, personnel, equipment, and procedures).
Key Point Summary
Added April 2014

Incidents relating to the intra-hospital transfer of critically ill patients

Author(s): Beckmann, U., Gillies, D. M., Berenholtz, S. M., Wu, A. W., Pronovost, P.
Transportation of critically ill patients between hospitals can increase complications. Intrahospital transportation poses many of the same risks. Examining these incidents could uncover ways to improve patient safety during transportation.
Key Point Summary
Added April 2014

Effectiveness of a multifaceted intervention on falls in nursing home residents

Author(s): Becker, C., Kron, M., Lindemann, U., Sturm, E., Eichner, B., Walter-Jung, B., Nikolaus, T.
Older people are particularly susceptible to falls and fractures due to mobility limitations and physical instability. Falls and fractures commonly result in functional deterioration, increased medical costs, and increased burden for all involved in the care setting. Attempts to prevent falls and reduce fall and fracture incidence rates both at home and in long-term care facilities span from educational interventions to adjustments of medication intake to environmental adaptations.
Key Point Summary
Added March 2014

Music and its effect on anxiety in short waiting periods: a critical appraisal

Author(s): Cooke, M., Chaboyer, W., Hiratos, M.
The authors review research on the influence of listening to music on anxiety levels among patients having day surgery and found that, indeed, music does seem effective in reducing anxiety among day-surgery patients.
Key Point Summary
Added March 2014

Medical Gas Cylinder and Bulk Tank Storage

Author(s): McLaughlin, S., Dagenais, D.
There are particular requirements for storing medical gas cylinders as well as requirements for bulk tank storage in healthcare settings; these regulatory requirements exist specifically for cylinders that are not in use. In use refers to cylinders being used by a patient, or attached to equipment and ready for immediate use, or located in patient rooms about to be used. Requirements vary depending on the total amount of cubic feet of gas needing to be stored, with the most stringent regulations for more than 3,000 cubic feet of gas, less stringent requirements for 300-3,000 cubic feet of gas, and the least stringent requirements for less than 300 cubic feet of gas. These requirements are in place to reduce the risk of accident and injury.
Key Point Summary
Added March 2014

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm.
Key Point Summary
Added March 2014

Health Care Wayfinding Integrates Four Aspects to Become Carefinding

Author(s): Cooper, R.
Carefinding is a term that refers to an evidence-based approach to designing wayfinding systems in healthcare settings, catering to the needs of the users of those spaces, particularly patients and their caregivers. Successful wayfinding in healthcare facilities requires consideration of the user experience, the wayfinding process, the wayfinding plan, and implementation of the plan.
Key Point Summary
Added March 2014