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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 21 - 40 of 59

Effect of noise on auditory processing in the operating room

Author(s): Way, T. J., Long, A., Weihing, J., Ritchie, R., Jones, R., Bush, M., Shinn, J. B.
Noise in operating rooms (ORs), defined as any unwanted sound impeding on normal hearing, can be grouped into two categories: equipment-related noise and staff-created noise. Equipment-related noise can come from anesthesia equipment and alarms, suction devices, or surgical instruments such as cautery devices, dissection tools, and drills. Staff-created noise can come from opening and closing doors, conversations, overhead pages, and music. All of these noise sources contribute to the average ambient noise in ORs, which is 65 dBA with peak levels reaching120 dBA.
Key Point Summary
Added September 2014

Music increases satisfaction in elderly outpatients undergoing cataract surgery

Author(s): Cruise, C. J., Chung, F., Yogendran, S., Little, D.
Cataract surgery is one of the most common surgical procedures performed on elderly patients in North America. Sedative medications are often used to reduce patient anxiety throughout the surgical procedure, but elderly patients are more likely to experience adverse health effects from these medications. The anxiety-reducing effects of music have been widely studied previously, but never in the context of elderly patients undergoing cataract surgery.
Key Point Summary
Added September 2014

Role of a service corridor in icu noise control, staff stress, and staff satisfaction: Environmental research of an academic medical center

Author(s): Wang, Z., Downs, B., Farell, A., Cook, K., Hourihan, P., McCreery, S.
Added September 2014

Noise-Induced Stress as a Predictor of Burnout in Critical Care Nurses

Author(s): Topf, M., Dillon, E.
Unpredictable and uncontrollable noise is perceived as more stressful compared with continuous noise that is under a person’s control. While extensive attention has been given to demonstrating that noise levels are exceedingly high for patients in critical care settings, relatively little has been given to the potential negative effects in nurses.
Key Point Summary
Added August 2014

Perceived hospital environment quality indicators: A study of orthopaedic units

Author(s): Fornara, F., Bonaiuto, M., Bonnes, M.
The field of healthcare design has increasingly recognized the need for building environments that are more ‘‘user-centered,’’ but spatial–physical features have not typically been included in assessment surveys on patient satisfaction.
Key Point Summary
Added July 2014

Centralized vs. Decentralized Nursing Stations: Effects on Nurses’ Functional Use of Space and Work Environment

Author(s): Zborowsky, T., Bunker Hellmich, L., Morelli, A., O’Neill, M.
Information technology enables nurses to move away from traditional centralized paper-charting stations to smaller decentralized work stations and charting substations located closer to, or inside of, patient rooms. Understanding the tradeoffs presented by centralized and decentralized nursing station design could provide useful information for future design and the nurse environment "fit."
Key Point Summary
Added May 2014

The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature

Author(s): Chaudhury, H., Mahmood, A., Valente, M.
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
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

Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit

Author(s): Carlson, B., Walsh, S., Wergin, T., Schwarzkopf, K., Ecklund, S.
The need for neonatal intensive care units (NICU) is increasing at a time when research suggests their designs need to change to provide a developmentally appropriate healing environment. One approach is a private room NICU model versus a large multibed ward. However, such a radical design change could be challenging to implement.
Key Point Summary
Added April 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

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

Environmental Noise Sources and Interventions to Minimize Them: A Tale of Two Hospitals

Author(s): Dube, J. A. O., Barth, M. M., Cmiel, C. A. , Cutshall, S. M. , Olson, S. M., Sulla, S. J., Nesbitt, J. C. , Sobczak, S. C., Holland, D. E.
Delivering patient care in a hospital is noisy. Yet research shows that noise interferes with the healing process and can disrupt the patient’s experience. Higher noise levels are linked to stress reaction; sleep disturbance; and increased heart rate, blood pressure, and muscle tension, creating an overarching issue that touches multiple disciplines and departments in the hospital.
Key Point Summary
Added January 2014

Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice

Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Key Point Summary
Added November 2012

Predesign and Post-occupancy Analysis of Staff Behavior in a Neonatal Intensive Care Unit

Author(s): Shepley, M.M.
Advances in technology have resulted in an increase in the neonatal intensive care unit (NICU) population; allowing care for newborn babies who might have died in the absence of advanced medical care. The design of NICUs has therefore become an important concern in healthcare, and an ongoing debate is the merit of open bays over closed bays. s. Changes in design have a direct impact on staff experience, and potentially staff behavior, which in turn can impact patient care.
Key Point Summary
Added October 2012

Environmental quality and healing environments: A study of flooring materials in a healthcare telemetry unit.

Author(s): Harris, D.
Added October 2012

Noise Reduction in the Hospital Setting

Author(s): Johnson, P.R., Thornbill, L.
Added October 2012

ICU Bedside Environment. A Nursing Perspective

Author(s): Jastremski, C.A.
Added October 2012

Effects of doubled glazed facade on energy consumption, thermal comfort and condensation for a typical office building in Singapore

Author(s): Hien, W. N., Liping, W. , Chandra, A. N. , Pandey, A. R., Xiaolin, W.
Buildings in Singapore use fully glazed-façade systems because of their daylight advantages of low consumption of lighting energy and the aesthetic satisfaction of full external views. High energy consumption, thermal discomfort, and issues with noise control are some of the disadvantages associated with single-glazed façade systems. Double-glazed façade ventilation systems are believed to address these issues.
Key Point Summary
Added October 2012

Effect of built-environment factors on healthcare: Satisfaction, operations, and outcomes

Author(s): Etchegaray, J., Fischer, W., Sisolak, J., Lipka, S.
Reduced noise levels, pleasant distractions, safety features, wayfinding systems, support spaces, and patient/family/caregiver control reduces stress, errors, and pain, while at the same time increasing referrals and staff retention.
Key Point Summary
Added October 2012

Researchers find ways to reduce noise in hospitals

Author(s): Doyle, M.
Added October 2012