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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 201 - 220 of 306

Effects of indoor gardening on sleep, agitation, and cognition in dementia patients - A pilot study

Author(s): Lee, Y., Kim, S.
Pharmacological intervention including sedative hypnotics and neuroleptics is a common treatment for sleep and behavioral problems in dementia. However, the high risk of adverse effects of those drugs indicates that non-pharmacological interventions are needed as well. Among those non-pharmacological interventions physical activity is one approach that influences the circadian timing system and was suggested to be effective for sleep and behavioral disturbances of dementia patients. In addition, the positive effects of physical activities, especially exercise, on cognition were suggested.
Key Point Summary
Added July 2014

Fall and Injury Prevention in Older People Living in Residential Care Facilities: A Cluster Randomized Trial

Author(s): Jensen, J., Lundin-Olsson, L., Nyberg, L., Gustafson, Y.
Despite the fact that falls and resulting injuries are common in the residential care population, little is known about how to prevent falls. Research during the past 10 years around fall prevention has shown positive and negative results. Some of these inconsistent results could be explained by differences in target groups, interventions, and outcome measures.
Key Point Summary
Added May 2014

BedSAFE. A bed safety project for frail older adults

Author(s): Choi, Y. S., Hoffman, S. B., Powell-Cope, G. , MacClellan, L. , Bero, K.
Bed rails may cause significant injury and death from entrapments. Systematic interventions are needed to guide practices that reduce bed-rail use while addressing related clinical issues.
Key Point Summary
Added May 2014

Life Safety Code Comparison

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

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

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

Noise Levels in an Urban Hospital and Workers' Subjective Responses

Author(s): Bayo, M. V., Garcia, A. M., Armando, G.
Noise has become a major environmental problem as well as a public health concern, resulting in a wide range of negative consequences. Despite healthcare facilities’ attempts to foster favorable environments to assist in patient recovery and staff working conditions, noise levels are often higher than desirable in and around hospitals. There is a need to identify the main noisy areas and noise sources and evaluate the hospital staff’s reactions to noise.
Key Point Summary
Added April 2014

Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments

Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Key Point Summary
Added April 2014

Wayfinding in an Unfamiliar Environment: Different Spatial Settings of Two Polyclinics

Author(s): Baskaya, A., Wilson, C., Ozcan, Y. Z.
People in healthcare facilities should be able to find their way easily through the structure. If they can’t, they experience stress. Symmetrical layouts, in which spaces with particular functions, for example waiting areas for a certain clinic, are distinguished in some way from other similar spaces, through the use of a landmark such as a particular color on the walls, are an effective design for a healthcare facility because they support accurate navigation through the building.
Key Point Summary
Added March 2014

Flooring as an intervention to reduce injuries from falls in healthcare settings: an overview

Author(s): Drahota, A., Gal, D., Windsor, J.
As the elderly population grows, the risk of falls in healthcare settings and of injuries resulting from falls will increase, as this population exhibits higher risk for falling due to age-related factors. Researchers have long focused on variables that impact fall prevention in healthcare settings; yet, since prevention of all falls is not possible, and about 30% of patient falls result in injury, there is growing interest in understanding strategies for injury prevention, to reduce the more serious cost and health implications of falls.
Key Point Summary
Added March 2014

Falls and Patient Mobility in Critical Care: Keeping Patients and Staff Safe

Author(s): Flanders, S. A., Harrington, L., Fowler, R. J.
A main priority in hospitals in the U.S. is ensuring both patient and staff safety throughout a patient’s stay. Falls are a major concern in hospitals, particularly in critical care units (ICUs), where nurses care for increasingly older populations that are prone to falls and injuries from falls. Another issue that arises in intensive care units is the decision of when it is safe to mobilize patients, a relevant consideration in relation to incidence of falls and durations of hospital stay.
Key Point Summary
Added March 2014

Direct sunlight and ventilator weaning outcomes

Author(s): Wise, P. M., Wallace, D. S.
Research shows that room design and the healthcare environment offer physical and psychological benefits for patients and others. For example, windows, by providing views of nature and exposure to sun, offer beneficial effects. Attention restoration theory posits that viewing a natural scene promotes a feeling of being away from it all and allows for a mental recuperative break. This change in cognitive functioning promoted by nature offers recuperative powers.
Key Point Summary
Added February 2014

Effects of two hospital bed design features on physical demands and usability during brake engagement and patient transportation: A repeated measures experimental study

Author(s): Kim, S., Barker, L. M., Jia, B., Agnew, M. J., Nussbaum, M. A.
Healthcare work is physically demanding and often results in work-related musculoskeletal disorders (WMSDs). Most research in this area has focused on patient-handling techniques during activities that require direct patient contact, such as patient transfer. But healthcare providers perform other patient-handling tasks as well, such as engaging bed brakes and transporting patients in beds. These activities could also contribute to WMSDs.
Key Point Summary
Added January 2014

Quiet Time in a Pediatric Medical/Surgical Setting

Author(s): Cranmer, K., Davenport, L.
Despite being places for rest and healing, hospitals often are noisy places. These rising sound levels can be harmful and stressful for patients, caregivers, and staff, as well as contribute to an unsatisfactory environment in which to work and heal. In response, some intensive care units now have quiet time to reduce noise levels. However, little is known about the benefits of quiet time in a pediatric medical–surgical setting.
Key Point Summary
Added January 2014

Noise Levels in a General Surgical Ward: a descriptive study

Author(s): Christensen, M.
The noise levels in many UK hospitals exceed those recommended by the World Health Organization, yet are so prevalent that healthcare providers tend to think of them as just part of the working environment. However, current ward-based research is dated, perhaps indicating that the control of noise in these areas is perceived as insurmountable.
Key Point Summary
Added January 2014

The Extrinsic Risk Factors for Inpatient Falls in Hospital Patient Rooms

Author(s): Tzeng, H., Yin, C.
A hospital can be a dangerous place for inpatients because of its unfamiliar physical environment and changes in patients’ medical conditions. Some research shows that a better physical facility design leads to better healthcare outcomes, such as fewer patient falls in acute-care hospitals. Eliminating the extrinsic risk factors for inpatient falls by improving hospital environment and design may decrease fall rates and fall-related injuries, although this link has not been examined systematically.
Key Point Summary
Added January 2014

Interruptions and Geographic Challenges to Nurses' Cognitive Workload

Author(s): Redding, D., Robinson, S.
Inpatient care is fast-paced and requires nurses to constantly shift their attention to make clinical decisions and care for patients in a constantly environment. Nurses integrate complex thinking with psychomotor and affective skills to deliver interventions. This thinking is continually disrupted by interruptions and distractions, which compete for their attention and can lead to errors or omissions and potentially pose a risk to patient safety.
Key Point Summary
Added January 2014

Person-Environment Interactions Contributing to Nursing Home Resident Falls

Author(s): Hill, E. E., Nguyen, T. H., Shaha, M., Wenzel, J. A., DeForge, B. R., Spellbring, A. M.
Falls are common for older adults, with significant consequences, including injuries and even death as well as healthcare costs. However, few studies have looked at environmental factors, such as lighting, equipment, and slippery floor surfaces, as potential risk factors for falls by nursing home residents. This study explores the risk factors associated with resident falls in a nursing home using a focus group.
Key Point Summary
Added January 2014

Achieving EBD Goals Through Flooring Selection & Design

Author(s): Nanda, Upali, Malone, Eileen, Joseph, Anjali
Added April 2013