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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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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

An Environmental Intervention to Restore Attention in Women With Newly Diagnosed Breast Cancer

Author(s): Cimprich, B., Ronis, D. L.
Women who are undergoing breast cancer treatments are at risk for fatigue-related cognitive and attention deficits. These impairments can make it difficult for them to retain information about their disease, make treatment decisions, follow their treatment regime, and cope with painful losses and disruptions in their daily life. Some research indicates that a theoretically based intervention involving regular exposure to the natural environment may help.
Key Point Summary
Added January 2014

Unpleasant and pleasant memories of intensive care in adult mechanically ventilated patients—Findings from 250 interviews

Author(s): Samuelson, K. A. M.
Patients’ perspectives on the intensive care experience are essential to improve patients’ comfort and well-being during and after a stay in the intensive care unit (ICU). This research approach was unique as the author used data from a large number of patient interviews (n = 250) and a validated qualitative content analysis technique to create themes from the data. One of the themes included—environmental distress—described aspects of the physical environment that patients remembered as causing distress.
Key Point Summary
Added January 2014

Neonatal Response to Control of Noise Inside the Incubator

Author(s): Johnson, A. N.
Premature infants are at risk for long-term neurologic, cognitive, and behavioral problems. Therefore, supporting these medically fragile infants as they adapt to life outside the womb by decreasing possible environmental stressors, such as noise, is important. The American Academy of Pediatrics (AAP) Committee of Environmental Hazards recommends that neonatal intensive care unit (NICU) sound levels below 45 dB. Yet these babies are often in incubators, which are associated with higher sound levels from the equipment and surrounding environment.
Key Point Summary
Added January 2014

The hospital environment for end of life care of older adults and their families: an integrative review

Author(s): Brereton, L., Gardiner, L. C., Gott, M. , Ingleton, C., Carroll, C., Barnes, S.
With an aging global population, more and more people will need palliative care in the coming decades. This population of older adults will not only need community and hospital facilities to cope with their end-of-life issues, but also spaces that keep them from harm, such as falls. Some current architectural features and other factors erode older adults’ independence and confidence, thereby impairing their quality of life, privacy, and dignity.
Key Point Summary
Added January 2014

The development and piloting of electronic standardized measures on nursing work: combining engineering and nursing knowledge

Author(s): Bradadottir, H., Gunnarsdottir, S., Ingason, H.
As healthcare resources decline and the demand for nurses increases, it is even more important than ever to understand nursing work to make sure it is done efficiently and safely. Finding no existing computerized measures, the authors developed measures and a computer program for this study.
Key Point Summary
Added January 2014

Mapping the Nursing Process: A New Approach for Understanding the Work of Nursing

Author(s): Potter, P., Grayson, D., Boxerman, S., Sledge, J., Wolf, L., Evanoff, B., Marshall, J.
Over the last 10 years, hospitals have tried to reconcile patients’ demands for high-quality, safe care along with payers’ demands for lower costs. As a result, many hospitals are looking for ways to streamline work processes, gain productivity, reduce costs, and maintain quality. Human factors engineering (HFE) techniques, drawn from the sciences of industrial engineering, ergonomics, and mathematics, have been used to analyze clinical care processes and restructure patient care delivery.
Key Point Summary
Added January 2014

Qualitative Analysis of Therapeutic Light Effects on Global Function in Alzheimer’s Disease

Author(s): Nowak, L., Davis, J.
The occurrence of Alzheimer’s disease (AD) is growing, with 68% of cases occurring in women. In addition to declines in global function, patients with AD experience reversal of day–night patterns, disturbed sleep–wake rhythms, and excessive daytime sleepiness, making managing AD difficult. Symptom management includes pharmacologic measures, environmental or milieu management, and behavioral interventions.
Key Point Summary
Added January 2014

Direct observation of behavior: a review of current measures for use with older adults with dementia

Author(s): Curyto, K.J., Van Haitsma, K., Vriesman, D.K.
There are a number of methods to assess specific areas of behavior when evaluating changes in functioning, assessing the effects of an intervention, or measuring the effectiveness of a program of care. Some of these methods include: self-report, caregiver report, and family report of person-specific behaviors. However, self-reporting by dementia patients is often not reasonable given their cognitive decline and communication challenges. Ratings from other people can introduce measurement errors.
Key Point Summary
Added January 2014

Assessing the mirrors in long-term care homes: a preliminary survey

Author(s): Freysteinson, W. M.
According to geriatric environmental design literature, bringing the home to the long-term care (LTC) environment is key to residents’ comfort. However, the mirror is one environmental element that has received little attention in LTC environments, and yet appears to meet this conceptualization. Mirrors may fit with Lawton’s theory in that it functions to maintain, support, and stimulate the residents, perhaps even more so for those who have limited mobility.
Key Point Summary
Added January 2014

The Work of Adult and Pediatric Intensive Care Unit Nurses

Author(s): Douglas,. S., Cartmill, T., Brown, R., Hoonakker, P., Slagle, J., Van Roy, K. S, Walker, J, M.
Over the years, researchers have employed a variety of methods to describe and quantify nursing work. However, much of this research looked at nursing in general care settings and not at the unique work nurses perform in intensive care units (ICUs). This study uses behavioral task analysis to observe activities performed by adult ICU (AICU) and pediatric ICU (PICU) nurses as well as to compare the time they spent on various tasks across four different ICUs.
Key Point Summary
Added January 2014

Children’s Experience Regarding the Quality of Their Hospital Stay: The Development of an Assessment Questionnaire for Children

Author(s): Chappuis, M., Vannay-Bouchiche, C.., Fluckiger, M., Monnier, M., Cathieni, F., Terra, R., Piot-Ziegler, C.
Pediatric care quality in Switzerland is evaluated mainly through the parents’ opinion. There are no assessment questionnaires for children. However, research indicates that often, what the parents think does not match their children’s evaluation of the quality of care and that they are often low to moderately correlated. This study examines on the development of a questionnaire assessing the satisfaction of children with their hospital stay.
Key Point Summary
Added December 2013

The Application of Color in Healthcare Settings

Author(s): Bosch, S. J, , Cama, R., Edelstein, E, Malkin, J
Added November 2012

The sickening rug: A repeating static pattern that leads to motion-sickness like symptoms

Author(s): Bonato, F., Bubka, A., Graveline, V.
Flooring is a prominent component of hospital design, with surprisingly little research on the subject. An issue that has not been researched is the impact of patterns on health and perception related issues. This paper undertakes a simulated exercise on the impact of viewing specific patterns on motion-sickness like symptons. Although there is some research on the impact of visual patterns on epilepsy patients, the effect on people without neurological disorders has not been explored.
Key Point Summary
Added November 2012

Outbreak of Invasive Aspergillus Infection in Surgical Patients, Associated with a Contaminated Air-Handling System

Author(s): Lutz, B. D., Jin, J., Rinaldi, M. G., Wickes, B. L., Huycke, M.
Surgical Site Infections are a prominent concern Operating Room design. In this study a specific outbreak of aspergillus infection in a hospital was investigated and linked back to the air quality conditions in the O.R. The study is significant because typically Aspergillus species are ubiquitous thermotolerant molds that rarely cause invasive infection.
Key Point Summary
Added November 2012

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

Does the type of flooring affect the risk of hip fracture?

Author(s): Simpson, A. H. R. W. , Lamb, S. , Roberts, P. J. , Gardner, T.N. , Grimley, E.J.
Hip fractures are a serious consequence of falls, especially for aging populations. Number of hip fractures occuring worldwide is estimated to reach 6.3 million worldwide, by the year 2050. Conventionally the issue of fractures has been looked at in terms of intrinsic factors related to the patient. Extrinsic factors that could affect the impact, such as the floor (or surface of the impact) have not been investigated in great details. This UK based study seeks to fill this gap in the research.
Key Point Summary
Added October 2012

Effects of waiting on the satisfaction with the service: Beyond objective time measures

Author(s): Pruyn, A., Smidts, A.
Wait times are a persistent concern in healthcare today. It is a concern that healthcare shares with other service industries. To counter this waiting areas provide numerous distractions- TVs, magazines, vending machines, computer kiosks etc. The efficacy of these distractions is beginning to be studied in greater detail today.
Key Point Summary
Added October 2012

The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses

Author(s): Tyson, G. A. , Lambert, G., Beattie, L.
Studies have shown that modifications to the physical environment of psychiatric institutions are associated with positive changes in patient behavior, attitudes and perceptions, but less attention has been paid to the impact of these changes on the nursing staff.
Key Point Summary
Added October 2012

Evaluation of the built environment at a Children's Convalescent Hospital: Development of the Pediatric Quality of Life Inventory (TM) parent and staff satisfaction measures for pediatric health care facilities

Author(s): Varni J. W., Burwinkle T. M., Dickinson P., Sherman S. A., Dixon P., Ervice J. A., Leyden P. A., Sadler B. L.
The expectation that the hospital built environment may affect the health and satisfaction of patients and their families continues to interest health care providers and hospital administrators as they differentiate and distinguish the quality and health outcomes of their services. In preparation for the design, construction, and postoccupancy evaluation of a new Children’s Convalescent Hospital, focus groups were conducted and measurement instruments were developed to quantify and characterize parent and staff satisfaction with the built environment of an existing pediatric health care facility, a 30-year-old, 59-bed, long-term, skilled nursing facility dedicated to the care of medically fragile children with complex chronic conditions. The measurement instruments were designed in close collaboration with parents, staff, and senior management involved with the existing and planned facility.
Key Point Summary
Added October 2012