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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 61 - 80 of 104

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs

Author(s): France, D. J., Throop, P., Walczyk, B., Allen, L., Parekh, A. D., Parsons, A., Rickard, D., Deshpande, J. K.
According to the authors, “human factors engineering is the study of human beings and their interaction with products, environment, and equipment”, and that over the years it has evolved from systems- centered to user-centered to socially-centered care.
Key Point Summary
Added December 2014

Inpatient fall prevention: Use of in-room Webcams

Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Key Point Summary
Added December 2014

Evaluating the Built Environment in Inpatient Psychiatric Wards

Author(s): Sheehan, B., Burton, E., Wood, S., Stride, C., Henderson, E., Wearn, E.
The authors allude to the dearth of research on the built environment in psychiatric wards and emphasize that the significance of the impact of the physical environment on the mental health and well-being of patients cannot be overlooked. This research involved examining the physical aspects of 98 psychiatric wards in urban and rural England and identifying those aspects associated with staff satisfaction.
Key Point Summary
Added December 2014

A Comparitive Analysis of Centralised and Decentralised Nurse Station and Patient’s Satisfaction

Author(s): Manzoor, S. J.
A healing environment arises from careful design that demonstrates measurable improvements in the psychological and/or physical states of staff, patients, and/or visitors. When focusing on Evidence-Based Design, deliberate efforts based off of solid evidence should be made to construct the most effective possible ICU layout, thereby creating the best possible healing environment for patients and a suitable work environment for staff.
Key Point Summary
Added December 2014

Job Satisfaction and Intention to Quit Among Nursing Home Nursing Staff: Do Special Care Units Make a Difference?

Author(s): Robison, J., Pillemer, K.
Research regarding the impact of special care units (SCUs) on the experience of staff provides a somewhat inconsistent picture. Several studies have examined the effect on staff of working in a facility that has an SCU without including a comparison with staff who work on conventional units. These studies have found generally positive results, including lower turnover among nurses. Despite the promise of SCUs, the degree to which they differ in important outcomes from conventional nursing home care has not been firmly established. Some comparative studies have found no clear differences in resident outcomes for SCUs.
Key Point Summary
Added November 2014

Visiting Outdoor Green Environments Positively Iimpacts Self-Rated Health among Older People In Long-Term Care

Author(s): Rappe, E., Kivela, S. L., Rita, H.
The restorative effects of nature in enhancing well-being are well documented. Seeing greenery or being in nature reduces stress, promotes attention capacity, and improves mood. Studies of older people living in institutions indicate positive associations between well-being of the residents and closeness of a green environment. Visiting an outdoor green environment is associated with better ability to concentrate and improved mood among the older people living in nursing homes. Plants and garden environments may contribute to psychological and social well-being of older people with dementia, according to nursing staff. Although health-related factors can impact on self-rated health among the older people living in nursing care, results from previous studies indicate that outdoor visits may also have an impact.
Key Point Summary
Added November 2014

Caring or uncaring – meanings of being in an oncology environment

Author(s): Edvardsson, D., Sandman, P. O., Rasmussen, B.
The idea that the physical environment impacts health and well-being has been explored throughout history. In modern contexts, studies have been conducted to show how hospital design features such as art and views of natural scenery can positively influence patient experience, and how environmental variables such as sound, architecture, and color can affect different biomedical responses in...
Key Point Summary
Added November 2014

A better physical environment in the workplace means higher well-being? A study with healthcare professionals

Author(s): Campos-Andrade, C., Hernández-Fernaud, E., Lima, M.-L.
Referring to literature that points to the physical and psychological demands of healthcare work, the authors note that a negative physical environment can add to stress, burnout, and the possibility of error in addition to having repercussions for the health and well-being of the workers. Noise levels, unit configuration, and patient room type (single or multi-bed) are some of the environmental factors that have been studied and found to affect the experience and well-being of nurses.
Key Point Summary
Added November 2014

An exploration of the meanings of space and place in acute psychiatric care

Author(s): Andes, M., Shattell, M. M.
The effectiveness of acute psychiatric care (or short-term psychiatric care) owes much to the design of the physical space inhabited by both patients and mental health professionals. The structure of psychiatric care centers and the barriers they either create or remove between patients and healthcare practitioners can potentially influence patient recovery and employee well-being. Some argue that private, physically exclusionary spaces designed specifically for nurses are necessary in order to protect sensitive information and provide psychological solace for the nurses themselves.
Key Point Summary
Added November 2014

Return on investment of a LEED platinum hospital: the influence of healthcare facility environments on healthcare employees and organizational effectiveness

Author(s): Harris, D. D.
The author mentions that there is increasing evidence that indicates the connection between facility design and staff satisfaction. In comparison, there are few rigorous studies that examine the impact of sustainable building design and outcomes pertaining to patients, staff, and organizational goals.
Key Point Summary
Added November 2014

Patients' experience of important factors in the healthcare environment in oncology care

Author(s): Browall, M., Koinberg, I., Falk, H., Wijk, H.
Psychological stress can be caused by the healthcare system and especially for patients with cancer in oncology clinics. How patients perceive their healthcare environment was found to have an impact on their well-being.
Key Point Summary
Added November 2014

The Environment of Inpatient Healthcare Delivery and Its Influence on the Outcome of Care

Author(s): O'Connor, M., O'Brien, A., Bloomer, M., Morphett, J., Peters, L., Hall, H., Parry, A., Recoche, K., Lee, S., Munro, I.
There is a growing body of evidence demonstrating that in all healthcare settings, the design of discipline-specific space can influence patients and their health outcomes. The contribution of the physical environment to quality of life and well-being is also supported. Healthcare delivery has changed over the last three decades; however, the authors note that some ICUs and emergency departments have not fully adapted to these changes, whereas palliative care and women’s health have adapted to include more family involvement and patient-driven changes. Environments such as labor and delivery units have benefitted from active consumer involvement in design.
Key Point Summary
Added September 2014

A Cottage Model for Eldercare

Author(s): Thistleton, W. W., Jacqueline, J. J.
Some healthcare facilities are moving from traditional ward designs with high patient-to-caregiver ratios to environments that are designed with patients and their families in mind. Research suggests that patients prefer spaces that promote a homely normal lifestyle and proper family functions. To that end, some long-term care residences are now built in a cottage-style. Some examples of this are The Green House model, used in The Green House Homes at Traceway in Tupelo, Mississippi, and the Adards Nursing Home in Warrane, Tasmania, Australia.
Key Point Summary
Added September 2014

Quality of life and building design in residential and nursing homes for older people

Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Key Point Summary
Added September 2014

Contact with Outdoor Greenery Can Support Competence Among People with Dementia

Author(s): Rappe, E., Topo, P.
Added September 2014

In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults

Author(s): Knight, C., Haslam, S. A., Haslam, C.
Added September 2014

Community-Based Versus Institutional Supportive Housing: Perceived Quality of Care, Quality of Life, Emotional Well-Being, and Social Interaction

Author(s): Robison, J., Shugrue, N., Reed, I., Thompson, N., Smith, P., Gruman, C.
Numerous options for residential supportive housing are available for people who need long-term care. Some options are categorized as institutional while others are designated community-based; the movement to rebalance the long-term care system emphasizes the latter category. This study examines the experiences of 150 residents of two types of community-based supportive housing-assisted living (...
Key Point Summary
Added September 2014

Building Health

Author(s): Edelstein, E. A.
Added September 2014

Ambulatory Facility Design and Patients' Perceptions of Healthcare Quality

Author(s): Becker, F., Sweeney, B., Parsons, K.
Sleep is crucial to the well-being of humans, especially so for the recovery of those undergoing treatment or recuperating in hospitals. The authors cite studies that allude to the relevance quality of sleep has on health, neurodevelopment, generally, and to immune functioning and healing in patients.
Key Point Summary
Added September 2014

Wall Finish Selection in Hospital Design: A Survey of Facility Managers

Author(s): Lavy, S., Dixit, M. K.
Interior finishes and construction account for a large portion (32%) of the initial construction cost of healthcare facilities. While there is research to show that design and construction materials can have a considerable impact on the health of both the environments and the patients and staff in the environment, this has not been investigated in great detail, especially from the perspective of patient health.
Key Point Summary
Added September 2014