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Lindsey Fay, Hui Cai, Kevin Real
OBJECTIVES: The objective of this systematic review of literature was to critically evaluate peer-reviewed evidence regarding the effectiveness of decentralized nurse stations (DNSs). BACKGROUND: The DNS has become an important topic in healthcare design research and practice over the past decade with aims of improving staff efficiency and patient experience. Research has shown to be inconclusive, with studies reporting an assortment of mixed findings. METHOD: A systematic review of literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses search process of electronic databases, citation tracking, and manual searches of references...
November 2, 2018: HERD
Anoop Mayampurath, Christopher Ward, John Fahrenbach, Cynthia LaFond, Michael Howell, Matthew M Churpek
OBJECTIVE: To investigate whether a patient's proximity to the nurse's station or ward entrance at time of admission was associated with increased risk of adverse outcomes. METHOD: We conducted a retrospective cohort study of consecutive adult inpatients to 13 medical-surgical wards at an academic hospital from 2009 to 2013. Proximity of admission room to the nurse's station and to the ward entrance was measured using Euclidean distances. Outcomes of interest include development of critical illness (defined as cardiac arrests or transfer to an intensive care unit), inhospital mortality, and increase in length of stay (LOS)...
October 31, 2018: HERD
Anna Anåker, Lena von Koch, Ann Heylighen, Marie Elf
OBJECTIVE: The aim of this study was to explore patients' experiences of the physical environment at a newly built stroke unit. BACKGROUND: For a person who survives a stroke, life can change dramatically. The physical environment is essential for patients' health and well-being. To reduce infections, a majority of new healthcare facilities mainly have a single-room design. However, in the context of stroke care, knowledge of how patients experience the physical environment, particularly their experience of a single-room design, is scarce...
October 18, 2018: HERD
Susan O'Hara
This methods column guides health care professionals engaged in design practice to write about their experiences. But it is more than an autobiographical approach. Autoethnographic writing is a scientific method which contextualizes experiences in cultural, social, political and personal history. Through an evidence based approach, professionals in academic, practice, and research can bring their past experiences to a place in the present, and provide direction for future professionals. The six steps outlined here: selecting an approach; ensuring ethical responsibility; deciding theoretical underpinnings; assembling and gathering data; reflecting and analyzing; and disseminating work with supporting drawings, photography, and other evocative formats...
October 18, 2018: HERD
Michelle Pearson, Kristi Gaines, Debajyoti Pati, Malinda Colwell, Leslie Motheral, Nicole Gilinsky Adams
OBJECTIVES: To examine the magnitude of impact of two nature-themed window murals on physiological processes, as measured by heart rate and blood pressure, of pediatric patients. BACKGROUND: Many children and adolescents find at least one aspect of the hospitalization process frightening or anxiety provoking. One physical feature linked to stress reduction is access to positive distractions. Views of nature are one of the most common forms of positive distractions in healthcare environments...
October 12, 2018: HERD
Avery Plough, Deb Polzin-Rosenberg, Grace Galvin, Amie Shao, Brendan Sullivan, Natalie Henrich, Neel T Shah
OBJECTIVE: To assess the feasibility of quantifying variation in childbirth facility design and explore the implications for childbirth service delivery across the United States. BACKGROUND: Design has been shown to impact quality of care in childbirth. However, most prior studies use qualitative data to examine associations between the design of patient rooms and patient experience. There has been limited exploration of measures of unit design and its impact on care provision...
October 3, 2018: HERD
D Kirk Hamilton
No abstract text is available yet for this article.
October 1, 2018: HERD
Mette Blicher Folmer, Karin Jangaard, Henrik Buhl
OBJECTIVE: The objective of this study is to investigate a development project initiated and led by midwives. BACKGROUND: The aim was to design an environment that could accommodate the wish to support professionalism while creating better and more cohesive patient treatment, improved patient safety, greater efficiency, higher quality, and stronger focus on the patient. THEORY: The theoretical and analytical account is conducted within the framework of design thinking (DT), replacing the traditional evidence-based design approach with an evidence-based design thinking (EBDT) process underpinning participatory DT and co-creation...
September 25, 2018: HERD
Hui Cai, Jun Jia
AIM: This article aims to provide a description of fundamental elements of discrete event simulation (DES), the process and the values of applying DES in assisting healthcare design and planning decision-making. More importantly, it explores how new technology such as electronic medical records, real-time location services (RTLS), and other simulation methods such as space syntax analysis (SSA) can facilitate and complement DES. BACKGROUND: Healthcare administrators increasingly recognize DES as an effective tool for allocating resources and process improvement...
September 25, 2018: HERD
Lucio Naccarella, Michelle Raggatt, Bernice Redley
OBJECTIVE: To identify spatial design factors that influence informal interprofessional team-based communication within hospital emergency departments (EDs). BACKGROUND: Effective team communication in EDs is critical for interprofessional collaborative care and prevention of serious errors due to miscommunication. Limited evidence exists about how informal communication in EDs is shaped by the physical workspace and how workplace design principles can improve the quality of ED team communication...
September 20, 2018: HERD
Zahra Zamani
OBJECTIVE: The purpose of this study was to identify the role of emergency department (ED) design on ED staff satisfaction and performance. BACKGROUND: High patient volume, surging workloads, and violent behaviors are expected pressures for ED staff. Literature suggests the substantial role of the physical environment in the delivery of care and its role in staff and patient experiences. Nevertheless, limited studies have explored simultaneous interactions between ED physical design elements, attributes (security, wayfinding, visibility, privacy, and efficiency), and staff satisfaction or performance...
September 19, 2018: HERD
Liesl Van Hecke, Iris Van Steenwinkel, Ann Heylighen
AIM: We aim to gain insight into how a dementia special care unit is used and experienced by its residents and what design aspects are important therein. BACKGROUND: In Flanders, housing for people with dementia evolves toward small-scale, homelike environments. As population aging challenges the affordability of this evolution, architects and other designers are asked to design dementia special care units that offer the advantages of small scaleness within the context of large-scale residential care facilities...
September 13, 2018: HERD
Marie Elf, Göran Lindahl, Anna Anåker
AIM: The aim was to investigate the content and quality of the governing documents created in the planning and design phase of new healthcare environments and in the related healthcare strategic and operational plans. BACKGROUND: Quality deficits in buildings can often be traced back to the initial stages in the planning and design phase. Although large investments have been made to improve the process of planning new healthcare environments and linking the requirements to health service strategies, healthcare organizations rarely relate their strategy goals to the built environment...
September 11, 2018: HERD
Elke Miedema, Göran Lindahl, Marie Elf
OBJECTIVE: This review explored different conceptualizations of health promotion in the context of, and in relation to, outpatient building design. BACKGROUND: Today's healthcare organizations are implementing holistic healthcare approaches such as health promotion, while simultaneously increasing their outpatient services. These health promotion approaches, focused on empowering people to take control of their health, are expected to have implications for the outpatient healthcare building design...
September 11, 2018: HERD
Juan López-Tarruella, Carmen Llinares Millán, Juan Serra Lluch, Susana Iñarra Abad, Helle Wijk
OBJECTIVE: The present study aims to examine the influence of environmental color hue in a lactation room at a health center on users' affective response and preference. BACKGROUND: Hospital design plays an important role in the emotional experience of patients. In this regard, many studies have attempted to find relationships between design variables and healthcare facilities users' response. Color has been frequently examined because it is always present in the environment and can be easily changed...
September 10, 2018: HERD
Deborah Wingler, Herninia Machry, Sara Bayramzadeh, Anjali Joseph, David Allison
OBJECTIVE: The purpose of this study was to compare the effectiveness of four different design communication media in helping clinical end users understand spatial and functional information and in supporting their ability to provide design feedback. BACKGROUND: It is critical to involve clinical end users early in the design process to test design solutions and ensure the design of a new healthcare facility supports their ability to deliver high-quality care. Traditional architectural design communication media such as floor plans and perspectives can be challenging for clinical design team members to understand...
August 30, 2018: HERD
Jaynelle F Stichler
No abstract text is available yet for this article.
October 2018: HERD
(no author information available yet)
No abstract text is available yet for this article.
October 2018: HERD
Naomi A Sachs
No abstract text is available yet for this article.
October 2018: HERD
Emily S Patterson, Elizabeth B-N Sanders, Steven A Lavender, Carolyn M Sommerich, Sanghyun Park, Jing Li, Kevin D Evans
OBJECTIVE: To identify family members' and visitors' needs with relation to the design of a hospital room. BACKGROUND: There is a trend toward incorporating family zones in hospital patient rooms in order to improve patient satisfaction and encourage family caregivers to stay longer and overnight. METHOD: A mixed-method study was employed. Interviews of patients and family caregivers were conducted to understand opportunities to improve hospital room designs based on recent experiences...
August 14, 2018: HERD
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