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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
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
Naomi A Sachs
No abstract text is available yet for this article.
July 2018: HERD
(no author information available yet)
No abstract text is available yet for this article.
July 2018: HERD
Jenifer Cartland, Holly S Ruch-Ross, Lauren Carr, Audrey Hall, Richard Olsen, Ellen Rosendale, Susan Ruohonen
OBJECTIVES: To study the impact of hospital design on patient and family experiences during and after hospitalization. BACKGROUND: Hospitalization can be psychologically traumatic for children. Few research studies have studied the role of the design of the hospital environment in mitigating that traumatic experience. METHODS: The study employs a two-group posttest and follow-up design to compare the impact of hospitalization on child anxiety and parent stress...
July 2018: HERD
D Kirk Hamilton
No abstract text is available yet for this article.
July 2018: HERD
Jaynelle F Stichler
No abstract text is available yet for this article.
July 2018: HERD
Kevin Real, Lindsey Fay, Kathy Isaacs, Allison Carll-White, Aric Schadler
OBJECTIVES: This study utilizes systems theory to understand how changes to physical design structures impact communication processes and patient and staff design-related outcomes. BACKGROUND: Many scholars and researchers have noted the importance of communication and teamwork for patient care quality. Few studies have examined changes to nursing station design within a systems theory framework. METHOD: This study employed a multimethod, before-and-after, quasi-experimental research design...
July 2018: HERD
Jannette Maree Blennerhassett, Karen Nancy Borschmann, Ruby Adelaide Lipson-Smith, Julie Bernhardt
AIM: To explore the use of a rehabilitation-focused behavioral mapping method to identify changes in patient physical activity, location, and social interaction following the relocation of a rehabilitation ward. BACKGROUND: Rehabilitation wards are unique healthcare environments where patient activity is encouraged to improve recovery. Little is known about the impact of building design on patient behavior within a rehabilitation setting. We examined this issue when a rehabilitation ward was relocated without altering other aspects of the healthcare service...
July 2018: HERD
Megan E Denham, Yousef Bushehri, Lisa Lim
OBJECTIVE: This article presents a pilot study that employed a user-centered methodology for evaluating and quantifying neonatal intensive care unit (NICU) designs based on the needs of the primary users. BACKGROUND: The design of NICUs has begun to shift from open-bay to single-family rooms. Both designs present unique advantages and challenges that impact babies, families, and caregivers. METHODS: One NICU design was analyzed using the functional scenario (FS) analysis method...
July 2018: HERD
Michelle Tinner, Paul Crovella, Paula F Rosenbaum
OBJECTIVES: Determine the relative impact of 11 building wellness features on preference and on the ability to deliver/receive quality care for two groups: patients and caregivers. BACKGROUND: The impact of building features that promote wellness is of increasing interest to the building owners, designers, and occupants. METHODS: This study performed a postoccupancy evaluation of two user groups at a healthcare facility with specific wellness features...
July 2018: HERD
Zhe Wang, Michael Pukszta
OBJECTIVE: This research aims to better understand the needs and preferences of cancer outpatients, their families, and nursing staff with regard to private rooms, semi-open areas, or open areas for ambulatory cancer care. BACKGROUND: Environments for cancer chemotherapy care are outpatient settings, and recommendations based on findings regarding inpatient settings may not be appropriate. Users of chemotherapy treatment environments include cancer patients, their families, and nursing staff...
July 2018: HERD
Jamie K Jones
OBJECTIVE: The purpose of this study was to explore the meaning and uses of the office space among licensed clinical social workers in private practice. BACKGROUND: Previous research suggests the importance of the office space in clinical practice in regard to therapeutic alliance, client behavior, and the well-being of the therapist. However, therapist offices contain much variation in design. This study looked further into specifically how the therapy room is important through the perspective of the licensed clinical social workers in order to identify common themes...
July 2018: HERD
Sara Bayramzadeh, Anjali Joseph, Dee San, Amin Khoshkenar, Kevin Taaffe, Roxana Jafarifiroozabadi, David M Neyens
AIM: To assess how the adjacencies of functionally different areas within operating rooms (ORs) can influence the circulating nurse's (CN) workflow patterns and disruptions. BACKGROUND: The CN plays a significant role in promoting patient safety during surgical procedures by observing, monitoring, and managing potential threats at and around the surgical field. Their work requires constant movement to different parts of the OR to support team members. The layout of the OR and crowded and cluttered environment might impact the CN's workflow and cause disruptions during the surgery...
July 2018: HERD
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