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Nicoletta Setola, Eletta Naldi, Grazia Giulia Cocina, Liv Bodil Eide, Laura Iannuzzi, Deirdre Daly
OBJECTIVES, PURPOSE, OR AIM: This article investigates whether the physical environment in which childbirth occurs impacts the intrapartum intervention rates and how this might happen. The study explores the spatial physical characteristics that can support the design of spaces to promote the health and well-being of women, their supporters, and maternity care professionals. BACKGROUND: Medical interventions during childbirth have consequences for the health of women and babies in the immediate and long term...
February 15, 2019: HERD
Jaynelle F Stichler
No abstract text is available yet for this article.
February 12, 2019: HERD
Katharine Scrivener, Natasha Pocovi, Taryn Jones, Bridget Dean, Shaun Gallagher, Wesley Henrisson, Michael Thorburn, Catherine Dean
BACKGROUND: Effective rehabilitation should include high levels of physical activity. The impact of the environmental design on activity levels has had minimal consideration. PURPOSE: This study investigates activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care, comparing weekday and weekend activity levels, as well as changes over a 12-month period. METHOD: An observational study reporting participants' location, people present, body position, and activity type on 2 weekdays and 1 weekend day using behavior mapping techniques...
February 6, 2019: HERD
Jingyu Yu, Ning An, Tanbir Hassan, Quan Kong
PURPOSE: This article reports on a pilot study of a smart home for elders (SHfE) designed to continuously monitor senior adults' daily behaviors and the living environment of their residential homes using the application of unobtrusive sensors. SHfE users include older adults, their family members, and healthcare staff. BACKGROUND: Globally, countries are experiencing the challenges of an increasingly aging population. A healthy environment is essential to support aging in place...
February 5, 2019: HERD
Zahra Zamani, Esperanza C Harper
OBJECTIVE: This article evaluates the effects of technology integration and design features in clinical exam rooms on examination experiences, communication, and satisfaction. BACKGROUND: Exam room features can affect the delivery of patient-centered care and enhance the level of communication, which has been shown to directly impact clinical outcomes. Although there has been an increasing body of literature examining design and patient-centered care, little research has evaluated the extent to which information sharing and electronic health record (EHR) interaction are impacted...
February 5, 2019: HERD
Kara Freihoefer, Scott Lindval, Sara Bayramzadeh, Leah Hanson
OBJECTIVES: This postoccupancy study sought to understand whether a decentralized unit design supported a postpartum care delivery model by evaluating nurses' efficiency, staff perception, acoustical conditions, and patient satisfaction. BACKGROUND: Today, standardization and decentralization design concepts are being applied to all types of inpatient unit. There have been many studies that investigated how these concepts influence care delivery on medical-surgical units, but no study has evaluated a postpartum unit...
January 17, 2019: HERD
Rana Sagha Zadeh, Paul Eshelman
A built environment designed to be appropriate for palliative care can make a profound difference for people with life-limiting illnesses. The built environment affects a patient's quality of life, the management of physical and psychological symptoms, and the quality of social interactions with loved ones and caregivers. This article is informed by the emerging trends in the research and practice in the disciplines of architecture, design, medicine, and nursing. The article is intended to provide a definition of palliative design and invite discussion of its potential impact on patients, families, and caregivers...
January 11, 2019: HERD
Zack Altizer, William J Canar, Dave Redemske, Francis Fullam, Mike Lamont
Facility planning for healthcare organizations has become increasingly important in recent years, due primarily to the complicated needs of patient rooms and the escalating pressure to provide high-quality care to satisfy patients. Concurrently, there has been a considerable development in the field of evidence-based design (EBD) on the impact the healthcare environment has on patients and the operations of clinical staff. Although tools are being developed to assist in measuring EBD principles, they have not been universally adopted by organizations regarding how they either develop or assess healthcare facilities...
January 9, 2019: HERD
Hui Cai, Yi Lu, Hugo Sheward
OBJECTIVES: To provide a historical review on the evolution of contemporary Chinese nursing unit design and contextual factors that drive the design and changes. BACKGROUND: China is undergoing a major healthcare construction boom. A systematic investigation of the characteristics and development of Chinese nursing unit design is warranted to help U.S. healthcare designers to provide design that fits the local context. METHODS: The investigation is developed in two phases...
January 1, 2019: HERD
Rebecca McLaughlan, Ahmed Sadek, Julie Willis
OBJECTIVE: Ulrich's (1991) definition of "positive distraction" includes that which "elicits positive feelings and holds attention," implying that the capacity of an environmental feature to hold attention is a necessary component. This article examines whether, in the context of a pediatric hospital, a distraction needs to "hold attention" to secure positive benefits for patient well-being. BACKGROUND: Data collected from 246 patients at Melbourne's Royal Children's Hospital (Australia) revealed a discrepancy between what children and young people told us they did, and valued, within the hospital, relative to the time they spent engaging in, or paying attention to, these same features...
December 9, 2018: HERD
Saif Haq
The most difficult issue in writing a methods paper on Space Syntax is that it is not simply a method. It is a theory on which a methodology has been built. In the 40 years since introduction, both its theory and its methods have advanced, including the creation and development of computerized software. Essentially Space Syntax investigates layouts, seen in plan drawings; but this is done from mature theoretical arguments about function in those spaces. While theories of society were at the genesis of Space Syntax, it has branched into cognition, transportation, economics, and so on, and has been used to investigate buildings, cities, and regions...
December 7, 2018: HERD
Giuseppe Lacanna, Cor Wagenaar, Tom Avermaete, Viren Swami
OBJECTIVE: This article describes an approach to a metrics-based evaluation of public space in hospitals using cross-disciplinary qualitative and quantitative analyses. The method, Indoor Public Space Measurement (IPSM), is well suited to researchers and designers who intend to evaluate user-centered spatial solutions in hospitals and similar facilities. BACKGROUND: Healthcare is transiting toward a value-based policy at all levels. Choosing the right set of qualitative and quantitative analyses to support value-based design solutions is not always an easy journey for healthcare design consultants...
December 3, 2018: HERD
Rita Rodrigues, Rita Coelho, João Manuel R S Tavares
This article provides a set of recommendations, selected from the systematic literature review carried out, regarding signage systems for healthcare institutions that can be used for designing or redesigning more competent signage systems. The signage systems in healthcare settings are usually poorly designed due to the expansion of the original facilities, a lack of awareness of existing guidelines by the developers, and a lack of agreement between the existing recommendations. There are several guidelines and recommendations available in the literature; however, each work was developed for specific cultural contexts, so there is a lack of uniformity among them...
December 3, 2018: HERD
Hui Cai, Kent Spreckelmeyer, Amy Mendenhall, Dan Li, Cheryl Holmes, Michelle Levy
OBJECTIVES: This study aims to explore the rural residents' preferences on various aspects of the patient-centered medical home (PCMH) model and the associated physical environment features. BACKGROUND: The PCMH model has gained popularity as an innovative care model that intends to improve patient experience and outcomes while reducing costs. Yet few studies focused on patients' perspective, even less considered the needs of the rural communities. METHOD: Using a convenience sample, an exploratory survey was completed by 362 rural residents in the Midwestern region...
December 3, 2018: HERD
Rona Weerasuriya, Claire Henderson-Wilson, Mardie Townsend
This review describes the facilitators and barriers impacting on passive access to green spaces within healthcare settings. A systematic mixed-studies review was undertaken to review the quantitative and qualitative evidence on access to green spaces within healthcare settings, as well as to review the methodological quality of the studies eligible for inclusion. A total of 24 articles met the inclusion criteria and were included in the review. The barriers to access were grouped into three themes: "awareness," "accessibility," and "comfort...
November 27, 2018: HERD
Elizabeth Karol, Dianne Smith
AIM: The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment. BACKGROUND: It has been established that there is a relationship between psychological well-being and a person's environment. Research also shows that particular design aspects can reduce the impact of cognitive impairment...
November 25, 2018: HERD
Victoria L Lygum, Dorthe V Poulsen, Dorthe Djernis, Hanne G Djernis, Ulrik Sidenius, Ulrika K Stigsdotter
OBJECTIVE: This study concerned optimization of an evidence-based crisis shelter garden as a setting for everyday activities and nature-based therapy. The study hereby tested the design guidelines that the garden is based on. BACKGROUND: Design guidelines for gardens intended to support health are becoming increasingly specialized, targeting different user groups. This study contributes to the knowledge concerning health-supporting garden design at crisis shelters for women and children who are exposed to domestic violence...
November 22, 2018: HERD
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
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