Herd-Health Environments Research & Design Journal最新文献

{"title":"Daylighting and Patients' Access to View Assessment in the Palestinian Hospitals' ICUs.","authors":"Deema Amleh, Abdelrahman Halawani, Muhannad Haj Hussein, Laith Alamlih","doi":"10.1177/19375867251317242","DOIUrl":"10.1177/19375867251317242","url":null,"abstract":"<p><p>Daylight and access to a view out are vital factors in improving patients' wellness, side by side healthcare providers' satisfaction and productivity in intensive care units (ICUs). Unfortunately, insufficient attention was paid to this issue in Palestine resulting in many ICU designs lacking the required daylight and access to view, which, in turn, negatively affects patients' wellness, increasing delirium incidence and sleep disorders. This study aims to assess the Palestinian hospitals' ICUs in terms of daylight and patients' access to view by conducting daylight measurements and field observations. The results show that the available ICU designs in Palestine do not provide adequate daylight and access to view for patients.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"425-446"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Design-Driven Approach Exploring Therapeutic Building-Nature Integration Strategies in Healthcare.","authors":"Liheng Zhu, Dan Hu, Sarah Javed Shah, Xiao Hu","doi":"10.1177/19375867251313990","DOIUrl":"10.1177/19375867251313990","url":null,"abstract":"<p><p><b>Objectives:</b> This paper focuses on the three representative hospital projects conceived by Herzog & de Meuron, which transcend the conventional function of healing facilities by embracing a holistic conception of care. Through a thorough examination, complemented by illustrative drawings, it delves into the design strategies that set these projects apart from conventional practices observed in general hospital settings. <b>Background:</b> In response to the rising concerns about environmental sustainability and human well-being, architects, urban planners, and landscape designers are beginning to realize how crucial it is to use \"natural\" components in design. Particularly in healthcare institutions, carefully designed healing gardens like courtyards, with their appropriate spatial arrangement and material composition method, aim for high-quality spaces to promote health and well-being. <b>Methodology:</b> A qualitative study was conducted through design-driven evaluation, with photographic documentation, drawings, and sketches to show how these designs achieve therapeutic integration. The strategies were thoroughly analyzed from three main perspectives: context and space, garden and building, and material and environment. <b>Results:</b> The investigation demonstrates that key design elements for improving the healing effect of hospitals include nature integration, spatial sequence, daylight exposure, and material composition. Specifically, it involves incorporating nature through courtyards, allowing daylight to enter indoor spaces, using clear architectural markers for easy wayfinding, and applying tactile timber finishes both inside and outside the building. <b>Conclusions:</b> The research highlights significant strategies and approaches that establish a framework for designers and decision-makers to assess hospital health promotion aspects to guide future design projects.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"282-300"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Green Spaces Mitigate Mental Health Disorders in Tehran? Evidence from 358 Neighborhoods.","authors":"Mojtaba Shahabi Shahmiri, Pouria Boujari, Zeynab Sadat Fazeli Dehkordi, Seyed Mahdi Khatami","doi":"10.1177/19375867241304004","DOIUrl":"10.1177/19375867241304004","url":null,"abstract":"<p><p>BackgroundWith a prevalence of mental disorders affecting 18 out of every 100 Iranians and a rising urban population, it is crucial to examine the impact of built environments on people's well-being.ObjectiveWhile some studies have conducted individual-level surveys in Iran, this research aims to investigate the potential impact of green spaces on mental health at the neighborhood level in Tehran.MethodUsing secondary data from 358 neighborhoods in Tehran in 2011, a linear regression analysis was conducted to investigate the correlation between four green space indicators and three mental health metrics.ResultsThe results indicate that green space indicators have the potential to mitigate mental disorders in Tehran, with accessibility to green spaces emerging as the most impactful factor among those studied on mental disorders and anxiety. However, no significant association was found with depression when considering intervening variables. The study also found that other green space indicators, such as the ratio of green space in neighborhoods and satisfaction with green spaces, did not show significant effects, underscoring the importance of accessibility over size or quantity of green spaces per person. Additionally, our findings suggest that higher levels of unemployment in neighborhoods have a more pronounced impact on mental disorders among sociodemographic factors.ConclusionUrban planners and designers should prioritize equitable access to green spaces within neighborhoods, rather than focusing solely on size or per capita availability. Additionally, policymakers should recognize that addressing both environmental and socioeconomic factors-rather than just one-can effectively alleviate residents' mental health issues.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"480-497"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are ICU Bedspaces Based in Evidence, and Do They Support Patient Sleep? A Narrative Review.","authors":"Oystein Tronstad, Irene Szollosi, Dylan Flaws, Barbara Zangerl, John F Fraser","doi":"10.1177/19375867251317239","DOIUrl":"10.1177/19375867251317239","url":null,"abstract":"<p><p><b>Objective:</b> This narrative review summarizes some of the evidence guiding current intensive care unit (ICU) design, focussing on environmental factors impacting on sleep, and compares available evidence and recommendations to current ICU designs and builds. <b>Background:</b> The importance of sleep for recovery after illness is well known. However, hospitalized patients frequently experience poor and disrupted sleep. This is especially true for patients admitted to the ICU. There are many factors negatively impacting on ICU patients' ability to sleep. Some relate to their illness or pre-existing sleep problems; others relate to patient care activities. While the ICU bedspace may facilitate 24h care, there is growing awareness of the detrimental impact the bedspace environment (especially suboptimal lighting and excessive sound/noise) has on sleep quality, and important questions raised regarding how this may impact on recovery and health outcomes. Multiple guidelines and recommendations exist to guide ICU bedspace design. However, questions have been raised whether contemporary ICUs are evidence-based, and whether the available evidence is effectively translated into the built ICU. <b>Methods:</b> A comprehensive literature review was conducted, exploring the evidence supporting current ICU bedspace design and the impact of ICU design and environmental factors on patient sleep. <b>Results and conclusion:</b> This review summarizes the impact of the ICU bedspace environment on patient outcomes and describes features of the ICU bedspace design that may not adhere to best evidence and contribute to poor sleep. Suggestions on how ICU bedspaces can be improved to optimize sleep are provided.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"397-411"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Impact of Window Features and Room Layout on Anxiety, Depression, and Analgesic Medication Intake Among Patients: A Pilot Study in a Cardiac Intensive Care Unit.","authors":"Roxana Jafarifiroozabadi","doi":"10.1177/19375867251314518","DOIUrl":"10.1177/19375867251314518","url":null,"abstract":"<p><p>ObjectivesThis observational, pilot study investigated the impact of room layout (orientation of patient bed toward windows) and window features (blind positions) on patients' perceived anxiety and depression levels as well as analgesic medication intake in a cardiac intensive care unit (CICU).BackgroundWhile room layout and window features in patient rooms can impact the effectiveness of windows, there is a paucity of research on how these features can alleviate coexisting symptoms of anxiety, depression, and pain among hospitalized CICU patients with heart disease.MethodologyBlind positions, light, and temperature levels were recorded hourly in south-facing, windowed patient rooms of the same size with parallel or perpendicular patient bed placement to the window in a CICU. Anxiety scores, depression scores, and analgesic medication intake (mg) were obtained daily for 11 patients (22 observation days). Generalized linear models were employed to investigate the relationships between variables.ResultsBlind positions (open, semiopen, closed) varied throughout patients' CICU stay across the rooms. Linear models indicated that patients in rooms with predominantly open blinds (hourly frequency ≥ 50% per day) had significantly lower average anxiety (<i>p </i>= .004) and depression scores (<i>p </i>= .015), as well as reduced analgesic medication intake (<i>p </i>< .001) compared to those in rooms with closed blinds. The study found no significant relationships between different room layouts and the measured outcomes.ConclusionFindings underscore the importance of considering environmental factors, such as window features and room layout in CICUs, as nonmedical interventions to enhance patient health during hospitalization.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"218-234"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walkability Versus Livability: Changes in Neighborhood Satisfaction After Relocation to a Walkable, Mixed-Income Community in Austin, Texas.","authors":"Xuemei Zhu, Minjie Xu, Chanam Lee, Hanwool Lee, Marcia G Ory","doi":"10.1177/19375867251317238","DOIUrl":"10.1177/19375867251317238","url":null,"abstract":"<p><p><b>Aim:</b> This study examined significant knowledge gaps in understanding walkability-livability relationships. <b>Background:</b> The concept of livability focuses on perceptions of neighborhood environments in relation to quality of life. As walkable communities become increasingly promoted for their health and environmental benefits, questions remain about how walkability affects perceived livability across individuals with various backgrounds and preferences. <b>Methods:</b> We conducted a retrospective study with residents relocated to a community that is not only walkable but also mixed-income in Austin, Texas, U.S. Surveys were used to capture their satisfaction with perceived livability (i.e., \"a good place to live\" and \"a good place to raise children\") and specific neighborhood features, and relevant personal, social, and environmental factors. We used (1) paired t-tests to examine pre-post move differences, (2) binary logistic regressions to predict perceived livability, and (3) multiple linear regressions to predict the pre-post differences in perceived livability. <b>Results:</b> Relocation to this community demonstrated improved satisfaction with two overall livability measures and specific neighborhood features related to convenient transportation, access to services, environmental quality, and social cohesion. Affordable housing residents had more consistent satisfaction and greater improvements, suggesting improved residential equality in this mixed-income community. Improvements in perceived crime safety, natural surroundings, walkable destinations, and air quality predicted improvement in both livability measures. Denser streets improved satisfaction with a good place to live but were insignificant for the change in satisfaction with a good place to raise children. <b>Conclusions:</b> More research is needed to address distinct population outcomes and livability specific to raising children.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"343-361"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Attributes of Wayfinding in Care Facilities by Individuals With Mild Cognitive Impairment (MCI).","authors":"Hessam Ghamari, Nasrin Golshany","doi":"10.1177/19375867251313987","DOIUrl":"10.1177/19375867251313987","url":null,"abstract":"<p><p>Navigating unfamiliar environments poses significant challenges, especially for individuals with cognitive impairments. These individuals often struggle with maintaining orientation, recalling routines, and traveling through new environments due to their limited cognitive capacity. The current state of research on visual environmental attributes of wayfinding reveals a gap, particularly regarding individuals with mild cognitive impairment (MCI), compared to healthy older adults. Few studies have objectively identified the visual cues and environmental factors that influence wayfinding in those with cognitive impairments. This study addresses this research gap by objectively identifying the visual environmental attributes influencing wayfinding among MCI subjects in a memory care facility compared to healthy older adults. Using eye-tracking technology, we investigated which visual environmental attributes attract eye fixation during wayfinding in care facilities. Forty-eight subjects, categorized into MCI and non-MCI groups, navigated through unfamiliar indoor environments while their eye movements were tracked. The results, in agreement with previous research, showed that MCI group exhibit significant reduced success rates and longer navigation times compared to non-MCI group. Findings of the eye-fixation rank-order analysis showed that MCI subjects prioritized directional signs and architectural features, while non-MCI subjects focused on identifying signs and informative elements. These findings emphasize the importance of tailored design practices for care facilities, highlighting specific visual cues crucial for guiding navigation in individuals with MCI. The study provides insight to guide architects and healthcare professionals in creating inclusive environments that support independence and well-being for older adults with cognitive impairments, advocating for interventions to enhance wayfinding in care facilities.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"301-318"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healing Havens: How Evidence-Based Design is Transforming Medical Spaces Into Therapeutic Environments.","authors":"Cameron Sabet, Alessandro Hammond, Sammer Marzouk","doi":"10.1177/19375867241276123","DOIUrl":"10.1177/19375867241276123","url":null,"abstract":"<p><p>ObjectivesTo explore how evidence-based design is transforming healthcare environments into transforming spaces that improve patient outcomes and staff experiences.BackgroundTraditional hospital designs often prioritize functionality over patient and staff well-being. This editorial examines the shift toward evidence-based design in healthcare facilities.MethodsWe review recent studies and case examples demonstrating the impact of thoughtful healthcare design on infection rates, patient recovery, and staff performance.ResultsEvidence shows that elements such as private rooms, access to nature, and improved lighting can significantly reduce infections, accelerate healing, and enhance staff satisfaction.ConclusionsImplementing evidence-based design principles in healthcare environments can lead to measurable improvements in patient outcomes, staff performance, and overall healthcare quality.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"498-501"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Interplay of Thermal, Lighting, and Acoustics in Intensive Care for Enhanced Patient Well-being and Clinical Outcomes.","authors":"Emil E Jonescu, Edward Litton, Benjamin Farrell","doi":"10.1177/19375867251317235","DOIUrl":"10.1177/19375867251317235","url":null,"abstract":"<p><p>This research explores the interplay among noise levels, thermal conditions, and lighting intensity in an intensive care unit (ICU), focusing on preserving circadian rhythm and promoting nighttime sleep to advance patient-centric care. This investigation assesses lighting levels (Lux), natural versus artificial light ratios, ICU room temperature, and correlations with acoustic data during a field research period and examines the collective impact of patient exposure to sleep linked to delirium and health outcomes, addressing critical gaps in understanding. Findings reveal that noise levels between 60 and 90 dB(A) during patient occupancy exceed sleep disruption thresholds, with daytime averages of 53.6 dB(A) and nighttime averages of 48.5 dB(A) surpassing recommended criteria. Temperature fluctuations, often outside the optimal sleep range, and suboptimal diurnal variations impact patient comfort and clinician challenges. Lux levels mostly fall short of the optimum range, affecting circadian rhythms. Temporal distinctions of these environmental factors directly impact clinicians and patients, with correlated spikes in noise, lighting, and temperature during admission periods requiring heightened attention for optimal care. These cumulative impacts necessitate clinicians to navigate challenges and ensure consistent and effective care. Patients experience sleep disruptions, highlighting the need for a holistic healthcare design addressing interconnected environmental dynamics. The findings underscore the importance of comprehensive approaches to healthcare design, optimizing the ICU environment for patient-centric care and supporting healthcare professionals' well-being. Recommendations include targeted interventions to improve sleep, reduce delirium incidence, and enhance recovery, advancing ICU design for better patient outcomes; and facilitating effective communication among healthcare practitioners.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"362-377"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Role of the Physical Environment on Communication Patterns in Emergency Departments During Caregiving for Pediatric Mental and Behavioral Health Patients.","authors":"Yueci Jiang, Anjali Joseph, Monica Gripko, Sahar Mihandoust, Heidi Zinzow, Lucinda Easler, Ann Dietrich","doi":"10.1177/19375867251317241","DOIUrl":"10.1177/19375867251317241","url":null,"abstract":"<p><p>ObjectiveThis study investigates how the physical environment influences communication dynamics among staff members, pediatric mental and behavioral health (MBH) patients, and their families in the emergency department (ED).BackgroundThe United States faces a public health challenge as MBH conditions in school-age children contribute to an increasing number of ED visits. Effective communication plays a pivotal role in pediatric MBH caregiving, where challenges often arise due to the sensitive nature of these conditions.MethodsThis qualitative study involved observations and semistructured interviews with 55 care providers across four hospital-based EDs in the southeastern United States.ResultsQualitative thematic analysis of the interviews identified physical environment impacts on communication at three scales: unit, staff workstation, and patient care space. This study identified aspects of the physical environment, such as proximity, visibility, crowding, and privacy as influential factors in communication patterns for the MBH care process in ED.ConclusionsThe physical environment has an essential impact on communication patterns and care delivery for the increasing number of pediatric MBH patients in the ED.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"447-462"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}