Herd-Health Environments Research & Design Journal最新文献

{"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}

{"title":"Proposing Design Evaluation Metrics for Anesthesia Providers' Workspace in Ambulatory Surgical Settings.","authors":"Devi Abhishek Soman, Mina Shokrollahi Ardekani, Anjali Joseph, David Neyens, Sahar Mihandoust, David Allison, Ken Catchpole, James H Abernathy","doi":"10.1177/19375867251317231","DOIUrl":"10.1177/19375867251317231","url":null,"abstract":"<p><p><b>Objective:</b> This paper describes the development and utilization of two design evaluation metrics aimed to measure design performance for improving circulation and workflow, situational awareness, and visibility for medication-related activities for anesthesia providers' within their workspace in operating rooms. <b>Background:</b> Proactive performance evaluation of the design of critical areas such as operating rooms can help improve the safety of patients and staff workflows. This paper builds on previous work on task-switching behaviors in anesthesia workspaces to develop performance-based design evaluation metrics for anesthesia providers' workspaces based on their tasks performed during the patient preparation, intra-operative, and post-operative phases of the surgery, considering the presence of multiple anesthesia providers. <b>Methods:</b> Pre-coded observational data for five ear, nose, and throat surgeries was analyzed to determine the task-location and task-durations for anesthesia providers while performing various medication-related tasks. The distance between task-locations and the frequency of anesthesia providers' movement between these locations informed the proximity metric, whereas the anesthesia providers' visibility of the patient and the vitals screen from these locations informed the visibility metric. These metrics were used to compare four anesthesia providers' workspace layouts: observed operating room, prototype operating room, and two newly developed design configurations A1 and A2. <b>Results:</b> The proximity metric suggests that layout A2 supported better circulation and workflow for anesthesia providers, whereas the visibility metric indicated that they had improved situational awareness in both A1 and A2. <b>Conclusions:</b> Both metrics can be used to proactively evaluate anesthesia providers' workspaces early in the design process, to improve patient care in future operating rooms.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"319-342"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504818","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 Study of Children's Color Preferences for Consultation Room Furniture.","authors":"Kangqing Hao, Huiyuan Guan","doi":"10.1177/19375867251327969","DOIUrl":"10.1177/19375867251327969","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to explore children's preferences for the colors of furniture in consultation rooms to provide guidance for medical environment design, improving children's consultation experiences and reducing their anxiety and stress. <b>Background:</b> Color plays a crucial role in environmental design, especially in medical spaces. As a special group, children's medical environments should particularly emphasize humanization. <b>Methods:</b> This study assessed the Hue, Saturation, Value (HSV) preferences of children aged 3-15 for consultation room environments through an experiment where participants selected different color palettes based on displayed scene images. The experimental data were quantitatively analyzed. <b>Results:</b> The results indicated no significant difference between children's HSV preferences for furniture and walls in consultation rooms. Among these colors, children preferred a warm color with a saturation of 25 and a value of 75. Children's preference for colors increased with brightness. Among the three levels of saturation, the most preferred value was 25, followed by 75, with the lowest preference for 50. Age and gender also influenced HSV preferences. Older children preferred lower saturation values, while boys preferred higher saturation colors compared to girls. <b>Conclusion:</b> The study revealed that children's color preferences for consultation room furniture and walls were primarily focused on warm colors, high brightness, and specific saturation values. These findings can inform the design of medical environments, suggesting that furniture and walls in children's consultation rooms should preferably use warm colors with high brightness and moderate saturation to enhance children's comfort and satisfaction.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"412-424"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701833","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":"Keeping Healthcare Workers Safe During a Pandemic: Evaluating Doffing Area Design for Safer Removal of Personal Protective Equipment.","authors":"Zorana Matić, Yeinn Oh, Amanda Grindle, Jennifer R DuBose, Lisa Lim","doi":"10.1177/19375867241311273","DOIUrl":"10.1177/19375867241311273","url":null,"abstract":"<p><p>ObjectiveThis study proposes a user-centered methodology to quantify the design affordances of doffing spaces, focusing on the safety and efficiency of healthcare workers (HCWs).BackgroundDoffing personal protective equipment (PPE) poses a significant challenge for healthcare workers (HCWs) due to the high risk of self-contamination. The physical design of the doffing area plays an important role in ensuring safety during this process. However, there currently are no established spatial metrics for assessing the design of doffing spaces.MethodsFour doffing areas in two Biocontainment Units (BCUs) were evaluated using Functional Scenario (FS) analysis method. FSs, representing the spatial needs of key users (HCW and Trained Observer-TO) were developed based on observations, literature, and discussions with staff. For each FS, we defined quantifiable metrics for visualizing the user's needs and evaluating doffing area design performance.ResultsWe defined 11 FSs (seven for HCWs and four for TOs) and 19 associated spatial metrics. FSs for the HCW focused on the prevention of self- and cross-contamination, as well as facilitating visibility, efficiency, and situational and process awareness. The FSs for the TO center on preventing self-contamination, promoting visibility and process awareness, and safe waste management.ConclusionsThe FS approach allowed for the quantification of doffing area affordances and evaluation of how they impact HCW performance, emphasizing design aspects that enhance safety and efficiency. The presented metrics and study findings are expected to inform the future design of spaces where doffing occurs and provide new guidance for improved doffing safety.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"235-254"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081488","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":"The Environmental Standards Council: Improving the Environment of Care Through Technology Functional Programming.","authors":"Debbie Gregory","doi":"10.1177/19375867251319888","DOIUrl":"10.1177/19375867251319888","url":null,"abstract":"","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"212-217"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504823","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":"Modeling the Dynamic Outcomes of Infection Prevention Behaviors in an ICU Environment.","authors":"Lisa Sundahl Platt, Arezoo Zeinali","doi":"10.1177/19375867251317234","DOIUrl":"10.1177/19375867251317234","url":null,"abstract":"<p><p><b>Objective:</b> The research opportunity addressed in this study is in understanding how socio-technical system interactions within healthcare settings can be optimized to promote patient safety, particularly in the context of infection risk analysis during critical clinician-patient interactions and throughout the care delivery. <b>Background:</b> Preventing the risk of pathogen spread in healthcare environments that cause Hospital Acquired Infections (HAIs) is an ongoing challenge both in the U.S. and globally. In complex inpatient care delivery settings, variability in clinical staff's infection control behaviors, such as hand hygiene compliance, can hinder achievement of optimal HAI risk prevention objectives. <b>Method:</b> The authors employed Agent-based Modeling (ABM) in conjunction with the Theory of Planned Behavior (TPB) as a framework for evaluating the simulated results of safety behaviors like hand hygiene compliance impact both patient and overall environmental infectivity. <b>Results:</b> This study demonstrates that using a computational approach to evaluate operational factors in care delivery settings can effectively forecast the impact of human behaviors like hand hygiene compliance on patient safety and environmental infectivity levels. <b>Conclusion:</b> This approach provides valuable insights for designing and operating healthcare environments by highlighting the importance of integrating behavioral theories and computational modeling to improve infection control practices. <b>Application:</b> The implications of this study healthcare designers and hospital operations professionals suggest that applying ABM to evaluate physical design interventions within the care environment that bolster clinicians' Perceived Behavioral Control and their intentions to perform safe infection risk prevention practices offers a viable method for understanding and improving the design dynamics healthcare settings.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"378-396"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391939","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":"Sizing Up General Practice Environments for Big-Bodied Patients: An Environmental Assessment of Three Facilities in Aotearoa, New Zealand.","authors":"Sonya Morgan, Sheharazade Mihlar, Emily Wood, Eileen McKinlay, Helen Gibbs, George Parker, Lesley Gray","doi":"10.1177/19375867241238442","DOIUrl":"10.1177/19375867241238442","url":null,"abstract":"<p><strong>Objectives: </strong>This research describes the physical environments of and equipment in Aotearoa New Zealand (NZ) general practices in relation to available standards for big-bodied people (BBP) seeking healthcare.</p><p><strong>Background: </strong>The prevalence of BBP both in NZ and globally has increased over the last 30 years and is expected to increase further. As the first and most utilized point of contact for patients in NZ and many countries, it is essential that general practices provide suitable environments to cater for and meet the needs of big-bodied patients seeking healthcare.</p><p><strong>Methods: </strong>An exploratory study utilizing an environmental investigation was undertaken in three diverse general practices. Data collection consisted of direct observation and physical measurements of practice layout and equipment. Findings were compared to the existing guidelines or standards for the healthcare of BBP.</p><p><strong>Results: </strong>The analysis identified most environmental facets and equipment in all three general practices did not meet published guidelines for the care of BBP.</p><p><strong>Conclusions: </strong>In the global context of increasing and sustained prevalence of BBP, this exploratory study highlights it is crucial that general practices and similar community-based facilities review their physical environments and equipment and consider modifications to improve accessibility, inclusivity, and comfort for BBP.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"502-520"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185998","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":"Design and the PICO Question.","authors":"D Kirk Hamilton","doi":"10.1177/19375867251317936","DOIUrl":"10.1177/19375867251317936","url":null,"abstract":"","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"209-211"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411287","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":"Biophilic Design: Healthy Buildings, Healthy Brain.","authors":"Fulvio A Scorza, Cintia Attis, Raphael Wuo-Silva, Rozana M Ciconelli, Feres Chaddad-Neto","doi":"10.1177/19375867251330819","DOIUrl":"https://doi.org/10.1177/19375867251330819","url":null,"abstract":"<p><p>The therapeutic effects of biophilia have garnered increasing attention in hospital settings, as recent research highlights its impact on psychological metrics such as anxiety, depression, pain, and patient satisfaction. In their 2024 study, Guidolin et al. present compelling data supporting the role of nature exposure in improving patient outcomes. Building on this, we explore a possible link between biophilia and brain plasticity. The human brain's neuroplasticity, particularly adult hippocampal neurogenesis, responds dynamically to environmental stimuli, including enriched environments. Studies suggest that biophilic design, by integrating natural elements to built spaces, can positively influence brain function and mental health. Furthermore, interactions with nature may upregulate neurogenesis in the hippocampus, a region critical for memory and emotional regulation. These findings support the integration of biophilia as a potential non-pharmacological approach to enhance cognitive and psychological health. We propose that future architectural projects should leverage biophilic design to harness these therapeutic benefits, particularly in healthcare environments, to promote well-being and brain function.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251330819"},"PeriodicalIF":1.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755068","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":"Scoping Review: Association of Inpatient Hospital Design Features With Patients' Clinical Outcomes.","authors":"Esther Jiin Oh, Alice J Liu, LaTeesa James, David Varon, Mitchell Mead, Andrew M Ibrahim","doi":"10.1177/19375867241302799","DOIUrl":"10.1177/19375867241302799","url":null,"abstract":"<p><p><b>Objective:</b> To identify associations between inpatient hospital design features and empirical patient clinical outcomes as well as changes over time. <b>Background:</b> A growing body of literature has emerged evaluating the association of hospital design features with measurable clinical outcomes during inpatient hospital admissions. However, there has been limited effort to evaluate the scope and quality of studies examining individual, inpatient hospital design features on empirical patient clinical outcomes. <b>Methods:</b> Primary research articles published in English between 1980 and 2021 evaluating inpatient clinical outcomes were included. Key terms for hospital designs and clinical outcomes were used. Ovid Medline, Embase, CINAHL, Web of Science, Scopus, Cochrane Library, Elsevier Embase, and Google Scholar were searched on May 28, 2021. Data were independently extracted by two authors, with arbitration from the third author. <b>Results:</b> Forty-six research articles were included for analysis. Predominantly studied inpatient hospital design features included: single versus multibedded rooms/wards, windows, furnishings, installed lighting, ward size and spatial arrangement, noise level, air ventilation, and patient visibility. Although nearly half (43%) of the articles lack appropriate methods to account for residual confounding, a trend of improvement in the use of appropriate methods was identified with 68% of studies in the last decade having appropriate methods. Studies demonstrating positive associations were more likely to be cited than those with negative associations (average citation per article, 508 vs. 27). <b>Conclusion:</b> Our study demonstrates the use of empirical patient clinical outcomes as a feasible approach to evaluate hospital design features, and identified an incremental improvement in the methods being applied.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"157-175"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787344","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}