Herd-Health Environments Research & Design Journal最新文献

{"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}

{"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}