Herd-Health Environments Research & Design Journal最新文献_第8页

Design of a Cancer Infusion Center: Results from a Pre- and Post-Occupancy Evaluation. 癌症输液中心的设计：入住前和入住后的评估结果。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-01-01 Epub Date: 2024-10-03 DOI: 10.1177/19375867241280731

Mahshid Jalalianhosseini, Kara Freihoefer, Abbie Ochsner, Nancy Doyle, Lou Ann Bunker-Hellmich, Renae Rich, Ryan Haunfelder

{"title":"Design of a Cancer Infusion Center: Results from a Pre- and Post-Occupancy Evaluation.","authors":"Mahshid Jalalianhosseini, Kara Freihoefer, Abbie Ochsner, Nancy Doyle, Lou Ann Bunker-Hellmich, Renae Rich, Ryan Haunfelder","doi":"10.1177/19375867241280731","DOIUrl":"10.1177/19375867241280731","url":null,"abstract":"Purpose: The current study performed a post-occupancy evaluation on a new cancer infusion center with pod-like layout and compared results to a pre-occupancy evaluation to investigate the impact of different cancer infusion center designs on staff efficiency and patient and staff satisfaction.Background: The new cancer infusion center opened in October 2020 and replaced two previously existing infusion centers, in the same healthcare system.Methods: The study used a similar mixed-method approach as the pre-occupancy research, which included staff shadowing, medication delivery shadowing, and staff and patient questionnaires.Results: The new infusion center improved staff efficiencies by reducing nurse travel time compared to pre-occupancy infusion centers. Results also showed an increase in satisfaction with different aspects of the new infusion center including patient privacy, by both patients and nurses. The pod design allowed for better audio and visual privacy for patients, provided a higher amount of worksurface and availability of workstations, reduced noise levels, and enhanced nurse concentration at workstations. Findings indicated that nurses who had prior experience working in the pre-occupancy infusion centers expressed significantly lower levels of satisfaction in the new infusion center, especially in the ability to connect with nurses in other pods.Conclusions: Although the new pod design had limitations in terms of collaborative opportunities across pods, it showed to provide a more efficient work environment for the staff and increase staff and patient satisfactions. The results also highlight the importance of effective change management strategies when nurses transition to a new work environment.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"41-58"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366922","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}

引用次数: 0

Design for People With Dementia: A Scoping Review on the Perspective of Inclusion, Accessibility, and Equity in Healthcare. 痴呆症患者的设计：医疗保健中包容性、可及性和公平性视角的范围审查

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1177/19375867241302798

Bárbara Foiato Hein Machado, Emanuele König Klever, Cláudia de Souza Libânio

{"title":"Design for People With Dementia: A Scoping Review on the Perspective of Inclusion, Accessibility, and Equity in Healthcare.","authors":"Bárbara Foiato Hein Machado, Emanuele König Klever, Cláudia de Souza Libânio","doi":"10.1177/19375867241302798","DOIUrl":"10.1177/19375867241302798","url":null,"abstract":"Purpose: We explored the literature on the use of design in dementia care and the relationships with inclusion, accessibility, and equity in the past decade. Background: A body of research indicates the importance of studies that focus on a person-centered approach, with a direct potential to impact the quality of life of people with dementia through inclusion, accessibility, and equity. Although there is a growing presence of the literature on design approaches in dementia care settings, there is a need to integrate these findings for a better understanding of the progress in this field. Methods: We conducted a scoping review of the literature in seven databases, covering a period of ten years in May 2023. Results: Twenty-nine papers were included and analyzed with a focus on person-centered design and its relationship with inclusion, accessibility, and equity. Based on the identification and analysis of these studies, we discuss the significance of person-centered design, emphasizing its impacts on inclusion, accessibility, and equity. We present a summary of findings and offer recommendations for future research. Conclusions: By exploring and presenting existing practices, resources, and tools tailored to specific needs in dementia care, this research provides information for researchers, designers, and policymakers in developing interventions that prioritize the well-being and dignity of those affected by this condition.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":"18 1","pages":"176-193"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883326","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}

引用次数: 0

Baseline Study of Ultra-Clean Air Change Rate, Number, and Type of Microorganisms and Level of Particles During Trauma Surgery. 创伤手术期间超洁净空气变化率、微生物数量、类型和颗粒水平的基线研究。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1177/19375867241302406

J L A Lans, N M C Mathijssen, P R Goswami, J J van den Dobbelsteen, P G Luscuere, M van der Elst

{"title":"Baseline Study of Ultra-Clean Air Change Rate, Number, and Type of Microorganisms and Level of Particles During Trauma Surgery.","authors":"J L A Lans, N M C Mathijssen, P R Goswami, J J van den Dobbelsteen, P G Luscuere, M van der Elst","doi":"10.1177/19375867241302406","DOIUrl":"10.1177/19375867241302406","url":null,"abstract":"Background: The objective of an operating room (OR) ultra-clean ventilation system is to eliminate or reduce the quantity of dust particles and colony-forming units per cubic meter of air (CFU/m3). To achieve this, ultra-clean goal high air change rates per hour are required to reduce the particle load and number of CFU/m3. Aim: To determine the air quality in an ultra-clean OR during surgery, in terms of the number and type of microorganism and quantity of dust particles in order to establish a benchmark. Methods: Number of CFUs and the quantity of dust particles were measured. For measuring the CFUs, sterile extraction hoses were positioned at the incision, the furthest away positioned instrument table, and the periphery. At these locations, air was extracted to determine the quantity of dust particles. Findings: The number of CFU/m3 and particles was on average at wound level ≤1 CFU/m3 resp. 852.679 particles, at instrument table ≤1 CFU/m3 resp. 3.797 particles and in the periphery ≤8 CFU/m3, resp. 4.355 particles. Conclusion: The number of CFUs in the ultra-clean area is below the defined ultra-clean level of ≤10 CFU/m3 for ultra-clean surgery. The quantity of dust particles measured during surgery was higher than the defined ISO 5.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"142-156"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781433","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}

引用次数: 0

Workspace Layout for Resilient Performance using Social Network Analysis: A Case Study. 利用社交网络分析实现弹性性能的工作空间布局：案例研究。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1177/19375867241271435

Flavio Sanson Fogliatto, Tarcisio Abreu Saurin, Guilherme Luz Tortorella, Jose Miguel Dora, Leandro Miletto Tonetto

{"title":"Workspace Layout for Resilient Performance using Social Network Analysis: A Case Study.","authors":"Flavio Sanson Fogliatto, Tarcisio Abreu Saurin, Guilherme Luz Tortorella, Jose Miguel Dora, Leandro Miletto Tonetto","doi":"10.1177/19375867241271435","DOIUrl":"10.1177/19375867241271435","url":null,"abstract":"Purpose: To present the social network analysis-based approach used to create a new workspace layout for three hospital services as part of a campus expansion at a large tertiary care public hospital. Objective: To analyze the relationships among service members across four healthcare resilience abilities (monitor, anticipate, respond, and learn) and utilize network metrics to indicate the suitability of a shared workspace layout for the services. Background: The hospital expanded by 70%, providing space for relocating key services-the rapid response team, medical on-call team, and nursing supervision. Initial observations suggested a shared workspace layout based on anecdotal evidence. Method: Stakeholders have reached a consensus on a three-stage process to assess the suitability of a shared workspace layout for these services: first, collecting data on social interactions with a focus on resilience abilities; second, presenting layout alternatives based on sociograms; and third, evaluating these alternatives and devising a strategy for allocating personnel to shifts based on a resilience score derived from social network metrics. Case Study: The examination of social network metrics allowed identifying key individuals contributing to the overall resilience of the three services. Sociograms provided visual representations of how these individuals were spatially distributed within the shared layout. Discussion: The process was designed to shape a resilient layout and incorporated initial data, preferences, and constraints into layout proposals. Additionally, it utilized a resilience score from existing literature to formulate a strategy for staff allocation to shifts, ensuring consistent collective resilience ability across all shifts.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"294-314"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989127","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}

引用次数: 0

Exploring the Facilitators of the Gerotranscendence Theory: Correlations among Sustainable Behaviors, Biophilic Design, and Nature Connectedness. 探索老年超越理论的促进因素：可持续行为、亲环境设计和与自然的联系之间的相关性。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1177/19375867241271433

Yasemin Afacan

{"title":"Exploring the Facilitators of the Gerotranscendence Theory: Correlations among Sustainable Behaviors, Biophilic Design, and Nature Connectedness.","authors":"Yasemin Afacan","doi":"10.1177/19375867241271433","DOIUrl":"10.1177/19375867241271433","url":null,"abstract":"Aim: This study aims to shift views away from negative perceptions towards aging by exploring the following research question: How are the multiple levels of the gerotranscendence theory influenced by the sustainable behavior and attitude toward the biophilic design of older adults? Background: Improving perceptions of aging is vital for positively impacting both the biological and societal aspects of the global aging phenomenon. Methods: The study utilized a mixed-method design. Initially, 300 older Turkish adults completed self-reported measures including the Gerotranscendence Scale (GS), Pro-environmental Behavior (PB), Environmental Identity Scale (EID), Biophilic Design Importance Level (BDI), and Inclusion of Nature in the Self Scale (INS). Subsequently, the second phase involved diary logs from 30 participants who volunteered during the initial phase. Results: Results indicated that a higher importance level placed on biophilic design was linked to a greater inclusion of nature in the self. Moreover, a stronger interest in nature correlated positively with the gerotranscendence experience. Conclusions: The results bring significant attention to biophilic design, especially its relevance in supporting sustainable environmental behaviors and positive aging.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"150-171"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989126","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}

引用次数: 0

Exploring Environmental Considerations for Terminally Ill Pediatric Patients in Palliative Care Inpatient Units: A Narrative Review. 探索姑息关怀住院病房中临终儿科病人的环境因素：叙述性综述。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.1177/19375867241271439

Sara Nourmusavi Nasab, Rebecca McLaughlan, Chris L Smith

{"title":"Exploring Environmental Considerations for Terminally Ill Pediatric Patients in Palliative Care Inpatient Units: A Narrative Review.","authors":"Sara Nourmusavi Nasab, Rebecca McLaughlan, Chris L Smith","doi":"10.1177/19375867241271439","DOIUrl":"10.1177/19375867241271439","url":null,"abstract":"Background: The end-of-life experience is significantly influenced by the surrounding environment, emphasizing the importance of exploring built environmental factors in palliative care, especially for pediatric patients. As the majority of end-of-life individuals are elderly or adults, most studies have focused on the environment for this demographic. However, it is essential to recognize that children and adolescents may have distinct needs in this regard. Aim: This narrative review aims to explore the impact of the built environment on pediatric end-of-life patients in inpatient units within palliative care settings. Method: A comprehensive search was conducted across four key databases (PubMed, MEDLINE, PsycINFO, and CINAHL) to identify relevant articles. The screening process commenced with an initial assessment of article titles and abstracts, followed by a thorough examination of full-text studies that met the inclusion criteria. Data synthesis involved thematic analysis facilitated by NVIVO software and informed by the findings extracted from selected literature. Results: The review identified 22 studies meeting inclusion criteria, revealing key insights into environmental considerations in pediatric palliative care. Four themes emerged, highlighting the significance of activities and play environments, accommodation spaces for patients, supportive spaces for families, and outdoor and green spaces. Conclusions: Acknowledging limited research on architectural aspects and reliance on family and staff perspectives, future studies should prioritize understanding pediatric patients' perspectives, particularly adolescents. The study underscores the importance of enhancing environmental design in pediatric palliative care to meet the unique needs of patients and their families.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"268-293"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005530","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}

引用次数: 0

Can Operating Room Design Make Orthopedic Surgeries Shorter, Safer, and More Efficient?: A Quasi-Experimental Study. 手术室设计能否让骨科手术更短、更安全、更高效？

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI: 10.1177/19375867241254529

Xiaobo Quan

{"title":"Can Operating Room Design Make Orthopedic Surgeries Shorter, Safer, and More Efficient?: A Quasi-Experimental Study.","authors":"Xiaobo Quan","doi":"10.1177/19375867241254529","DOIUrl":"10.1177/19375867241254529","url":null,"abstract":"Objectives: The study aimed to fill the knowledge gap about how operating room (OR) design could reduce orthopedic surgery duration and contribute to surgical care safety and efficiency.Background: Long surgery duration may lead to delays and cancellations of surgeries, deteriorated patient experiences, postoperative complications, and waste of healthcare resources. The OR physical environment may contribute to the reduction of surgery duration by minimizing workflow disruptions and personnel movements during surgeries.Methods: Unobtrusive observations were conducted of 70 unilateral total knee or hip replacement surgeries in two differently designed ORs at a community hospital in the United States. A set of computer-based forms adapted from recent research was used to measure the surgery duration, environment-related disruptions, and ambulatory movements involving circulators. Potential confounding factors like surgery type were controlled in statistical analyses.Results: Significantly shorter surgery durations were recorded in the larger OR with more clearances on both sides of the operating table, a wider door located on the sidewall, more cabinets, and more clearance between the circulator workstation and the sterile field (p =.019). The better-designed OR was also associated with less frequent disruptions and fewer movements per case (p < .001). Significant correlations existed between surgery duration, the number of disruptions, and the number of movements (rs = .576-.700, ps < .001).Conclusions: The study demonstrated the important role of OR physical environment in supporting the safe and efficient delivery of surgical care, which should be further enhanced through research and design innovations.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"7-22"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876352","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}

引用次数: 0

An Important Resolution for Design and Health. 设计与健康的重要决议

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-28 DOI: 10.1177/19375867241276453

D Kirk Hamilton

引用次数: 0

Teaching and Fostering Design Empathy. 17.4 的 HERD 编辑--教学与培养设计共鸣。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.1177/19375867241276496

Naomi A Sachs

引用次数: 0

Nature-Based Design in Stroke Rehabilitation Environments: A Scoping Review. 中风康复环境中基于自然的设计：范围审查。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-10-01 Epub Date: 2024-05-14 DOI: 10.1177/19375867241251832

Belinda Seale, Aaron Davis, Justin Lawson, Louisa Smith, Joanne Watson, Claire Henderson-Wilson

{"title":"Nature-Based Design in Stroke Rehabilitation Environments: A Scoping Review.","authors":"Belinda Seale, Aaron Davis, Justin Lawson, Louisa Smith, Joanne Watson, Claire Henderson-Wilson","doi":"10.1177/19375867241251832","DOIUrl":"10.1177/19375867241251832","url":null,"abstract":"Objective: To identify, examine, and map the characteristics of knowledge of nature-based design in stroke rehabilitation facilities, examine how research in this field has been conducted and identify gaps in knowledge.Background: Many stroke survivors have wide ranging impacts, resulting in long hospital stays to undertake rehabilitation. The physical environment can influence brain recovery; however, there is limited evidence to support the design of effective rehabilitation environments. Conversely, the health benefits available from connection with nature are well established. A nature-based design approach may have benefits and implications for the physical environment of inpatient stroke rehabilitation facilities; however, it is unclear what evidence exists in this field.Method: This scoping review followed the JBI methodological guidance for the conduct of scoping reviews, with systematic searches of six databases.Results: Twenty-eight studies were included in the review. Aims and research methods varied widely. Investigations in 19 studies related to gardens and other designed outdoor nature-based environments. Other studies explored natural analogues, nature inside, inside/outside connections, and the natural environment. Findings from the studies were spread across the fields of design, use, exposure to, and engagement in nature-based environments.Conclusion: The characteristics of knowledge underpinning nature-based design in stroke rehabilitation environments are highly diverse, and significant gaps exist in the evidence base. A framework developed during this review for mapping knowledge on the intentions and impacts for spaces and services in this field assisted to identify these gaps and may be applied to other areas of healthcare design research.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"186-211"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923170","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}

引用次数: 0