Herd-Health Environments Research & Design Journal最新文献_第9页

The Impact of Sensory Stimuli on Healthcare Workers and Outcomes in Trauma Rooms: A Focus Group Study. 感官刺激对创伤室医护人员和结果的影响：焦点小组研究。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2023-12-18 DOI: 10.1177/19375867231215080

Sara Bayramzadeh, Sahar Ahmadpour

{"title":"The Impact of Sensory Stimuli on Healthcare Workers and Outcomes in Trauma Rooms: A Focus Group Study.","authors":"Sara Bayramzadeh, Sahar Ahmadpour","doi":"10.1177/19375867231215080","DOIUrl":"10.1177/19375867231215080","url":null,"abstract":"Objective: This study investigated issues related to noise, lighting, and temperature in trauma rooms that impact patient care and staff performance.Background: Uncontrolled sensory stimuli can hinder healthcare delivery quality in trauma rooms. High noise and temperature levels can increase staff stress and discomfort as well as patient discomfort. Conversely, proper lighting can decrease staff stress levels and reduce burnout. Sensory overload in trauma rooms is a crucial concern, but no studies have been conducted on this issue.Method: Using a convenience sampling method, 65 trauma team members (e.g., surgeons, physicians, nurses) from six Level I trauma centers in the United States were recruited to participate in 20 focus groups. Focus groups were semi-structured and 1 hr long.Results: Staff covered issues related to communications and disruption from noise sources (e.g., equipment, conversations). Having control over lighting allows staff to change light intensity and facilitate their work during the resuscitation. A well-maintained temperature can provide patient comfort or reduce risk of hypothermia, given that patients can lose body heat rapidly due to loss of blood.Conclusion: Excessive sensory stimuli can result in disrupted communication, fatigue, and stress, making staff susceptible to errors. Staffs' control over environmental conditions may lead to a more efficient, comfortable, and safer environment. Technology should be reliable and flexible to facilitate this.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"115-128"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805964","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

Tusler Prize for Published Research Accepting Submissions. 塔斯勒研究成果发表奖（Tusler Prize for Published Research）接受投稿。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 DOI: 10.1177/19375867241248562

引用次数: 0

Reimagining America's Rural Health: Challenges and Opportunities. 重塑美国农村健康:挑战与机遇。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2023-11-26 DOI: 10.1177/19375867231209501

Debajyoti Pati, Pariya Sheykhmaleki, Daphne A U Chilaka

{"title":"Reimagining America's Rural Health: Challenges and Opportunities.","authors":"Debajyoti Pati, Pariya Sheykhmaleki, Daphne A U Chilaka","doi":"10.1177/19375867231209501","DOIUrl":"10.1177/19375867231209501","url":null,"abstract":"Objectives: The objective of this inquiry was to identify (a) rural health challenges in the United States, especially in the context of the COVID-19 pandemic and (b) to identify opportunities within the disruptions caused by the pandemic.Background: Rural healthcare challenges in the United States are not the same as those faced in urban and suburban communities. Nor are rural hospitals a miniature version of larger urban hospitals. Urban healthcare and hospital-centric policies and solutions, hence, do not help address or optimize the unique health challenges of rural communities. Furthermore, the challenges previously faced by rural hospitals were further exacerbated by COVID-19.Methods: Key points from public deliberations among experts in a 1-day symposium on rural health, attended by 65 professionals representing 18 west Texas institutions, were captured by the authors. The data were subsequently analyzed to identify common areas of information.Findings: Four clusters of challenges and opportunities were identified: healthcare delivery, healthcare infrastructure/building, community health, and public administration.Conclusions: Symposium data suggest that rural health faced numerous unique challenges, which were further compounded by the COVID-19 pandemic. However, the pandemic also helped discover the resiliency of clinicians working in rural areas. For rural health optimization, rural health buildings also need to be flexible. While funds are not easily available, some innovative community collaborations with healthcare institutions may generate novel solutions. In the meantime, telemedicine promises a radical change in rural community health services in the future.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"269-280"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441467","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 of Pediatric Outpatient Procedure Environments: A Pilot Study to Understand the Perceptions of Patients and Their Parents. 儿科门诊手术环境的设计：了解患者及其家长看法的试点研究。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2024-01-02 DOI: 10.1177/19375867231220398

Swati Goel, Sahar Mihandoust, Anjali Joseph, Jonathan Markowitz, Alec Gonzales, Matthew Browning

{"title":"Design of Pediatric Outpatient Procedure Environments: A Pilot Study to Understand the Perceptions of Patients and Their Parents.","authors":"Swati Goel, Sahar Mihandoust, Anjali Joseph, Jonathan Markowitz, Alec Gonzales, Matthew Browning","doi":"10.1177/19375867231220398","DOIUrl":"10.1177/19375867231220398","url":null,"abstract":"Objective: To understand parent and child perception of spaces experienced during outpatient procedures and to measure their anxiety in these spaces.Background: Same-day procedures are becoming prevalent among children in the United States. While studies conducted in different types of healthcare settings show that the physical environment influences healthcare experiences of patients, there is a lack of research on patient and family perceptions of the physical environment of the outpatient centers where such procedures are conducted.Methods: This study used ecological momentary assessment to collect patient experience and anxiety data at different points during the patient's journey through an ambulatory surgical center where pediatric gastrointestinal (GI) procedures were performed. Objective and subjective measures of anxiety were collected. A Qualtrics survey asked participants' perceptions about four spaces-waiting, preprocedure, procedure, and recovery.Results: Child participants reported liking murals, double chairs, patient beds, wall color, and access to a television. They disliked medical equipment and lack of child-friendly furniture. Most parents liked the murals, access to a television, and nature photos, while disliking the lack of privacy, lack of toys in waiting areas, and lack of child-friendly furniture. On average, both children and parents experienced the highest anxiety levels before and during the procedure and the lowest during recovery. Between the four spaces, no significant differences were observed in the heart rate variability and skin conductance responses for both groups.Conclusions: Despite the outpatient nature of the procedures, participants experienced anxiety before the GI procedure. Comfortable design features that provide distractions are preferred by children and their parents.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"183-199"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080968","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 Auditory Sonic Sleep Treatment for Individuals Living With Dementia in a Memory Care Setting: A Quality Improvement Program Evaluation. 在记忆护理环境中对痴呆症患者的听觉睡眠治疗:一项质量改进计划评估。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2023-11-26 DOI: 10.1177/19375867231207651

Addie Abushousheh, Ellen Taylor, Michael J Brondino

{"title":"An Auditory Sonic Sleep Treatment for Individuals Living With Dementia in a Memory Care Setting: A Quality Improvement Program Evaluation.","authors":"Addie Abushousheh, Ellen Taylor, Michael J Brondino","doi":"10.1177/19375867231207651","DOIUrl":"10.1177/19375867231207651","url":null,"abstract":"Background: The absence of a cure for dementia, combined with the increased longevity of the baby boom generation, is resulting in a dramatic increase in the number of people living with dementia. Aging-related changes coupled with dementia-related behavioral symptoms pose unique challenges for those living with dementia as well as those who provide care. There is evidence that improved sleep can improve health and well-being. Research also supports using auditory interventions as a form of nonpharmacological therapy.Objective: This study evaluated the effects of a customized auditory (sonic) treatment during sleep on the mood, behavior, quality of life, functional ability, and health condition of individuals living with the symptoms of dementia. Workforce outcomes were evaluated as a secondary outcome.Methods: A controlled before-after design with a mixed-method approach was used to evaluate the impact of the sonic sleep treatment during baseline, intervention, and discontinuation time frames.Results: Statistically significant improvements were observed in participants' cooperation with care (p = .0249) and daytime drowsiness (p = .0104). Other nonstatistically significant improvements included bed mobility, appetite, bathing self-performance, toilet use, incidence of falls, following requests and instructions, and nighttime insomnia. While workforce outcomes remained unchanged, staff were supportive of resuming the sonic sleep treatment after the discontinuation time frame.Conclusions: The sonic sleep treatment demonstrated improved outcomes for individuals living with dementia. This supports using an appropriate auditory stimulus as a fundamental component of care for individuals living in memory care settings.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"245-262"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441465","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

Differences in Nurses' Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China. 护理部不同科室护士对空间设计的满意度和需求差异：中国案例研究。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2023-12-12 DOI: 10.1177/19375867231213955

Xiaodong Xuan, Xiaoxia Duan, Zihao Feng, Yihe Zheng

{"title":"Differences in Nurses' Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China.","authors":"Xiaodong Xuan, Xiaoxia Duan, Zihao Feng, Yihe Zheng","doi":"10.1177/19375867231213955","DOIUrl":"10.1177/19375867231213955","url":null,"abstract":"Objectives: The study aimed to extend original research and identify operational and space-related requirements for specialization from the perspectives of nursing behavior and process.Background: Studies related to the specialty of different nursing units have been widely conducted in nursing science, while few studies have explored the specialized requirements for the physical environments of nursing units in different departments.Method: Questionnaire survey data were collected from 125 nurses in 11 clinical departments, and nurse shadowing (approximately 68 hr) was conducted in four clinical departments.Results: The questionnaire survey showed that satisfaction with care activity, visibility, and physical environment within the existing nursing unit environment was rated differently among different departments of nursing units. However, nurses in different groups of age, education, work experience, and position indicated no statistically significant difference. Behavioral observations demonstrated that the spatial and temporal distributions of activities, spatial linkages, and communication patterns varied in distinct departments.Conclusion: This research found that nurses in different departments had different evaluations of satisfaction and environmental characteristics. It also explains the differences in nursing work behaviors and processes found in various departments and sheds light on specialized requirements from the behavior perspective. The findings could help optimize the design of efficient and satisfactory nursing units in different departments.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"129-145"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805867","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

Healthy Buildings, a Webinar Report. 健康建筑，网络研讨会报告。

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2024-01-23 DOI: 10.1177/19375867231223885

Priya Rachel Boby, Laura Cambra-Rufino, Prabhjot Sugga, Anil Dewan

引用次数: 0

Close the Loop: Business Cases and Economic Evaluations. 闭环：商业案例和经济评估。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2024-03-19 DOI: 10.1177/19375867241236004

Ellen Taylor

引用次数: 0

Toward a Future Orientation: A Supportive Mental Health Facility Environment. 面向未来：心理健康机构的支持性环境。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2024-01-23 DOI: 10.1177/19375867231221151

Anne Hagerup, Helle Wijk, Göran Lindahl, Sepideh Olausson

{"title":"Toward a Future Orientation: A Supportive Mental Health Facility Environment.","authors":"Anne Hagerup, Helle Wijk, Göran Lindahl, Sepideh Olausson","doi":"10.1177/19375867231221151","DOIUrl":"10.1177/19375867231221151","url":null,"abstract":"Background: The provision of supportive environments is essential in clinical and environmental psychology. Mental health disorders are a major issue, and the experience of being at a mental health facility is affected by numerous factors related to the building's design.Aim: The aim of this study is to explore the expectations of a mental health facility planning group regarding the potential impact of a supportive design on patients' mental health and staff's therapeutic practices when planning and designing a new mental health facility.Methods: The new mental health facility is a case study and data were collected through qualitative in-depth interviews with nine participants and analyzed using a thematic analysis. The participants came from a mental health facility planning group in a new mental health facility in Norway.Results: The overall expectation of the new building was related to a future orientation to support patients' mental health and therapeutic practices. Three main themes were identified: toward a future orientation, supportive building design, and work environment.Conclusions: Supportive environments are expected to influence patients' mental health and staff's therapeutic practices, including providing options for novel treatment needs in contrast to older and more outdated buildings that are perceived as hindering appropriate treatment conditions.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"38-56"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521311","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

Are We Speaking the Same Language? Terminology Consistency in EBD. 我们说的是同一种语言吗？EBD 术语的一致性。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-04-01 Epub Date: 2024-01-24 DOI: 10.1177/19375867231225395

Tahere Golgolnia, Maja Kevdzija, Gesine Marquardt

{"title":"Are We Speaking the Same Language? Terminology Consistency in EBD.","authors":"Tahere Golgolnia, Maja Kevdzija, Gesine Marquardt","doi":"10.1177/19375867231225395","DOIUrl":"10.1177/19375867231225395","url":null,"abstract":"Objective: The aim of this study is to analyze the consistency, variability, and potential standardization of terminology used to describe architectural variables (AVs) and health outcomes in evidence-based design (EBD) studies.Background: In EBD research, consistent terminology is crucial for studying the effects of AVs on health outcomes. However, there is a possibility that diverse terms have been used by researchers, which could lead to potential confusion and inconsistencies.Methods: Three recent large systematic reviews were used as a source of publications, and 105 were extracted. The analysis aimed to extract a list of the terms used to refer to the unique concepts of AVs and health outcomes, with a specific focus on people with dementia. Each term's frequency was calculated, and statistical tests, including the χ2 and the post hoc test, were employed to compare their distributions.Results: The study identified representative terms for AVs and health outcomes, revealing the variability in terminology usage within EBD field for dementia-friendly design. The comparative analysis of the identified terms highlighted patterns of frequency and distribution, shedding light on potential areas for standardization.Conclusions: The findings emphasize the need for standardized terminologies in EBD to improve communication, collaboration, and knowledge synthesis. Standardization of terminology can facilitate research comparability, enhance the generalizability of findings by creating a common language across studies and practitioners, and support the development of EBD guidelines. The study contributes to the ongoing discourse on standardizing terminologies in the field and provides insights into strategies for achieving consensus among researchers, practitioners, and stakeholders in health environmental research.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"77-96"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542944","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