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

A Choice-Based Design Approach to Influence Beneficial Use of a Green Space by Family Caregivers at a Tertiary Care Hospital in India. 基于选择的设计方法影响印度一家三级护理医院的家庭护理人员对绿地的有益使用。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-10-10 DOI: 10.1177/19375867231200585

Sanat Phatak, Avani Parikh, Shashank Saraf, Jyoti Mehta, Laila Garda, Shirin Wadia

{"title":"A Choice-Based Design Approach to Influence Beneficial Use of a Green Space by Family Caregivers at a Tertiary Care Hospital in India.","authors":"Sanat Phatak, Avani Parikh, Shashank Saraf, Jyoti Mehta, Laila Garda, Shirin Wadia","doi":"10.1177/19375867231200585","DOIUrl":"10.1177/19375867231200585","url":null,"abstract":"Objectives, purposes, and aims: Principles of behavioral economics are now being used across fields in changing human behavior toward perceived benefit. We studied the effectiveness of simple, cost-effective design cues based on these principles, in encouraging use of a neglected outdoor space in a hospital.Background: Benefits of access to nature and green spaces are established in healthcare; however, we found utilization of an outdoor space to be suboptimal. Presenting choices in different ways is known to influence user choice.Methods: We designed four design interventions based to nudge relative-caregivers waiting outside the operation theater toward utilizing an adjoining outdoor balcony. These included making the terrace prominent, reducing indoor sensory stimulation, adding stereotypical elements, and improving usability. We measured usage via video camera data and satisfaction using questionnaires.Results: The number of users and average time per person spent on the balcony increased over the consecutive intervention periods as compared to baseline (trend p < .01 for both), mainly driven by the addition of stereotypical elements. There were no adverse events in the balcony. There was no difference in the satisfaction related outcomes on questionnaire; a larger percentage of positive comments tended to be related to the balcony in the final intervention.Conclusions: Cost-effective design cues nudged patient-caregivers toward spending more time with nature, thus changing behavior toward that with perceived benefits.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"177-189"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215998","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

How Visibility May Reduce Security Issues in Community Hospitals' Emergency Departments. 可见性如何减少社区医院急诊室的安全问题。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-07-31 DOI: 10.1177/19375867231188985

Arsalan Gharaveis, D Kirk Hamilton, Debajyoti Pati, Mardelle McCuskey Shepley, Susan Rodiek, Denise McCall

{"title":"How Visibility May Reduce Security Issues in Community Hospitals' Emergency Departments.","authors":"Arsalan Gharaveis, D Kirk Hamilton, Debajyoti Pati, Mardelle McCuskey Shepley, Susan Rodiek, Denise McCall","doi":"10.1177/19375867231188985","DOIUrl":"10.1177/19375867231188985","url":null,"abstract":"This research explored the relationship between visibility and the level of security risks as perceived by nurses and physicians in emergency departments (EDs). Security in EDs has been reported as a major global concern, and visibility has been identified as a design factor impacting behavior. However, few previous studies have rigorously investigated the role of visibility in reduction of ED security risks with evidence-based design approach. There is a lot of significant questions about how visibility impacts the reduction of security issues in EDs.Methods: How visibility may influence ED security was explored via qualitative methods in five EDs using semi-structured one-on-one interviews with 17 clinical staff and 48 hr of field observations. The coding process for both interviews and observational notes followed the principles of naturalistic inquiry.Results: The findings suggest security risks can be decreased by improving visibility. Medical staff (registered nurses and physicians) felt more secure in the EDs with higher visibility.Discussion: This study provides a framework to identify preferable levels of visibility in EDs and proposes design strategies to minimize security issues. Registered nurses and physicians can improve their team's sense of security by considering visibility throughout their daily practices.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"135-147"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10256131","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

Biophilic Design and Its Effectiveness in Creating Emotional Well-Being, Green Satisfaction, and Workplace Attachment Among Healthcare Professionals: The Hospice Context. 亲生物设计及其在创造医疗保健专业人员的情感幸福、绿色满意度和工作场所依恋方面的有效性：安宁疗护背景。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-08-22 DOI: 10.1177/19375867231192087

Elena-Nicoleta Untaru, Heesup Han, Andreea David, Xiaoting Chi

{"title":"Biophilic Design and Its Effectiveness in Creating Emotional Well-Being, Green Satisfaction, and Workplace Attachment Among Healthcare Professionals: The Hospice Context.","authors":"Elena-Nicoleta Untaru, Heesup Han, Andreea David, Xiaoting Chi","doi":"10.1177/19375867231192087","DOIUrl":"10.1177/19375867231192087","url":null,"abstract":"Objective: The present study aimed to explore the biophilic design attributes within a hospice care center from the healthcare professionals' perspective by utilizing a qualitative research and investigated the effect of hospice professionals' attitudes toward the uncovered green features on the prediction of their workplace attachment through a quantitative research.Background: In hospice establishments, studies showed that applying biophilic design principles significantly reduces stress and improves emotional well-being. Yet, despite its importance, attitude toward biophilic design, and its significant influence on well-being, satisfaction and attachment to the workplace of hospice healthcare professionals have not yet been researched.Methods: The qualitative research used semi-structured in-depth interviews among hospice professionals to reveal biophilic design features that exert an influence on their activity, while the quantitative research employed a confirmatory factor analysis and the structural equation modeling to analyze the data.Results and conclusions: The qualitative research generated five biophilic design features, such as open spaces with natural light, natural decorative elements, landscape provided by nature through windows, wooden furniture, and colors that create a warm atmosphere within the hospice care center. The quantitative approach indicated that attitude toward the uncovered biophilic design features in the context of the COVID-19 pandemic significantly improved the healthcare providers' emotional well-being. This dimension, in turn, contributed to their satisfaction with green features/natural decor and attachment to the workplace. Results of this study provide practitioners and researchers valuable strategies to incorporate biophilic design features in the working environments of hospice settings.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"190-208"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414485","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

Identifying Built Environment Risk Factors to Provider Workflow and Patient Safety Using Simulation-Based Evaluation of a Pediatric ICU Room. 通过对儿科重症监护室进行模拟评估，确定影响医护人员工作流程和患者安全的建筑环境风险因素。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-09-13 DOI: 10.1177/19375867231194329

Sahar Mihandoust, Anjali Joseph, Nora Colman

{"title":"Identifying Built Environment Risk Factors to Provider Workflow and Patient Safety Using Simulation-Based Evaluation of a Pediatric ICU Room.","authors":"Sahar Mihandoust, Anjali Joseph, Nora Colman","doi":"10.1177/19375867231194329","DOIUrl":"10.1177/19375867231194329","url":null,"abstract":"Objective: This study aimed to identify latent conditions in a pediatric intensive care unit (PICU) by analyzing characteristics of flow disruptions (FD) during a simulation of a three-phased scenario.Background: The built environment of healthcare facilities contributes to FD that can lead to clinical errors and patient harm. In the facility design process, there is an opportunity to identify built environment features that cause FD and pose safety risks. Simulation-based evaluation of proposed designs may help in identifying and mitigating safety concerns before construction and occupancy.Methodology: During design development for a new 400-bed children's hospital, a series of simulations were conducted using physical mock-ups in a large warehouse. A three-phased scenario, (1) admission and intubation, (2) cardiac arrest, and (3) bedside surgery involving a cannulation to extracorporeal membrane oxygenation, was conducted in a PICU room mock-up. Each scenario was video recorded from four angles. The videos were systematically coded to identify FD.Results: Analysis identified FDs in three ICU zones: respiratory therapists (RT) zone, nurse zone, and head of the patient. Challenges in these zones were related to spatial constraints in the RT zone and head of the bed, equipment positioning in the RT zone and nurse zone, and impeded visibility related to the location of the boom monitor in the nurse zone.Conclusion: Simulation-based evaluation of prototypes of patient care spaces can help identify characteristics of minor and major FD related to the built environment and can provide valuable information to inform the iterative design process.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"92-111"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223838","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

Designing Worthy Waiting Spaces: A Cross-Cultural Study of Waiting Room Features and Their Impact on Women's Affective States. 设计有价值的等候空间：等候室特征及其对女性情感状态影响的跨文化研究。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-10-31 DOI: 10.1177/19375867231204979

Amy Huber, Rachel Bailey

{"title":"Designing Worthy Waiting Spaces: A Cross-Cultural Study of Waiting Room Features and Their Impact on Women's Affective States.","authors":"Amy Huber, Rachel Bailey","doi":"10.1177/19375867231204979","DOIUrl":"10.1177/19375867231204979","url":null,"abstract":"Objective: This study examines the impact of ambulatory waiting room characteristics on patients' emotional states and investigates whether these states are universally experienced or influenced by social and cultural factors among women aged 18-35 from the three largest demographic groups in the United States: Black, Hispanic/Latina, and White.Background: Patients typically spend more time waiting for routine medical appointments than receiving care, and evidence suggests that waiting can reinforces power dynamics that benefit privileged groups, leading to different experiences for minority women seeking preventative care. Still, literature addressing the impact of waiting areas is largely limited to universal measures, and little is known about how different ethnic/race groups respond to waiting spaces.Methods: This inquiry used a questionnaire assessing 15 waiting room characteristics and testing four variables (furniture arrangement, room-scale, color saturation, and quantity of positive distractions) in a 2 × 3 quasiexperiment using a fractional randomized block design with 24 waiting room images.Findings: Responses from 1,114 participants revealed mutual preferences for sociopetal seating, positive distractions, neutral colors, and welcoming and calming environments. Yet, Black participants indicated significantly greater importance in seeing ethnically/racially similar patients and healthcare providers and strategies that promote transparency, including image-based provider directories and views into the clinic.Conclusion: By investigating the impact of the waiting room environment on patient affect and comparing perceptions across three demographic groups of women, this study offers insights into potential strategies for improving access to preventative care services by creating more welcoming ambulatory care waiting environments.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"112-126"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414690","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

The Impact of a Family-Friendly Hospital: A Patient Perspective. 家庭友好型医院的影响：从患者角度看。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-09-25 DOI: 10.1177/19375867231201630

Dorte Buchwald, Ditte Buchwald, Dorte Melgaard

{"title":"The Impact of a Family-Friendly Hospital: A Patient Perspective.","authors":"Dorte Buchwald, Ditte Buchwald, Dorte Melgaard","doi":"10.1177/19375867231201630","DOIUrl":"10.1177/19375867231201630","url":null,"abstract":"Introduction: When a seriously ill and dying parent is hospitalized, the families are at risk of developing problems. Only sparse evidence is available on the effects of creating family-friendly rooms in hospitals.Aim: This study investigates how a seriously ill parent to children aged 0-18 experiences staying in a hospital room with family-friendly furnishing.Methods: From September 2012 to September 2015, seriously ill and dying patients with children ages 0-18 were offered the opportunity to stay in a family-friendly room at the North Denmark Regional Hospital. The sick parents were interviewed about how the changed room impacted themselves, their children, and their family.Results: The analysis led to three themes: (1) The ability to visit a sick parent, (2) maintaining family functions and relationships, and (3) room for children and adults.Conclusion: By offering the families a hospital room with cozy furniture and a big TV screen, seriously ill parents see that their children are more comfortable when visiting the hospital. A family-friendly hospital is not just an idealistic thought, it is a real opportunity to improve the final period of a dying parent's life.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"127-134"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160276","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

Home Triad: A New Exploration of Home for People Living With Dementia Based on Lefebvre's Spatial Triad. 家的三要素：基于列斐伏尔空间三要素的痴呆症患者对家的新探索。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-09-04 DOI: 10.1177/19375867231195283

Wenjin Wang, Bryce Dubois, Zhipeng Lu

{"title":"Home Triad: A New Exploration of Home for People Living With Dementia Based on Lefebvre's Spatial Triad.","authors":"Wenjin Wang, Bryce Dubois, Zhipeng Lu","doi":"10.1177/19375867231195283","DOIUrl":"10.1177/19375867231195283","url":null,"abstract":"Objectives: This article examines a novel theoretical framework, which we term Home Triad, for research and practice involving people living with dementia (PLWD).Background: Most of the existing home-related research on PLWD focuses on interior modifications, home care interventions and models, place attachment, and/or institutional homelike environments. However, limited studies have examined the meaning of home from PLWD's perspective, and even fewer have simultaneously considered the individual experience of PLWD, the external power (e.g., the role of design), and their interaction dynamics in the meaning-making process.Methods: We developed home triad based on Lefebvre's spatial triad. Inspired by Chaudhury's home story structure, we conducted a life story analysis of a person living with dementia, \"Kai,\" under four contexts-childhood home, neighborhood and city, daily routine, and attachment-within home triad.Results: Home triad abstracts \"home\" with a dialectically interconnected relationship of the conceived, perceived, and lived home. Through PLWD's everyday life, the essence of home is primarily shaped by the interaction between their lived and perceived homes. However, a person's experiences of and participation in home living activities are also planned and/or regulated by different groups of people (caregivers, designers, and policymakers), who play important roles in the conceived home. Critically examining how PLWD's lived and perceived home is constrained or enabled through the conceived home deserves greater future research efforts.Conclusion: A systematic examination of the essence of home for PLWD using home triad can facilitate subsequent research and practice that promote PLWD's health, well-being, and quality of life.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"253-269"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156801","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

Perspectives on Assessing the Flexibility of Hospitals for Crisis Mode Operations: Lessons From the COVID-19 Pandemic in the Netherlands. 评估医院危机模式运营灵活性的视角：荷兰新冠肺炎疫情的教训。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI: 10.1177/19375867231201633

Liesbeth van Heel, Manuela Pretelt, Milee Herweijer, Clarine van Oel

{"title":"Perspectives on Assessing the Flexibility of Hospitals for Crisis Mode Operations: Lessons From the COVID-19 Pandemic in the Netherlands.","authors":"Liesbeth van Heel, Manuela Pretelt, Milee Herweijer, Clarine van Oel","doi":"10.1177/19375867231201633","DOIUrl":"10.1177/19375867231201633","url":null,"abstract":"Background: The COVID-19 pandemic placed healthcare design at the heart of the crisis. Hospitals faced challenges such as rapidly increasing their intensive care unit capacity, enabling physical distancing measures, quickly converting to telehealth and telework practices, and above all, keeping patients and staff safe. Improving flexibility in hospital facility design and adaptability of hospital operations to function in \"crisis mode\" can be seen as ways of future-proofing for pandemics. In a design brief, flexibility is typically mentioned as an important target. Meanwhile, robustness of technical infrastructure is called for, and standardization at unit level with single-occupancy inpatient accommodation may be considered a way to enhance flexibility and adaptability in dealing with a surge in infectious patients.Aim: To future-proof facility design with pandemic preparedness and resilience in mind, this study evaluated what kinds of interventions were taken in Dutch hospital facilities and what perspectives need to be considered when hospitals operate in crisis mode.Methods: We have collected data from facility and estate professionals from 30 Dutch hospitals. Using a practice-based approach, in-depth interviewing helped uncover and compare successful operational strategies and design elements that provided the flexibility needed in the early stages of the recent crisis.Results: As we looked at existing facilities and alterations made to allow hospitals to operate during the COVID-19 pandemic, we discovered that staff availability and adaptability were deemed crucial.Conclusion: We add the perspective of staff as an essential factor to be considered when future-proofing hospital facility desigr crisis mode operation.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"34-48"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10704891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153989","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

An Evaluation of Toxic Properties of Woody Landscape Plants Used in Hospital Garden Design. 木本园林植物在医院园林设计中的毒性评价。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-10-09 DOI: 10.1177/19375867231201825

Nilufer Seyidoglu Akdeniz, Murat Zencirkiran

{"title":"An Evaluation of Toxic Properties of Woody Landscape Plants Used in Hospital Garden Design.","authors":"Nilufer Seyidoglu Akdeniz, Murat Zencirkiran","doi":"10.1177/19375867231201825","DOIUrl":"10.1177/19375867231201825","url":null,"abstract":"Objectives: In this study, it was aimed to evaluate the landscape plants used in the design of hospital gardens in terms of toxicity.Background: Although plants have positive effects on humans, some plants can be toxic due to the compounds found in their bodies. The toxicity of plants is an issue that needs to be addressed in design, and it is important to investigate the toxic properties of plants in designs to be made in hospital gardens, which have a large user population and especially where people come to heal.Methods: Observation technique and document analysis were used in the study. Species were identified by taking samples from landscape plants in the gardens of state hospitals in Bursa. The distribution of the identified plant taxa according to toxic groups and their relations with each other were analyzed.Results: Taxa used in hospital gardens were mostly nontoxic (54.43%). It has been determined that there is a linear relationship between the number of taxa and toxic groups, and the increase in the number of taxa also increases the number of toxic taxa.Conclusion: It is seen that toxic plants are used in the design of hospital gardens, but they are included in toxic taxa. It will be an important approach to raise awareness by placing labels showing the toxicity status of taxa together with the collection of toxic taxa at points far from users.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"164-176"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158035","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

"We Have Outgrown Our Space; Our Facility Is Old and Falling Apart": Physical Design Implications to Address the Needs and Priorities of a Critical Access Hospital (CAH). "我们的空间已经不够用了，我们的设施已经老旧破损"：解决关键通道医院（CAH）需求和优先事项的物理设计影响。

IF 2.2 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2024-01-01 Epub Date: 2023-07-24 DOI: 10.1177/19375867231188148

Zahra Zamani, Teri Joy, Daniel Gobel

{"title":"\"We Have Outgrown Our Space; Our Facility Is Old and Falling Apart\": Physical Design Implications to Address the Needs and Priorities of a Critical Access Hospital (CAH).","authors":"Zahra Zamani, Teri Joy, Daniel Gobel","doi":"10.1177/19375867231188148","DOIUrl":"10.1177/19375867231188148","url":null,"abstract":"Objective: This exploratory study examines a rural critical access hospital (CAH) staff's perception of current obstacles and needs concerning the physical environment.Background: CAH intends to improve access to healthcare, coordinate with experts and providers, and serve as the rural population's healthcare hub. It is imperative to understand environmental qualities that impact the quality of care to develop effective policies and design guidelines for rural healthcare. Nevertheless, a limited number of studies have focused on user or organizational outcomes related to the physical environment of rural healthcare settings.Methods: This cross-sectional exploratory qualitative case study was conducted as part of the facility planning process for a CAH in rural North Carolina. Hospital staff participated in a survey exploring their satisfaction with the overall physical environment privacy, space allocation, and department adjacency. An open-ended question asked staff to elaborate on needed improvements and changes in their department.Results: Findings show low satisfaction levels for space allocations for emergency department, lab, surgery, and wound care. Safety and quality were the two emerging outcomes of the physical environment's shortcomings. Two clusters emerged from the content analysis, representing facility needs (rightly sized spaces, functional needs, COVID-19 needs, and improved access) and ambient conditions (clutter, visibility, flooring quality, noise, privacy, cleanliness, aesthetics, and temperature).Conclusion: The findings from this study suggest that the interior and exterior facility and ambient conditions of the CAH play a key role in quality and safety outcomes.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"306-325"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9856535","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