Evidence-based long term care design

Calkins, Margaret P.

doi:10.3233/nre-2009-0512

Cited by 68 publications

(101 citation statements)

References 34 publications

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“…The indoor environment controls infection rates and influences the overall patient outcome . Appropriately designed building heating, ventilation, and air conditioning (HVAC) systems can enhance patients’ recovery process, can reduce the length of hospital stay, can lessen medical errors and infection rates, and can improve the indoor air quality (IAQ) and minimize HAI . An improved indoor environment of a hospital building can reduce costs associated with airborne illnesses by 9%‐20% …”

Section: Introductionmentioning

confidence: 99%

Effects of indoor environmental parameters related to building heating, ventilation, and air conditioning systems on patients' medical outcomes: A review of scientific research on hospital buildings

2019

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The indoor environment of a mechanically ventilated hospital building controls infection rates as well as influences patients’ healing processes and overall medical outcomes. This review covers the scientific research that has assessed patients’ medical outcomes concerning at least one indoor environmental parameter related to building heating, ventilation, and air conditioning (HVAC) systems, such as indoor air temperature, relative humidity, and indoor air ventilation parameters. Research related to the naturally ventilated hospital buildings was outside the scope of this review article. After 1998, a total of 899 papers were identified that fit the inclusion criteria of this study. Of these, 176 papers have been included in this review to understand the relationship between the health outcomes of a patient and the indoor environment of a mechanically ventilated hospital building. The purpose of this literature review was to summarize how indoor environmental parameters related to mechanical ventilation systems of a hospital building are impacting patients. This review suggests that there is a need for future interdisciplinary collaborative research to quantify the optimum range for HVAC parameters considering airborne exposures and patients’ positive medical outcomes.

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Section: Introductionmentioning

confidence: 99%

Effects of indoor environmental parameters related to building heating, ventilation, and air conditioning systems on patients' medical outcomes: A review of scientific research on hospital buildings

2019

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“…Through site visits, the care facilities were classified as a traditional setting and a small-scale setting based on three distinct physical characteristics, which are mainly mentioned as discriminators, e.g., in Refs. [17,20,21]. Three physical characteristics used during this phase were number of residents in a unit (> 20 residents as a large unit), length of corridor (> 15 m as a long corridor) and building layout (double-loaded plan 1 as a traditional unit).…”

Section: Participating Facilitiesmentioning

confidence: 99%

Effect of Physical Environment on the Behaviors of Residents with Dementia: A Comparison between a Small-Group Unit and a Traditional Care Unit

Lee¹,

Chaudhury²,

Lee³

2014

JCEA

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This is a comparative study examining the influence of a small-scale dementia unit and a traditional dementia unit on behaviors of the residents. The small-scale unit and the traditional unit were selected through two phases in Vancouver, Canada. Seven residents from each facility completed the study. Physical environmental assessments were performed using two tools: PEAP (professional environmental assessment protocol) and TESS-NH (therapeutic environment screening survey for nursing homes). For the assessment of residents' behaviors, three assessment tools were used: MOSES (multidimensional observation scale for elderly subjects), MDS (minimum data set) and DCM (dementia care mapping). The study found that the residents living in a small-scale environment were more engaged in activities and more likely to respond in understanding their fellow residents. Residents living in a traditional long-term care exhibited fewer signs of social interaction. The findings suggest that a small-scale homelike environment could positively influence people with dementia to be more engaged in social exchanges and activities, and consequently help in reducing their withdrawn behavior.

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“…Many previous studies have focused on symptoms such as apathy (Jao, Algase, Specht& Williams, 2015) [1] and delirium (McCusker et al, 2013) [2]; behaviors such as wandering (Algase, Beattie, Antonakos, Beel-Bates, & Yao, 2010) [3], recognition of lunchtime (Tanaka & Hoshiyama, 2014) [4], the use and function of rooms ( [12], and quality of care (Milte et al, 2016) [13]. Accordingly, many researchers have proposed design suggestions such as small-scale layouts to create more homelike environments, single bedrooms to respect residents' privacy, and loops to allow residents to wander safely (Calkins, 2009;Day, Carreon & Stump, 2000) [14] [15].…”

Section: Introductionmentioning

confidence: 99%

The Active Role of Material Things: An Environment-Based Conceptual Framework to Understand the Well-Being of People with Dementia

Edmonton¹,

Canada²

2018

JSS

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This study discusses the relationships of material things to people with dementia and proposes the development of material environments to enhance their well-being. Integrating research on well-being from existential, ecological, and place-based perspectives, this study develops a new understanding of the well-being of people with dementia when considering the active role of material things in the process of developing well-being. "Well-being of people with dementia" refers to the awareness of self-existence in a real-world environment established by the interactions of people and material things. Based on this understanding, this study integrates four types of environmental embodiments, including obliviousness, watching, noticing, and heightened contact, providing specific guides to understand people's associations with their material environments. An environment-based conceptual framework, based on the new understanding of the meanings of well-being and its association with material things, allows designers and professional/family caregivers to understand the lived experiences of people with dementia, in order to enhance the well-being of their clients and their families by using material things to create a more holistic environment.

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Evidence-based long term care design

Cited by 68 publications

References 34 publications

Effects of indoor environmental parameters related to building heating, ventilation, and air conditioning systems on patients' medical outcomes: A review of scientific research on hospital buildings

Effects of indoor environmental parameters related to building heating, ventilation, and air conditioning systems on patients' medical outcomes: A review of scientific research on hospital buildings

Effect of Physical Environment on the Behaviors of Residents with Dementia: A Comparison between a Small-Group Unit and a Traditional Care Unit

The Active Role of Material Things: An Environment-Based Conceptual Framework to Understand the Well-Being of People with Dementia

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