Hospital Design and Face to Face Interaction among Clinicians: A Theoretical Model

Rashid, Mahbub

doi:10.1177/193758670900200404

Cited by 10 publications

(16 citation statements)

References 44 publications

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“…Spatial arrangement parameters (the location of all walls and partitions), functions, and furnishings can impact communication and interaction among staff. Spatial layout can increase or decrease the frequency and quality of communication in healthcare facilities (Rashid, 2009; Trzpuc & Martin, 2010; Zborowsky, BunkerHellmich, Morelli, & O’Neill, 2010). With respect to layout differences, each unit can be classified based on the management of patient/treatment rooms, core support spaces, working station(s), and hallways that connect all the spaces (Ritchey & Pati, 2008).…”

Section: Resultsmentioning

confidence: 99%

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

Gharaveis

Hamilton

Pati

2017

HERD

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The purpose of this systematic review is to investigate the current knowledge about the impact of healthcare facility design on teamwork and communication by exploring the relevant literature. Teamwork and communication are behavioral factors that are impacted by physical design. However, the effects of environmental factors on teamwork and communication have not been investigated extensively in healthcare design literature. There are no published systematic reviews on the current topic. Searches were conducted in PubMed and Google Scholar databases in addition to targeted design journals including Health Environmental Research & Design, Environment and Behavior, Environmental Psychology, and Applied Ergonomics. Inclusion criteria were (a) full-text English language articles related to teamwork and communication and (b) involving any healthcare built environment and space design published in peer-reviewed journals between 1984 and 2017. Studies were extracted using defined inclusion and exclusion criteria. In the first phase, 26 of the 195 articles most relevant to teamwork and 19 studies of the 147 were identified and reviewed to understand the impact of communication in healthcare facilities. The literature regarding the impact of built environment on teamwork and communication were reviewed and explored in detail. Eighteen studies were selected and succinctly summarized as the final product of this review. Environmental design, which involves nurses, support staff, and physicians, is one of the critical factors that promotes the efficiency of teamwork and collaborative communication. Layout design, visibility, and accessibility levels are the most cited aspects of design which can affect the level of communication and teamwork in healthcare facilities.

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Section: Resultsmentioning

confidence: 99%

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

Gharaveis

Hamilton

Pati

2017

HERD

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“…The use of space syntax theory as a framework to study healthcare environments is a concept relatively new to healthcare design research. Rashid (2009) used space syntax theory to explain the relationship between space and knowledge in a healthcare environment. Originally defined by Hiller in The Space Is the Machine (Hiller, 1996), programs are defined as spatial dimensions of the interface of people and functions within a building.…”

Section: Space Syntax Theory As a Frameworkmentioning

confidence: 99%

“…Activities at the nursing station include charting, phone calls, and collaboration with the patient care team (see Table 1). Communication that occurs at the nursing station has been studied as an important factor in the daily work activities of nurses (Becker, 2007; Gurascio-Howard & Malloch, 2007; Rashid, 2009).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Recent articles examine nursing unit design as a variable in patient care team communication, work activities, and technology (Becker, 2007; Bromberg, Bajaj, Kelly, & Redman, 2006; Gurascio-Howard & Malloch, 2007; Rashid, 2009; Ritchey & Pati, 2008). Ritchey and Pati (2008) state, “the unit design and configuration must support team interactions and communication, provide places for the team members to work and acquire supplies at the point of service, and maintain proximity to the point of service [the patient]” (p. 128).…”

Section: Literature Reviewmentioning

confidence: 99%

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Application of Space Syntax Theory in the Study of Medical-Surgical Nursing Units in Urban Hospitals

Trzpuc¹,

Martin²

2010

HERD

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“…The research focused on interaction-related behaviors because they promote effective communication and collaboration; and previous studies have indicated that effective communication and collaboration are key factors in patient and staff outcomes in hospitals and ICUs [31]. In this regard, the research asked the following questions:

Are the ICUs included in the study similar or different in terms of spatial network properties describing visibility and accessibility?

…”

Section: Introductionmentioning

confidence: 99%

Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units

Rashid

Boyle

Crosser

2014

Behavioral Sciences

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Using three spatial network measures of “space syntax”, this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs. Despite differences in unit characteristics and interaction-related behaviors, the study finds that when nurses and physicians “interact while sitting” they prefer spaces that help maintain a high level of environmental awareness; that when nurses “walk” and “interact while walking” they avoid spaces with better global access and visibility; and that everyone in ICUs “walk” more in spaces with higher control over neighboring spaces. It is argued that such consistent behavioral patterns occur due to the structural similarities of spatial networks over and above the more general functional similarities of ICUs.

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Hospital Design and Face to Face Interaction among Clinicians: A Theoretical Model

Cited by 10 publications

References 44 publications

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review

Application of Space Syntax Theory in the Study of Medical-Surgical Nursing Units in Urban Hospitals

Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units

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