Sunny hospital rooms expedite recovery from severe and refractory depressions

Beauchemin, Kathleen M.; Hays, Peter L.

doi:10.1016/0165-0327(96)00040-7

Cited by 224 publications

(134 citation statements)

References 5 publications

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“…Natural light in patient care areas reduced agitation in elderly patients, decreased length of stay, lessened the need for pain medication, and reduced depression. [27][28][29][30][31][32][33] Researchers 34 reported that the cost of an inefficient system for navigation in a major regional hospital was more than $220 000 per year or $448 per bed. Much of this cost involved 4500 hours of hospital staff other than information staff giving directions.…”

Section: Patients and Their Families Weigh In On Evidence-based Hospimentioning

confidence: 99%

Patients and Their Families Weigh in on Evidence-Based Hospital Design

Trochelman

Albert

Spence

et al. 2012

Critical Care Nurse

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to design and build health care facilities founded on research or the best available information, ensuring that the relatively permanent physical environment facilitates the delivery of quality care, thereby improving patients' outcomes and safety. 2 Review of the Literature on EBD in Critical and Acute CareSubstantial support exists for the view that a health care structure itself affects quality of care, patients' safety and satisfaction, as well as staff satisfaction and service efficacy. 3 In a report to the Center for Health Design funded by the Robert Wood Johnson Foundation, Ulrich and associates 4 identified more than 600 studies that link hospital design with clinical outcomes. In recent years, evidence-based design (EBD) has become a more pronounced guiding principle in health care. The concept of EBD is BACKGROUND In 2 landmark publications, the Institute of Medicine reported on significant deficiencies in our current health care system. In response, an area of research examining the role of the physical environment in influencing outcomes for patients and staff gained momentum. The concept of evidence-based design has evolved, and the development of structural guidelines for new hospital construction was instituted by the American Institute of Architects in 2006.OBJECTIVE To determine perceptions of patients and their families of evidence-based design features in a new heart center.METHODS Hospitalized patients and their families, most of whom were in intensive care and step-down units, were surveyed and data from the Hospital Consumer Assessment of Healthcare Providers and Systems were reviewed to determine perceptions of evidence-based design features incorporated into a new heart center and to assess patients' satisfaction with the environment. RESULTS Responses were reviewed and categorized descriptively. Five general environment topics of focus emerged: privacy, space, noise, light, and overall atmosphere. Characteristics perceived as being dissatisfying and satisfying are discussed.CONCLUSIONS Critical care nurses must be aware of the current need to recognize how much the physical environment influences care delivery and take steps to maximize patients' safety, satisfaction, and quality of care. This article has been designated for CE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:1. Discuss the concept of evidence-based design in health care environments 2. Identify evidence-based design features associated with improved patient care 3. Recognize the role of physical environment in influencing patient outcomes

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Section: Patients and Their Families Weigh In On Evidence-based Hospimentioning

confidence: 99%

Patients and Their Families Weigh in on Evidence-Based Hospital Design

Trochelman

Albert

Spence

et al. 2012

Critical Care Nurse

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“…Retrospective examination of more than 800 in-patients treated for bipolar depression in a common psychiatric hospital setting found that the combination of multiple wake therapy with usual drug treatment led to discharge an average of 3 days earlier than with drug treatment alone (F. Benedetti, unpublished data). Mere increased exposure to natural light in sunny hospital rooms has also resulted in an average 3-day advantage compared with dimmer rooms (Beauchemin & Hays, 1996;. It is time for wake and light therapy to be incorporated into mainstream psychiatry.…”

mentioning

confidence: 99%

Chronotherapeutics (light and wake therapy) in affective disorders

Wirz‐Justice¹,

Benedetti²,

Berger³

et al. 2005

Psychol. Med.

222

100

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The Committee on Chronotherapeutics was recently formed by the International Society for Affective Disorders (ISAD), which has asked us to provide a consensus review of chronotherapeutics (light and wake therapy) in affective disorders. We consider these non-pharmaceutical, biologically based therapies to be potentially powerful adjuvants ready for clinical application. We also stress the need for additional studies, both in-patient and out-patient, to broaden the evidence base for indications and efficacy.

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“…Light, for example, can make a significant difference in patient outcomes. Two studies demonstrated that patients who were placed in sunny rooms or close to windows had significantly reduced lengths of stay [63,64]. The average stay in a psychiatric unit was reduced from 19.5 to 16.9 days.…”

Section: A Framework For Translating Placebo Research Into Practicementioning

confidence: 99%

“…Post-operative care was reduced by 1 day for patients assigned to rooms with windows versus no windows. Thus, the physical context can affect the rate of recovery in both chronic psychiatric and acute post-surgical conditions, perhaps by physiological psychological mechanisms [63].…”

Section: A Framework For Translating Placebo Research Into Practicementioning

confidence: 99%

Reframing placebo in research and practice

Jonas

2011

Phil. Trans. R. Soc. B

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The terms 'placebo' and 'placebo effects' cause confusion among patients, practitioners and scientists. This confusion results in both the adoption of practices that have no evidence of specificity yet considerable risk (such as surgery for low back pain) or the elimination of clinical practices proven to facilitate healing because they are not 'better than placebo' (such as acupuncture for low back pain). In this article, I discuss these issues and introduce the concept of optimal healing environment as a framework for disentangling what is useful from placebo research for adopting into clinical practice in a manner that is ethical and evidence-based.

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Sunny hospital rooms expedite recovery from severe and refractory depressions

Cited by 224 publications

References 5 publications

Patients and Their Families Weigh in on Evidence-Based Hospital Design

Patients and Their Families Weigh in on Evidence-Based Hospital Design

Chronotherapeutics (light and wake therapy) in affective disorders

Reframing placebo in research and practice

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