The Perceptions of Nurses About the Behavioral Needs for Daylighting and View to the Outside in Inpatient Facilities

Gharaveis, Arsalan; Yekita, Hamed; Shamloo, Gholamreza

doi:10.1177/1937586719851271

Cited by 20 publications

(15 citation statements)

References 27 publications

(41 reference statements)

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“…As the primary environmental cue for the body’s master biological clock, light has been shown to impact sleep, mood, performance, alertness, quality of life, and overall health in various populations [ 4 , 5 ]. Optimizing light for the promotion of circadian alignment in architectural settings involves ensuring the proper levels, timing, duration, and spectra of light that occupants are exposed to throughout the day while minimizing their exposure during the evening, prior to bedtime.…”

Section: Introductionmentioning

confidence: 99%

Access to Daylight at Home Improves Circadian Alignment, Sleep, and Mental Health in Healthy Adults: A Crossover Study

Nagare

Woo²,

MacNaughton

et al. 2021

IJERPH

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As the primary environmental cue for the body’s master biological clock, light–dark patterns are key for circadian alignment and are ultimately fundamental to multiple dimensions of health including sleep and mental health. Although daylight provides the proper qualities of light for promoting circadian alignment, our modern indoor lifestyles offer fewer opportunities for adequate daylight exposure. This field study explores how increasing circadian-effective light in residences affects circadian phase, sleep, vitality, and mental health. In this crossover study, 20 residents spent one week in their apartments with electrochromic glass windows and another week with functionally standard windows with blinds. Calibrated light sensors revealed higher daytime circadian-effective light levels with the electrochromic glass windows, and participants exhibited consistent melatonin onset, a 22-min earlier sleep onset, and higher sleep regularity. In the blinds condition, participants exhibited a 15-min delay in dim light melatonin onset, a delay in subjective vitality throughout the day, and an overall lower positive affect. This study demonstrates the impact of daytime lighting on the physiological, behavioral, and subjective measures of circadian health in a real-world environment and stresses the importance of designing buildings that optimize daylight for human health and wellbeing.

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Section: Introductionmentioning

confidence: 99%

Access to Daylight at Home Improves Circadian Alignment, Sleep, and Mental Health in Healthy Adults: A Crossover Study

Nagare

Woo²,

MacNaughton

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Other research suggested that patient satisfaction was independent of the window size and shape [8]. In a follow-up study, Gharaveis et al (2020) interviewed care providers in an ICU and found that staff preferred larger windows in the unit to allow more daylight into the patient rooms and to provide better views to the outside for the patient [15].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical staff has also reflected on these patient desires, reporting that patients likely prefer to have windows next to their bed to have a view outside, but not in direct sunlight. In this study, more than half of the participants thought having a window in front of the bed or near the foot of the bed would be most effective [15]. Additionally, one study found that patients were challenged by poorly positioned windows and could not maintain a connection with the outside [14].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Relationship between Window View Quantity, Quality, and Ratings of Care in the Hospital

Mihandoust

Joseph

Kennedy

et al. 2021

IJERPH

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Hospital ratings reflect patient satisfaction, consumer perception of care, and create the context for quality improvement in healthcare settings. Despite an abundance of studies on the health benefits of the presence and content of window views, there is a gap in research examining how these features may impact patient satisfaction and consumer perceptions of the quality of care received. A quantitative exploratory study collected data from 652 participants regarding their previous stay in the hospital, their perception of windows in their room, and their perception of their room, the hospital, and the quality of care received. On a scale of 0–10, participants with access to windows gave a 1-unit higher rating for the hospital. Access to window views from their bed provided a 1-unit increase, and having a view to green spaces resulted in a 2-unit increase in hospital ratings. Statistically significant results were also found for room ratings and care ratings. Windows in the patient rooms impact the key patient satisfaction measures and patient experience during the hospital stay. Patient room design, bed set up, and quantity and quality of window views may play an important role in shaping the patient’s experience.

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“…In a healthcare setting, natural light, fresh air, and views on of green space could effectively reduce the psychological fatigue of the patients and staffs due to restoration of nature, in both visual and physical contact ( 9 , 26 , 32 ). Introducing daylighting by arranging window toward natural and green resources could reduce the fatigue and stress of the occupants by enhancing their satisfaction, mood, and alertness ( 33 , 34 ). Though the knowledge from a spatial perspective was limited, some studies still revealed that environmental factors such as functional layout, interior exterior, and environmental features were associated with the fatigue in the various setting ( 27 , 29 ).…”

Section: Introductionmentioning

confidence: 99%

The Environmental Factors Associated With Fatigue of Frontline Nurses in the Infection Disease Nursing Unit

Adeney

Long

et al. 2021

Front. Public Health

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The workload in the Infection Disease Nursing Unit (IDNU) is increasing dramatically due to COVID-19, and leads to the prevalence of fatigue among the frontline nurses, threatening their health, and safety. The built environment and design could fundamentally affect the fatigue of nurses for a long-term perspective. This article aims to extract the environmental factors of IDNU and explore nurses' perceptions of these factors on the work-related fatigue. It would produce evidences for mitigating the fatigue by environmental interferons. A cross-sectional design was employed by combination of focus group interview and written survey. Environmental factors of IDNU were collected from healthcare design experts (n = 8). Nurses (n = 64) with frontline COVID-19 experiences in IDNU were recruited to assess these factors individually. Four environmental factors were identified as: Nursing Distance (ND), Spatial Crowdness (SC), Natural Ventilation, and Light (NVL), and Spatial Privacy (SP). Among them, ND was considered as the most influential factor on the physical fatigue, while SP was on the psychological fatigue. Generally, these environmental factors were found to be more influential on the physical fatigue than the psychological fatigue. Technical titles were found to be associated with the nurses' perceptions of fatigue by these environmental factors. Nurse assistant and practical nurse were more likely to suffer from the physical fatigue by these factors than senior nurse. The result indicated that environmental factors of IDNU were associated with the nurses' fatigue, particularly on the physical aspect. Environmental interventions of design could be adopted to alleviate the fatigue by these factors such as reducing the ND and improving the spatial privacy. The accurate interventional measures should be applied to fit nurses' conditions due to their technical titles. More attention should be given to the low-ranking nurses, who account for the majority and are much vulnerable to the physical fatigue by environmental factors.

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The Perceptions of Nurses About the Behavioral Needs for Daylighting and View to the Outside in Inpatient Facilities

Cited by 20 publications

References 27 publications

Access to Daylight at Home Improves Circadian Alignment, Sleep, and Mental Health in Healthy Adults: A Crossover Study

Access to Daylight at Home Improves Circadian Alignment, Sleep, and Mental Health in Healthy Adults: A Crossover Study

Exploring the Relationship between Window View Quantity, Quality, and Ratings of Care in the Hospital

The Environmental Factors Associated With Fatigue of Frontline Nurses in the Infection Disease Nursing Unit

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