scholarly journals The Creation of a Birthing Centre:  Considering the Prevention of Post-Natal Depression.

2021 ◽  
Author(s):  
◽  
Tanya Mazurkiewicz
Keyword(s):  
Design Parameters ◽  
Evidence Based ◽  
Theoretical Argument ◽  
Interior Architecture ◽  
Hospital Design ◽  
Potential Development ◽  
Post Natal Depression ◽  
Birthing Centre ◽  
Birthing Centres ◽  
Initial Research

<p>This thesis explores the notion of interior architecture as a tool in the prevention on of post natal depression. This research is part of a larger and current theoretical argument that places interior architecture in a catalyst role for the prevention of mental illness. Initial research shows that the act of giving birth and its physical and mental recovery are tightly linked to the potential development of depressive disorder. Accordingly this research will explore the spatial requirements for birthing with the prevention of mental disorder in mind. The design will be developed at the intersection of a series of criteria of spatial qualities in the prevention of depressive orders and evidence based hospital design parameters for birthing. This research aims to establish a comprehensive base guideline specific for the design of birthing centres, focusing on the prevention of post natal depression. The design here presented is a series of tests and assessment of this guideline.</p>

scholarly journals The Creation of a Birthing Centre:  Considering the Prevention of Post-Natal Depression.

2021 ◽  
Author(s):  
◽  
Tanya Mazurkiewicz
Keyword(s):  
Design Parameters ◽  
Evidence Based ◽  
Theoretical Argument ◽  
Interior Architecture ◽  
Hospital Design ◽  
Potential Development ◽  
Post Natal Depression ◽  
Birthing Centre ◽  
Birthing Centres ◽  
Initial Research

<p>This thesis explores the notion of interior architecture as a tool in the prevention on of post natal depression. This research is part of a larger and current theoretical argument that places interior architecture in a catalyst role for the prevention of mental illness. Initial research shows that the act of giving birth and its physical and mental recovery are tightly linked to the potential development of depressive disorder. Accordingly this research will explore the spatial requirements for birthing with the prevention of mental disorder in mind. The design will be developed at the intersection of a series of criteria of spatial qualities in the prevention of depressive orders and evidence based hospital design parameters for birthing. This research aims to establish a comprehensive base guideline specific for the design of birthing centres, focusing on the prevention of post natal depression. The design here presented is a series of tests and assessment of this guideline.</p>

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

2012 ◽  
Vol 32 (1) ◽  
pp. e1-e10 ◽  
Author(s):  
Kathleen Trochelman ◽  
Nancy Albert ◽  
Jacqueline Spence ◽  
Terri Murray ◽  
Ellen Slifcak
Keyword(s):  
Physical Environment ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Institute Of Medicine ◽  
Design Features ◽  
Hospital Design ◽  
Heart Center ◽  
Current Health Care System ◽  
Consumer Assessment

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.

scholarly journals Using Virtual Reality (VR) Mock-Ups for Evidence-Based Healthcare Facility Design Decisions

2021 ◽  
Vol 18 (21) ◽  
pp. 11250
Author(s):  
Jonas Shultz ◽  
Rajesh Jha
Keyword(s):  
Virtual Reality ◽  
Evaluation Process ◽  
Healthcare Facility ◽  
Task Completion ◽  
Evidence Based ◽  
Design Teams ◽  
Hospital Design ◽  
Post Occupancy Evaluation ◽  
Trade Offs ◽  
Simulation Based

(1) Background: There are many complexities and trade-offs that design teams consider when designing or renovating a built environment for healthcare. Virtual reality (VR) mock-ups can allow design teams to evaluate the planned design. This study aimed to examine the overall value of using VR mock-ups to conduct a simulation-based mock-up evaluation. (2) Methods: Data collected from scenario enactments within a VR mock-up was compared to data collected from an existing medication room with the same design to assess predictive validity. Outcomes regarding quality and patient safety were also examined as a result of design modifications to the VR mock-up which were identified through a post-occupancy evaluation (POE) of the existing medication room. Survey data from participants, hospital design stakeholders, and POE recommendation recipients captured perceptions regarding the evaluation process. Specifically, this included perceptions regarding mock-up and scenario realism as well as utility of the evaluation process. (3) Results: Evidence-based data collected using the VR mock-up accurately assessed workflow (link analysis), bumps, impediments, interruptions, and task completion times. Collecting data pertaining to selection errors and equipment placement were identified after procuring the VR software and therefore the accuracy of these measures was not assessed. Searching behaviours were not possible to capture using the VR software. A 506% return on investment was achieved through the VR mock-up evaluations. (4) Conclusion: Organizations should consider what evaluation objectives are planned and how they will be measured for a mock-up evaluation to determine if VR is appropriate.

scholarly journals The DIOS framework for optimizing infectious disease surveillance: Numerical methods for simulation and multi-objective optimization of surveillance network architectures

2020 ◽  
Vol 16 (12) ◽  
pp. e1008477
Author(s):  
Qu Cheng ◽  
Philip A. Collender ◽  
Alexandra K. Heaney ◽  
Xintong Li ◽  
Rohini Dasan ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Disease Surveillance ◽  
Formal Analysis ◽  
Design Parameters ◽  
Evidence Based ◽  
Surveillance Systems ◽  
Network Architectures ◽  
Surveillance Network ◽  
Infectious Disease Surveillance ◽  
The Many

Infectious disease surveillance systems provide vital data for guiding disease prevention and control policies, yet the formalization of methods to optimize surveillance networks has largely been overlooked. Decisions surrounding surveillance design parameters—such as the number and placement of surveillance sites, target populations, and case definitions—are often determined by expert opinion or deference to operational considerations, without formal analysis of the influence of design parameters on surveillance objectives. Here we propose a simulation framework to guide evidence-based surveillance network design to better achieve specific surveillance goals with limited resources. We define evidence-based surveillance design as an optimization problem, acknowledging the many operational constraints under which surveillance systems operate, the many dimensions of surveillance system design, the multiple and competing goals of surveillance, and the complex and dynamic nature of disease systems. We describe an analytical framework—the Disease Surveillance Informatics Optimization and Simulation (DIOS) framework—for the identification of optimal surveillance designs through mathematical representations of disease and surveillance processes, definition of objective functions, and numerical optimization. We then apply the framework to the problem of selecting candidate sites to expand an existing surveillance network under alternative objectives of: (1) improving spatial prediction of disease prevalence at unmonitored sites; or (2) estimating the observed effect of a risk factor on disease. Results of this demonstration illustrate how optimal designs are sensitive to both surveillance goals and the underlying spatial pattern of the target disease. The findings affirm the value of designing surveillance systems through quantitative and adaptive analysis of network characteristics and performance. The framework can be applied to the design of surveillance systems tailored to setting-specific disease transmission dynamics and surveillance needs, and can yield improved understanding of tradeoffs between network architectures.

scholarly journals A Review to Innovative Ventilation Techniques Used in Historical Hospitals in Middle East and Europe

2018 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Shadi Maraqa ◽  
Ghassan Al-Dweik ◽  
G. Van Moeseke ◽  
A. De Herde
Keyword(s):  
Middle East ◽  
Architectural Design ◽  
Natural Ventilation ◽  
Design Parameters ◽  
Traditional Architecture ◽  
Near Eastern ◽  
Hospital Design ◽  
Healthcare Settings ◽  
Reduce Energy Consumption ◽  
System Approaches

Historically, natural ventilation has been an important factor to achieve thermal comfort and reduce energy consumption in healthcare buildings. Since the recent century, there has been an increasing change and scientific advancement that led to the reliance of mechanical ventilation systems in commercial buildings and especially in hospitals and healthcare settings. However, the fully mechanical system approaches have changed gradually after global warming and the lack of energy sources. In this context, this study investigated systematically, passive ventilation techniques used in medieval near eastern hospitals ”Bimaristans” and historical hospitals in Europe. The study traced the roots of natural ventilation in a sample of historical healthcare buildings. It also investigated ventilation techniques used in historical hospitals in Middle East and Europe. This study is looking forward to discover the architectural design parameters’ effects of historical hospitals on ventilation, to make a better environment for patients’ health by learning from past lessons in traditional architecture, and how could we adapt these techniques in our nowadays healthcare buildings. This step will allow further research on the adaption and integration of passive techniques inherited from the past in our contemporary hospital design.

Attribution Theory: Measurement Foundations for an Emerging Research Area Within Applied Linguistics

2014 ◽  
Vol 36 (2) ◽  
pp. 201 ◽  
Author(s):  
Todd Tournat
Keyword(s):  
Attribution Theory ◽  
Research Area ◽  
Model Fit ◽  
Evidence Based ◽  
Potential Influence ◽  
Measurement Results ◽  
First Time ◽  
Adequate Measurement ◽  
Initial Research ◽  
Causal Dimension

This measurement study is a report on the adaptation of a measure for attribution theory, the Causal Dimension II Scale (CDS II), into the Japanese SLA context. The contribution of this study is three-fold. First, it partially addresses deployment of the instrument in the SLA domain for the first time without attention having been paid to evidence for its capacity to generate unidimensional scores in this domain. Second, it makes an initial contribution to putting use of the instrument in the Japanese context for both research and practice on an evidence-based footing. Third, it assists with resetting the initial research interest in attribution-theory constructs within SLA from their potential influence on learning in the classroom to the necessary and prior issue of their adequate measurement. Results from this study were interpreted as indicating that model fit for scores on the adapted instrument was satisfactory rather than meritorious, but not negative. 本研究は、帰属理論の心理測定用具Causal Dimension Scale II（CDS II）を日本の第二言語習得（SLA）環境に適合させる試みについて報告する。この研究では以下の3点の成果が得られた。第1に、この領域における一次元のスコアを生成するための能力に対する証拠に注意を払うことなく、本研究が日本において初めて SLA におけるこの測定用具を使用したことを指摘した。第2に、本研究が、証拠に基づく展開の基礎とすべく、この測定用具を研究及び実践の両方において日本の文脈で用いた初の貢献となることを述べた。第3に、本研究が、SLA における帰属理論研究において、教室内学習への影響の可能性から適切な測定ということまで、必要かつ重要な問題へのリセットにつながることを指摘した。本研究から、CDS IIが日本のSLA環境に十分適合することを示した。

From Fable to Reality at Parkland Hospital: The Impact of Evidence-Based Design Strategies on Patient Safety, Healing, and Satisfaction in an Adult Inpatient Environment

2020 ◽  
pp. 193758672097019
Author(s):  
Renae K. Rich ◽  
Francesqca E. Jimenez ◽  
Susan E. Puumala ◽  
Sheila DePaola ◽  
Kathy Harper ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Adverse Events ◽  
Noise Temperature ◽  
Evidence Based ◽  
Patient Acuity ◽  
Hospital Design ◽  
Inpatient Outcomes ◽  
Adult Inpatient ◽  
The Impact

Objective: This research aimed to evaluate the quantitative effects of new hospital design on adult inpatient outcomes. Background: Tenets of evidence-based healthcare design, notably single-patient acuity-adaptable and same-handed rooms, decentralized nursing stations, onstage offstage layout, and access to nature were expected to promote patient healing and increase patient satisfaction, while decreasing adverse events. Methods: Patient healing was operationalized through length of stay (LOS) and patient safety through three adverse events: falls, hospital-acquired infections (HAI), and medication-related events. Standard patient surveys captured patient satisfaction. Patient records from 2013 through 2017 allowed for equivalent time periods surrounding the move to the new hospital in August 2015. Stratified by hospital division where significant, pre/post comparisons utilized proportional hazards or logistic regression models as appropriate; interrupted time series analyses afforded longitudinal interpretations. Results: Observed higher postmove LOS was due to previously increasing trends, not increases after the move. In surgical and trauma units, a constant increase in falls was unaffected by the move. Medication events decreased consistently over time; medication events with harm dropped significantly after the move. No change in HAI was found. Significant improvement on most relevant patient satisfaction items occurred after the move. Call button response decreased immediately after the move but subsequently improved. Conclusion: Results did not clearly indicate a net change in adult inpatient outcomes of healing and safety due to the hospital design. There was evidence that the new hospital improved patient satisfaction outcomes related to the environment, including comfort, noise, temperature, and aesthetics.

scholarly journals 4317 Using Failure Modes and Effects Analysis to Guide Adaptation of an Evidence-Based Parenting Program for Mothers with Substance Use Disorders

2020 ◽  
Vol 4 (s1) ◽  
pp. 151-152
Author(s):  
Elizabeth Peacock-Chambers ◽  
Peter Friedmann ◽  
Nancy Byatt ◽  
Nancy Suchman ◽  
Emily Feinberg
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Home Visiting ◽  
Failure Modes ◽  
Parenting Program ◽  
Advisory Panel ◽  
Evidence Based ◽  
Intervention Delivery ◽  
Potential Development ◽  
Study Population

OBJECTIVES/GOALS: To identify possible failures that could occur in the delivery of an evidence-based parenting program for mothers with substance use disorders (SUD) through existing home-visiting services, and to develop solutions to the most significant failures. METHODS/STUDY POPULATION: Using failure modes and effects analysis (FMEA) methodology, we conducted two 2-hour advisory panel discussions with 15 people from a variety of disciplines and life experiences related to SUDs. The intervention delivery process included five steps: (1) Recruitment, (2) Screening, (3) Matching, (4) Enrollment in person, and (5) Intervention delivery. Participants collectively determined possible failures, causes, and consequences. Participants then agreed on three scores (Likert Scale 0-10) for the likelihood of occurrence, detection, and severity of the failure, with 10 being the highest likelihood, difficulty detecting, or severity. A risk priority number (RPN) was calculated as the product of the 3 scores (maximum RPN = 1,000). The group then identified possible solutions for failures with higher RPNs. RESULTS/ANTICIPATED RESULTS: For each step in the process we identified the following number of failure nodes and RPN scores: (1) recruitment: 13 failures; RPN = 800, (2) screening: 102 failures; RPN = 10, (3) matching: 4 failures: RPN = 490, (4) enrollment: 6 failures; RPN = 80, (5) delivery: 11 failures; RPN = 80. The most critical failures related to recruitment and were perceived as being caused by potential development of mistrust in the community. Participants strongly encouraged the use of “strengths-based language,” clear referral plans for mothers that did not qualify, and inclusion of mothers that did not have custody of their children. These findings resulted in changes to the screening script, enrollment procedures, and inclusion criterial for the program. DISCUSSION/SIGNIFICANCE OF IMPACT: FMEA methodology was particularly effective in identifying possible failures for the integration of an evidence-based parenting program into existing home-visiting services as they related to the psychological safety of mothers with SUDs. The process resulted in direct changes to procedures for the anticipated program integration and study.

scholarly journals Treatment of Immature Scars: Evidence-Based Techniques and Treatments

2020 ◽  
pp. 193-201
Author(s):  
Julian Poetschke ◽  
Gerd G. Gauglitz
Keyword(s):  
Side Effects ◽  
Mode Of Action ◽  
Pulsed Dye Laser ◽  
Evidence Based ◽  
Burn Scar ◽  
Long Time ◽  
Hard Evidence ◽  
Scar Prevention ◽  
Silicone Gel Sheeting ◽  
Initial Research

AbstractSevere scarring is known for causing severe functional, aesthetic, and psychosocial impairments. During the last years, treatment of mature scars has evolved significantly; however, researchers and clinicians are more and more focused on preventing excessive scarring altogether, thus avoiding long and strenuous treatment. While some forms of scar prevention have been known and used for decades, others are relatively new and have yet to prove themselves. Pressure garments have long been successfully used in widespread burn scar prevention. However, reduced compliance, large treatment costs, and little hard evidence are points that should be taken into consideration regarding this well-established form of treatment. Silicone gel sheeting has also been used for a long time, and it is well regarded for its efficacy in reducing scar height and improving pliability while boasting little side effects. Its mode of action, however, remains unclear. Recently, lasers have become a new focus in the effort to prevent pathological scarring. Here, the older pulsed dye laser, as well as newer, fractional ablative and nonablative lasers, is increasingly employed for the treatment of fresh scars, where initial research is showing significant promise.This chapter explores the currently available methods for scar prevention and examines their application and the evidence regarding their efficacy.

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