scholarly journals UNIVERSITY HOSPITAL DESIGN FEATURES

2020 ◽  
Vol 0 (73) ◽  
pp. 21-28
Author(s):  
Irina Bulakh
Keyword(s):  
University Hospital ◽  
Design Features ◽  
Hospital Design

The Psychological Supportive Design Features in Hospitals: Case of a Public Jordanian Hospital in Amman

2021 ◽  
pp. 193758672110295
Author(s):  
Nadine Al-Bqour ◽  
Shaher Rababeh ◽  
Rama Al-Rabady
Keyword(s):  
Interior Design ◽  
Public Hospital ◽  
Psychological Needs ◽  
Design Features ◽  
Healthcare Facilities ◽  
Hospital Design ◽  
Third World Country ◽  
Responsive Design ◽  
Healing Environments ◽  
Supportive Design

Purpose: The purpose of this study is to develop a practical framework that combines the psychological supportive design features in hospitals’ healing environments, also, to examine the implementation of these features in a Jordanian public hospital. Background: Positive psychological feelings are the hidden powerful treatment in hospitals. Although that Jordan represents a third-world country, it is counted as one of the most sought-after healthcare locations in the Middle East for its distinguished healthcare serveries (Private Hospitals Association, 2019). Nevertheless, the architectural and interior design of the healthcare facilities in Jordan usually ignores the inpatients’ psychological needs. Also, there is an absence of practicing a set of psychological supportive design features to guide the hospitals’ design in Jordan. Method: Design features are obtained from the main theories in the field of supportive healing environments. A large Jordanian public hospital was selected to be assessed in terms of these features within the developed practical framework. This study adopts a mixed methodology; data are collected using different methods, mainly literature review, site inventory, and inpatients’ questionnaire. Results: The studied hospital remains moderately considerable in terms of the psychologically supportive design features. However, the nature connectivity aspect is not satisfactorily considered in the studied hospital design. Conclusion: This study suggests a responsive design that fosters interaction and integration with surrounding nature in order to increase levels of connectivity with nature. The studied design features in this study could work as guiding principles for Jordanian hospitals’ designers.

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 CIRRHOTIC PATIENTS;

2013 ◽  
Vol 20 (06) ◽  
pp. 876-881
Author(s):  
MUHAMMAD ADNAN BAWANY ◽  
JAHANGIR LIAQUAT ◽  
MUHMMAD AKBER ◽  
Falak Naz ◽  
Shereen Rahat Khanzada ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Varices ◽  
University Hospital ◽  
Oesophageal Varices ◽  
Gi Bleeding ◽  
Upper Gi Bleeding ◽  
Hospital Design ◽  
Upper Gi ◽  
Predicting Factors ◽  
Cirrhotic Patients

Objective: To determine the frequency of upper GI bleeding and its predicting factors and esophageal varices in the patientswith liver cirrhosis disease admitted at medicine ward of Isra university hospital. Design: Prospective and observational study. Setting:Isra university hospital. Period: March 2012 to August 2012 (six months). Methods: Containing 100 patients, mean age was 45.8, and allthe patients with cirrhosis disease were included in this study with liver cirrhosis disease. All patients were under went endoscopy andFrequency of upper GI bleeding and varices presentation and classification according to grade were noted. Results: All the 100 patientswere selected on the basis of presenting liver cirrhosis disease. Male were more found than the female with the mean age 45.8. Mostlycirrhotic patients were found with HCV positive and upper GI bleeding were noted in (40%) of the cases. With the endoscopic findingmostly patients were noted in ll - lll grad of esophageal varices and according to child pug classification majority of patients was noted inclass “C” In addition, thrombocytopenia and red wale markings along with the presence of large sized varices were associated with thepresence of esophageal varices. Conclusions: In the conclusion of this study we found majority of the cirrhotic patients with HCV,Esophageal varices and thrombocytopenia are the important factors of upper GI bleeding. Knowledge and etiology of this manuscript mayhelpful in the prevention of oesophageal varices and upper GI bleeding.

Hospital design features related to patient experience

2019 ◽  
Vol 145 (3) ◽  
pp. 1658-1658
Author(s):  
Kenton Hummel ◽  
Erica E. Ryherd ◽  
Jay Bliefnick
Keyword(s):  
Patient Experience ◽  
Design Features ◽  
Hospital Design

scholarly journals A predicted outbreak in an overcrowded, administratively neglected and run-down haemodialysis unit as an offer of “New Public Management” in Norwegian hospitals

2013 ◽  
Vol 2 (4) ◽  
pp. 15 ◽  
Author(s):  
Bjørg Marit Andersen ◽  
Bente Seljordslia ◽  
Kjersti Hochlin ◽  
Mette Rasch ◽  
Gaute Syversen
Keyword(s):  
Infection Control ◽  
Public Management ◽  
New Public Management ◽  
Public Hospitals ◽  
Economic Resources ◽  
University Hospital ◽  
Hospital Administration ◽  
Hospital Design ◽  
New Public ◽  
Hygienic Standard

Background: Scandinavian countries had a low rate of vancomycin- resistant enterococci (VRE) until 2007. Since 2007, there has been an alarming spread of VRE in Sweden and later on in Norway. From 2002 on, public hospitals in Norway were transferred from the County administration to a few regional state enterprises, drifted and organized according to the “New Public Management” (NPM), to save money. Four hospitals in Oslo, including Ullevål University Hospital, were, of the same reason, further merged into a 1500 beds Oslo University Hospital in 2009. Methods: This study included the hospital management of infection control and attitudes to reports from routine inspections in a haemodialysis unit at Oslo University Hospital (OUS) - before and after an outbreak of VRE in 2011. Results: Before the outbreak of VRE, repeated site inspections by infection control personnel revealed overcrowding, a poor hospital design, a low hygienic standard, and an imminent risk for hospital infection in a haemodialysis unit at OUS. Reports concerning deviation from proper infection control were sent to the hospital administration. Two project groups were set down consecutively within a year to solve the problems. They were both nearly immediately put on hold because of lack of economic resources. The Board of Health in the Counties of Oslo and Akershus (having the overall supervision of the health care in the Counties) was then notified by the infection control doctor. The outbreak of VRE was detected in May 2011 in this haemodialysis unit. It was promptly stopped after one month, by using a combination of several restrictive infection control methods. All VRE cases were negative after repeated negative samplings for a year. The outbreak resulted in a response from the hospital administration to the serious conditions in this unit. One and a half year later, an extended, refurbished new unit was ready for the patients. Conclusion: A low hygienic standard in an overcrowded and run-down haemodialysis unit was neglected by an administrative organization lacking economic resources after following the ideas of NPM through many years. This situation finally led to an outbreak of VRE. An early and restrictive intensive intervention leads to a rapid termination of the outbreak. 

The Elimination of Transfer Distances Is an Important Part of Hospital Design

2016 ◽  
Vol 10 (3) ◽  
pp. 142-151 ◽  
Author(s):  
Sauli Karvonen ◽  
Isto Nordback ◽  
Jussi Elo ◽  
Jouni Havulinna ◽  
Heikki-Jussi Laine
Keyword(s):  
Architectural Design ◽  
Patient Flow ◽  
Flow Analysis ◽  
Hand Surgery ◽  
University Hospital ◽  
Productivity Improvement ◽  
Specific Patient ◽  
Patient Transfers ◽  
Additional Tool ◽  
Hospital Design

Objective: The objective of the present study was to describe how a specific patient flow analysis with from-to charts can be used in hospital design and layout planning. Background: As part of a large renewal project at a university hospital, a detailed patient flow analysis was applied to planning the musculoskeletal surgery unit (orthopedics and traumatology, hand surgery, and plastic surgery). Method: First, the main activities of the unit were determined. Next, the routes of all patients treated over the course of 1 year were studied, and their physical movements in the current hospital were calculated. An ideal layout of the new hospital was then generated to minimize transfer distances by placing the main activities with close to each other, according to the patient flow analysis. The actual architectural design was based on the ideal layout plan. Finally, we compared the current transfer distances to the distances patients will move in the new hospital. Results: The methods enabled us to estimate an approximate 50% reduction in transfer distances for inpatients (from 3,100 km/year to 1,600 km/year) and 30% reduction for outpatients (from 2,100 km/year to 1,400 km/year). Conclusions: Patient transfers are nonvalue-added activities. This study demonstrates that a detailed patient flow analysis with from-to charts can substantially shorten transfer distances, thereby minimizing extraneous patient and personnel movements. This reduction supports productivity improvement, cross-professional teamwork, and patient safety by placing all patient flow activities close to each other. Thus, this method is a valuable additional tool in hospital design.

Building for change: university hospital design for future clinical learning

2013 ◽  
Vol 27 (sup2) ◽  
pp. 72-76 ◽  
Author(s):  
Jörgen Nordenström ◽  
Anna Kiessling ◽  
Jonas Nordquist
Keyword(s):  
University Hospital ◽  
Clinical Learning ◽  
Hospital Design

An Ultrastructural Study of the Proliferation Patterns of the Reserve Cells of the Human Cervix Uteri

1972 ◽  
Vol 30 ◽  
pp. 80-81
Author(s):  
Takanori Sohda ◽  
Hiroshi Saito ◽  
Goro Asano ◽  
Katsunari Fukushi ◽  
Katsuya Suzuki ◽  
...  
Keyword(s):  
Ultrastructural Study ◽  
Age Groups ◽  
Point Of View ◽  
University Hospital ◽  
Cervix Uteri ◽  
Morphological Aspect ◽  
Functional Aspect ◽  
Pathological Conditions ◽  
Human Cervix ◽  
Morphological Patterns

Recently, the functional aspect as well as morphological aspect of the reserve cells in the cervix uteri drew much attention in view of the carcinogenesis in squamocolumunar junction. In this communication, the authors elucidate the ultrastructural features of the reserve cells in patients of various age groups visiting our university hospital and affiliated hospital.From conventional light microscopic point of view, the reserve cells tend to be pronounced in various pathological conditions, such as the persisting inflammation, proliferative disorders and irritation of hormones. The morphological patterns of the reserve cells from various stage and degree of irritation were observed.

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