The role of physical design and informal communication

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Voluntary Participation: Your participation in this study is entirely voluntary and you may refuse to participate in part or all of the study, or discontinue participation at any time without penalty. Your decision about whether or not you participate in the study will not affect your current or future relationship with Cornell University or Crouse Hospital. Risks and Benefits: We do not anticipate any risks to you participating in this study other than those encountered in the day-to-day routine of a new nurse. There are no direct benefits to you other than that of contributing to the scientific knowledge in this field. The degree of stress experienced by new nurses is well documented and we hope to better understand how multiple factors in the work environment of new nurse graduates contribute to their health and well being. We do expect that the results of this research will contribute to the growing body of knowledge of evidence-based design that is helping transform hospital design. Alternatives: 3. If you decide that you don’t want to participate in certain aspects of the study you may still participate in the aspects of the study for which you provide consent. 4. If, at any point during the study, you decide to withdraw from part of the study, you will continue with the remaining aspects of the study as originally planned. Costs/Payments: There will be no payment for your participation, and there will be no costs to you for participating. Confidentiality. The records of this study will be kept private. In any presentation or report of the study findings we make public we will not include any information that will make it possible to identify you. Crouse Hospital will not have access to any individual’s data collected by the Cornell Team (ie., survey data, interaction data, blood pressure data, interview data). Research records will be kept in a locked file in the research team’s offices at Cornell University. Only the researchers will have access to the records. You may change your mind and take back this authorization at any time by writing to Professor Franklin Becker (see below). If you do this you will no longer be able to participate in the research. However, even if you take back this authorization, the information already obtained may be used and shared as permitted by this Informed Consent. Questions: The Principal Investigator for this study is Franklin Becker, Professor of Design & Environmental Analysis, Cornell University. Please ask any questions you have now. If you have questions later, you may contact Professor Becker at fdb2@cornell.edu or at 607.255.1950. If you have any questions or concerns regarding your rights as a subject in this study, you may contact the Cornell University 129
Committee on Human Subjects (UCHS) at 607-255-5138 or access their website at http://www.osp.cornell.edu/Compliance/UCHS/homepageUCHS.htm. This project has also been reviewed and approved by the Crouse Institutional Review Board (IRB). You will be given a copy of this form to keep for your records. Consent to participate in research: I have read the above information, and have received answers to any questions I asked. I consent to take part in the study. _____________________________ _____________ Signature of subject Date Exceptions to consent (if applicable):__________________________________________ _____________________________________________________________________ __ _____________________________ _____________ Signature of person obtaining consent Date UCHS Approval: UCHS Expiration: 130
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THE ROLE OF PHYSICAL DESIGN AND INF
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ABSTRACT Graduate nurses experience
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Dedicated to my parents, John and L
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TABLE OF CONTENTS Biographical Sket
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LIST OF FIGURES Figure 1. 6N floor
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LIST OF TABLES Table 1. Overall per
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extraordinary opportunity to apply
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into the topic of nature as a thera
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tiles with sound-absorbing ceiling
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infections, pneumonia, cardiac arre
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try to gain a better understanding
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1.6.3 Graduate Nurses’ Sense of B
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formal face-to-face communication n
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interactive and interpersonal learn
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• Evidence-based design has the p
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concluded that high visibility work
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Joseph (2006) cites anecdotal evide
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informal learning and communication
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2.3 Site Description Crouse Hospita
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primarily composed of the nursing s
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o Nursing Students The following no
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Meetings were held over a three mon
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Figure 2 6N floor plan showing colo
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equirements, organizational require
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study by Vrijkotte, van Doornen, an
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graduate nurse’s strengths and ac
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2.8 Data Analysis Focused interview
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CHAPTER 3 RESULTS 3.1 Organizationa
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ecause as a visitor entered the uni
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Figure 3 6N Floor Plan 48
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Figure 6 View of island work surfac
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Kitchen Locker Room Desk B1 at nurs
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Figure 13 Existing layout prior to
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Figure 15 Wall-mounted chart organi
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3.1.2 Information Management and Te
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nurses and pharmacists and dispense
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Because patients on 6N have a parti
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There is encouragement to learn new
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There is encouragement to learn new
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“Validation,” at five times per
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Average Frequency/8hr 60 50 40 30 2
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3) shows that all interactions were
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Table 4 Overall percent & frequency
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Transit” - 2:59:48. However, the
Page 89 and 90: Time (hh:mm:ss) 0:02:53 0:02:36 0:0
Page 91 and 92: Patient Room 28% Nurses Station 25%
Page 93 and 94: 3.3.4 Analysis of Task, Person and
Page 95 and 96: However, when asked if all of this
Page 97 and 98: Frequency (%) 50.0 45.0 40.0 35.0 3
Page 99 and 100: Frequency (%) 45.0 40.0 35.0 30.0 2
Page 101 and 102: Table 14 Frequency of person by loc
Page 103 and 104: occurred in equal amounts with the
Page 105 and 106: experienced by many GNs. Figure 33
Page 107 and 108: conditions in laymen’s terms. The
Page 109 and 110: • According to the GN, the greate
Page 111 and 112: Not enough staff to adequately cove
Page 113 and 114: Table 16 Change in GN stress rating
Page 115 and 116: Blood Pressure (mmHg) 121.0 119.0 1
Page 117 and 118: 3.6 Overall Summary of Findings •
Page 119 and 120: on validation, discussing patient c
Page 121 and 122: found that a major stressor for nur
Page 123 and 124: opportunities for informal learning
Page 125 and 126: unit suggests that designers and ho
Page 127 and 128: usually leads to expensive renovati
Page 129 and 130: including off the nursing unit or a
Page 131 and 132: APPENDIX A Memo Describing Study 12
Page 133 and 134: APPENDIX B Graduate Nurse Consent F
Page 135 and 136: • Members of the Cornell research
Page 137 and 138: _____________________________ _____
Page 139: Informed Consent Form for Staff Cro
Page 143 and 144: Modified Categories for the Clinica
Page 145 and 146: 134
Page 147 and 148: 136
Page 149 and 150: APPENDIX F Survey Items Pertaining
Page 151 and 152: APPENDIX G Survey Items Pertaining
Page 153 and 154: APPENDIX H Survey Items Pertaining
Page 155 and 156: APPENDIX I Blood Pressure Recording
Page 157 and 158: APPENDIX J Competency Evaluation Fo
Page 159 and 160: APPENDIX K Competency Category Defi
Page 161 and 162: o Expert - interprets labs; consult
Page 163 and 164: 14. Care Plan delegate (using the r
Page 165 and 166: APPENDIX L Interview Guides 154
Page 167 and 168: 3. Does the current patient:nurse r
Page 169 and 170: Interview Guide - Orientor Learning
Page 171 and 172: c. Did staffing levels affect the a
Page 173 and 174: 5. What unique challenges do staff
Page 175 and 176: CWM Tool Task Category Definitions
Page 177 and 178: REFERENCES Adams, A., & Bond, S. (2
Page 179 and 180: Buchanan, J., & Considine, G. (2002
Page 181 and 182: Godinez, G., Schweiger, J., Gruver,
Page 183 and 184: Lumsdon, K. (1993). Baby boomers gr
Page 185 and 186: Stolte, K., & Myers, S. t. (1995).
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