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The role of physical design and informal communication

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2.1 Research Design<br />

CHAPTER 2<br />

METHODS<br />

This was an exploratory case study <strong>design</strong>ed to examine the ways in which the<br />

built environment affects opportunities for interaction, <strong>informal</strong> learning, <strong>and</strong> the<br />

exchange <strong>of</strong> knowledge <strong>and</strong> information. Additionally, the impact <strong>of</strong> this type <strong>of</strong><br />

<strong>informal</strong> <strong>communication</strong> on graduate nurse job stress <strong>and</strong> competency level was<br />

explored. <strong>The</strong> study was conducted during the graduate nurse formal orientation<br />

program. During this time, information on graduate nurse interaction patterns, stress<br />

levels, <strong>and</strong> competency levels were obtained using five different data collection<br />

methods including: systematic observation <strong>of</strong> <strong>communication</strong> <strong>and</strong> interaction patterns,<br />

survey, self-recorded blood pressure, competency ratings, <strong>and</strong> focused interviews.<br />

2.2 Site Selection<br />

Crouse Hospital was selected for a number <strong>of</strong> reasons. <strong>The</strong> genuine interest <strong>of</strong><br />

the hospital administrators <strong>and</strong> nursing unit managers in participating in academic<br />

research was <strong>of</strong> utmost importance, <strong>and</strong> without their support the study would not<br />

have been possible. In addition, the hospital featured conventional nursing unit<br />

<strong>design</strong>, providing a good example <strong>of</strong> the kind <strong>of</strong> spaces in which graduate nurses <strong>of</strong>ten<br />

begin their careers. Finally, Crouse Hospital was chosen for its practicality. Located<br />

only 54 miles from Ithaca, it was relatively convenient to commute to <strong>and</strong> from the<br />

site for data collection.<br />

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