The Patient Room: what is the ideal solution? - Cornell University

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A closer look at Evidence-Based Design through design application Evidence-Based Design is an extremely large and complicated topic that addresses issues from the implications of hospital noise levels to the restoration effects of fish tanks in family-patient lounges. With such an exhaustive topic, closely examining just a few applications of EBD will provide a sufficient explanation of its goals, successes and failures. EBD hospital applications to be explored: • The effect of access to nature on patient restoration • The “handedness” of a patient room and nurse efficiency and safety • Home-like décor and patient/family comfort 46
Evidence-Based Design: Nature and Restoration A great deal of research has been conducted concerning the relationship between access to nature and a patient’s experienced pain and recovery time. Countless studies regarding this topic have proven that whether it is a window to the outdoors, or a video displaying natural images, patients exposed to any form of nature experience significantly less pain and recover much faster. When addressing the patient room design specifically, studies reported that patients in rooms with a view to the outdoors have a shorter length of stay, and experience less pain and therefore require less pain medication. Additionally, windows in a patient room allow for natural lighting to enter the room, which is also beneficial to pain reduction and shortening recovery time. “Viewing nature may decrease pain by eliciting positive emotions, reducing stress, and distracting patients from focusing on their plan… If patients become diverted by or engrossed in a pleasant distraction such as a nature view, they have less attention to direct to their pain, and the experienced pain will therefore diminish” (Ulrich, 2008). Weighing the pros and cons of incorporating windows into a patient room from an administrator’s perspective can be very difficult. For example, while installing and maintaining windows/shades can become very expensive, their role in decreasing the length of stay for a patient also saves the hospital a great deal of money. Cons: • Expensive • Affects the ward layout, potentially causing longer corridors and greater walking distances • Extra maintenance • Glare from light • Issues with heating/cooling Pros: • Decreases experienced pain • Reduces patient stress • Increases patient satisfaction and comfort • Decreases length of stay and recovery time •Aesthetically pleasing “Access to daylight has been found to reduce pain, depression, and length of stay as well as improve patient and staff satisfaction. Views of nature have been linked to reduced pain, reduced stress, and shorter length of stay” (Herman Miller, 47 2010).
Page 1 and 2: Design Dilemma DEA 4350 November 8t
Page 3 and 4: Executive Summary DEA 4530/6530 Pla
Page 6 and 7: The Patient Room: a complicated web
Page 8 and 9: History of Patient Rooms Historical
Page 10 and 11: History of Patient Rooms What happe
Page 12 and 13: HOT TOPIC1: INFECTION CONTROL 12
Page 14 and 15: Patient Room and Infection Control
Page 16 and 17: Airborne Infection: Patient Room an
Page 18 and 19: How do these issues impact the admi
Page 20 and 21: Patient Room and Infection Control
Page 22 and 23: HOT TOPIC 2: SINGLE VS. MULTI-PATIE
Page 24 and 25: Why so much building Activity? •
Page 26 and 27: "With what we are learning about th
Page 28 and 29: New York City Construction Costs: i
Page 30 and 31: Single Patient Room and Safety What
Page 32 and 33: Single Patient Rooms and Safety: In
Page 34 and 35: Single Patient Room and Increased P
Page 36 and 37: Single Patient Room and Communicati
Page 38 and 39: Single Patient Room and Patient Sat
Page 40 and 41: Single Patient Room and Layout Comp
Page 42 and 43: Single Patient Room and Social Isol
Page 44 and 45: HOT TOPIC 3: EVIDENCE BASED DESIGN
Page 48 and 49: (Healthcare Design, 2006) Evidence-
Page 50 and 51: Evidence-Based Design: A Homelike A
Page 52 and 53: The Ideal Patient Room: proposed so
Page 54 and 55: To compensate for insufficient fund
Page 56: Safety, efficiency, and ease on sta
Page 59 and 60: esonance/ Resources continued: Inst

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