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[PMID]:29231645
[Au] Autor:Evensen S
[Ti] Título:Militærhospitalet som ble rikshospital..
[So] Source:Tidsskr Nor Laegeforen;137(23-24), 2017 12 12.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:nor
[Mh] Termos MeSH primário: Hospitais Militares/história
Hospitais Universitários/história
[Mh] Termos MeSH secundário: História do Século XIX
Arquitetura Hospitalar/história
Seres Humanos
Noruega
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0567


  2 / 8530 MEDLINE  
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[PMID]:29210768
[Au] Autor:Keys Y; Stichler JF
[Ad] Endereço:College of Nursing and Health Sciences, Texas A&M University-Corpus Christi, Corpus Christi (Dr Keys); and Research Consultant, Sharp Memorial Hospital, San Diego, California (Dr Stichler); and Professor Emerita, San Diego State University School of Nursing, San Diego, California (Dr Stichler).
[Ti] Título:Safety and Security Concerns of Nurses Working in the Intensive Care Unit: A Qualitative Study.
[So] Source:Crit Care Nurs Q;41(1):68-75, 2018 Jan/Mar.
[Is] ISSN:1550-5111
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Intensive care units (ICUs) exist to serve as a safe place for critically ill patients to receive care from skilled practitioners. In this qualitative study, ICU nurses shared their perspectives on elements that promote safety and security on their units. After obtaining institutional review board approval, participants participated in telephone interviews with a nurse researcher who has experience as a bedside ICU nurse. Five categories and 14 themes were identified and then confirmed using member checking. Results indicate that participants prefer to provide care in ICUs with no more than 12 to 14 beds and provide the following: visibility of patients and coworkers; more than 1 way to exit; and can be locked in case of emergency or threat. Nearly all respondents mentioned adequate staffing as the most important attribute of a safe, secure care environment for patients and families. More research is needed to identify design features that make the most impact on providing a safe, secure ICU environment.
[Mh] Termos MeSH primário: Enfermagem de Cuidados Críticos/normas
Recursos Humanos de Enfermagem no Hospital/psicologia
Segurança do Paciente/normas
Medidas de Segurança/organização & administração
[Mh] Termos MeSH secundário: Feminino
Arquitetura Hospitalar/métodos
Seres Humanos
Unidades de Terapia Intensiva
Entrevistas como Assunto
Masculino
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/CNQ.0000000000000187


  3 / 8530 MEDLINE  
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[PMID]:29210765
[Au] Autor:Grota PG; Grant PS
[Ad] Endereço:Office of Faculty Affairs and Diversity, School of Nursing, University of Texas Health, San Antonio (Dr Grota); and Infection Prevention and Quality, Methodist Hospital for Surgery, Addison, Texas (Ms Grant).
[Ti] Título:Environmental Infection Prevention: Priorities of Patient Safety Collaboration.
[So] Source:Crit Care Nurs Q;41(1):38-46, 2018 Jan/Mar.
[Is] ISSN:1550-5111
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although progress has been made in decreasing health care-associated infections (HAI) in intensive care unit (ICU) patients, there has been an increase in HAI caused by drug-resistant pathogens, particularly those that contaminate the environment such as methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, Pseudomonas spp, Acinetobacter spp, and Clostridium difficile. The ICU environment including sinks and medical equipment has been identified as being at risk for contamination and associated with cross-transmission of pathogens between the health care provider, the environment, and the patient. This article addresses the role of the ICU nurse as a team facilitator collaborating with environmental services, infection preventionists, and others to influence ICU design during preconstruction planning and unit environmental hygiene after construction to promote patient safety and prevent HAI associated with contaminated environments and equipment.
[Mh] Termos MeSH primário: Enfermagem de Cuidados Críticos/normas
Infecção Hospitalar/prevenção & controle
Arquitetura Hospitalar/métodos
Controle de Infecções/métodos
Segurança do Paciente/normas
[Mh] Termos MeSH secundário: Infecção Hospitalar/transmissão
Resistência a Múltiplos Medicamentos
Pessoal de Saúde
Seres Humanos
Unidades de Terapia Intensiva/normas
Staphylococcus aureus Resistente à Meticilina/isolamento & purificação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/CNQ.0000000000000184


  4 / 8530 MEDLINE  
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[PMID]:29210763
[Au] Autor:Islam F; Rashid M
[Ad] Endereço:School of Architecture and Design, The University of Kansas, Lawrence.
[Ti] Título:Evaluating Nurses' Perception of Patient Safety Design Features in Intensive Care Units.
[So] Source:Crit Care Nurs Q;41(1):10-28, 2018 Jan/Mar.
[Is] ISSN:1550-5111
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A methodological study was conducted to test the validity and reliability of the patient safety (PS) scale developed by Rashid (2007) for evaluating nurses' perception of adult intensive care unit (ICU) design features related to patient safety. Data for the study were collected using a Web-based survey instrument. A link to the survey instrument was posted on the Web site of American Association of Critical-Care Nurses (AACN) for ICU nurses in different US states to participate. A sample of 587 valid responses was divided into 2 halves for cross-validation. The first half of the sample was used for exploratory factor analysis and the second half for confirmatory factor analysis. This method was applied to identify any latent factor structure in the PS scale. Based on the factor analyses, 4 relevant PS subscales-Efficient Work Process, Patient Room, Accessibility and Visibility, and Maintain Sterility-were identified. These PS subscales were used to investigate whether ICU unit characteristics, nurse characteristics, and hospital type affected nurses' perception of ICU design features in relation to patient safety. The study shows that nurses' perception of ICU design features related to patient safety can be influenced by such factors as nurse characteristics and unit characteristics. When using the scales, therefore, the designers can be aware of the influence of these external factors on nurses' perception. It is hoped that the PS subscales evaluating nurses' perception of ICU physical environmental features related to patient safety would help designers and health care personnel make better ICU design choices.
[Mh] Termos MeSH primário: Arquitetura Hospitalar/normas
Unidades de Terapia Intensiva
Recursos Humanos de Enfermagem no Hospital/psicologia
Segurança do Paciente
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Enfermagem de Cuidados Críticos
Feminino
Seres Humanos
Masculino
Reprodutibilidade dos Testes
Inquéritos e Questionários
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/CNQ.0000000000000182


  5 / 8530 MEDLINE  
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[PMID]:29210762
[Au] Autor:Hamilton DK; Swoboda SM; Lee JT; Anderson DC
[Ad] Endereço:Department of Architecture, Center for Health Systems and Design at Texas A&M University, College Station (Dr Hamilton); the Johns Hopkins University School of Medicine/Nursing in Baltimore, Maryland (Ms Swoboda); the College of Architecture at Texas A&M University, College Station (Ms Lee); and the Perkins+Will Human Experience Lab, Canada (Ms Anderson).
[Ti] Título:Decentralization: The Corridor Is the Problem, Not the Alcove.
[So] Source:Crit Care Nurs Q;41(1):3-9, 2018 Jan/Mar.
[Is] ISSN:1550-5111
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is controversy today about whether decentralized intensive care unit (ICU) designs featuring alcoves and multiple sites for charting are effective. There are issues relating to travel distance, visibility of patients, visibility of staff colleagues, and communications among caregivers, along with concerns about safety risk. When these designs became possible and popular, many ICU designs moved away from the high-visibility circular, semicircular, or box-like shapes and began to feature units with more linear shapes and footprints similar to acute bed units. Critical care nurses on the new, linear units have expressed concerns. This theory and opinion article relies upon field observations in unrelated research studies and consulting engagements, along with material from the relevant literature. It leads to a challenging hypothesis that criticism of decentralized charting alcoves may be misplaced, and that the associated problem may stem from corridor design and unit size in contemporary ICU design. The authors conclude that reliable data from research investigations are needed to confirm the anecdotal reports of nurses. If problems are present in current facilities, organizations may wish to consider video monitoring, expanded responsibilities in the current buddy system, and use of greater information sharing during daily team huddles. New designs need to involve nurses and carefully consider these issues.
[Mh] Termos MeSH primário: Enfermagem de Cuidados Críticos/métodos
Arquitetura Hospitalar/tendências
Política
[Mh] Termos MeSH secundário: Comunicação
Enfermagem de Cuidados Críticos/recursos humanos
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Segurança do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/CNQ.0000000000000181


  6 / 8530 MEDLINE  
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[PMID]:25816190
[Au] Autor:Campagnol G; Shepley MM
[Ti] Título:Positive distraction and the rehabilitation hospitals of joão filgueiras lima.
[So] Source:HERD;8(1):199-227, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This article discusses the use of positive distraction, an evidence-based design approach, in rehabilitation hospitals in Brazil through the work of João Filgueiras Lima ("Lelé"). BACKGROUND: In many parts of the world architects may not formally incorporate theories of positive distraction and evidence-based design, but there are multiple international examples of health facility architects and designers that use nature, daylighting, art, and social interaction to enhance the healing experience. The work of the Brazilian architect João Filgueiras Lima is a particularly salient example. Lima has been a dominant figure in 20th and 21st century Brazilian architecture and the architect of several rehabilitation facilities. METHODS: First positive distraction is defined as it relates to nature and art, and in the context of rehabilitation hospitals. Second, rehabilitation facilities are defined. The discussion then focuses on awareness of evidence-based design in Latin America. Next, Brazilian healthcare architecture is discussed along with the history of the Brazilian Sarah rehabilitation hospitals designed by Lelé and Lelé's role in the history of Brazilian architecture. Last we look at Lelé's use of positive distraction. RESULTS: Despite Lelé's recognition in Brazil, his work has not gained much international exposure. Lelé played a critical role in the design of the Sarah facilities and served on the board of directors for the Technological Center of the Sarah Network (CTRS) in Brazil from 1992 to 2009. Based on our review of his work it was clear that Lelé used positive distraction as a tool for creating healing environments. CONCLUSIONS: In spite of the lack of formal integration of evidence-based design in healthcare architecture in Latin America, many of its basic tenets have been incorporated in Brazilian rehabilitation hospitals. Lelé's projects are a clear example of this phenomenon and demonstrate an alignment between research and practitioner objectives. The presence of nature, art, and natural light in his rehabilitation hospitals serves as a model for evidence-based design in facilities throughout the world and presents an opportunity to measure the benefits of positive distraction on rehabilitation patient outcomes.
[Mh] Termos MeSH primário: Projeto Arquitetônico Baseado em Evidências/métodos
Ambiente de Instituições de Saúde/organização & administração
Arquitetura Hospitalar/métodos
Centros de Reabilitação/organização & administração
[Mh] Termos MeSH secundário: Brasil
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800113


  7 / 8530 MEDLINE  
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[PMID]:25816184
[Au] Autor:Lu Y; Wang Y
[Ti] Título:Design characteristics of acute care units in china.
[So] Source:HERD;8(1):81-93, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe the current state of design characteristics of acute care units in China's public hospitals and compare these with characteristics with acute care units in the United States. BACKGROUND: The healthcare construction industry in China is one of the fastest growing sectors in China and, arguably, in the world. Understanding the physical design of acute care units in China is of great importance because it will influence a large population. METHODS: Descriptive study was performed of unit configuration, size, patient visibility, distance to nursing station and supplies, and lighting conditions in 25 units in 19 public hospitals built after 2003. Data and information were collected based on spatial and visibility analysis. RESULTS: The study identified major design characteristics of the recently built (from 2003 onward) acute care units in China, comparing them, where appropriate, with those in U.S. It found there are three dominant types of unit layout: single-corridor (52%), triangular (36%), and double-corridor (12%). The number of private rooms is very low (11%), compared with two- or three-bed rooms. Centralized nursing stations are the only type of nurses' working area. China also has a large unit size in terms of number of patient beds. The average number of patient beds in a unit is 40.6 in China (versus 32.9 in U.S.). The care units in China have longer walking distance from nursing station to patient bedside. The percentage of beds visible from a nursing station is lower in China than in the U.S. The access to natural light and direct sunlight in patient rooms is greater in China compared with those in U.S.-100% of patient rooms in China have natural lighting. A majority of them face south or southeast and thus receiving direct sunlight (91.4%). CONCLUSIONS: Because of the differences in economies and building codes, there are dramatic differences between the spatial characteristics of acute care units in China and the United States.
[Mh] Termos MeSH primário: Ambiente de Instituições de Saúde/estatística & dados numéricos
Arquitetura Hospitalar/estatística & dados numéricos
Hospitais Públicos/estatística & dados numéricos
[Mh] Termos MeSH secundário: China
Número de Leitos em Hospital/estatística & dados numéricos
Seres Humanos
Recursos Humanos de Enfermagem/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800107


  8 / 8530 MEDLINE  
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[PMID]:25816182
[Au] Autor:Persson J; Dalholm EH; Johansson G
[Ti] Título:Informing Hospital Change Processes through Visualization and Simulation: A Case Study at a Children's Emergency Clinic.
[So] Source:HERD;8(1):45-66, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To demonstrate the use of visualization and simulation tools in order to involve stakeholders and inform the process in hospital change processes, illustrated by an empirical study from a children's emergency clinic. BACKGROUND: Reorganization and redevelopment of a hospital is a complex activity that involves many stakeholders and demands. Visualization and simulation tools have proven useful for involving practitioners and eliciting relevant knowledge. More knowledge is desired about how these tools can be implemented in practice for hospital planning processes. METHODS: A participatory planning process including practitioners and researchers was executed over a 3-year period to evaluate a combination of visualization and simulation tools to involve stakeholders in the planning process and to elicit knowledge about needs and requirements. RESULTS: The initial clinic proposal from the architect was discarded as a result of the empirical study. Much general knowledge about the needs of the organization was extracted by means of the adopted tools. Some of the tools proved to be more accessible than others for the practitioners participating in the study. The combination of tools added value to the process by presenting information in alternative ways and eliciting questions from different angles. CONCLUSIONS: Visualization and simulation tools inform a planning process (or other types of change processes) by providing the means to see beyond present demands and current work structures. Long-term involvement in combination with accessible tools is central for creating a participatory setting where the practitioners' knowledge guides the process.
[Mh] Termos MeSH primário: Simulação por Computador
Serviço Hospitalar de Emergência/organização & administração
Arquitetura Hospitalar/métodos
Hospitais Pediátricos/organização & administração
Determinação de Necessidades de Cuidados de Saúde/organização & administração
[Mh] Termos MeSH secundário: Ambiente de Instituições de Saúde
Pessoal de Saúde
Seres Humanos
Estudos de Casos Organizacionais
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800105


  9 / 8530 MEDLINE  
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[PMID]:25816181
[Au] Autor:Burpee H; McDade E
[Ti] Título:Comparative analysis of hospital energy use: pacific northwest and scandinavia.
[So] Source:HERD;8(1):20-44, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. BACKGROUND: Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. METHODS: Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. RESULTS: Specific architectural, mechanical, and plant systems make these Scandinavian hospitals more energy efficient than their Pacific Northwest counterparts. More importantly, synergistic systems integration allows for their significant reductions in energy consumption. CONCLUSIONS: This quantitative comparison of operational Scandinavian and Pacific Northwest hospitals resulted in compelling evidence of the potential for deep energy savings in the U.S., and allowed researchers to outline specific strategies for achieving such reductions.
[Mh] Termos MeSH primário: Conservação de Recursos Energéticos/estatística & dados numéricos
Fontes de Energia Elétrica/estatística & dados numéricos
Ambiente de Instituições de Saúde/estatística & dados numéricos
Arquitetura Hospitalar/estatística & dados numéricos
[Mh] Termos MeSH secundário: Noroeste dos Estados Unidos
Países Escandinavos e Nórdicos
Estados Unidos
United States Environmental Protection Agency
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800104


  10 / 8530 MEDLINE  
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[PMID]:28468754
[Au] Autor:Buchanan P
[Ti] Título:Redesigning patient centred hospitals: the proof is in the delivery.
[So] Source:BMJ;357:j2125, 2017 05 03.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Arquitetura Hospitalar
Assistência Centrada no Paciente
[Mh] Termos MeSH secundário: Arquitetura Hospitalar/economia
Seres Humanos
Assistência Centrada no Paciente/economia
Parcerias Público-Privadas/economia
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2125



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