Demonstrating the Effect of the Built Environment on Staff Health-Related Quality of Life in Ambulatory Care Environments

Wingler, Deborah; Hector, Richard D.

doi:10.1177/1937586715573745

Cited by 10 publications

(15 citation statements)

References 19 publications

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“…While much evidence acknowledges that the built environment affects staff well-being and effectiveness in delivering care, most studies have been conducted in hospitals and long-term care settings (Orfield, 2013;Perkins, Ball, Kemp, & Hollingsworth, 2013;Sikorska-Simmons, 2006;Wingler & Hector, 2015). Assessment of workers' perceptions of ALF environments is limited.…”

Section: Alfs and Staffingmentioning

confidence: 99%

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Assessing Staff Satisfaction with Indoor Environmental Quality in Assisted Living Facilities

Zuo

MaloneBeach

2017

Journal of Interior Design

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This study contributed to knowledge of indoor environmental quality (IEQ) in assisted living facilities (ALFs) by examining staff satisfaction with the work environment, perceived productivity, and attitudes toward environmental sustainability in the workplace. An ALF Staff IEQ Survey was administered to staff (N = 94) at 12 ALFs, which were newly constructed or renovated within the last 10 years. Staff who participated in the survey were divided into three age groups (young, middle-aged, and older) and two categories of responsibilities (medical and nonmedical). The questionnaire was designed to incorporate the Occupant IEQ Survey (Center for the Built Environment, 2013) and the Leadership in Energy and Environmental Design (LEED) rating criteria. It comprised six IEQ categories: space layout, thermal comfort, air quality, lighting and views, acoustic quality, and facility cleanliness and maintenance. Spearman's rank-order correlation coefficient, Kruskal-Wallis, and Mann-Whitney U tests were used for data analysis. Results identified 23 IEQ factors in all IEQ categories that significantly contributed to staff productivity. Six IEQ factors in four IEQ categories (space layout, thermal comfort, lighting, and facility cleanliness) were significantly related to staff environmental attitudes. In addition, 12 IEQ factors within five IEQ categories (except lighting quality) were found to have notable differences by age discrepancy, whereas five IEQ factors of air quality and facility cleanliness were significantly different for medical and nonmedical staff. The findings of this study provide designers with prioritized demands and preferences for decision making in terms of improving the work environment for the health and well-being of ALF staff. By incorporating the paradigms of evidence-based design (EBD), human-centered design (HCD), and sustainable design (SD), this study proposes a new triadic framework to transition from the current resident-centered model in elder care to a multistakeholder-focused model.

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Section: Alfs and Staffingmentioning

confidence: 99%

“…In the meantime, residents' thermal preferences should be given top priority in their living and activity spaces. Furthermore, it is necessary to limit the adjustment options of the thermostats to prevent unnecessary confusion (Wingler & Hector, 2015).…”

Section: Factor 4: Thermal Comfortmentioning

confidence: 99%

Assessing Staff Satisfaction with Indoor Environmental Quality in Assisted Living Facilities

Zuo

MaloneBeach

2017

Journal of Interior Design

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“…First, the mapping workflow creates a comprehensive journey map of a patient to identify bottlenecks and other inefficiencies in the ED clinical course. Winger and Hector (2015) previously studied the effect of the ED built environment on ED staff. Through surveys, they found that the layout of the care space affected staff productivity.…”

Section: Discussionmentioning

confidence: 99%

Development of a Novel Emergency Department Mapping Tool

Grzywinski

Carlisle²,

Coleman³

et al. 2019

HERD

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Objectives: Develop a built environment mapping workflow. Implement the workflow in the emergency department (ED). Demonstrate the actionable representations of the data that can be collected using this workflow. Background: The design of the healthcare built environment impacts the delivery of patient care and operational efficiency. Studying this environment presents a series of challenges due to the limitations associated with existing technology such as radio-frequency identification. The authors designed a customized mapping workflow to collect high-resolution spatial, temporal, and activity data to improve healthcare environments, with emphasis on patient safety and operational efficiency. Method: A large, urban, academic medical center ED collaborated with an architecture firm to create a data collection, and mapping workflow using ArcGIS tools and data collectors. The authors developed tools to collect data on the entire ED, as well as individual patients, physicians, and nurses. Advanced visual representations were created from the master data set. Results: In 48 consecutive hourly snapshots, 5,113 data points were collected on patients, physicians, nurses, and other staff reflecting the operations of the ED. Separately, 84 patients, 10 attending physicians, 10 resident physicians, and 17 nurses were tracked. Conclusions: The data obtained from this pilot study were used to create advanced visual representations of the ED environment. This cost-effective ED mapping workflow may be applied to other healthcare settings. Further investigation to evaluate the benefits of this high-resolution data is required.

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“…Larsen et al [80] designed a tool to evaluate the holistic IEQ performance using 16 parameters without considering occupants. The 'impact' focused on the inter-relationships between IEQ factors and/or the effects of IEQ factors on building occupants, and researchers have been studying this area since 2010 [81][82][83]. Another noteworthy new keyword after 2016 is 'occupant behaviour', which indicates the increasing research interest in the effect of occupants' behaviours on IEQ [84][85][86].…”

Section: Keyword Changes Analysismentioning

confidence: 99%

Global Research Trends on Building Indoor Environmental Quality Modelling and Indexing Systems—A Scientometric Review

2022

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The purpose of this study is to provide a holistic review of two decades of research advancement in the indoor environmental quality modelling and indexing field (IEQMI) using bibliometric analysis methods. The explicit objectives of the present study are: (1) identifying researchers, institutions, countries (territories), and journals with the most influence in the IEQMI topic; (2) investigating the hot topics in the IEQMI field; and (3) thematically analysing the keyword evolution in the IEQMI field. A scientometric review was conducted using the bibliometric data of 456 IEQMI research articles published in the past two decades. VOSviewer software was employed for bibliometric analysis, and the SciMAT tool was used to investigate the keywords’ thematic evolution in three sub-periods (2004–2009; 2010–2015; 2016–2021). Results show that there is a continuous increment in the number of published papers in the field of IEQMI, and 60 out of 193 countries in the world have been involved in IEQMI studies. The IEQMI research mainly focuses on: (a) thermal comfort and energy efficiency; (b) occupant satisfaction and comfort; (c) IAQ and health issues; (d) methods and procedures. This field has undergone significant evolution. While ‘indoor environmental quality was initially the only theme in the first period’, ‘occupant satisfaction’, ‘buildings’, ‘impact’, ‘building information modelling’, and ‘health’ were added as the main thematic areas in the second period; ‘occupant behaviour’ and ‘energy’ were novel themes in IEQMI studies receiving much attention in the third period.

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Demonstrating the Effect of the Built Environment on Staff Health-Related Quality of Life in Ambulatory Care Environments

Cited by 10 publications

References 19 publications

Assessing Staff Satisfaction with Indoor Environmental Quality in Assisted Living Facilities

Assessing Staff Satisfaction with Indoor Environmental Quality in Assisted Living Facilities

Development of a Novel Emergency Department Mapping Tool

Global Research Trends on Building Indoor Environmental Quality Modelling and Indexing Systems—A Scientometric Review

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