Lighting and Nurses at Medical–Surgical Units

Hadi, Khatereh; DuBose, Jennifer; Ryherd, Erica E.

doi:10.1177/1937586715603194

Cited by 17 publications

(13 citation statements)

References 19 publications

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“…Although Hadi et al (2016) did not demonstrate any influence of age on the overall satisfaction with lighting; the quantity of light; or complaints about glare, shadows, or flickering, the present study found that participants over the age of 55 believed that additional lighting was needed in patient rooms more often than younger participants did. This finding is consistent with published light level guidelines recommending that people over the age of 65 need 2-4 times the amount of light that people of younger ages require (DiLaura et al, 2011).…”

Section: Lighting Considerations Based On Agecontrasting

confidence: 97%

Nurses’ Satisfaction With Patient Room Lighting Conditions: A Study of Nurses in Four Hospitals With Differences in the Environment of Care

Davis

McCunn

Wilkerson

et al. 2020

HERD

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Purpose: The present study aims to contribute to current knowledge about nurses’ perceived importance of lighting in patient rooms and to compare these perceptions across different ages, work shifts, (day and night), and environments of care (traditional and contemporary). Background: Creating an environment of care in patient rooms that successfully balances energy efficiency concerns with the holistic needs of patients, families, and caregivers poses a major challenge for future lighting systems. This study adds to a growing evidence base on the effects of lighting on nurses’ job performance, job satisfaction, and overall perceptions of the environment. Method: Survey responses from 138 participants working in medical–surgical units in four hospitals were analyzed using a mixed-methods approach, with three of the hospitals having lighting systems characterized as providing a traditional environment of care (TEC) and the other hospital having lighting systems characterized as providing a contemporary environment of care (CEC). Results: No significant differences were found based on age or work shift, but several significant differences were found between participants working in the hospital with a CEC and those working in hospitals with a TEC. Participants from the hospital with a CEC lighting system consistently reported higher lighting quality, fewer patient complaints, and less need for supplemental lighting than the participants from the three hospitals with TEC lighting systems. Conclusion: The results of this study provide evidence that innovative lighting approaches and technologies are worth considering as an investment by hospital administrators looking to improve perceptions of the patient room environment.

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Section: Lighting Considerations Based On Agecontrasting

confidence: 97%

Nurses’ Satisfaction With Patient Room Lighting Conditions: A Study of Nurses in Four Hospitals With Differences in the Environment of Care

Davis

McCunn

Wilkerson

et al. 2020

HERD

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“…The practicality of conducting the study in a single room meant that other elements of the physical environment were not consistent with those of a TEC facility, and these elements may influence the overall subjective response as much as or more than lighting. This fact may explain the overall positive nature of the ratings for all conditions, especially given the more negative reactions to lighting systems in TEC facilities reported in several surveys of nurses working directly in these facilities (Hadi et al, 2016;McCunn et al, 2020). Additional research that compares nurse and patient responses to different environment of care settings in real hospitals would better document the responses from the full range of existing environments.…”

Section: Limitations and Further Researchmentioning

confidence: 99%

Lighting the Patient Room of the Future: Evaluating Different Lighting Conditions for Performing Typical Nursing Tasks

Graves

Davis

DuBose

et al. 2020

HERD

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Purpose: This study explores how aspects of lighting in patient rooms are experienced and evaluated by nurses while performing simulated work under various lighting conditions. The lighting conditions studied represent design standards consistent with different environments of care—traditional, contemporary, and future. Background: Recent advances in lighting research and technology create opportunities to use lighting in hospital rooms to improve everyday experience and provide researchers with opportunities to explore a new set of research questions about the effects of lighting on patients, guests, and staff. This study focuses on the experience of nurses delivering simulated patient care. Method: Perceptions of each of the 13 lighting conditions were evaluated by nurses using rating scales for difficulty of task completion, comfort, intensity, appropriateness of the lighting color, and naturalness of the lighting during the task. The nurses’ ratings were analyzed alongside qualitative reflections to provide insight into their responses. Results: Significant differences were found for several a priori hypotheses. Interesting findings provide insight into lighting to support circadian synchronization, lighting at night, the distribution of light in the patient room and the use of multiple lighting zones, and the use of colored lighting. Conclusion: The results of this study provide insight into potential benefits and concerns of these new features for patient room lighting systems and reveal gaps in the existing evidence base that can inform future investigations.

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“…Satisfaction with the workplace may be influenced by the control of the environment. A study investigated the perceptions of the lighting environment and the levels of satisfaction in the workplace, due to variations in lighting among medical-surgical nurses and found a significant relationship between nurse access to lighting controls and satisfaction about the lighting environment [ 101 ]. Demographic variables, specifically age, may also play a role in the effect of lighting conditions on work performance.…”

Section: Resultsmentioning

confidence: 99%

Healthy Behaviors through Behavioral Design–Obesity Prevention

Funderburk

Cardaci

Fink

et al. 2020

IJERPH

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Evidence for behavior modification for improved health outcomes was evaluated for nutrition, physical activity (PA), and indoor environmental quality (IEQ). The databases searched included LISTA, PubMed, and Web of Science, with articles rated using an a priori baseline score of 70/100 to establish inclusion. The initial search produced 52,847 articles, 63 of which were included in the qualitative synthesis. Thirteen articles met inclusion for nutrition: cafeteria interventions, single interventions, and vending interventions. Seventeen articles on physical activity were included: stair use, walking, and adjustable desks. For IEQ, 33 articles met inclusion: circadian disruption, view and natural light, and artificial light. A narrative synthesis was used to find meaningful connections across interventions with evidence contributing to health improvements. Commonalities throughout the nutrition studies included choice architecture, increasing the availability of healthy food items, and point-of-purchase food labeling. Interventions that promoted PA included stair use, sit/stand furniture, workplace exercise facilities and walking. Exposure to natural light and views of natural elements were found to increase PA and improve sleep quality. Overexposure to artificial light may cause circadian disruption, suppressing melatonin and increasing risks of cancers. Overall, design that encourages healthy behaviors may lower risks associated with chronic disease.

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Lighting and Nurses at Medical–Surgical Units

Abstract: Thoughtful design of the lighting environment can improve nurses' satisfaction and perception about their working environment.

Cited by 17 publications

References 19 publications

Nurses’ Satisfaction With Patient Room Lighting Conditions: A Study of Nurses in Four Hospitals With Differences in the Environment of Care

Nurses’ Satisfaction With Patient Room Lighting Conditions: A Study of Nurses in Four Hospitals With Differences in the Environment of Care

Lighting the Patient Room of the Future: Evaluating Different Lighting Conditions for Performing Typical Nursing Tasks

Healthy Behaviors through Behavioral Design–Obesity Prevention

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