The relationship between sensory stimuli and the physical environment in complex healthcare settings: A systematic literature review

Bayramzadeh, Sara; Ahmadpour, Sahar; Aghaei, Parsa

doi:10.1016/j.iccn.2021.103111

Cited by 13 publications

(18 citation statements)

References 45 publications

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“…Further, overcrowding, noise and communication are interconnected (Bayramzadeh et al , 2021a). Noise as an environmental factor can impede communication.…”

Section: Discussionmentioning

confidence: 99%

The impact of design on workflow: a comparative case study of level I trauma rooms

Bayramzadeh

Chiu

2022

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Purpose This study aims to examine trauma room staff’s perception of factors that influence workflow in trauma care from a physical environment standpoint. Design/methodology/approach A semi-structured focus group method was used. Trauma team members, representative of various roles within a team, were recruited from five Level I trauma centers in the USA, through a convenience sampling method. A total of 53 participants were recruited to participate in online focus groups. The Systems Engineering Initiative for Patient Safety model was used to analyze the findings. Findings In addition to factors directly related to the physical environment, aspects of people and technology, such as crowding and access to technology, were found to be related to the physical environment. Examples of factors that improve or hinder workflow are layout design, appropriate room size, doors, sink locations, access to resources such as X-ray or blood and access to technology. Seamless and uninterrupted workflow is crucial in achieving efficient and safe care in the time-pressured environments of trauma rooms. To support workflow, the physical environment can offer solutions through effective layout design, thoughtful location of resources and technology and room size. Originality/value Trauma rooms are time-pressured and complex environments where seconds matter to save a patient’s life. Ensuring safe and efficient care requires seamless workflow. However, the literature on workflow in trauma rooms is limited.

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“…Further, overcrowding, noise and communication are interconnected (Bayramzadeh et al , 2021a). Noise as an environmental factor can impede communication.…”

Section: Discussionmentioning

confidence: 99%

The impact of design on workflow: a comparative case study of level I trauma rooms

Bayramzadeh

Chiu

2022

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“…Today, there are several studies of physical environment (light and color) in different care contexts. However, related to daylight versus artificial lightning, wayfinding or/and other factors are related to well-being, satisfaction, sleep, anxiety, pain, length of stay, comfort, and so on ( Bayramzadeh et al, 2021 ; Brambilla et al, 2019 ; Eijkelenboom & Bluyssen, 2022 ; Iyendo et al, 2016 ; McCunn et al, 2021 ; Schreuder et al, 2016 ). Furthermore, for several of these studies, were the participants volunteers, that is, not actual patients, studies with real patients and family members are preferable ( Jamshidi et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The Perceived Support From Light and Color Before and After an Evidence-Based Design Intervention in an Emergency Department Environment: A Quasi-Experimental Study

Lindahl

Thulesius

Wijk

et al. 2023

HERD

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Aim: To evaluate patients’ and family members’ perceived support from light and color before, compared with after an evidence-based design (EBD) intervention at an emergency department (ED) using a validated instrument—the Light and Color Questionnaire (LCQ). Background: EDs offer acute care day and night. Thus, a supportive physical environment where light and color is crucial for how the milieu is experienced is vital. Research is limited on how care settings are perceived as supportive by users. Methods: Quasi-experimental evaluation of the refurbishing and remodeling of an ED by an expert group of nurse managers, nursing staff, nursing researchers and architects in south Sweden. LCQ includes dimensions “maximizing awareness and orientation,” “maximizing safety and security,” “supporting functional abilities,” “providing privacy,” “opportunities for personal control” (not for LCQ-Color), and “regulation and quality of stimulation.” LCQ was analyzed and compared in 400 surveys from 100 patients and 100 family members before the intervention and 100 patients and 100 family members after the intervention. Results: The LCQ total score significantly improved after the intervention for both patients and family members. Four of the six dimensions of LCQ Light subscale scores were significantly higher for family members, and three of the six dimensions were significantly higher for patients after the intervention. The LCQ Color subscale score showed significant improvements for all five dimensions for both patients and family members after the intervention. Conclusion: This study showed improved perceived support from light and color in the physical environment for patients and family members after an EBD intervention at an emergency department using a validated instrument—the Light and Color Questionnaire.

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“…In addition to increased stress, increased fatigue among staff may be partly due to increased intraoperative noise levels. [ 8 – 10 ]…”

Section: Introductionmentioning

confidence: 99%

“…In addition to increased stress, increased fatigue among staff may be partly due to increased intraoperative noise levels. [8][9][10] The above-mentioned hazards of noise levels to staff are based on only a few studies and theoretical reasoning. There is no highquality meta-analysis in the literature to determine the noise level in the operating room.…”

Section: Introductionmentioning

confidence: 99%

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The impact of operating room noise levels on stress and work efficiency of the operating room team

Chen¹,

Jiang²

2022

Medicine

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Background: There is no high-quality meta-analysis in the literature to determine the noise level in the operating room. Therefore, the aim of this study is to systematically review the available evidence in the literature to elucidate the impact of operating room noise levels on stress and work efficiency of the operating room team. Methods: Two individual researchers will conduct the platform searches on the PubMed, Cochrane Library, and Embase databases from inception to June 1, 2022. The cohort studies assessing the impact of operating room noise levels on stress and work efficiency of the operating room team will be included. The outcomes include total workload level, stress scores, anxiety scores, operation time. We will collect data according to the guidelines in the Cochrane Handbook for Systematic Reviews of Interventions. The Meta analysis will be performed using Review Manager version 5.3 provided by the Cochrane Collaboration. Risk bias analysis of the studies will be performed independently by two reviewers using the Cochrane Risk of Bias Assessment Tool. Results: The review will add to the existing literature by showing compelling evidence and improved guidance in clinic settings. Registration number: 10.17605/OSF.IO/7N8RY.

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The relationship between sensory stimuli and the physical environment in complex healthcare settings: A systematic literature review

Cited by 13 publications

References 45 publications

The impact of design on workflow: a comparative case study of level I trauma rooms

The impact of design on workflow: a comparative case study of level I trauma rooms

The Perceived Support From Light and Color Before and After an Evidence-Based Design Intervention in an Emergency Department Environment: A Quasi-Experimental Study

The impact of operating room noise levels on stress and work efficiency of the operating room team

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