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Results for “Health Facility Environment”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 19 recordsLinked to original sources
PubMed1995

Combining aesthetics and practicality in health care architecture.

Architecture, like health care, is a service profession. It serves not only a functional purpose by providing designs for shelter, but also incorporates social purpose. It allows people to conduct business, congregate for amusement, express their faith, and educate themselves. It is also a collaborative art, creating an environment that influences its users by their interactions with it and how they use it.

Ambulatory Care Facilities↗
PubMed1980

The effects of environmental characteristics on the structure of hospital clusters.

The population ecology view that variation in sets or clusters of organizations should be isomorphic with variation in cluster environment was used here to explain structural variation among hospital clusters. The structural characteristics studied were range of services offered within the cluster, average size of hospitals in the cluster, and cluster differentiation. In the causal model that was developed and evaluated, variation in the patient environment and variation in the supplier environment were compared. Four lagged panels of data on a national sample of fifteen hospital clusters demonstrated the relative superiority of supplier variables over patient variables. Supplier group preferences were more powerful than patient needs in determining the range of services offered by the cluster. Furthermore, increasing the range of services in the cluster had a positive, significant effect on average hospital size, whereas size apparently exerted no effect on range of cluster facilities. Cluster differentiation seems to be causally affected by range of services, average hospital size, and by the periodic closing of hospitals over time.

Catchment Area, Health↗
PubMedDate not supplied

Nursing home culture: a critical component in sustained improvement.

In the third in a series of articles exploring working conditions and quality improvement in nursing homes, 31 nursing homes were surveyed using an adaptation of the Competing Values Framework (CVF) Organizational Assessment. The CVF provides information about the organizational culture through describing dominant perceived values, distribution of values across organizational characteristics, and orientation of values toward flexibility. Staff reported a dominant group culture, reflecting a family and team orientation within their settings. Leaders, however, were more often reported to reflect a hierarchy value orientation, emphasizing efficiency of operations and following rules and procedures.

Attitude of Health Personnel↗
PubMed2000

Content analysis of critical incidents to redesign a university walk-in clinic.

The UCLA walk-in clinic was scheduled to move into a new building in late 1997. This prompted the reevaluation of its existing service delivery system. A study was conducted among patients to understand their expectations and perceptions of the clinic's performance. The study was successful in identifying trends and problems and it was instrumental in developing proposals for a new patient flow system to be implemented in the new facility.

Ambulatory Care↗
PubMed1997

Temenos lost: reflections on moving.

This article examines some clinical dilemmas engendered by moving. At such times, certain patients (or the analysts themselves) may lose their sense of containment that the therapeutic space has provided. When such a disruption threatens the course of treatment, this changed condition may be archetypally termed 'temenos lost'. Consideration of this condition has led the author to reconceptualize healing as composed of two distinct components: the healing relationship and the healing space. Together, these components define the healing archetype. Using two historical examples, the King's Evil in Tudor England and healing pilgrimages in Israel, he shows how each component may indeed operate independently. More often, however, they function together. Using an extended published case (Volkan 1984), the author examines various aspects of how patients and analysts cope with 'temenos lost'. He emphasizes the importance of the emotional atmosphere in the physical setting, anticipatory anxiety of losing the temenos, and the basic anxiety that the move will damage the analysis. The importance of the rite of re-entry for the patient is emphasized as a symbolic way of resolving 'temenos loss' that permits a healing move into a 'temenos regained'.

Health Facility Environment↗
PubMed2000

The wandering psychiatric emergency room--design, location and transformations.

We describe the changes in location and philosophy of a psychiatric emergency room over a period of 20 years. Four phases are described in which location, size, modes of access as well as internal and external boundaries reflect philosophies of treatment and the evolving identity of a psychiatric emergency room. The four phases include an early embryonic stage, a second stage involving rapid development of services, a third stage involving regression and consolidation and a fourth stage representing a fully developed independent service. The authors stress both external and rational considerations, such as mental health policies and budget, as well as unconscious irrational processes, which reflect the dynamic forces within the organization.

Emergency Services, Psychiatric↗
PubMed1992

Facility planning. A blueprint for nurse executives.

Nurse executives have a critical role to ensure that facility planning will meet the needs of patients and make effective use of nursing personnel. The authors discuss the stages of the facility planning process. A detailed checklist assists nurse executives involved in facility remodeling, expansion, retrofitting, and new construction projects.

Communication↗
PubMed1987

Relocation: the impact on staff nurses.

To stay competitive in the marketplace, many hospitals are renovating their physical plants to a more hotel-like appearance. Others are downsizing their units, reflecting the decreased demand for acute care beds. As these changes are made, patients and nurses are temporarily relocated to other places in the institution. How does this relocation of nurses impact their professional functioning and self-esteem? Based on their study of four groups of nurses who were relocated, the authors discuss their recommendations for making relocation a positive experience.

Adult↗