health facility environment


Summary: Physical surroundings or conditions of a hospital or other health facility and influence of these factors on patients and staff.

Top Publications

  1. Domanico R, Davis D, Coleman F, Davis B. Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units. J Perinatol. 2011;31:281-8 pubmed publisher
    ..This study showed the SFR to be more conducive to family-centered care, and to enhance infant medical progress and breastfeeding success over that of an open ward. ..
  2. Flacking R, Lehtonen L, Thomson G, Axelin A, Ahlqvist S, Moran V, et al. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012;101:1032-7 pubmed publisher
    ..Further research is required to explore factors that facilitate both physical and emotional closeness to ensure that parent-infant closeness is a priority within neonatal care. ..
  3. Norton Westwood D. The health-care environment through the eyes of a child--does it soothe or provoke anxiety?. Int J Nurs Pract. 2012;18:7-11 pubmed publisher
    ..Careful evaluation of space incorporating end-user input can result in age appropriate environments that support safe, quality care and enhance a positive health-care experience for all. ..
  4. Anderson R, Corazzini K, McDaniel R. Complexity science and the dynamics of climate and communication: reducing nursing home turnover. Gerontologist. 2004;44:378-88 pubmed
    ..Although context is important, managers can also influence turnover by addressing climate and communication patterns and by encouraging stable nursing leadership. ..
  5. White R. Mothers' arms--the past and future locus of neonatal care?. Clin Perinatol. 2004;31:383-7, ix pubmed
    ..Designing our units to facilitate this interaction will not assure that it will always occur, but it will guarantee that we have not created permanent structural features that interfere with this crucial relationship. ..
  6. Douglas C, Douglas M. Patient-centred improvements in health-care built environments: perspectives and design indicators. Health Expect. 2005;8:264-76 pubmed
    ..These were homely environments that supported normal lifestyle and family functioning and designs that were supportive of accessibility and travel movements through transitional spaces. ..
  7. Coyne I. Children's experiences of hospitalization. J Child Health Care. 2006;10:326-36 pubmed
    ..Interventions designed to reduce children's stress during hospitalization are not only likely to decrease their stress at the time, but also likely to influence how future experiences are appraised and managed. ..
  8. Coad J, Coad N. Children and young people's preference of thematic design and colour for their hospital environment. J Child Health Care. 2008;12:33-48 pubmed publisher
    ..Notable issues emerged about preferred thematic designs of walls, doors and floors, while new findings were revealed regarding colour preferences for wards, entrances and outpatient areas. ..
  9. Freeman T. Measuring progress in clinical governance: assessing the reliability and validity of the Clinical Governance Climate Questionnaire. Health Serv Manage Res. 2003;16:234-50 pubmed
    ..They might also be of interest to those concerned about the negative unintended consequences of performance management. ..

More Information


  1. Edvardsson D. Therapeutic environments for older adults: constituents and meanings. J Gerontol Nurs. 2008;34:32-40 pubmed
  2. White R. Recommended standards for the newborn ICU. J Perinatol. 2007;27 Suppl 2:S4-S19 pubmed
  3. McLachlan H, Forster D, Yelland J, Rayner J, Lumley J. Is the organisation and structure of hospital postnatal care a barrier to quality care? Findings from a state-wide review in Victoria, Australia. Midwifery. 2008;24:358-70 pubmed
  4. Hendriks A, Smets E, Vrielink M, van Es S, de Haes J. Is personality a determinant of patient satisfaction with hospital care?. Int J Qual Health Care. 2006;18:152-8 pubmed
    ..Patient satisfaction seems only marginally associated with personality, at least at the level of the broad Big Five dimensions. ..
  5. Floyd A. Challenging designs of neonatal intensive care units. Crit Care Nurse. 2005;25:59-66 pubmed
  6. Johnson B, Abraham M, Parrish R. Designing the neonatal intensive care unit for optimal family involvement. Clin Perinatol. 2004;31:353-82, ix pubmed
    ..Such an environment will lead to improved health and developmental outcomes for infants and greater family and staff satisfaction. ..
  7. Karantzas G, Mellor D, McCabe M, Davison T, Beaton P, Mrkic D. Intentions to quit work among care staff working in the aged care sector. Gerontologist. 2012;52:506-16 pubmed publisher
    ..The findings suggest that aged care service providers can modify aged care workers' intentions to quit by reducing job stressors and increasing supervisor support. ..
  8. Garre Olmo J, López Pousa S, Turon Estrada A, Juvinya D, Ballester D, Vilalta Franch J. Environmental determinants of quality of life in nursing home residents with severe dementia. J Am Geriatr Soc. 2012;60:1230-6 pubmed publisher
    ..135). The QOL of nursing home residents with severe dementia was related to environmental factors such as temperature, noise, and lighting. The monitoring of these environmental factors may improve these individuals' QOL. ..
  9. Shen H, Chiu H, Lee P, Hu Y, Chang W. Hospital environment, nurse-physician relationships and quality of care: questionnaire survey. J Adv Nurs. 2011;67:349-58 pubmed publisher
    ..These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients' and nurses' expectations. ..
  10. Moore G, Smyth D, Singleton J, Wilson P. The use of adenosine triphosphate bioluminescence to assess the efficacy of a modified cleaning program implemented within an intensive care setting. Am J Infect Control. 2010;38:617-22 pubmed publisher
  11. Yildirim D. Bullying among nurses and its effects. Int Nurs Rev. 2009;56:504-11 pubmed publisher
    ..Workplace bullying is a measurable problem that negatively affects the psychology and performance of the nurses in this study. ..
  12. McConnell C. Energy management: another growing concern for the department manager. Health Care Manag (Frederick). 2009;28:172-82 pubmed publisher
    ..Much of energy management at the department level is a matter of awareness and attitude, and an energy-conscious manager can influence the staff toward energy consciousness. ..
  13. Simmons D, Graves K, Flynn E. Threading needles in the dark: the effect of the physical work environment on nursing practice. Crit Care Nurs Q. 2009;32:71-4; quiz 75-6 pubmed publisher
    ..This article reviews the draft guidelines recently released by the United States Pharmacopeia for public comment for the physical environment to promote safe medication administration. ..
  14. Halcomb E, Davidson P, Caldwell B, Salamonson Y, Rolley J. Validation of the Professional Practice Environment Scale in Australian general practice. J Nurs Scholarsh. 2010;42:207-13 pubmed publisher
    ..A tool to measure the professional practice environment in general practice is important as it will assist in monitoring the impact of the work environment on the recruitment, retention, and satisfaction of nurses in this setting. ..
  15. Waller S. A better dementia care environment. Health Estate. 2012;66:63-6 pubmed
  16. Mays M, Hrabe D, Stevens C. Reliability and validity of an instrument assessing nurses' attitudes about healthy work environments in hospitals. J Nurs Manag. 2011;19:18-26 pubmed publisher
    ..87, SD=0.81, P=0.01). The instrument is a feasible, reliable and valid method for assessing the work environment. The instrument can be used to assess the relationship of the work environment to nurse retention in hospitals. ..
  17. Bacon C, Hughes L, Mark B. Organizational influences on patient perceptions of symptom management. Res Nurs Health. 2009;32:321-34 pubmed publisher
  18. Linette D, Francis S. Climate control: creating a multifaceted approach to decreasing aggressive and assaultive behaviors in an inpatient setting. J Psychosoc Nurs Ment Health Serv. 2011;49:30-5; quiz 44-5 pubmed publisher
    ..How to address the aggressive and assaultive behaviors is the challenge. This article discusses how using a multidisciplinary team with a variety of approaches can help create a culture that supports safety. ..
  19. Lewinson T, Robinson Dooley V, Grant K. Exploring "home" through residents' lenses: assisted living facility residents identify homelike characteristics using photovoice. J Gerontol Soc Work. 2012;55:745-56 pubmed publisher
    ..Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities. ..
  20. Holmberg M, Flum M, West C, Zhang Y, Qamili S, Punnett L. Nursing assistants' dilemma: caregiver versus caretaker. Hosp Top. 2013;91:1-8 pubmed publisher
    ..This contrasted with the respect that CNAs voiced for residents. The findings highlight the need for improved relationships between CNAs and management and suggest some desirable features of work organization in nursing homes. ..
  21. Zhao P, Chen F, Jia X, Lv H, Cheng P, Zhang L. The validation and application of the Chinese version of perceived nursing work environment scale. J Clin Nurs. 2013;22:1827-32 pubmed publisher
    ..The C-PNWE scale can be a useful measurement tool for administrators to improve the nursing work environment in China. ..
  22. Kutney Lee A, McHugh M, Sloane D, Cimiotti J, Flynn L, Neff D, et al. Nursing: a key to patient satisfaction. Health Aff (Millwood). 2009;28:w669-77 pubmed publisher
    ..Improving nurses' work environments, including nurse staffing, may improve the patient experience and quality of care. ..
  23. Polychronopoulou A, Divaris K. Dental students' perceived sources of stress: a multi-country study. J Dent Educ. 2009;73:631-9 pubmed
    ..Students' perceived stressors differed greatly among the six institutions and were associated with both individual (gender, study level) and educational/institutional (curriculum type, class size, educational costs) parameters. ..
  24. Roche M, Duffield C. A comparison of the nursing practice environment in mental health and medical-surgical settings. J Nurs Scholarsh. 2010;42:195-206 pubmed publisher
    ..It is important to understand the existence and potential impact of these factors in mental health inpatient settings. ..
  25. Brummel N, Girard T. Preventing delirium in the intensive care unit. Crit Care Clin. 2013;29:51-65 pubmed publisher
    ..The ABCDE approach to critical care is a bundled approach that clinicians can implement for many patients treated in their ICUs to prevent the adverse outcomes associated with delirium and critical illness. ..
  26. Dennis C, Lee R, Woodard E, Szalaj J, Walker C. Benefits of quiet time for neuro-intensive care patients. J Neurosci Nurs. 2010;42:217-24 pubmed
    ..In addition, patients were significantly more likely to be observed sleeping during day shift quiet time hours. ..
  27. Lawrence D, Lawn S, Kisely S, Bates A, Mitrou F, Zubrick S. The potential impact of smoke-free facilities on smoking cessation in people with mental illness. Aust N Z J Psychiatry. 2011;45:1053-60 pubmed publisher
    ..Other strategies will be required to support smoking cessation efforts for the majority of smokers with mental illness not in contact with mental health services. ..
  28. Algase D, Beattie E, Antonakos C, Beel Bates C, Yao L. Wandering and the physical environment. Am J Alzheimers Dis Other Demen. 2010;25:340-6 pubmed publisher
    ..38, P < .0001) and by wandering type. Location, light, sound, proximity of others, and ambiance are associated with wandering and may serve to inform environmental designs and care practices. ..
  29. Zadoroznyj M, Brodribb W, Falconer L, Pearce L, Northam C, Kruske S. A qualitative study of pharmacy nurse providers of community based post-birth care in Queensland, Australia. BMC Pregnancy Childbirth. 2013;13:144 pubmed publisher
    ..We discuss the implications and possible mechanisms to enhance best-practice care. ..
  30. Dunn K, Board R. Parents and technology in the inpatient pediatric setting: a beginning model for study. Pediatr Nurs. 2011;37:75-80 pubmed
    ..A theoretical model of the influence of technology on the nurse-parent-child relationship is proposed, and suggestions for future research are made. ..
  31. Gordon J, Gruber M. An innovative off-campus infusion suite designed to improve experiences of patients with cancer. Clin J Oncol Nurs. 2012;16:354-9 pubmed publisher
    ..The data presented will illustrate how these processes have improved patients' experiences by reducing wait times for treatment, providing treatment closer to home, and implementing a truly patient-centered nursing care model. ..
  32. Censullo J. The nursing shortage: breach of ideology as an unexplored cause. ANS Adv Nurs Sci. 2008;31:E11-8 pubmed publisher
    ..Understanding breach of the psychological contract is essential to resolution of the ongoing nursing shortage. ..
  33. Ditomassi M. A multi-instrument evaluation of the professional practice environment. J Nurs Adm. 2012;42:266-72 pubmed publisher
    ..As care redesign efforts ensue, the need to preserve and strengthen the professional practice environment remains a priority for nurse executives. ..
  34. Lacey S, Teasley S, Cox K, Olney A, Kramer M, Schmalenberg C. Development and testing of an organizational job satisfaction tool: increasing precision for strategic improvements. J Nurs Adm. 2011;41:15-22 pubmed publisher
    ..A synthesis from 3 sources, including identification of important satisfiers, provides validity for the OJS scale. The scale is a reliable and valid tool used to assess and evaluate strategies to improve the nurses' work environment. ..
  35. Peker I, Alkurt M, Usta M, Turkbay T. The evaluation of perceived sources of stress and stress levels among Turkish dental students. Int Dent J. 2009;59:103-11 pubmed
    ..This study showed that perceived sources of stress of clinical students were very similar and stress levels of these students were lower than preclinical students, also gender was effective on stressors and stress levels. ..
  36. Shelton D. Forensic nursing in secure environments. J Forensic Nurs. 2009;5:131-42 pubmed publisher
    ..It is through such developments that forensic nursing provided in secure environments will define its specialization and attract the attention it deserves. ..
  37. Ambrosio L, Pumar Méndez M. [The role of occupational context factors in medication administration errors]. An Sist Sanit Navar. 2013;36:77-85 pubmed
    ..To advance in identifying and managing factors that are precursors of medication administration errors, we recommend the carrying out of studies or reviews of prospective cohorts. ..
  38. Schlesinger J, Stevenson R, Shotwell M, Wallace M. Improving pulse oximetry pitch perception with multisensory perceptual training. Anesth Analg. 2014;118:1249-53 pubmed publisher
    ..This study illustrates the benefits of multisensory training and sets the stage for further work to better define the role of perceptual training in clinical anesthesiology. ..
  39. Rathert C, Williams E, Lawrence E, Halbesleben J. Emotional exhaustion and workarounds in acute care: cross sectional tests of a theoretical framework. Int J Nurs Stud. 2012;49:969-77 pubmed publisher
    ..More attention should be paid to the mechanisms that influence workarounds. ..
  40. Hafeez A, Khan Z, Bile K, Jooma R, Sheikh M. Pakistan human resources for health assessment, 2009. East Mediterr Health J. 2010;16 Suppl:S145-51 pubmed
    ..The public sector is inadequately staffed and job satisfaction and work environment need improvement. HRH crisis countries should share experiences, and developmental partners should support them in overcoming the HRH crisis. ..
  41. Van Bogaert P, Meulemans H, Clarke S, Vermeyen K, Van de Heyning P. Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model. J Adv Nurs. 2009;65:2175-85 pubmed
    ..Additionally, a direct relationship between assessments of care quality and management at the unit level was observed. ..
  42. Broekhuis M, de Blok C, Meijboom B. Improving client-centred care and services: the role of front/back-office configurations. J Adv Nurs. 2009;65:971-80 pubmed publisher
    ..In addition to its applicability in home care, we believe that a deliberate front/back-office configuration also has potential in other fields of health care. ..
  43. McKenzie J, Blandford A, Menec V, Boltz M, Capezuti E. Hospital nurses' perceptions of the geriatric care environment in one Canadian health care region. J Nurs Scholarsh. 2011;43:181-7 pubmed publisher
    ..Assessing their perceptions of the care environment they work in, therefore, becomes a key issue in targeting policy and programs. ..
  44. Mahmood A, Chaudhury H, Gaumont A. Environmental issues related to medication errors in long-term care: lessons from the literature. HERD. 2009;2:42-59 pubmed
    ..Both physical and organizational environments need to be addressed for an effective intervention to reduce medication and nursing errors. ..
  45. Thomas K, Magbalot A, Shinabarger K, Mokhnach L, Anderson M, Diercks K, et al. Seasonal mapping of NICU temperature. Adv Neonatal Care. 2010;10:S2-6 pubmed publisher
    ..Recommendations include periodic assessment of nurseries along with air, evaporative, and radiant temperatures as well as humidity to fully appreciate the impact of the thermal environment on infants. ..
  46. Berridge E, Mackintosh N, Freeth D. Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. Midwifery. 2010;26:512-9 pubmed publisher
  47. MacAlister D. A physical security evaluation tool for elopement prevention in a behavioural/mental health setting. J Healthc Prot Manage. 2013;29:54-64 pubmed
    ..It can be used, he says, across a broad spectrum of care environments, and be adapted by users to meet their specific needs. ..
  48. van der Wal R, Globerman J. Interventions that improved a practice environment: "making a difference". Healthc Manage Forum. 2008;21:29-34 pubmed
    ..Examples of interventions included staff retreats, communication workshops, task groups and leadership training. Challenges and key learnings are reported. ..
  49. Stremler R, Dhukai Z, Wong L, Parshuram C. Factors influencing sleep for parents of critically ill hospitalised children: a qualitative analysis. Intensive Crit Care Nurs. 2011;27:37-45 pubmed publisher
  50. Jones J. Developing critical thinking in the perioperative environment. AORN J. 2010;91:248-56 pubmed publisher
    ..This article provides an overview of critical thinking in the context of nursing, as well as strategies and interventions designed to teach critical thinking skills. ..
  51. Schrader V. Nurse educators' personal perspectives of long-term care settings. J Gerontol Nurs. 2009;35:34-41 pubmed publisher
    ..This study makes a recommendation for gerontology specialists to be directly involved in nurse education. Future research is needed with culturally diverse nurse educators in other national and international nursing programs. ..
  52. Wentzel Persenius M, Wilde Larsson B, Hall Lord M. To have and to hold nutritional control: balancing between individual and routine care. A grounded theory study. Intensive Crit Care Nurs. 2009;25:155-62 pubmed publisher
    ..Organisation and teamwork are both challenging and supporting the provision, maintenance and development of nutritional care. ..
  53. Giraldi G, Fovi De Ruggiero G, Cattaruzza M, Camilli F, Dionette P, Osborn J, et al. Perception of smoke-free policies among workers in an Italian Local Health Agency: survey of opinions, knowledge and behaviours. Ann Ig. 2013;25:397-409 pubmed publisher