Austin Health

Title
EXPRESS: Why hospital design matters: A narrative review of built environments research relevant to stroke care.
Publication Date
2021-08-24
Author(s)
Bernhardt, Julie
Lipson-Smith, Ruby
Davis, Aaron
White, Marcus
Zeeman, Heidi
Pitt, Natalie
Shannon, Michelle
Crotty, Maria
Churilov, Leonid
Elf, Marie
Subject
Architecture
Evidence-based design
Healthcare services
Hospital design and construction
Stroke
Stroke rehabilitation
Type of document
Journal Article
OrcId
0000-0002-1702-8144
DOI
10.1177/17474930211042485
Abstract
Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. How building design can best support healthcare services, staff, and patients is important to consider. In this narrative review we outline why the healthcare environment matters and describe areas of research focus and current built environment evidence that supports health care in general and stroke care in particular. Ward configuration, corridor design, and staff station placements can all impact care provision, staff and patient behaviour. Contrary to many new ward design approaches, single bed rooms are neither uniformly favoured, nor strongly evidence-based, for people with stroke. Green spaces are important both for staff (helping to reduce stress and errors), patients and relatives, although access to, and awareness of, these and other communal spaces is often poor. Built environment research specific to stroke is limited but increasing and we highlight emerging collaborative multi-stakeholder partnerships (Living Labs) contributing to this evidence base. We believe that involving engaged and informed clinicians in design and research will help shape better hospitals of the future.
Link
Citation
International Journal of Stroke 2021; online first: 24 August
Jornal Title
International Journal of Stroke

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