| id |
caadria2019_426 |
| authors |
Lee, Jisun and Lee, Hyunsoo |
| year |
2019 |
| title |
Agent-driven Accessibility and Visibility Analysis in Nursing Units |
| doi |
https://doi.org/10.52842/conf.caadria.2019.1.351
|
| source |
M. Haeusler, M. A. Schnabel, T. Fukuda (eds.), Intelligent & Informed - Proceedings of the 24th CAADRIA Conference - Volume 1, Victoria University of Wellington, Wellington, New Zealand, 15-18 April 2019, pp. 351-360 |
| summary |
This study investigates the nursing unit design for care quality and efficient operation, evaluating visibility and walking distance of nurses in the different form of layout. Sufficient visibility from nurses' station to patient rooms and corridors can increase nurses' care abilities to understand the needs and movements of patients. The workload and time caused by nurse's walking can be diverted to patient care. Isovist analysis and agent-based simulation are experimented to investigate the effects of spatial layout on visibility and nurses' accessibility to patients. In the isovist analysis, the nurses' station facing patient rooms were more effective in nurse-to-patient visibility. In the nurse's walking trail analysis, uneven walking distance of each nurse appeared due to the asymmetric patient room layout centering the nurses' station and heavy room allocation plan. Understanding the potential impacts of design parameters enables designers to predict possible behaviors in each design alternative and to make effective and efficient design decisions for the occupants. This study underlines the role of the physical environment in the delivery of patient care and nurse's well-being. It presents an evaluation framework integrating syntactic analysis and agent-based simulation to predict the effect of the spatial layouts on the hospital activities. |
| keywords |
Nursing unit design; Isovists; Agent-based modeling; Accessibility; Visibility |
| series |
CAADRIA |
| email |
|
| full text |
 file.pdf (2,794,871 bytes) |
| references |
Content-type: text/plain
|
Benedikt, M. L. (1979)
 To take hold of space: isovists and isovist fields
, Environment and Planning B: Planning and design, 6(1), pp. 47-65
|
|
|
|
|
Helbing, D. and Molnar, P. (1995)
Social force model for pedestrian dynamics
, Physical review E, 51(5), p. 4282
|
|
|
|
|
Hendrich, A., Chow, M. P., Skierczynski, B. A. and Lu, Z. (2008)
A 36-hospital time and motion study: How do medical-surgical nurses spend their time?
, The Permanente Journal, 12, p. 25-34
|
|
|
|
|
Hendrich, A., Fay, J. and Sorrells, A. (2002)
Courage to heal: Acuity-adaptable patient rooms and decentralized nursing stations-A winning combination
, Healthcare Design, 2(4), pp. 11-13
|
|
|
|
|
Institute of Medicine, . (2001)
Crossing the quality chasm: A new health care system for the 21st century
, National Academies Press, Washington, DC
|
|
|
|
|
Institute of Medicine, . (2011)
The future of nursing: Leading change, advancing health
, National Academies Press, Washington, DC
|
|
|
|
|
Kobus, R. L., Skaggs, R. L., Bobrow, M, Kliment, S. A., Thomas, J and Payette, T.M, (2008)
Building type basics for healthcare facilities
, John Wiley & Sons
|
|
|
|
|
Lu, Y. and Zimring, C. (2012)
Can intensive care staff see their patients? An improved visibility analysis methodology
, Environment and Behavior, 44(6), pp. 861-876
|
|
|
|
|
Lu, Y. (2010)
Measuring the structure of visual fields in nursing units
, HERD: Health Environments Research & Design Journal, 3(2), pp. 48-59
|
|
|
|
|
Pati, D., Harvey, T. and Cason, C. (2008)
Inpatient unit flexibility: Design characteristics of a successful flexible unit
, Environment and Behavior, 40(2), pp. 205-232
|
|
|
|
|
Pati, D., Harvey, T. and Thurston, T. (2012)
Estimating design impact on waste reduction: Examining decentralized nursing.
, Journal of Nursing Administration, 42, p. 513-518
|
|
|
|
|
Shepley, M. M. and Davies, K (2003)
Nursing unit configuration and its relationship to noise and nurse walking behavior: An AIDS/HIV unit case study
, AIA Academy Journal, 6, pp. 12-14
|
|
|
|
|
Sturdavant, M. (1960)
Intensive nursing service in circular and rectangular units
, Hospitals, JAHA, 34(14), pp. 46-48
|
|
|
|
|
Trites, D. K., Galbraith, F.D., Sturdavant, M. and Leckwart, J. (1970)
Influence of nursing unit design on the activities and subjective feelings of nursing personnel
, Environment and Behavior, 2(3), p. 303-334
|
|
|
|
|
Trites, D.K., Galbraith, F.D., Leckwart, J.F. and Sturdavant, M. (1969)
Radial nursing units prove best in controlled study
, Modern Hospital, 112(4), pp. 94-99
|
|
|
|
|
Ulrich, R., Zimring, C., Joseph, A. and Choudhary, R. (2004)
The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity
, Concord, CA: The Center for Health Design
|
|
|
|
| last changed |
2022/06/07 07:52 |
|
