In the context of hospital architecture, the incorporation of biophilic elements, such as natural light, greenery, and organic materials, is crucial for enhancing patient outcomes and well-being. These elements not only evoke a sense of connection with nature but also contribute to stress reduction, improved cognitive function, and accelerated recovery rates. Through the lens of Vastu Shastra, which emphasizes harmony between the individual and their surroundings, we explore how the alignment of architectural elements with natural forces can create environments that resonate with the inherent flow of life energy, or prana, within the human body. Furthermore, this abstract delves into the nature of space within hospital environments, recognizing it as a dynamic continuum that encompasses mystery, refuge, and prospect. By creating spaces that evoke a sense of mystery through subtle interplays of light and shadow, hospitals can offer moments of contemplation and introspection for patients and staff alike. Similarly, the provision of refuge zones, characterized by tranquil green spaces and secluded alcoves, serves as havens for relaxation and rejuvenation amidst the bustling clinical environment. Additionally, spaces designed to offer prospect, such as panoramic views of natural landscapes or expansive skyward vistas, instill a sense of hope and optimism, inspiring patients to envision a brighter future beyond their current circumstances. Central to this exploration is the role of materiality in shaping the permeability of hospital spaces. By carefully selecting and deploying materials that evoke tactile sensations and visual richness, it can enhance the sensory experience of occupants while fostering a sense of connection with the natural world. Whether by using sustainably sourced wood for interior finishes, biophilic patterns in architectural ornamentation, or the incorporation of water features to evoke a sense of fluidity and renewal, materiality becomes a powerful medium through which the essence of nature can permeate the built environment, promoting healing and well-being. / Master of Architecture / This summary discusses how incorporating natural elements such as sunlight, plants, and natural materials into hospital design can significantly improve patient health and recovery. Research shows that exposure to natural light can boost mood, reduce stress, and regulate sleep patterns, which are crucial for healing. Greenery, such as indoor plants or garden views, can create a calming environment and have been linked to faster recovery times and reduced need for pain medication. The summary also explores an ancient design philosophy called Vastu Shastra, which focuses on creating harmony between individuals and their surroundings. According to Vastu Shastra, aligning architectural elements with natural forces can enhance the flow of life energy, or prana, within the body, contributing to overall well-being. This philosophy suggests that well-designed hospital spaces can support both physical and mental health by promoting balance and tranquility. The design principles highlighted include creating areas for reflection and relaxation, such as quiet nooks or peaceful gardens, where patients and staff can take breaks and rejuvenate. Additionally, providing inspiring views of nature, whether through windows or rooftop gardens, can instill a sense of hope and positivity, encouraging patients to envision a brighter future. Using materials that feel and look natural, like sustainably sourced wood for furniture and finishes, or incorporating water features like fountains or ponds, can further enhance the healing atmosphere. These natural materials can evoke tactile sensations and visual richness, making the hospital environment feel more welcoming and less clinical. Overall, integrating these biophilic and Vastu Shastra-inspired elements into hospital design can create a supportive and nurturing environment that promotes healing and well-being for patients and staff alike.

Class of 2006 Abstract / Objectives: To evaluate the use of the numerical pain scale at the Sierra Vista Regional Health Center Emergency Department in adult patients presenting with a chief complaint of pain. Methods: A retrospective chart review was performed on 299 charts of patients presenting to the emergency department with a chief complaint of pain. Results: Pain was assessed in 86.2% of 299 patients at triage, 26.4% post-intervention, and 58.2% at discharge. The average pain value reported by patients at triage was 6.3. Subsequent average pain value post-intervention was 4.1 and 2.9 at discharge. The average pain value at triage compared to the average pain value at discharge was statistically different (p<0.05). Conclusions: Pain assessment using the NRS is not being performed adequately in all patients presenting to the emergency department at SVRHC with a chief complaint of pain.

Emergency department (ED) nurses exposed to pediatric resuscitations are at a high risk of developing posttraumatic stress (Adriaenssens et al., 2012; Lavoie et al., 2016). This may be especially true in community hospital EDs where nurses have less exposure to, knowledge about, and resources for managing these events (Gangadharan et al., 2018; Gilleland et al., 2014; Goldman et al., 2018). Interventions to proactively prevent nurse trauma in these contexts remain uninvestigated. To inform such interventions, this study aimed to understand the largely unknown lived experiences of these nurses. In-depth, semi-structured interviews were conducted with four registered nurses who experienced at least one pediatric resuscitation while working in a community hospital ED in Ontario. Data analyzed using Smith et al.’s (2009) interpretive phenomenological analysis revealed three superordinate themes (i.e., “Conceptualizing Pediatric Resuscitations,” “Seeing What I See,” and “Making Sense of What I Saw”) and nine corresponding subthemes. This study provides insight into the infrequent but profound experiences of nurses resuscitating children in community hospital EDs. Participants, who conceptualized these events as unnatural, emotional, and chaotic, were comforted by those who understood their experiences and distressed by those who could not see what they saw. To reconcile what they saw, the nurses reflected and ruminated on the event, ultimately restructuring their experiences of themselves, others, and the world to make room for a new reality where the safety of childhood is not certain. The findings of this study have implications for nursing practice, education, leadership, and research that may enhance nurse coping following these events.

Thesis (M.H.A.)--University of Michigan, 1972.

Thesis (M.H.A.)--University of Michigan, 1972.

No / OBJECTIVES: To compare the effects of community hospital care on independence for older people needing rehabilitation with that of general hospital care. DESIGN: Randomized, controlled trial. SETTING: Seven community hospitals and five general hospitals in the midlands and north of England. PARTICIPANTS: Four hundred ninety patients needing rehabilitation after hospital admission with an acute illness. INTERVENTION: Multidisciplinary team care for older people in community hospitals. MEASUREMENTS: The primary outcome was the Nottingham extended activities of daily living scale (NEADL); secondary outcomes were the Barthel Index, Nottingham Health Profile, Hospital Anxiety and Depression Scale, mortality, discharge destination, 6-month residence status, and satisfaction with services. RESULTS: Loss of independence at 6 months was significantly less likely in the community hospital group (mean adjusted NEADL change score group difference 3.27; 95% confidence interval 0.26–6.28; P=.03). The results for the secondary outcome measures were similar for the two groups. CONCLUSION: Postacute community hospital rehabilitation care for older people is associated with greater independence.

No / Aims and objectives; We report findings from a qualitative study to identify patient views of community hospital care. We consider how far these were in accord with the hospital staffs' views. This constituted part of a wider randomized controlled trial (RCT). The methodological challenges in seeking to identify patient satisfaction and in linking qualitative findings with trial results are explored. Design A sample of 13 patients randomized to the community hospital arm of the RCT joined the qualitative study. Official documentation from the hospital were accessed and six staff interviewed to identify assumptions underlying practice. Results Analysis of interviews identified a complex picture concerning expectations These could be classified as ideal, realistic, normative and unformed. The hospital philosophy and staff views about service delivery were closely in harmony, they delivered rehabilitation in a home-based atmosphere. The formal, or 'hard', process of rehabilitation was not well understood by patients. They were primarily concerned with 'soft' or process issues ¿ where and how care was delivered. Conclusions We identify a model of community hospital care that incorporates technical aspects of rehabilitation within a human approach that is welcomed by patients. If patients are to be able to participate in making informed decisions about care, the rationale for the activities of staff need to be more clearly explained. Recommendations are made about the appropriate scope of qualitative findings in the context of trials and about techniques to access patient views in areas where they have difficulty in expressing critical impressions.

No / Purpose. This article contrasts community hospital and general hospital philosophies of care and examines how they relate to patients' and caregivers' experiences. Methods. Semi-structured interviews with 42 staff were used to produce care setting vignettes in six community hospitals and four general hospitals in the midlands and north of England. The vignettes were used with 26 patients and 10 caregivers in semi-structured interviews. Results. Community hospital and general hospital staff identified shared understandings of requirements for post-acute rehabilitation care for older people. Distinctive features were: general hospital – medical efficiency, helping patients get better, high standard of care, need for stimulation; community hospital – homelike setting, quiet, calm ambience, good views, orientated to elderly people, encouragement of social interaction, involvement of relatives in care. In the main there was symmetry between staff aspirations and patients' experience. However some concepts used and assumptions made by staff were not recognised by patients. These were characteristically reframed in patients' answers as if they were discussing subjective dimensions of care. Conclusions. There was patient and caregiver preference for the homelike environment of community hospitals. In care of older people, where the focus is rehabilitation, patient preferences are particularly pertinent and should be considered alongside clinical outcomes and cost-effectiveness.

Thesis equivalent submitted in partial fulfillment of the requirements for the degree of Master of Hospital Administration, University of Michigan, 1972. / "Field work in Hospital Administration III."

Thesis equivalent submitted in partial fulfillment of the requirements for the degree of Master of Hospital Administration, University of Michigan, 1972. / "Field work in Hospital Administration III."