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Knowledge Repository

Comparison of the auditory and visual privacy of emergency department treatment areas with curtains versus those with solid walls

Author(s): Barlas, D., Sama, A.E., Ward, M.F., Lesser, M.L.
Privacy and confidentiality are crucial to patients and their relationship with their healthcare provider. Many emergency departments (EDs) use curtains to separate different areas of care and treatment to enable smooth movement of equipment and personnel and allow for patient observation.  
Key Point Summary
Added October 2012

Neonatal Response to Control of Noise Inside the Incubator

Author(s): Johnson, A. N.
Premature infants are at risk for long-term neurologic, cognitive, and behavioral problems. Therefore, supporting these medically fragile infants as they adapt to life outside the womb by decreasing possible environmental stressors, such as noise, is important. The American Academy of Pediatrics (AAP) Committee of Environmental Hazards recommends that neonatal intensive care unit (NICU) sound levels below 45 dB. Yet these babies are often in incubators, which are associated with higher sound levels from the equipment and surrounding environment. 
Key Point Summary
Added January 2014

Quality Improvement Practices: Enhancing Quality of Life During Mealtimes

Author(s): Evans, B. C., Crogan, N. L.
Studies identified that malnutrition affects up to 54% of the 1.5 million Americans over age 65 who reside in the nation’s 20,000 nursing homes and can lead to death or chronic disability. Physical causes of malnutrition include altered sensation, medication effects, and impaired feeding ability. Psychological causes include cognitive impairment, depression, and social isolation. Mealtime is also a very important time of day for residents of nursing homes since it is a time for socialization, remembering family and past events, and enjoying the sensory experience of eating. The mealtime experience can enhance the quality of life for residents in nursing homes. 
Key Point Summary
Added April 2014

A randomized controlled trial to prevent patient lift and transfer injuries of health care workers

Author(s): Yassi, A., Cooper, J. E., Tate, R. B., Gerlach, S., Muir, M., Trottier, J., Massey, K., Abushousheh, A.
Back injury to nursing staff during patient-handling tasks is a major issue in healthcare. The value of mechanical assistive devices in reducing injuries to these workers is unclear.  
Key Point Summary
Added July 2014

Using external memory aids to increase room finding by older adults with dementia

Author(s): Nolan, B. A., Mathews, R. M., Harrison, M.
Memory deficits are commonly experienced by seniors with Alzheimer's disease and dementia. Disorientation is a memory-related skill deficit that leads to reduced mobility and inhibits independence. Further, it is upsetting for residents when they can't find their rooms and often repeatedly ask staff to help them. Some research suggests that display cases with the residents’ personal memorabilia can help those with moderately severe dementia locate their rooms.
Key Point Summary
Added May 2014

Single Room Maternity Care: The Nursing Response.

Author(s): Janssen, P. A., Harris, S. J., Soolsma, J., Klein, M., Seymour, L. C.
Single room maternity care focused on family-centered experience, has gained popularity in recent times. However, this model necessitates new demands on nursing which requires competence across the spectrum of labor, delivery, postpartum and newborn care. In another study authors of this paper have established client satisfaction with the new model of maternity care. 
Key Point Summary
Added November 2012

Noise and related events in neonatal intensive care unit

Author(s): Chang, Y. J., Lin, C. H., Lin, L. H.
Noise contributes to environmental stress to premature infants, who often spend long periods of time in neonatal intensive care units (NICU). Some research indicates that noise contributes to higher incidences of hearing loss, as well as cardiovascular, respirator, endocrine, and behavioral deficits. Some of the noise might be reduced by studying different aspects of NICU settings (i.e., wards, personnel, equipment, and procedures).
Key Point Summary
Added April 2014

Reducing incidence of low-back injuries reduces cost

Author(s): Brophy, M.O., Achimore, L.
To reduce musculoskeletal injuries in employees and to lower the financial costs associated with them, a 525-bed county nursing home in upstate New York initiated a five-step ergonomics program and purchased mechanical lifting devices. The five steps in the program were (1) creation of a resident transfer evaluation team, (2) establishment of an accident review committee, (3) mandatory ergonomics...
Key Point Summary
Added October 2012

Effect of flooring on standing comfort and fatigue

Author(s): Cham, R., Redfern, M. S.
Standing for extended periods of time, especially within restricted areas, has been shown to exacerbate a variety of health problems often related to lower-body tiredness, swelling, and pain. Previous studies investigating how different flooring materials and their varying properties (stiffness, elasticity, and energy absorption) contribute to these health problems have shown conflicting results.
Key Point Summary
Added October 2017