Facility Design and Construction

Publication Title: 
Anesthesia and Analgesia

BACKGROUND: Reducing waiting anxiety is an important objective of patient-centered care. Anxiety is linked to negative health outcomes, including longer recovery periods, lowered pain thresholds, and for children in particular, resistance to treatment, nightmares, and separation anxiety. The goals of this study were (1) to systematically review published research aimed at reducing preprocedural waiting anxiety, and (2) to provide directions for future research and development of strategies to manage preprocedural waiting anxiety in health care environments.

Author(s): 
Biddiss, Elaine
Knibbe, Tara Joy
McPherson, Amy
Publication Title: 
Anesthesia and Analgesia

BACKGROUND: Reducing waiting anxiety is an important objective of patient-centered care. Anxiety is linked to negative health outcomes, including longer recovery periods, lowered pain thresholds, and for children in particular, resistance to treatment, nightmares, and separation anxiety. The goals of this study were (1) to systematically review published research aimed at reducing preprocedural waiting anxiety, and (2) to provide directions for future research and development of strategies to manage preprocedural waiting anxiety in health care environments.

Author(s): 
Biddiss, Elaine
Knibbe, Tara Joy
McPherson, Amy
Publication Title: 
Family & Community Health

This article documents the historical factors that led to shifts in mission work toward a greater emphasis on community health for the poor and most vulnerable of society in sub-Saharan Africa after 1945. Using the example of the Medical Mission Sisters from Philadelphia, Pennsylvania, and their work in Ghana, we challenge the conventional narrative of medical missions as agents of imperialism.

Author(s): 
Johnson, Lauren
Wall, Barbra Mann
Publication Title: 
Military Medicine

The Epidaurus Project, an advanced initiative in holistic (or whole-person) medicine, has operated in the Military Health System (MHS) since 2001. Its purpose has been to engage prominent civilian authorities on evidence-based building design, family-centered approaches, interdisciplinary care integration, and wellness, to optimize outcomes in the MHS. Over the past decade, many of the Epidaurus idea sets have been incorporated into MHS facility designs and therapeutic programs. The MHS owes a debt of gratitude to the numerous civilian thought leaders who participated in this project.

Author(s): 
Foote, Frederick
Publication Title: 
Anesthesia and Analgesia

BACKGROUND: Reducing waiting anxiety is an important objective of patient-centered care. Anxiety is linked to negative health outcomes, including longer recovery periods, lowered pain thresholds, and for children in particular, resistance to treatment, nightmares, and separation anxiety. The goals of this study were (1) to systematically review published research aimed at reducing preprocedural waiting anxiety, and (2) to provide directions for future research and development of strategies to manage preprocedural waiting anxiety in health care environments.

Author(s): 
Biddiss, Elaine
Knibbe, Tara Joy
McPherson, Amy
Publication Title: 
Critical Care Nursing Quarterly

The critical care environment can be designed to become more humanistic. Consideration of the environmental challenges of noise, lights, color, views, temperature, and comfort is essential. This article identifies the issues and concerns in the design of more humanistic healing in critical care units. Strategies to improve the environment include improving the physical and emotional tone of the unit through creative design, family and pet visitation, sleep promotion, and aromatherapy among others.

Author(s): 
Fontaine, D. K.
Briggs, L. P.
Pope-Smith, B.
Publication Title: 
Anesthesia and Analgesia

BACKGROUND: Reducing waiting anxiety is an important objective of patient-centered care. Anxiety is linked to negative health outcomes, including longer recovery periods, lowered pain thresholds, and for children in particular, resistance to treatment, nightmares, and separation anxiety. The goals of this study were (1) to systematically review published research aimed at reducing preprocedural waiting anxiety, and (2) to provide directions for future research and development of strategies to manage preprocedural waiting anxiety in health care environments.

Author(s): 
Biddiss, Elaine
Knibbe, Tara Joy
McPherson, Amy
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Chiropractors are constantly exposed to patients with back problems partially related to prolonged periods of sitting. It has been recognized that people who spend much of their work day in a sitting position are more prone to back problems than those who alter their position throughout the day. A properly constructed chair, anthropometrically designed, is of great benefit for those whose working posture is in a sitting position. Numbers of biomechanical engineers, orthopedists, physiologists, and physical anthropologists have studied this problem.

Author(s): 
Goetschel, G. E.
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