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The Story + Research = Evidence in Pediatric Surgical Environments

By Alyssa Scholz for Talk Women's & Children's Health

Have you ever experienced what a child goes through on their way to surgery?

Are you a parent who has gone through the surgical experience with your child?

Are you a staff member of a hospital who works with children who are on their way to surgery?

 Are there ways the built environment can reduce anxiety in patients, family members and staff?

What effects can Child Life have on easing a child’s fear and anxiety and encouraging understanding?

What are the impacts Evidence Based Design has on the design profession?

 Wow you might say…a lot of questions for one posting…but a topic that deserves our attention should ask many questions…

 Please join us Tuesday, November 3rd at 2:00pm in Orlando Florida at Healthcare Design Conference 2009 and see what we are working on in the area of research to discover how to better serve the needs of all that are experiencing the pediatric surgical environment in a hospital.

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09

How do we support better care collaboration?

By Carrie Sheridan for Talk Wellness

Decentralized Nursing ModelHybrid Nursing ModelHow does a building layout better support caregiver collaboration?  Not so long ago, there was a trend to decentralize  nursing units to place the caregiver closer to the patient. I can recall even a few years ago it was thought that the nurse station would become a relic of the past.  While not too many did away with the nurse station, they did take aim at providing a decentralized layout where several smaller nurse stations were in place.  While decentralization of the nurse work areas  had many benefits (such as spending more time with the patient for one) there has also been some debate on the impact it has had on care collaboration.  Those lesser experienced were missing out on the invaluable knowledge of casual interaction in the workplace. What to do? The latest thinking now suggests that having both nursing alcoves and a larger centralized hub will result in the best of both worlds.  Given the level of mutlidiscliplinary care that goes on within most nursing units, it has become neccessary to provide a larger shared work environment (ideally adjacent to the nurse station but behind closed doors or glass.) Allowing these private areas for staff also decreases noise the patient may overhearand protects patient privacy.  TAYLOR has most recently partnered with St. Joseph Health System and St. Jude Medical Center to provide such a care environment. This project will be featured as part of the Healthcare Design 09 in Orlando, Florida in November.  Please plan to attend the session titled  “Improving Care Delivery through Care Collaboration and Healing Environments.”  We look forward to seeing you there!

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Healthcare Reform- How will it impact Women’s Facilities?

By Carrie Sheridan for Talk Women's & Children's Health

As Washington continues to debate on just how a plan for healthcare reform would work, there are specific areas related to women’s health that are being analyzed.  As part of a recent report published by the Department of Health and Human Services (HHS), their findings indicate that  twenty-one million women and girls went without health insurance in 2007.  HHS goes on to say women are less likely to have health insurance as they may not be employed full-time, work only part-time (making them ineligible for benefits in some cases) or simply be unable to afford the high premiums associated with individual coverage.  In a recent national survey, more than half of women reported delaying or avoiding needed care because of cost. If  reform legislation is passed by the end of this year, healthcare organizations may be dealing with significant increases in their volumes down the road due to the dramatic increase  of women and girls that may then be covered.  If dealing with a remodel or planning effort for your women’s service lines, think of ways to allow for significant volume increases in the near future. Some of this might include designing soft space areas such as storage rooms or offices with future utilities that  allows for conversion to treatment space  later or converting to digital technologies sooner to allow for increased volumes with less equipment.  It is still too early to tell where things are headed with the reform agenda, but these issues are important to consider in order to be better prepared for what may come.