Belinda Parke1, Marie Boltz2, Kathleen F Hunter1, Thane Chambers3, Karin Wolf-Ostermann4, Mohamad Nadim Adi5, Fabio Feldman6,7, Gloria Gutman8. 1. Faculty of Nursing, University of Alberta, Edmonton, Canada. 2. Boston College, William F. Connell School of Nursing, Chestnut Hill, Massachusetts. 3. JW Scott Health Sciences Library, University of Alberta, Edmonton, Canada. 4. University of Bremen, Germany. 5. Department of Civil and Environmental Engineering, University of Alberta, Edmonton, Canada. 6. Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Surrey, British Columbia, Canada. 7. Seniors Fall and Injury Prevention, Primary Care, Chronic Disease Management and Specialized Seniors, Fraser Health Authority, Surrey, British Columbia, Canada. 8. Gerontology Department and Gerontology Research Centre, Simon Fraser University, Vancouver, British Columbia, Canada.
Abstract
Purpose: We report the findings of a knowledge synthesis research project on the topic of dementia-friendly acute care (D-FAC) design. This exploratory project systematically mapped what is known about D-FAC physical design in hospitals. We discuss our challenges in locating reportable evidence and the implications of such design for maximizing independent function while ensuring safety and harm reduction in older people living with dementia. Design and Methods: Exploratory iterative design utilizing scoping literature review methodology. Results: A total of 28 primary studies plus expert reviewers' narratives on the impact of design and architectural features on independent function of hospitalized older people with dementia were included and evaluated. Items were mapped to key design elements to describe a D-FAC environment. This scoping review project confirms the limited nature of available acute care design evidence on maximizing function. Implications: Physical design influences the usability and activity undertaken in a health care space and ultimately affects patient outcomes. Achieving safe quality hospital care for older people living with dementia is particularly challenging. Evidence of design principle effectiveness is needed that can be applied to general medical and surgical units where the bulk of older persons with and without dementia are treated.
Purpose: We report the findings of a knowledge synthesis research project on the topic of dementia-friendly acute care (D-FAC) design. This exploratory project systematically mapped what is known about D-FAC physical design in hospitals. We discuss our challenges in locating reportable evidence and the implications of such design for maximizing independent function while ensuring safety and harm reduction in older people living with dementia. Design and Methods: Exploratory iterative design utilizing scoping literature review methodology. Results: A total of 28 primary studies plus expert reviewers' narratives on the impact of design and architectural features on independent function of hospitalized older people with dementia were included and evaluated. Items were mapped to key design elements to describe a D-FAC environment. This scoping review project confirms the limited nature of available acute care design evidence on maximizing function. Implications: Physical design influences the usability and activity undertaken in a health care space and ultimately affects patient outcomes. Achieving safe quality hospital care for older people living with dementia is particularly challenging. Evidence of design principle effectiveness is needed that can be applied to general medical and surgical units where the bulk of older persons with and without dementia are treated.
Authors: Claire Surr; Alys W Griffiths; Rachael Kelley; Laura Ashley; Fiona Cowdell; Ann Henry; Hayley Inman; Michelle Collinson; Ellen Mason; Amanda Farrin Journal: Support Care Cancer Date: 2020-09-21 Impact factor: 3.603