Matching Items (21)
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- All Subjects: 19765
- All Subjects: Food Systems
- Creators: School of Sustainability
- Creators: Lamb, Gerri
Description
The goal of this research was to contribute to the understanding of how the physical design of Intensive Care Unit (ICU) environments may be improved to enhance nursing communication, and in turn, the quality and safety of patient outcomes. This study was guided by two research questions: (1) What are the major characteristics of nurse communication in a hybrid ICU nurse station design? (2) What are the factors in the built environment that enhance or hinder nurse communication in a hybrid ICU nurse station design? The research design was exploratory and qualitative. Observations were conducted in two ICUs with hybrid nurse station layouts. Participant observation was used to systematically observe and document nurse communication and the physical attributes of the ICU nurse work environment that affect communication. Literature, observations, and information regarding staffing and design about the selected ICUs were analyzed for the generation of concepts and the exploration of significant themes. Results show that nurse interactions with other staff members varied within the different zones of the ICU pod. A biaxial map illustrates four key types of core nurse communication interactions: At ease, On guard, In motion, and On the edge. The quadrants representing barriers to nurse communication are On guard and On the edge, and included interactions with other staff members in the pod. The quadrants representing facilitators to nurse communication are At ease and In motion. The hybrid nurse station layout supported nurse-nurse communication, but not communication interactions with other staff members present on the pod. The results provide a broad understanding of how nurse communication is affected by the environment in which nurses work, and allows for the emergence of design opportunities to enhance nurse communication.
ContributorsNewcomb, Emily Michelle Darling (Author) / Lamb, Gerri (Thesis advisor) / Stein, Morris (Thesis advisor) / Wolf, Peter (Committee member) / Arizona State University (Publisher)
Created2011
Description
A growing body of research shows that characteristics of the built environment in healthcare facilities impact patients' well-being. Research findings suggest that patients form judgments of perceived quality care based on environmental characteristics. Patient outcomes and ratings of quality of care are linked to the environments' ability to reduce patient stress as well as influence perceptions of quality of care. Historically, this research has been focused in the hospital environment. The United States healthcare system heavily relies on hospitals to treat (rather than prevent) illness, leading to a high per capita healthcare expenditure. Currently, this healthcare system is shifting to rely heavily on ambulatory care settings and primary care providers to detect, prevent, and manage expensive medical conditions. The highest rates of preventable disease and the lowest rates of primary care usage are found in the young adult population (ages 18 to 24). More than any other patient population, this segment rates their satisfaction with healthcare significantly low. For this population education, early detection, and monitoring will be key for a primary care focused model to have the greatest impact on care and long-term savings. Strong patient-physician connections ensure the success of a primary care focused model. The physical environment has the opportunity to provide a message consistent with a physician's practice values and goals. Environmental cues in the waiting area have the potential to relay these messages to the patient prior to physician contact. Through an understanding and optimization of these cues patient perception of quality of care may be increased, thus improving the patient-physician relationship. This study provides insight on how to optimize environmental impact on the healthcare experience. This descriptive exploratory study utilized a non-verbal self-report instrument to collect demographic information and measure participant's responses to two panoramic photos of primary care provider waiting areas. Respondents were asked to identify physical elements in the photos that contributed to their perceptions of the quality of care to be expected. The sample population consisted of 33, 18 to 24 year-olds leaving a total of 234 emotional markers and comments. Qualitative and quantitative revealed three key themes of appeal, comfort, and regard. Physical elements, in the photos, related to the themes include: General areas that were important to the respondents were the seating and reception areas, as well as the overall appearance of the waiting area. Key elements identified to be significant characteristics influencing perceptions of quality of care are presented in this study.
ContributorsBadura, Kerri (Author) / Lamb, Gerri (Thesis advisor) / Heywood, William (Committee member) / Wolf, Peter (Committee member) / Arizona State University (Publisher)
Created2012
Description
"Too often, people in pain are stuck in limbo. With no diagnosis there is no prognosis. They feel that without knowing what is wrong, there is no way to make it right" (Lewandowski, 2006, p. ix). Research has shown that environmental factors, such as views of nature, positive distractions and natural light can reduce anxiety and pain (Ulrich, 1984). Patients with chronic, painful diseases are often worried, anxious and tired. Doctor's appointments for those with a chronic pain diagnosis can be devastating (Gilron, Peter, Watson, Cahill, & Moulin, 2006). The research question explored in this study is: Does the layout, seating and elements of positive distraction in the pain center waiting room relate to the patients experience of pain and distress? This study utilized a mixed-method approach. A purposive sample of 39 individuals participated in the study. The study employed the Positive and Negative Affect Schedule (PANAS), the Lewandowski Pain Scale (LPS) and a researcher developed Spatial Perception Instrument (SPI) rating the appearance and comfort of a pain center waiting room in a large metropolitan area. Results indicated that there were no significant correlations between pain, distress and the waiting room environment. It is intended that this study will provide a framework for future research in the area of chronic pain and distress in order to advance the understanding of research in the waiting area environment and the effect it may have on the patient.
ContributorsDraper, Heather (Author) / Bender, Diane (Thesis advisor) / Shraiky, James (Committee member) / Lamb, Gerri (Committee member) / Arizona State University (Publisher)
Created2012
Description
ABSTRACT Nursing physical fatigue is a critical issue that may lead to degradation of care delivery and ultimately result in medical errors. This issue is equally relevant due to the looming shortage of nurses, which has been linked to the physical demands and potential occupational hazards intrinsic to the profession; as well as to the graying of the nursing workforce who experiences gradual loss of strength and agility that accompanies aging as time in the career advances. In a hospital Emergency Department, the level of nursing physical fatigue can potentially reach its threshold in light of challenging workloads, scope of job assignments and demanding schedules. While in other safety-sensitive industries such as aviation and nuclear plants, similar concerns have been the object of systematic research and addressed with consequent regulations, just recently, the healthcare sector has been engaged in further investigations. This study proposed to explore the linkage between Emergency Department design-layout and nursing physical fatigue. It was expected that further understanding on this relationship would support evidence-based design propositions linking nursing wellness, job satisfaction, and performance to a higher quality of care and improved patient safety levels. To this end, data collection was performed during four weeks in a community-based hospital. A convenience sample of twenty-four eligible nurses was invited to participate in this two-part study. The first section consisted of the completion of a self-administered questionnaire, which assessed nurses' perception of the impact of working conditions on nursing physical fatigue. The second section included the monitoring, through the use of accelerometers, of nurses' actual activity intensity levels during three consecutive shifts. Among other findings, data demonstrated that nurses perceive several attributes or components of the built environment as potential contributors to physical fatigue. In addition, various operational practices and organizational protocols were linked to physical fatigue. Contrary to nurses' perception of physical fatigue, their actual physical activity levels fell mostly between sedentary or light intensity ranges. This paradox offers the opportunity for design interventions that, in alignment with operational practices and organizational protocols will enhance nurses' performance and improve nurses' retention.
ContributorsShakman, Karen (Author) / Bender, Diane (Thesis advisor) / Stein, Morris (Committee member) / Lamb, Gerri (Committee member) / Arizona State University (Publisher)
Created2011
Description
In this study, the packaging and labeling of milk and coffee was compared between Walmart and Sprouts. The pricing, the sourcing, the certifications and the overall shelf presence of the items was taken under consideration. After studying the packaging of both, a new design incorporating the applicable labels, customer appeal and appropriate green marketing was created for both the commodities.
ContributorsBhatt, Rashi Hitesh (Author) / Collins, Shari (Thesis director) / Keahey, Jennifer (Committee member) / School of International Letters and Cultures (Contributor) / School of Earth and Space Exploration (Contributor) / School of Sustainability (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
FLARE is a concept developed to aid efficiency and effectiveness of Search and Rescue. It is a wearable technology device that encompasses GPS capabilities, backup offline locating capabilities, 2-way text communication via satellite, and other various features suited for outdoors. It is intended for both Search and Rescue as well as recreational outdoor enthusiasts, with same hardware, but different software.
ContributorsKawski, Anna Simone (Author) / McDermott, Lauren (Thesis director) / Dhadphale, Tejas (Committee member) / Barrett, The Honors College (Contributor) / School of Sustainability (Contributor) / The Design School (Contributor)
Created2014-05
Description
Now dry and broken, the Salt River once supplied a great legacy of Riparian vegetation through the Sonoran desert. This verdant landscape flourished from perennial flows of a river fed by high mountain snowmelt. However, multiple dams within those mountain canyons and channelization for the purpose of flood protection have nearly dried up the Salt. Through the process of design I examined the potential to repair, restore, and redevelop the river, choosing a site within the reach of the Salt River that currently includes an artificial retention area called Tempe Town Lake. Since 1999 a two mile portion of the river channel has contained the reservoir for the purpose of recreation and development within the city of Tempe. As I investigated the viability of restoring an urban desert river to a more natural riparian condition, I developed a master plan that merges ecological river restoration with sustainable urban development. Research into the vegetative communities historically occurring along the river's edge guided me to create a project based in ecological principles. Expanding the concrete channel to a wider river presence followed examples set by case studies and the historic character of the Salt River. A new braided low flow channel, allowed to meander with the natural currents of the river, is terraced upwards in a gentle slope that maintains current 500-year flow plains. The vegetation communities I propose to establish along the new terraced elevations are adapted from Charles H. Lowe's profile of a foothill canyon and archival research specific to this portion of the Salt River. As a way to support the reintroduction of Arizona's lost riparian plant communities, the master plan incorporates the use of greywater and A/C condensate collection from proposed developments along the river's edge. These new water systems would be substantial enough to sustain riparian vegetation creation and in addition, provide for ground water recharge. Additional developments continue the City of Tempe's goal to expand development along the river and adjacent to the downtown core. Providing for increased recreational opportunity in a river setting improves the quality of life in Tempe and sets the community apart from surrounding desert cities. By applying ecological and sustainable design and planning principles, the Salt River Diaries master plan repairs the river's flow, restores the riparian vegetation, and redevelops the edge between the city and river.
ContributorsBruckner, Coby Ryan (Author) / Fish Ewan, Rebecca (Thesis director) / Cook, Edward (Committee member) / Sykes, Astrid (Committee member) / Barrett, The Honors College (Contributor) / School of Sustainability (Contributor) / The Design School (Contributor)
Created2014-05
Description
The objective for Under the Camper Shell was to build a prototype of a full living environment within the confines of a pickup truck bed and camper shell. The total volume available to work with is approximately 85ft3. This full living environment entails functioning systems for essential modern living, providing shelter and spaces for cooking, sleeping, eating, and sanitation. The project proved to be very challenging from the start. First, the livable space is extremely small, being only tall enough for one to sit up straight. The truck and camper shell were both borrowed items, so no modifications were allowed for either, e.g. drilling holes for mounting. The idea was to create a system that could be easily removed, transforming it from a camper to a utility truck. The systems developed for the living environment would be modular and transformative so to accommodate for different necessities when packing. The goal was to create a low-water system with sustainability in mind. Insulating the space was the largest challenge and the most rewarding, using body heat to warm the space and insulate from the elements. Comfort systems were made of high density foam cushions in sections to allow folding and stacking for different functions (sleeping, lounging, and sitting). Sanitation is necessary for healthy living and regular human function. A composting toilet was used for the design, lending to low-water usage and is sustainable over time. Saw dust would be necessary for its function, but upon composting, the unit will generate sufficient amounts of heat to act as a space heater. Showering serves the functions of exfoliation and ridding of bacteria, both of which bath wipes can accomplish, limiting massive volumes of water storage and waste. Storage systems were also designed for modularity. Hooks were installed the length of the bed for hanging or securing items as necessary. Some are available for hanging bags. A cabinetry rail also runs the length of the bed to allow movement of hard storage to accommodate different scenarios. The cooking method is called "sous-vide", a method of cooking food in air-tight bags submerged in hot water. The water is reusable for cooking and no dishes are necessary for serving. Overall, the prototype fulfilled its function as a full living environment with few improvements necessary for future use.
ContributorsLimsirichai, Pimwadee (Author) / Foy, Joseph (Thesis director) / Parrish, Kristen (Committee member) / Barrett, The Honors College (Contributor) / Materials Science and Engineering Program (Contributor) / School of Sustainability (Contributor)
Created2014-12
Description
Solutions to mitigating the negative externalities of climate change are deemed necessary for a sustainable future. Residential community composting, such as the Community Compost Program at Vista del Sol, could potentially play an important role within Arizona State University’s (ASU) solution to develop a sustainable institution as programs aspire to develop sustainable behaviors and integrate environmentally positive practices within students’ lives. The research and review of how universities can utilize a residential community compost program to ignite sustainable action within on-campus communities could present helpful information for additional universities to implement on their own. This review will aim to tackle the research question: how can the operational functions of existing university residential composting programs and behavioral science research be implemented within the Community Compost Program at Arizona State University? The review from existing university residential composting programs and behavioral sciences will be completed to provide an explanation of how residential community composting can overall be effectively prompted.
ContributorsKovacs, Amelia (Author) / Wharton, Christopher (Thesis director) / Daniel, Fischer (Committee member) / School of Life Sciences (Contributor) / School of Sustainability (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Local food sustainability has gained significant recent attention over the past decade. Considerable research points to a host of economic, social, and environmental benefits resulting from engagement with local food systems. These benefits are more apparent when contrasted with a model in which individuals participate in larger, non-local food systems for all or most of their food sourcing. As such, this project was designed to explore possible barriers, such as lack of awareness, to engagement in local foods among Arizona State University (ASU) students on the main Tempe campus. Furthermore, this creative project aimed to evaluate how a local foods program conducted in a university dining hall might impact students’ awareness and interest in local foods served on site.
ContributorsBakeman, Taylor Melissa (Author) / Wharton, Christopher (Thesis director) / Popova, Laura (Committee member) / College of Health Solutions (Contributor, Contributor) / School of Sustainability (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05