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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

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
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Description
The study of lighting design has important implications for consumer behavior and is an important aspect of consideration for the retail industry. In today's global economy consumers can come from a number of cultural backgrounds. It is important to understand various cultures' perceptions of lighting design in order for retailers

The study of lighting design has important implications for consumer behavior and is an important aspect of consideration for the retail industry. In today's global economy consumers can come from a number of cultural backgrounds. It is important to understand various cultures' perceptions of lighting design in order for retailers to better understand how to use lighting as a benefit to provide consumers with a desirable shopping experience. This thesis provides insight into the effects of ambient lighting on product perception among Americans and Middle Easterners. Both cultural groups' possess significant purchasing power in the worldwide market place. This research will allow marketers, designers and consumers a better understanding of how culture may play a role in consumer perceptions and behavior Results of this study are based on data gathered from 164 surveys from individuals of American and Middle Eastern heritage. Follow up interviews were also conducted to examine the nuances of product perception and potential differences across cultures. This study, using qualitative and quantitative methods, was executed using a Sequential Explanatory Strategy. Survey data were analyzed to uncover significant correlations and relationships using measures of descriptive analysis, analysis of variance (ANOVA), and regression analysis. Interviews were analyzed using theme-based coding and reported in narrative form. The results suggest that lighting does in fact have an impact on product perception, however despite minor differences, this perception does not vary much between individuals from American and Middle Eastern cultures. It was found that lighting could affect price and quality perception with reference to store-image and store atmospherics. Additionally, lighting has a higher impact on subjective impressions of product (such as Freshness, Pleasantness, and Attractiveness), more than Price and Quality perceptions. This study suggests that particular lighting characteristics could be responsible for differences in product perception between these two cultures. This is important to note for lighting designers and marketers to create retail atmospheres that are preferable to both cultures.
ContributorsAlsharhan, Dalal Anwar (Author) / Kroelinger, Michael D. (Thesis advisor) / Eaton, John (Committee member) / Heywood, William (Committee member) / Arizona State University (Publisher)
Created2013
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Description
ABSTRACT Recent studies indicate that top-performing companies have higher-performing work environments than average companies. They receive higher scores for worker satisfaction with their overall physical work environment as well as higher effectiveness ratings for their workspaces (Gensler, 2008; Harter et al., 2003). While these studies indicate a relationship between effective

ABSTRACT Recent studies indicate that top-performing companies have higher-performing work environments than average companies. They receive higher scores for worker satisfaction with their overall physical work environment as well as higher effectiveness ratings for their workspaces (Gensler, 2008; Harter et al., 2003). While these studies indicate a relationship between effective office design and satisfaction they have not explored which specific space types may contribute to workers' overall satisfaction with their physical work environment. Therefore, the purpose of this study is to explore the relationship between workers' overall satisfaction with their physical work environments and their perception of the effectiveness of spaces designed for Conceptual Age work including learning, focusing, collaborating, and socializing tasks. This research is designed to identify which workspace types are related to workers' satisfaction with their overall work environment and which are perceived to be most and least effective. To accomplish this two primary and four secondary research questions were developed for this study. The first primary question considers overall workers' satisfaction with their overall physical work environments (offices, workstations, hallways, common areas, reception, waiting areas, etc.) related to the effective use of work mode workspaces (learning, focusing, collaborating, socializing). The second primary research question was developed to identify which of the four work mode space types had the greatest and least relationship to workers' satisfaction with the overall physical work environment. Secondary research questions were developed to address workers' perceptions of effectiveness of each space type. This research project used data from a previous study collected from 2007 to 2012. Responses were from all staff levels of US office-based office workers and resulted in a blind sample of approximately 48,000 respondents. The data for this study were developed from SPSS data reports that included descriptive data and Pearson correlations. Findings were developed from those statistics using coefficient of determination.
ContributorsHarmon-Vaughan, Elizabeth (Author) / Kroelinger, Michael D. (Thesis advisor) / Bernardi, Jose (Committee member) / Ozel, Filiz (Committee member) / Arizona State University (Publisher)
Created2013
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Description
There is a conflict in the profession of interior design over regulation through legislation. For some organizations and individuals, regulation via legislation is the next perceived step in the professionalization process which has been evolving for over 40 years and is needed to protect the health, safety and welfare (HSW)

There is a conflict in the profession of interior design over regulation through legislation. For some organizations and individuals, regulation via legislation is the next perceived step in the professionalization process which has been evolving for over 40 years and is needed to protect the health, safety and welfare (HSW) of the public. For other organizations and individuals, legislation is deemed unnecessary and an affront to the free trade market and serves only to create anti-competitive barriers resulting in the formation of a "design cartel" (Campo-Flores, 2011; Carpenter, 2007). Research exists on the professionalization of interior design and on the reasons stated for and against legislation (ASID, 2010, Anderson, Honey, Dudek, 2007, Martin, 2008). However, there is little research on understanding how the actual stake-holders view legislation. For the purpose of this research, the stake-holders are the professional interior designers themselves. The purpose of this study was to examine the current status of relevant issues to the subject of regulation in interior design and to pose the question if there is an option to legislation. If so, could third party certification be an acceptable alternative? An on-line survey was developed and posted on interior design networking sites on LinkedIn. The results of the survey suggest that interior designers are completely divided on the issue of legislation but favorably view certification. The survey has also revealed the lack of understanding of the legislative process in interior design and confusion in the role that interior design organizations play. The study has also revealed that interior designers identify the distorted view the public has of this industry as a problem. Interior designers surveyed in this study see a need to separate commercial and residential interior design. Overall, this study has concluded that interior designers would actually prefer a certification process to legislation.
ContributorsPliess, Catherine (Author) / Bender, Diane (Thesis advisor) / Crewe, Katherine (Committee member) / Kroelinger, Michael D. (Committee member) / Arizona State University (Publisher)
Created2011
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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 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
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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

"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
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Description
This study examines the applicability of high dynamic range (HDR) imagery as a diagnostic tool for studying lighting quality in interior environments. It originates from the limitations in lighting quality assessments, particularly from the problematic nature of measuring luminance contrast--a significant lighting quality definer. In this research, HDR imaging method

This study examines the applicability of high dynamic range (HDR) imagery as a diagnostic tool for studying lighting quality in interior environments. It originates from the limitations in lighting quality assessments, particularly from the problematic nature of measuring luminance contrast--a significant lighting quality definer. In this research, HDR imaging method is studied systematically and in detail via extensive camera calibration tests considering the effect of lens and light source geometry (i.e. vignetting, point spread and modulation transfer functions), in-camera variables (i.e. spectral response, sensor sensitivity, metering mode,), and environmental variables (i.e. ambient light level, surface color and reflectance, light source spectral power distribution) on the accuracy of HDR-image-derived luminance data. The calibration test findings are used to create camera setup and calibration guidelines for future research, especially to help minimize errors in image extracted lighting data. The findings are also utilized to demonstrate the viability of the tool in a real world setting--an office environment combining vertical and horizontal tasks. Via the quasi-experimental setup, the relationship between line of sight and perceived luminance contrast ratios are studied using HDR images. Future research can benefit from the calibration guidelines to minimize HDR-based luminance estimation errors. The proposed tool can be used and tested in different contexts and tasks with varying user groups for revising the former luminance-contrast guidelines as well as surface reflectance recommendations.
ContributorsTural, Mehmedalp (Author) / Bryan, Harvey (Thesis advisor) / Kroelinger, Michael D. (Committee member) / Ozel, Filiz (Committee member) / Arizona State University (Publisher)
Created2011
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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;

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
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Description

Social media sites focusing on health-related topics are rapidly gaining popularity among online health consumers, also known as "e-patients". The increasing adoption of social media by e-patients and their demand for reliable health information has prompted several health care organizations (HCOs) to establish their social media presence. HCOs are using

Social media sites focusing on health-related topics are rapidly gaining popularity among online health consumers, also known as "e-patients". The increasing adoption of social media by e-patients and their demand for reliable health information has prompted several health care organizations (HCOs) to establish their social media presence. HCOs are using social media to connect with current and potential e-patients, and improve patient education and overall quality of care. A significant benefit for HCOs in using social media could potentially be the improvement of their quality of care, as perceived by patients. Perceived quality of care is a key determinant of patients' experience and satisfaction with health care services, and has been a major focus of research. However, there is very little research on the relationship between patients' online social media experience and their perceived quality of care. The objective of this research was to evaluate e-patients' online experience with an HCO's social media sites and examine its impact on their perceived quality of care. Research methodology included a combination of qualitative and quantitative approaches. Data for this study was collected from Mayo Clinic's social media sites through an online survey. Descriptive statistics were used to identify basic demographic profiles of e-patients. Linear regression analysis was used to examine the relationship between online experience and perceived quality of care. Qualitative data was analyzed using thematic analysis. Results showed a positive relationship between online experience and perceived quality of care. Qualitative data provided information about e-patients' attitudes and expectations from healthcare social media. Overall, results yielded insights on design and management of social media sites for e-patients, and integration of these online applications in the health care delivery process. This study is of value to HCOs, health communicators and social media designers, and will also serve as a foundation for subsequent studies in the area of health care social media.

ContributorsAdmane, Leena (Author) / Kroelinger, Michael D. (Thesis advisor) / Cheong, Pauline (Committee member) / Weberg, Daniel (Committee member) / Arizona State University (Publisher)
Created2011
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Description
In geographical locations with hot-arid climates, sun control in buildings is one primary problem to solve for the building envelope design. Today's technological advances in building science bring with them the opportunity to design dynamic façade systems for sun radiation control and daylighting. Although dynamic systems can become an attractive

In geographical locations with hot-arid climates, sun control in buildings is one primary problem to solve for the building envelope design. Today's technological advances in building science bring with them the opportunity to design dynamic façade systems for sun radiation control and daylighting. Although dynamic systems can become an attractive visual element, they can be costly and challenging to maintain for building owners. Alternatively, fixed solar-shading systems can be designed to create dynamism in the façade of the building, while providing similar functionalities for sun control. The work presented in this project focuses on the use of a visual scripting editor for modeling software, Grasshopper, to develop a Solar Control Visual Script that evaluates building envelope surfaces with planar and non-uniform rational basis-spline (NURBS) forms and provides projections for fixed sun control systems. The design platform of Grasshopper allows individuals with no experience or prior computer coding education to build up programming-like capabilities; this feature permits users to discover new design possibilities within flexible frames that can contribute to the overall design being pursued, while also having an environmental response. The Solar Control Visual Script provides minimum sizing geometries that achieve shading in openings at a particular date and time of the year. The model for this method of analysis makes use of three components to derive the appropriate values for the projections of shading geometries: typical meteorological year (TMY) data, irradiation isotropic equations and shading profile angles equations for vertical and tilted surfaces. Providing an automatic visual of generated geometries uncovers the opportunity to test several model forms and reiterates the analysis when modifying control parameters. By employing building science as a set of environmental parameters, the design outcome bears a dynamic form that responds to natural force conditions. The optimized results promote an efficient environmental design solution for sun control as an integral alternative into the building envelope.
ContributorsGrijalva, Karla (Author) / Bryan, Harvey J. (Thesis advisor) / Griffiths, Jason (Committee member) / Kroelinger, Michael D. (Committee member) / Arizona State University (Publisher)
Created2012