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Healing by Design
RN architects draw from their experiences on the floor to design warm, efficient environments for nurses that reduce stress and replenish the
spirit — and for patients to heal in comfort

 
 

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Kerrie Cardon, RN, worked in med/surg at a Bozeman, Mont., hospital before becoming a health care architect. She now works at Seattle-based Callison Architects. Cardon is part of a team that is creating the new and innovative units for nurses in several other facilities in the Northwest.

When Froedtert Memorial Lutheran Hospital in Milwaukee decided to tackle the nursing shortage by hiring 100 RNs in 100 days, a big selling point was the innovative design of its new North Tower that took into account the physical and psychological needs of caregivers.

Creating a nurse-friendly environment with warm lighting, easy access to supplies and mobile charting stations was a job perfectly suited to Karen Jones, RN, a health care design specialist at the architectural firm of Hammel, Green & Abrahamson Inc. She developed features that helped attract and retain RNs at the five-story, 118-bed addition to the teaching hospital.

"A lot of focus has been centered on spaces that promote patient wellness and satisfaction, which is necessary, but we also have to look for ways to retain the nursing population within hospitals," said Jones, who earned her nursing degree from the College of San Mateo (Calif.) and spent more than 10 years in clinical bedside positions in hospitals before going into design.

Part of her role as a designer is to find out what nurses need and then improve operational processes. She's also expected to be a patient and hospital staff advocate for the design firm. "I'm in a position to advocate for what nurses need in work processes and to look critically at their wish list," Jones said.

For the North Tower project that opened in September, a patient room was converted into the nurse work area to give nurses access to a window for daylight. The space was designed as a quiet place for nurses to retreat and regenerate.

Jones said mobile supply stations are used so nurses can decide where to place them for the greatest efficiency on their shifts, which run 10 hours for seven straight days, followed by seven days off. Since a new model of caregiving is emerging with electronic bedside charts and summoning technology, there is no longer a need for a centralized station for monitoring patients.

The campaign to hire 100 nurses was successful and the vacancy rate at the 338-bed tertiary facility is less than 5 percent, according to John Balzar, vice president of facility planning and development. "Part of the effort involved letting the nurses tour the new North Tower to see what the work environment would be like."

Healing environment

Other hospitals across the nation are experimenting with similar approaches to making spaces appealing, comfortable and soothing for patients and staff. Some of these, such as Froedtert Hospital, are associated with the Pebble Project, whose purpose is to create a ripple effect in the health care community by providing researched and documented examples of projects that have created life-enhancing environments for patients, families and staff.

Creating a total healing environment is a long-term design goal of many facilities, including the 181-bed St. Charles Medical Center in central Oregon, where patients can relax by a cozy lava rock fireplace, enjoy a piano concert in the lobby and even fish for bass in a well-stocked pool.

The emphasis isn't only on patient comfort, it's also on creating a warm, efficient environment for nurses that reduces stress and replenishes their spirit, according to Kerrie Cardon, RN, who said a new attitude has developed in the design of 21st century acute care units.

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