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Evidence-based facilities design in health care: a study of aged care facilities in Australia

Journal Article


Abstract


  • Many facilities for people with dementia have been built with little translation of the substantial body of

    evidence available to inform design. Knowledge translation has been described as a four-stage process:

    awareness, agreement, adoption and adherence. This paper identifies where knOWledge translation fails

    in the design of aged care fa cilities for people with dementia. Ten aged care facilities were audited using

    the Environmental Audit Tool. Senior managers and architects involved in the facility design were then

    interviewed to ascertain their knowledge of evidence-based principles of dementia design, their agreement

    with the principles and the nature of the obstacles they had encountered in their implementation.

    All architects claimed at least partial awareness of the design principles. Five facili ty managers claimed full

    awa reness. Those faci lities designed with the input of managers who were fully aware of the principles

    were of significantly higher design quality. There was little agreement on the significance of other obstacles.

    Once aged care providers are aware of the prinCiples, they appear to find ways to implement them. If the

    next generation of residential aged care facilities is to be suitable for people with dementia, the facility

    managers must be made aware of the available design principles, architects encouraged to be more active in

    sharing their knowledge and ways found to improve the exchange of knowledge between the parties.

Authors


  •   Fleming, Richard
  •   Fay, Roger (external author)
  •   Robinson, Andrew L. (external author)

Publication Date


  • 2012

Citation


  • Fleming, R., Fay, R. & Robinson, A. L. (2012). Evidence-based facilities design in health care: a study of aged care facilities in Australia. Health Services Management Research, 25 (3), 121-128.

Scopus Eid


  • 2-s2.0-84869390114

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/17

Number Of Pages


  • 7

Start Page


  • 121

End Page


  • 128

Volume


  • 25

Issue


  • 3

Abstract


  • Many facilities for people with dementia have been built with little translation of the substantial body of

    evidence available to inform design. Knowledge translation has been described as a four-stage process:

    awareness, agreement, adoption and adherence. This paper identifies where knOWledge translation fails

    in the design of aged care fa cilities for people with dementia. Ten aged care facilities were audited using

    the Environmental Audit Tool. Senior managers and architects involved in the facility design were then

    interviewed to ascertain their knowledge of evidence-based principles of dementia design, their agreement

    with the principles and the nature of the obstacles they had encountered in their implementation.

    All architects claimed at least partial awareness of the design principles. Five facili ty managers claimed full

    awa reness. Those faci lities designed with the input of managers who were fully aware of the principles

    were of significantly higher design quality. There was little agreement on the significance of other obstacles.

    Once aged care providers are aware of the prinCiples, they appear to find ways to implement them. If the

    next generation of residential aged care facilities is to be suitable for people with dementia, the facility

    managers must be made aware of the available design principles, architects encouraged to be more active in

    sharing their knowledge and ways found to improve the exchange of knowledge between the parties.

Authors


  •   Fleming, Richard
  •   Fay, Roger (external author)
  •   Robinson, Andrew L. (external author)

Publication Date


  • 2012

Citation


  • Fleming, R., Fay, R. & Robinson, A. L. (2012). Evidence-based facilities design in health care: a study of aged care facilities in Australia. Health Services Management Research, 25 (3), 121-128.

Scopus Eid


  • 2-s2.0-84869390114

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/17

Number Of Pages


  • 7

Start Page


  • 121

End Page


  • 128

Volume


  • 25

Issue


  • 3