Joint optimization: Merging a new culture with a new physical environment
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Updated: Jun 24, 2026

Building Up Skin Models for Numerous Applications - from Two-Dimensional (2D) Monoculture to Three-Dimensional (3D) Multiculture
Published on: October 20, 2023
Jaynelle F Stichler1, Laurie Ecoff
1HERD Journal, School of Nursing, San Diego State University, PO Box 28278, San Diego, California 92198, USA. jstichler@aol.com
Abstract:
Nearly $200 billion of healthcare construction is expected by the year 2015, and nurse leaders must expand their knowledge and capabilities in healthcare design. This bimonthly department prepares nurse leaders to use the evidence-based design process to ensure that new, expanded, and renovated hospitals facilitate optimal patient outcomes, enhance the work environment for healthcare providers, and improve organizational performance. In this article, the authors discuss the concept of joint optimization of merging organizational culture with a new hospital facility.
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