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Making design 'work' for all user groups.

Health estate·2013
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Updated: May 16, 2026

Multi-Modal Home Sleep Monitoring in Older Adults
07:40

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Sleep as a moderating value in healthcare facility design.

Maria Regina Clemesha Kennedy1

  • 1Corresponding Author: Maria Regina Clemesha Kennedy, P.O. Box 3050, Doha, Qatar (clemesha@hotmail.com).

HERD
|December 11, 2012
PubMed
Summary

Hospital inpatient sleep quality is poor, despite its high value. Adopting shared values in healthcare design evaluations can improve conditions and foster collaboration among design teams and stakeholders.

Area of Science:

  • Healthcare Design
  • Patient Experience
  • Environmental Psychology

Background:

  • Healthcare design involves multidisciplinary teams, clients, and consultants, with subjective evaluations often lacking objective metrics.
  • Complex design interactions can be challenging to evaluate objectively, leading to potential discord among stakeholders.
  • Jointly agreed-on values can serve as moderators to harmonize subjective evaluations in design processes.

Purpose of the Study:

  • To review the evidence base for the use-value of sleep for hospital inpatients.
  • To assess the current quality of sleep experienced by hospital inpatients.
  • To identify intrinsic and extrinsic factors, particularly environmental ones, contributing to poor inpatient sleep.

Main Methods:

  • Literature review on the value of sleep and quality of inpatient sleep.

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  • Analysis of intrinsic and extrinsic factors affecting sleep in hospital environments.
  • Emphasis on environmental considerations impacting sleep quality.
  • Main Results:

    • Sleep holds significant value for hospital inpatients, even with short-term stays.
    • Current inpatient sleep quality is suboptimal and falls short of desired or necessary standards.
    • Designers and caregivers are aware of factors promoting good sleep, yet poor conditions persist due to unaddressed choices.

    Conclusions:

    • The high value of inpatient sleep necessitates improvements in current hospital environments.
    • Conflicting stakeholder views and design constraints can be reconciled through shared guiding values.
    • Adopting moderating values can facilitate innovation and improve design evaluations in healthcare settings.