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    Nurse leaders adapted healthcare environments during COVID-19, highlighting the need for their input in future facility design to improve patient care and support the nursing workforce.

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    Area of Science:

    • Healthcare Design
    • Nursing Leadership
    • Pandemic Response

    Background:

    • The COVID-19 pandemic necessitated rapid environmental adaptations in healthcare facilities.
    • Existing healthcare designs faced unprecedented challenges in accommodating patient surges and infection control measures.

    Purpose of the Study:

    • To examine the influence of nurse leaders on healthcare facility design decisions during the pandemic.
    • To highlight the importance of incorporating lessons learned from pandemic-induced adaptations into future healthcare environment design.
    • To emphasize the need for nurses' clinical voice in shaping healthcare spaces.

    Main Methods:

    • Review of environmental adaptations implemented during the COVID-19 pandemic.
    • Analysis of the role nurse leaders played in influencing design decisions and evaluating outcomes.
    • Assessment of how observations, regulatory changes, and workforce needs drove environmental changes.

    Main Results:

    • Nurse leaders actively influenced facility design, demonstrating rapid evaluation and adaptation of the environment.
    • Pandemic experiences led to significant physical adaptations aimed at improving care delivery and supporting staff.
    • The pandemic underscored the critical need for flexible and responsive healthcare environments.

    Conclusions:

    • Nurse leaders' insights are crucial for optimizing healthcare facility design.
    • Integrating lessons learned from the pandemic into future designs will enhance resilience and care quality.
    • Validating the clinical voice of nurses in design processes is essential for creating effective healthcare environments.