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Thoughts on the Environment of Care
This blog explores how the environment of care influences the patient’s experience and staff well-being, with a focus on how sound, visual atmosphere, pacing, and sensory load shape healing and outcomes in healthcare settings. Topics include patient safety and satisfaction, hospital noise, nurse wellness, HCAHPS, sleep, and much more. Our goal is to share practical insights to help you create environments that heal.
LATEST POST
HCAHPS 2.0 Raised the Bar: Why Noise, Rest & Environment Now Drive Your Scores
March 5, 2026
HCAHPS has long measured how patients perceive their hospital experience. Recent updates to the survey expand both the content being measured and how responses are collected
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Should Hospice Care Be More Regulated?
February 6, 2015
According to a recent report in the Huffington Post, regulation of hospice care in the U.S. is spotty at best, And, the risks common to hospices are not different than those in acute
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How Hospital Television Impacts Acute Care Patients
January 30, 2015
There are many theories about how the violent television programs influence teenagers and adults — how they might desensitize us to horrific events. However, there is little discussion about the effect of violent
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Use of Music with People with Dementia: Doing the Obvious
January 23, 2015
So much research, and so little traction! That is what’s been happening with strong data supporting the effective use of music with people with dementia. There is even research that points to
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What’s the Price of Patient Safety?
January 16, 2015
Good news is great news when it comes to lives saved due to effective and consistent patient safety practices. Crediting financial incentives provided in the Affordable Care Act, the U.S.
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Joint Commission Opens Door for Guided Imagery
January 9, 2015
Happy New Year to new regulations and definitions! Effective January 1, the Joint Commission’s more comprehensive definition of pain management includes both pharmacologic and non-pharmacologic strategies — including physical, relaxation, and cognitive behavior therapies.
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Reader’s Choice: Top 10 Blog Posts in 2014
December 12, 2014
This past year, I wrote 43 blog posts about a variety of topics related to healthcare. Topics that resonated the most with readers were posts on patient experience, hospital noise,
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Patient Experience Knows No Holidays
December 5, 2014
Holidays are “the best of times and the worst of times.” The intensity of Thanksgiving, Christmas, and New Year’s brings much joy to many and as much melancholy and sadness
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The ROI on Human Caring in Healthcare
November 21, 2014
Return on investment (ROI) is what we get for what we pay. Making “human caring” a commodity may seem crass, but, these days, if we look at supply and demand,
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The Environment of Care as Palliative Care
November 14, 2014
Florence Nightingale said that the environment of care holds within it the key to relieve both pain and suffering. And, the inverse is also true: it can exacerbate pain and suffering.
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The Waiting Room: Where Suffering Begins
November 7, 2014
In the waiting rooms of clinics, hospitals, emergency departments, urgent care clinics, humanity comes together as equal. And, for every minute that one waits, one also stops engaging in anything but
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