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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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Value of Loving Kindness in the Nurse-Patient Relationship
October 31, 2014
At the Beryl Institute Roundtable in Seattle, WA, this week, kindness dominated discussions about caregiver resilience in pursuit of the optimal patient experience. While the discussion started by looking at
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Patient-Centered Care Meets Ebola
October 17, 2014
Patient-centered care is calling for us to our focus skills, intentions, and financial resources on the patient. At the same time, our vision and concern must be broad enough to
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Setting the Stage for the Patient Experience
October 10, 2014
I keep coming back to the patient experience as being elusive, difficult to nail down, and more difficult to actually make happen and control. Added to that is the role
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One Size Fits All Doesn’t Work for Patient Centered Care
October 3, 2014
While Planetree is now broadly known, its earliest roots in the patient experience movement came long before our current era of HCAHPS. Founded in 1978, Planetree introduced the world to
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Why is Patient Safety Ever in Question?
September 19, 2014
Patient safety seems obvious. Why can’t it be an assumption rather than an assignment or a project, or motivated only by a regulation? Why do we have to push so
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Hospital Room As Classroom: Everything and Everyone Teaches
September 12, 2014
There are many ways to learn. However, the ultimate goal of all teaching is to transfer information from teacher to students so completely that what is learned cannot be unlearned.
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Sound Control vs. Noise Control: What’s the Difference?
September 5, 2014
Yes, noise can be loud. But, loud is not necessarily noisy. The sound of a 100-piece symphony orchestra played at fortissimo can be breathtaking and passionate, and hardly considered noise
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What Happens to Patients When the Lights Go Out
August 22, 2014
I found the term “nocturnal rumination” in a recent study on insomnia in palliative care patients in the ICU. Basically, it’s obsessive thinking when the lights go out. The study
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Transforming an ICU Bed Into a Hospice Bed
August 15, 2014
A patient in the ICU is pulled off of life-support. The family is with him to support him while he is awaiting his last breath. What does this ICU patient
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HCAHPS Scores: Mind the Gap Between the Survey and the Answers
August 8, 2014
In thinking about the history of regulatory accountability, HCAHPS has no precedent. As a measurement tool, it has many gaps, including a gap between intention and outcomes and a gap
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