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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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What Informs the Patient Experience?
May 24, 2013
Continuing from my last post, I am on the same path, telling the same story, this time adding more density to the argument. There are three critical factors that inform
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The Power of Healing is the Nurse
May 10, 2013
Telling the story of nursing is like telling the story of everyone who has been ill, been in an accident, or has held a vigil at the bed of a
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The Environment of Care: Third Party in the Caregiver/Patient Relationship
April 26, 2013
Returning from the Beryl Institute’s Patient Experience conference last week, my thoughts run from the obligations of the caregiver community to the responsibility of the patient to engage, and to
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Just Because: Volunteerism at its Best
April 12, 2013
Volunteerism is authentic altruism in action, doing good work to improve the human condition — “just because.” The “just because” is often what parents say to their kids when they
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Everything Teaches: How Patients Learn
April 5, 2013
I learned to be afraid of shots following a shocking injection of penicillin on my behind when I was six years old. I had scarlet fever (was I the last
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One More Time: Patient Care is Patient Safety
March 29, 2013
Returning from the American Organization of Nurse Executives (AONE) annual meeting in Denver last week was like coming out of the womb of caring that nurses bring to the urgency
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Today’s Noise is Tomorrow’s HCAHPS Score
March 15, 2013
I am writing about noise. Again. It is still here. It seems to survive earthquakes, hurricanes, elections, the flu season, and taxes. What is so fascinating about the topic is
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Patient Safety is Inseparable from Patient Engagement
March 8, 2013
I am a Florence Nightingale groupie. When I first read her short, direct, and pithy book, “Notes on Nursing,” Nightingale became my mentor in understanding the inherent role of the
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Transforming Care One Step at a Time
February 15, 2013
I am in Rochester, MN, visiting my close friend, Bani Mahadeva, who has been living in the Charter House for 10 years. Charter House is a CCCR, attached to Mayo
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From Post-Traumatic Stress Syndrome to Post-Traumatic Hospital Syndrome
February 8, 2013
So, the term “post-hospital syndrome” does not say “traumatic” but its definition certainly implies just that. An article by Dr. Harlan Krumholz on the topic in the New England Journal
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