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While activity-based working is gaining popularity worldwide, research shows that workers frequently experience a misfit between the task at hand and their work setting. In the current study, experience sampling data were used to examine how perceived fit in activity-based work environments is related to user behavior (i.e., the use of work settings and setting-switching). We found that workers' perceived fit was higher when they used closed rather than open work settings for individual high-concentration work. Furthermore, more frequent setting-switching was related to higher perceived fit. Unexpectedly, however, this relation was observed only among workers low in activityswitching. These findings indicate that user behavior may indeed be relevant to creating fit in activity-based work environments. To optimize workers' perceived fit, it seems to be particularly important to facilitate and stimulate the use of closed work settings for individual high-concentration work [ABSTRACT FROM AUTHOR]

Activity-based work environments are widely adopted; however, research shows mixed findings regarding privacy issues, satisfaction with the work environment, and task performance. To further our understanding, two complementary studies drawing on Person-Environment fit theory were conducted: (1) A field study using experience sampling, and (2) A lab study in a virtual reality studio. The results from both studies confirm that perceived fit is a function of activity, work setting, and personal need for privacy, with indirect effects on satisfaction with the work environment (Studies 1 and 2) and task performance (Study 2). Across both studies, a misfit was perceived particularly among workers high in personal need for privacy when performing high-complexity tasks in an open office work setting. Hence, we recommend that organizations facilitate and stimulate their workers to create better fits between activities, work settings, and personal characteristics. • Perceived fit affects task performance and satisfaction with the work environment. • Perceived fit is a function of activity, work setting, and need for privacy. • High-complexity tasks do not fit well with open office work settings. • This is particularly true for workers high in need for privacy. • Such misfits frequently occur in activity-based work environments. [ABSTRACT FROM AUTHOR]

Background: The challenge of combining professional work and breastfeeding is a key reason why women choose not to breastfeed or to stop breastfeeding early. We posited that having access to a high-quality lactation room at the workplace could influence working mothers' satisfaction and perceptions related to expressing breast milk at work, which could have important longer term consequences for the duration of breastfeeding. Specifically, we aimed to (1) develop a checklist for assessing the quality of lactation rooms and (2) explore how lactation room quality affects lactating mothers' satisfaction and perceptions. Drawing on social ecological insights, we hypothesized that the quality of lactation rooms (operationalized as any space used for expressing milk at work) would be positively related to mothers' satisfaction with the room, perceived ease of, and perceived support for milk expression at work. Methods: We conducted two studies. In Study 1 we developed a lactation room quality checklist (LRQC) and assessed its reliability twice, using samples of 33 lactation rooms (Study 1a) and 31 lactation rooms (Study 1b). Data were collected in the Northern part of the Netherlands (between December 2016 and April 2017). Study 2 comprised a cross-sectional survey of 511 lactating mothers, working in a variety of Dutch organizations. The mothers were recruited through the Facebook page of a popular Dutch breastfeeding website. They completed online questionnaires containing the LRQC and measures aimed at assessing their satisfaction and perceptions related to milk expression at work (in June and July 2017). Results: The LRQC was deemed reliable and easy to apply in practice. As predicted, we found that objectively assessed higher-quality lactation rooms were associated with increased levels of satisfaction with the lactation rooms, perceived ease of milk expression at work, and perceived support from supervisors and co-workers for expressing milk in the workplace. Conclusions: The availability of a high-quality lactation room could influence mothers' decisions regarding breast milk expression at work and the commencement and/or continuation of breastfeeding. Future studies should explore whether and how lactation room quality affects breastfeeding choices, and which aspects are most important to include in lactation rooms. [ABSTRACT FROM AUTHOR]

Background: In a global effort to design better hospital buildings for people and organizations, some design principles are still surrounded by great mystery. The aim of this online study was to compare anxiety in an existing single-bed inpatient hospital room with three redesigns of this room in accordance with the principles of Golden Ratio, Feng Shui, and Evidence-Based Design. Methods: In this online multi-arm parallel-group randomized trial participants were randomly assigned (1:1:1:1) to one of four conditions, namely Golden Ratio condition, Feng Shui condition, Evidence-Based Design condition, or the control condition. The primary outcomes were anxiety, sense of control, social support, positive distraction, and pleasantness of the room. Findings: Between June 24, 2022, and August 22, 2022, 558 individuals were randomly assigned to one of the four conditions, 137 participants to the control condition, 138 participants to the Golden Ratio condition, 140 participants to the Feng Shui condition, and 143 participants to the Evidence-Based Design condition. Compared with baseline, participants assigned to the Evidence-Based Design condition experienced less anxiety (mean difference -1.35, 95% CI -2.15 to -0.55, Cohen's d = 0.40, p < 0.001). Results also showed a significant indirect effect of the Feng Shui condition on anxiety through the pleasantness of the room (B = -0.85, CI = -1.29 to -0.45) and social support (B = -0.33, CI = -0.56 to -0.13). Pleasantness of the room and social support were mediators of change in anxiety in the Evidence-Based Design and Feng Shui conditions. In contrast, application of the design principle Golden Ratio showed no effect on anxiety and remains a myth. Interpretation: To our knowledge, this is the first randomized controlled trial linking design principles directly to anxiety in hospital rooms. The findings of our study suggest that Feng Shui and Evidence-Based Design hospital rooms can mitigate anxiety by creating a pleasant looking hospital room that fosters access to social support. Clinical trial registration: The trial is registered with ISRCTN, ISRCTN10480033. [ABSTRACT FROM AUTHOR]

The aim of this age-simulation field experiment was to assess the influence of route complexity and physical ageing on wayfinding. Seventy-five people (aged 18-28) performed a total of 108 wayfinding tasks (i.e., 42 participants performed two wayfinding tasks and 33 performed one wayfinding task), of which 59 tasks were performed wearing gerontologic ageing suits. Outcome variables were wayfinding performance (i.e., efficiency and walking speed) and physiological outcomes (i.e., heart and respiratory rates). Analysis of covariance showed that persons on more complex routes (i.e., more floor and building changes) walked less efficiently than persons on less complex routes. In addition, simulated elderly participants perform worse in wayfinding than young participants in terms of speed (p < 0.001). Moreover, a linear mixed model showed that simulated elderly persons had higher heart rates and respiratory rates compared to young people during a wayfinding task, suggesting that simulated elderly consumed more energy during this task. [ABSTRACT FROM AUTHOR]

Frail elderly residents and people with dementia (PWD) are particularly vulnerable to COVID-19. A nursing home in Washington State reported a case fatality rate of 33.7% among 101 residents.2 COVID-19 poses a great threat for all nursing home residents and PWD in particular. Furthermore, in cases of confirmed infection, the protocol prescribes isolation of the group or ward.[4] Thus, protecting the other residents of the SCU, but potentially endangering all residents in the isolated ward. [Extracted from the article]

Aim: We aim to gain insight into the interaction between challenging behavior as shown by individuals with an intellectual impairment, and space, and to explore the possibilities of using routinely collected data to this end., Background: Research on challenging behavior shown by intellectually impaired individuals links their behavior to context, which includes space. Unfortunately, research about this link is hard to conduct, since these individuals may have difficulties expressing themselves verbally and react extremely to sensory stimuli., Method: We conducted a single-case study, focusing on a Dutch very-intensive care facility. We analyzed data routinely collected by the healthcare organization in search of time-space configurations that provide insights into the resident-space interaction. As sensitizing concepts, we used three different contexts the residents interact with-space, people, and activities., Findings: The study exemplified reported interactions that were direct, for example, between the residents and the spatial context, and indirect, for example, through other contexts (people and activities). Space impacts on residents' senses intensely and acts as a lightning rod for their perceived stress. People also influence residents substantially. Caregivers may both have positive or adverse effects, for example, absenteeism or schedule change. Co-residents may trigger challenging behavior directly by a mere presence or transfer of their stress. Transitions between activities cause unpredictability and are triggers for residents, which interact with space., Conclusions: Living environments providing choice in nearness to the caregiver and distance to co-residents "high in tension," lowering thresholds for transitions, and facilitating predictability would be beneficial for intellectually impaired individuals showing challenging behavior., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

As campuses wish to stimulate interactions among different campus users, we aim to identify why some locations are successful in fostering unplanned meetings while others are not. This can help campus managers, directors, and other practitioners to optimize their campus to facilitate unplanned meetings between academic staff and companies. Findings of a previous survey were discussed in five focus groups, which were transcribed and thematically coded. Three separate theme groups were identified: function (food, drinks, events, work, facilities), space (distance, experience, accessibility, characteristics), and organization (coherence, culture, organization). Time was an overarching constraint, influencing all other themes. There were three natural moments for unplanned meetings: during short breaks, lunch breaks, and events. The outcomes suggest a 5-minute campus as the environment of interaction; a campus where natural moments, locations, and travel time for unplanned meetings are designed and aligned: (1) under 5 min walking for short workplace breaks, (2) approximately 5 min travel time for lunch breaks, and (3) over 5 min travel time for events, depending on the event length and anticipated knowledge gain.

A large proportion of the global workforce migrated home during the COVID-19 pandemic and subsequent lockdowns. It remains unclear what the exact differences between home workers and non-home workers were, especially during the pandemic when a return to work was imminent. How were building, workplace, and related facilities associated with workers' perceptions and health? What are the lessons to be learned? Lifelines Corona Research Initiative was used to compare employees' workplaces and related concerns, facilities, work quality, and health in a complete case analysis (N = 12,776) when return to work was imminent. Mann-Whitney U, logistic regression, and Wilcoxon matched-pairs were used for analyses. Notwithstanding small differences, the results show that home workers had less favourable scores for concerns about and facilities of on-site buildings and workplaces upon return to work, but better scores for work quality and health than non-home workers. However, additional analyses also suggest that building, workplace, and related facilities may have had the capacity to positively influence employees' affective responses and work quality, but not always their health., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Mobach, Lifelines Corona Research Initiative. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

With campuses opening up and stimulating interactions among different campus users more and more, we aim to identify the characteristics of successful meeting places (locations) on campus. These can help practitioners such as campus managers and directors to further optimize their campus to facilitate unplanned or serendipitous meetings between academic staff and companies. A survey on three Dutch campuses, including questions on both services and locations, was analyzed both spatially and statistically using principal component (PC) and regression analysis. Four PCs were found for services (Relax, Network, Proximity and Availability) and three PCs were found for locations (Aesthetics, Cleaned and Indoor Environment). Personal characteristics as explanatory variables were not significant or only had very small effect sizes, indicating that a campus' design does not need to be tailored to certain user groups but can be effective for all. The pattern of successful locations is discussed, including the variables in each PC. These PCs provide a framework for practitioners who want to improve their campus' design to further facilitate unplanned meetings, thus contributing to cooperation between campus users, hopefully leading to further innovation.

Background: Behaviours that challenge might prevent intellectually impaired individuals from experiencing a good quality of life (QoL). These behaviours arise in interaction with the environment and can be positively or negatively affected by architecture., Aim: This scoping review explores how architecture contributes to the QoL of individuals engaging in such behaviours. It aims to identify possible gaps in the existing literature and map areas of future research., Method: Four databases were searched using four concepts: architecture, intellectual impairment, challenging behaviour, and QoL. Since only one source covered all concepts, the search criteria were widened to include sources integrating only two or three concepts, nonpeer-reviewed sources, and autism. Eighteen papers, were analysed in terms of their contribution to relations between QoL, behaviours that challenge, and architecture., Results: This review shows that architecture, QoL, intellectual impairment, and behaviours that challenge have not yet been studied jointly., Conclusions: The contribution of architecture to the QoL of these individuals should be subject of future research, together with the similarities and differences between their needs and those of individuals with autism., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)

A re-furnishing of counter areas in primary health care was used to assess patient privacy and its influences on the nature of conversations in a controlled experiment. Patients in two community-based pharmacies in the Netherlands were assigned to enclosed counters and a queue at distance, or to counters that exposed patients mutually and a closer queue. Patients assigned to counters with reduced sight were more satisfied with the privacy than patients at visually exposed counters. However, in comparison with visually exposed pharmacy counters, conversations of patients at enclosed counters could still be overheard and did not have different conversations to other patients. Architectural design of health-care institutions has potential to positively influence perceived patient privacy in areas in where multiple patient-staff communications routinely occur and where patient privacy is an important issue, but enclosed counters with a queue at distance do not prevent incidental disclosure of individually identifiable health information.

Objective: To determine the frequency and nature of conversations at the counter and of private consultations at three Dutch community pharmacies., Methods: In a purposive and convenience sample of three Dutch community pharmacies two work categories were investigated: counter work and consultation room work with self-reporting tally. The study took 6 weeks: 2 weeks at each pharmacy., Main Outcome Measure: The number of care related conversations and consultations emerging in the counter work and consultation room work., Results: About 43% of all counter conversations consisted of the provision of pharmaceutical information and 72% of the consultations in the separate consultation room dealt with care related activities. However, only 18 consultations were held in this latter room: 0.4% of all reported conversations., Conclusion: The proportion of care related work at the counter and in the consultation room did have significant substance. There are however serious possibilities to change pharmaceutical care for the better. It is suggested that standard procedures at the counter may help increasing care related work. The presence of a separate consultation room may increase the number of consultations held in private, when combined with raising patient awareness of its existence.

Objective of the Study: To determine consumer behaviour in the pharmacy waiting area., Method: The applied methods for data-collection were direct observations. Three Dutch community pharmacies were selected for the study. The topics in the observation list were based on available services at each waiting area (brochures, books, illuminated new trailer, children's play area, etc.). Per patient each activity was registered, and at each pharmacy the behaviour was studied for 2 weeks., Results: Most patients only waited during the waiting time at the studied pharmacies. Few consumers obtained written information during their wait., Conclusion: The waiting area may have latent possibilities to expand the information function of the pharmacy and combine this with other activities that distract the consumer from the wait. Transdisciplinary research, combining knowledge from pharmacy practice research with consumer research, has been a useful approach to add information on queueing behaviour of consumers.

Purpose: To determine the merits of a robot at the community pharmacy in a quasi-experiment., Method: The applied methods for data-collection were barcode-time measurements, direct observations, time-interval studies, and tally at a Dutch community pharmacy. The topics consisted of workload, waiting times, congestion, slack, general work, counter work, and work at the consultation room. The topics were studied in pre-test and post-test stages, each stage during six weeks. By using these topics and some additional data from the pharmacy, the economics of the robot were also assessed., Results: The workload decreased with 15 prescriptions per person per day. The waiting times decreased with one minute and 18 seconds per dispensing process, reducing the wait until counter contact. The day congestion decreased with one hour 27 minutes and 36 seconds, and the day slack increased with 28 minutes. The analysis of the general work showed no appreciable difference in the bulk of the care-related activities and the other activities. However, some work was re-shuffled: 7% increase at counter work and 7% decrease at logistics. Moreover, statistically significant increases were observed at counter work (5%) and robot work (4%), and significant decreases at telephone (3%) and filling work in presence of the patient (4%). The counter tally study showed a rise in care-related activities with 8%. Moreover, it also illuminated a statistically significant decrease at no information (11%) and an increase at only social (2%). The consultation room was never used during the study. The pharmacy economics of the robot showed that the robot had high estimated costs for purchase, depreciation, and maintenance: EUR 187,024 in the first year. Moreover, the robot had positive impact on waiting times, congestion, staffing, logistics, and care-related work, which was estimated on EUR 91,198 in the first year. The estimated payback time of the robot was three years., Conclusions: An introduction of the robot may indeed have the often supposed positive effects on pharmaceutical care. Even though the costs are high and the technical problems are present, the robot seems to be financial beneficial after three years. The robot can create space for pharmaceutical care, but it has a substantial cost.

Objective of the Study: To explore the transformation of soft systems pharmacy concepts, with a special attention for pharmaceutical care, into hard systems properties of building and organization in community-based pharmacy practice in The Netherlands., Method: The applied methods for data-collection were interviews. The interviews were conducted at eight community pharmacies and four architectural firms. The central topics in the questionnaire were the building and the design process. The role of the architect was included in the questions for the pharmacist and the role of the pharmacist was included for the architect. The data were completed with simple observations, relevant documents, designs, photographic material and bills of quantities of best, ordinary and worst case practices. The data were used to address the coherence between pharmacy, building, and organization., Main Outcome Measure: The main outcome measure was the relevance for the objective of the study. Data-selection was based upon its supposed connection with the transformation of soft into hard systems. The main focus was on documentation, classification, and derivation that would improve the current understanding of the transformation of a pharmacy concept, especially pharmaceutical care, into building and organization. No further data-selection was made., Results: The results show that architectural and organizational designs are actually used in the support of pharmaceutical care. A large variety of soft and hard systems were observed. However, pharmacists seem to agree on the use of the soft systems key words 'professional', 'accessible', and 'transparent', and also on the activities with respect to the provision of information and the cooperation with other disciplines. Although most observed transformations appear sensible, hard evidence provided by the pharmacist is very poor. The full impact of the implemented changes on pharmaceutical care or other concepts remains a mystery. There is a large variety of different hard properties in building and organization, reflecting different (but still related) soft pharmacy concepts. The connections in building and organization are regarded as the resources that make the provision of care possible. Observed were resources to support the provision of written and oral information, the conversation setting, and the cooperation with other professionals. Potentially important developments for pharmaceutical care are the separate consultation room, the multi-disciplinary health centre, and robotization., Conclusion: This study has revealed some of the interdisciplinary relations between pharmaceutical, architectural, and organizational designs in Dutch community pharmacy practices. From this study we can conclude that interventions in building and organization are actually used in the support of pharmacy concepts, specifically of pharmaceutical care. However, the hard evidence of supposed improvements remains poor and mostly absent.

In pharmaceutical care research (PCR) quantitative research methodologies are strongly represented. However, in PCR also other qualities should be included in the tool kit of the researcher. For that purpose, it is argued that social science provides rich frameworks applicable for PCR. It offers both quantitative and qualitative methodological frameworks. In the most challenging and powerful field work the two approaches are combined. The case study design is a framework to synthesise quantitative and qualitative research approaches. For the development of PCR the case study design may be an important addition to the tool kit of its researchers.