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Horseshoe, Cockpit, and Dragonfly

Nurse Movement in Headwall Patient Rooms

Hamilton, D. Kirk, PhD, FAIA, FACHA, EDAC

doi: 10.1097/CNQ.0000000000000237
Original Articles

An exploratory, qualitative study conducted on 6 units in 4 hospitals featured field observations of 20 experienced nurses during complete 12-hour day and night shifts, followed by semistructured participant interviews. All patient rooms featured conventional headwall-type life support systems in which the head of the bed is against the wall where multiple electrical, gas, and communication utilities are located. Critical care nurses displayed repetitive movement patterns around the patient and the bed. Movement patterns observed varied according to room size, availability of supplies, and positions of fixed and/or mobile equipment, along with types and locations of documentation computers.

College of Architecture, Texas A&M University, College Station.

Correspondence: D. Kirk Hamilton, PhD, FAIA, FACHA, EDAC, College of Architecture, Texas A&M University, TX 77843 (

The author has disclosed that he has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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