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At least 217 records · Page 12

TA-16-306: A Plastics Components Development Facility (Volumes 1 & 2)

The U.S. Department of Energy (DOE), National Nuclear Security Administration (NNSA), Los Alamos Field Office (Field Office), has prepared final documentation for the resolution of adverse effects to Building 306 in Technical Area (TA) 16 at Los Alamos National Laboratory (LANL or the Laboratory). This documentation is being submitted to the New Mexico State Historic Preservation Officer (SHPO). TA-16-306 was determined eligible for listing in the National Register of Historic Places (Register) in 1995 in the report, TA-16 Heating System Replacement (LA-CP-95-0180). TA-16- 306 was identified as an excess property to be decontaminated, decommissioned, and demolished by the LANL Footprint Reduction Program in fiscal year 2021, an adverse effect to Register eligible building 16-306 requiring mitigation. To bring a resolution to the adverse effects to Building TA-16-306, the Field Office initiated consultation with the SHPO on December 4, 2017. The New Mexico Historic Preservation Division concurred with the mitigation actions outlined in the Programmatic Agreement among the U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office, the New Mexico State Historic Preservation Office, and the Advisory Council on Historic Preservation Concerning Management of Historic Properties of Los Alamos National Laboratory, Los Alamos, New Mexico (PA) in correspondence dated January 30, 2018. The PA states in Appendix D.2.A that adverse effects to Register-eligible buildings and structures will be resolved according to the procedures defined in A Plan for the Management of the Cultural Heritage at Los Alamos National Laboratory, New Mexico (CRMP) (LA-UR-19-21590, formerly LA-UR-15-27624) and within the PA itself. Volume 2 contains a collection of photos of building TA-16-306 with index.

42 ENGINEERING↗

Discrete-event Simulation Process Model for the Pyrochemical Processing of Plutonium at Los Alamos National Laboratory

The pyrochemical metal production operations that occur in the Plutonium Facility at Los Alamos National Laboratory perform plutonium purification with the aim to provide plutonium metal for a variety of defense- and non-defense missions within the National Nuclear Security Administration. The demands and constraints associated with the pyrochemical processing of plutonium are complex, making decision analyses challenging for program managers who require plutonium production for their mission applications. The construction of a discrete-event simulation process model is proposed to measure and report the process capacity, material throughput, equipment requirements, and dose accumulation for operators of the pyrochemical metal production operations. The process model, constructed in the ExtendSim™ software, will represent the cause-and-effect relationships between the pyrochemical processing environment and the process constraints, including criticality limitations, material control and accountability measures, chemical analysis requirements, and equipment availability. An accurate representation of the pyrochemical metal production process capacity through simulation modeling will be helpful to program managers in their efforts to forecast plutonium availability for mission applications. Furthermore, the proposed process model will be vital for future analyses that will measure the interactions between the pyrochemical metal production operations and the aqueous reprocessing operations and their ability to minimize transuranic waste disposal.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

FY2023 Site Sustainability Plan

The Sandia National Laboratories site sustainability plan and its associated DOE Sustainability Dashboard data entries encompass Sandia National Laboratories contributions toward meeting the DOE sustainability goals. This site sustainability plan fulfills the contractual requirement for National Technology & Engineering Solutions of Sandia, LLC, the management and operating contractor for Sandia National Laboratories, to deliver an annual sustainability plan to the DOE National Nuclear Security Administration Sandia Field Office.

54 ENVIRONMENTAL SCIENCES↗

Secure Storage: Historical Documentation of TA-08-0032, TA-11-0036, TA-22-0016, TA-22-0023, TA-22-0025, TA-22-0035, TA-37-0006, TA-37-0009, and TA-37-0020

The U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office (NA-LA), is pursuing the decommissioning and demolition (D&D) of facilities contaminated with high-explosives residues at the Los Alamos National Laboratory (Laboratory or LANL). This effort affects nine facilities associated with high-explosives and detonator research, development, and storage: Technical Area (TA) 8 Facility 32 (TA-08-0032), TA-11-0036, TA-22-0016, TA-22-0023, TA-22-0025, TA-22-0035, TA-37-0006, TA-37-0009, and TA-37-0020. All nine facilities proposed for D&D have been evaluated for listing in the National Register of Historic Places (NRHP) and determined eligible. NA-LA previously requested the State Historic Preservation Officer (SHPO) to concur with the NRHP-eligibility determinations of these nine properties presented in four reports: (1) TA-08-0032 was determined eligible for listing in the NRHP in the report, From Ranching to Radiography: An Assessment of Historic Buildings at Anchor West Site (TA-8), Vol. 1 (McGehee et al. 2008a). The SHPO concurred with this eligibility determination on November 26, 2008. (2) TA-11-0036 was determined eligible for listing in the NRHP in the report, ESA Division’s Five-Year Plan: Consolidation and Revitalization at Technical Areas 3, 8, 11, and 16, Vol. 1) (McGehee et al. 2003). The SHPO concurred with this eligibility assessment on June 22, 2003. (3) TA-22-0016, TA-22-0023, TA-22-0025, and TA-22-0035 were determined eligible for listing in the NRHP in the report, DX Division’s Facility Strategic Plan: Consolidation and Revitalization at Technical Areas 6, 8, 9, 14, 15, 22, 36, 39, 40, 60, and 69, Vol. 1 (McGehee et al. 2005a). The SHPO concurred with these eligibility determinations on April 18, 2006. (4) TA-37-0006, TA-37-0009, and TA-37-0020 were determined eligible for listing in the NRHP in the report, High Explosives and the Nuclear Stockpile: An Assessment of Historic Buildings at Magazine Area C (TA-37), Vol. 1 (McGehee et al. 2008b). The SHPO concurred with these eligibility determinations on April 17, 2008. In a letter dated January 24, 2020, NA-LA acknowledged that the D&D of these nine NRHP-eligible facilities was an adverse effect that requires resolution through mitigation. NA-LA proposed the use of standard mitigation practices as defined in the Programmatic Agreement (PA) among the U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office, the New Mexico State Historic Preservation Office, and the Advisory Council on Historic Preservation Concerning Management of the Historic Properties at Los Alamos National Laboratory, Los Alamos, New Mexico. The PA states that adverse effects to NRHP-eligible buildings and structures will be resolved according to the standard practices defined in Part II, Section 10, of the Laboratory’s Cultural Resources Management Plan, A Plan for the Management of the Cultural Heritage at Los Alamos National Laboratory, New Mexico (Purtzer et al. 2019), and Section 2.B of Appendix D of the PA itself. The standard practice documentation package includes the following components: (1) Interior and exterior photography and production of archival-quality digital photographs; (2) Documentation and curation of historically significant equipment and artifacts; (3) A list of all known drawings for the property; (4) Reduced-scale reproductions of selected drawings for the property; (5) A location map that shows the location of the property relative to the entire Laboratory property; (6) Reproduction of historical TA maps; (7) A TA map that depicts the footprint of each eligible and non-eligible facility; and (8) An expanded historic context that uses oral-history interviews, if available. On March 3, 2020, the SHPO concurred with the adverse effect determination and the mitigation plan. The documentation package, as previously described, is provided in Volumes 1 and 2 of this report.

99 GENERAL AND MISCELLANEOUS↗

Eligibility Assessment of Items in the TA-60 Rack Assembly and Alignment Complex Legacy Storage Yard

The U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office (NA-LA), documented and evaluated seven structures in the Technical Area 60 (TA-60) Rack Assembly and Alignment Complex (RAAC) legacy storage yard at Los Alamos National Laboratory (LANL or Laboratory) for listing in the National Register of Historic Places (National Register). This documentation and evaluation was conducted in compliance with Section 106 of the National Historic Preservation Act of 1966, as amended; the Code of Federal Regulations (36 CFR 800); the Programmatic Agreement among the U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office, the New Mexico State Historic Preservation Office and the Advisory Council on Historic Preservation Concerning Management of the Historic Properties at Los Alamos National Laboratory, Los Alamos New Mexico (PA)1; and A Plan for the Management of the Cultural Heritage at Los Alamos National Laboratory, New Mexico (LANL’s Cultural Resources Management Plan (2017). NA-LA makes the following National Register eligibility determinations: la cuna; the rack transporter (jeep, rack trailer, and steering dolly); the Mexia diagnostic rack; the Mexia device canister; the Mexia device mounting stand; and the Mexia target stand are eligible for listing in the National Register, and the second steering dolly is not eligible for listing in the National Register. This National Register evaluation was completed because LANL proposes to develop a consolidated waste facility in TA-60 next to the former RAAC. Across 3.56 acres, LANL proposes to construct an 8,000-square-foot, pre-engineered waste storage building; a 1,500-square-foot office/warehouse building; and 28,500 square feet of covered storage. The development will also include access control features and fencing, parking spaces, and utilities. Additionally, the Laboratory will continue to use the southern part of TA-60-0017 and reuse TA-60-0086 and TA-60-0324 in the development. The consolidated waste facility will operate as a central accumulation area—storing universal waste, mixed low-level (radioactive) waste, hazardous chemicals, and New Mexico special waste—until the waste can be shipped off site.

99 GENERAL AND MISCELLANEOUS↗

Addendum to Architectural Documentation and National Register of Historic Places Evaluations of Built-Environment Resources at Los Alamos National Laboratory, Los Alamos County, New Mexico

The Los Alamos National Laboratory contracted Statistical Research, Inc. (SRI), to document and evaluate 110 facilities for listing in the National Register of Historic Places (National Register). This effort was conducted in compliance with Section 110 of the National Historic Preservation Act of 1966, as amended; the Code of Federal Regulations (36 CFR 800); the Programmatic Agreement among the U.S. Department of Energy, National Nuclear Security Administration, Los Alamos Field Office, the New Mexico State Historic Preservation Office and the Advisory Council on Historic Preservation Concerning Management of the Historic Properties at Los Alamos National Laboratory, Los Alamos New Mexico; and A Plan for the Management of the Cultural Heritage at Los Alamos National Laboratory, New Mexico (LANL’s Cultural Resources Management Plan) (2017).

99 GENERAL AND MISCELLANEOUS↗

Prizes Power NREL Water Power Innovation

NREL administered and managed several DOE American-Made Challenges prizes in Fiscal Year 2021, which support a number of DOE initiatives and administration goals. NREL's contributions to the success of these prizes included preparing and disseminating communications materials to and between competitors, partners, supporting institutions, sponsors, and the public.

HYDRO ENERGY,TIDAL AND WAVE POWER↗

Role-Based Access Control for Distributed Energy Resources v.1.0

The Role-Based Access Control (RBAC) for Distributed Energy Resources (DER) software is an automated and transparent stack for RBAC administrators to interact with RBAC policy. The package includes demonstrations of centralized and decentralized RBAC implementation. Both include simulated DER entities that are stored automatically in a centralized Lightweight Directory Access Protocol (LDAP) server. It also includes a REST-API to serve the HTTP requests of the RBAC administrators. A complete front-end is included to serve the users' needs. This software may be used by industry (DER vendors/utilities) as well as the research community to determine if a centralized or decentralized solution fits better the needs of an RBAC model in a DER environment. Additionally, parts of this software may be useful for developing implementations for specific needs. Sandia National Laboratories is a multimission laboratory managed and operated by National Technology & Engineering Solutions of Sandia, LLC, a wholly owned subsidiary of Honeywell International Inc., for the U.S. Department of Energy’s National Nuclear Security Administration under contract DE-NA0003525. SAND2021-8292 O

Johnson, Jay↗

Improving Abundance Estimates of Spring–Summer Snake River Chinook Salmon for Fisheries Management

Abstract The Columbia River basin is home to a run of spring–summer Chinook Salmon Oncorhynchus tshawytscha that returns to the Snake River drainage of Idaho, Oregon, and Washington in the Pacific Northwest. Historically, the run was one of the more productive throughout the Columbia River basin. However, Snake River spring–summer Chinook Salmon have experienced declines in abundance due to overfishing, habitat degradation, and dams. Several stocks are listed as threatened under the U.S. Endangered Species Act and are supported by mitigation hatcheries funded by Idaho Power Company, the Lower Snake River Compensation Plan, and the Bonneville Power Administration. To maximize tribal and state harvest of returning hatchery adults, minimize impacts on wild fish, and ensure that enough hatchery fish return to meet broodstock needs, careful fisheries management is required. Since 2008, managers have used hatchery adults, PIT-tagged as juveniles and detected at Lower Granite Dam, to generate adult abundance estimates. In season, these estimates inform state and tribal harvest shares and ensure that broodstock needs are met. Postseason, they provide smolt-to-adult survival and return rates. Since 2012, parentage-based tagging (PBT) has provided an alternative method to estimate stock- and age-specific returns at Lower Granite Dam, since returning hatchery adults sampled at Lower Granite Dam can be assigned to their parents. We compared stock-specific abundance estimates between PIT- and PBT-derived methodologies for return years 2016–2019. Across all years, PIT tag estimates accounted for 65% of the PBT-based estimates at Lower Granite Dam across all age-groups and release sites combined. This underrepresentation across all groups equated to 49,833 fish that were not accounted for in PIT tag abundance estimates. It is clear that PBT-based estimates should aide in-season harvest management and postseason run reconstruction to avoid the known bias of estimates from PIT tags, especially during years of low returns when increased accuracy is critical.

Coykendall, D. Katharine (ORCID:0000000211482397)↗

State Policies on Access to Vaccination Services for Low-Income Adults

Importance State vaccination benefits coverage and access for adult Medicaid beneficiaries vary substantially. Multiple studies have documented lower vaccination uptake in publicly insured adults compared with privately insured adults. Objective To evaluate adult Medicaid beneficiaries’ access to adult immunization services through review of vaccination benefits coverage in Medicaid programs across the 50 states and the District of Columbia. Design, Setting, and Participants A public domain document review with supplemental semistructured telephone survey was conducted between June 1, 2018, and June 14, 2019, to evaluate vaccination services benefits in fee-for-service and managed care organization arrangements for adult Medicaid beneficiaries in the 50 states and the District of Columbia (total, 51 Medicaid programs). Exposures Document review of benefits coverage for adult immunization services and supplemental survey with validation of document review findings. Main Outcomes and Measures Benefits coverage for adult Medicaid beneficiaries and reimbursement amounts for vaccine purchase and administration. Results Public domain document review was completed for all 51 jurisdictions. Among these, 44 Medicaid programs (86%) validated document review findings and completed the survey. Only 22 Medicaid programs (43%) covered all 13 Advisory Committee on Immunization Practices–recommended adult immunizations under both fee-for-service and managed care organization arrangements. Most fee-for-service arrangements (37 of 49) reimbursed health care professionals using any of the 4 approved vaccine administration codes; however, 8 of 49 programs did not separately reimburse for vaccine administration to adult Medicaid beneficiaries. Depending on administration route, median reimbursement for adult vaccine administration ranged from $\$9.81$ to $\$13.98$ per dose. Median per-dose reimbursement for adult vaccine purchase was highest for 9-valent human papillomavirus vaccine ($\$204.87$) and lowest for Haemophilus influenzae type b vaccine ($\$18.09$). Median reimbursement was below the private sector price for 7 of the 13 included vaccines. Conclusions and Relevance Even in programs with complete vaccination benefits coverage, reimbursement amounts to health care professionals for vaccine purchase and administration may not fully cover vaccination provision costs. Reimbursement amounts below costs may reduce incentives for health care professionals to vaccinate low-income adults and thereby limit Medicaid adult beneficiary access to vaccination.

60 APPLIED LIFE SCIENCES↗

Rucio beyond ATLAS: experiences from Belle II, CMS, DUNE, EISCAT3D, LIGO/VIRGO, SKA, XENON

For many scientific projects, data management is an increasingly complicated challenge. The number of data-intensive instruments generating unprecedented volumes of data is growing and their accompanying workflows are becoming more complex. Their storage and computing resources are heterogeneous and are distributed at numerous geographical locations belonging to different administrative domains and organisations. These locations do not necessarily coincide with the places where data is produced nor where data is stored, analysed by researchers, or archived for safe long-term storage. To fulfil these needs, the data management system Rucio has been developed to allow the high-energy physics experiment ATLAS at LHC to manage its large volumes of data in an efficient and scalable way. But ATLAS is not alone, and several diverse scientific projects have started evaluating, adopting, and adapting the Rucio system for their own needs. As the Rucio community has grown, many improvements have been introduced, customisations have been added, and many bugs have been fixed. Additionally, new dataflows have been investigated and operational experiences have been documented. In this article we collect and compare the common successes, pitfalls, and oddities that arose in the evaluation efforts of multiple diverse experiments, and compare them with the ATLAS experience. This includes the high-energy physics experiments Belle II and CMS, the neutrino experiment DUNE, the scattering radar experiment EISCAT3D, the gravitational wave observatories LIGO and VIRGO, the SKA radio telescope, and the dark matter search experiment XENON.

Lassnig, Mario↗

Sandia National Laboratories Annual Site Environmental Report, 2019: Tonopah Test Range, Nevada and Kaua'i Test Facility, Hawai'i

Sandia National Laboratories is a multimission laboratory managed and operated by National Technology & Engineering Solutions of Sandia, LLC, a wholly owned subsidiary of Honeywell International Inc., for the United States Department of Energy (DOE) National Nuclear Security Administration. The National Nuclear Security Administration’s Sandia Field Office administers the contract and oversees contractor operations at Sandia National Laboratories, Tonopah Test Range (SNL/TTR) in Nevada and Sandia National Laboratories, Kaua‘i Test Facility (SNL/KTF) in Hawai‘i. Activities at SNL/TTR are conducted in support of DOE weapons programs and have operated at the site since 1957. SNL/KTF has operated as a rocket preparation launching and tracking facility since 1962. DOE and its management and operating contractor are committed to safeguarding the environment, assessing sustainability practices, and ensuring the validity and accuracy of the monitoring data presented in this Annual Site Environmental Report. This report summarizes the environmental protection, restoration, and monitoring programs in place at SNL/TTR and SNL/KTF during calendar year 2019. Environmental topics include air quality, ecology, environmental restoration, oil storage, site sustainability, terrestrial surveillance, waste management, water quality, and implementation of the National Environmental Policy Act. This report is prepared in accordance with and as required by DOE O 231.1B, Admin Change 1, Environment, Safety, and Health Reporting, and has been approved for public distribution.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

JuliaOceanWaves

SAND2023-05107O JuliaOceanWaves is a collection of packages and functions for modeling wave energy converters. The open-source software is designed to be used by the wave energy community to model new concepts, perform design optimization, and more. Capabilities include: • A representation of ocean wave spectra and input/output (e.g. read from National Oceanic and Atmospheric Administration buoys) and post-processing functionalities; • A solver for the linear potential flow radiation and diffraction equations for wave forcing on floating structures. • Solving the floating body linear dynamics in the frequency domain. Future additions to the software will include solving non-linear floating body dynamics in the time-domain through time-marching Ordinary Differential Equation solvers and the pseudo-spectral optimization method. Sandia National Laboratories is a multimission laboratory managed and operated by National Technology & Engineering Solutions of Sandia, LLC, a wholly owned subsidiary of Honeywell International Inc., for the U.S. Department of Energy’s National Nuclear Security Administration under contract DE-NA0003525.

Michelen Strofer, Carlos↗

2020 Annual Site Environmental Report for Sandia National Laboratories, Tonopah Test Range, Nevada, and Kaua'i Test Facility, Hawai'i

Sandia National Laboratories is a multimission laboratory managed and operated by National Technology & Engineering Solutions of Sandia, LLC, a wholly owned subsidiary of Honeywell International Inc., for the U.S. Department of Energy’s National Nuclear Security Administration. The National Nuclear Security Administration’s Sandia Field Office administers the contract and oversees contractor operations at Sandia National Laboratories, Tonopah Test Range (SNL/TTR) in Nevada and Sandia National Laboratories, Kaua‘i Test Facility (SNL/KTF) in Hawai‘i. Activities at SNL/TTR are conducted in support of U.S. Department of Energy weapons programs and have operated at the site since 1957. SNL/KTF has operated as a rocket preparation launching and tracking facility since 1962. The U.S. Department of Energy and its management and operating contractor are committed to safeguarding the environment, assessing sustainability practices, and ensuring the validity and accuracy of the monitoring data presented in this Annual Site Environmental Report. This report summarizes the environmental protection, restoration, and monitoring programs in place at SNL/TTR and SNL/KTF during calendar year 2020. Environmental topics include air quality, ecology, environmental restoration, oil storage, site sustainability, terrestrial surveillance, waste management, water quality, and implementation of the National Environmental Policy Act. This report is prepared in accordance with and as required by DOE O 231.1B, Admin Change 1, Environment, Safety and Health Reporting , and has been approved for public distribution.

54 ENVIRONMENTAL SCIENCES↗

Advancing Federal Infrastructure Through Innovation: Selecting Electric Vehicle Charging Infrastructure Wisely

The Biden Administration's issuance of Executive Orders directly addressing and accelerating Federal fleet electrification places an onus on both fleet and facility managers. This panel will help fleet and facility personnel understand how to select EVSE infrastructure in terms of implementation, energy management, and costs of procurement, installation/deployment, and electricity. The panel will cover technology aspects to include managed EVSE, bi-directional charging, implications on local electrical systems and storage needs in certain cases to buffer power demand. Discussion will include various considerations relevant to ensuring adequate EVSE, balancing infrastructure needs, and upgrades with fleet needs. The panelists will discuss how to provide sufficient infrastructure support, including which stakeholders to involve, procurement impediments, easement locations, and requirements that arise during the design and implementation process.

ADVANCED PROPULSION SYSTEMS,ENERGY PLANNING, POLIC↗

Addressing Coldwater Temperature Impairment in a Changing Climate

Climate change is concerning for fisheries professionals because increased water temperatures threaten coldwater habitats, which are vital to recreational and commercial fisheries and keystone species. The Clean Water Act provides a legal framework to identify and address water quality impairments including those associated with temperature. However, although this framework provides a basic strategy to identify impairments, develop total maximum daily loads, and reduce pollution, it does not explicitly consider the challenges of a changing climate in addressing water quality impairments. Clean Water Act administrators and fisheries professionals can facilitate temperature restoration planning and implementation using the Clean Water Act framework to link stakeholders to the management of coldwater resources. Stakeholder engagement and collaboration, robust local monitoring, and incorporating climate resilience into restoration planning and implementation will promote comprehensive management of temperature impairments and the effects of climate change on fisheries.

54 ENVIRONMENTAL SCIENCES↗

Enabling end-to-end secure federated learning in biomedical research on heterogeneous computing environments with APPFLx

Facilitating large-scale, cross-institutional collaboration in biomedical machine learning (ML) projects requires a trustworthy and resilient federated learning (FL) environment to ensure that sensitive information such as protected health information is kept confidential. Specifically designed for this purpose, this work introduces APPFLx - a low-code, easy-to-use FL framework that enables easy setup, configuration, and running of FL experiments. APPFLx removes administrative boundaries of research organizations and healthcare systems while providing secure end-to-end communication, privacy-preserving functionality, and identity management. Furthermore, it is completely agnostic to the underlying computational infrastructure of participating clients, allowing an instantaneous deployment of this framework into existing computing infrastructures. Experimentally, the utility of APPFLx is demonstrated in two case studies: (1) predicting participant age from electrocardiogram (ECG) waveforms, and (2) detecting COVID-19 disease from chest radiographs. Here, ML models were securely trained across heterogeneous computing resources, including a combination of on-premise high-performance computing and cloud computing facilities. By securely unlocking data from multiple sources for training without directly sharing it, these FL models enhance generalizability and performance compared to centralized training models while ensuring data remains protected. In conclusion, APPFLx demonstrated itself as an easy-to-use framework for accelerating biomedical studies across organizations and healthcare systems on large datasets while maintaining the protection of private medical data.

Biomedical Research↗

Nurses’ Satisfaction with Patient Room Lighting Conditions: A Study of Nurses in Four Hospitals with Differences in the Environment of Care

Lighting systems in patient rooms must balance energy efficiency concerns with the holistic needs of patients, families, and medical caregivers. This paper reports survey responses from 138 individuals working in medical-surgical units in four hospitals, with three of the hospitals having traditional lighting systems and the other hospital having a more contemporary lighting system. The results add to a growing evidence base on the effects of lighting on nurses’ job performance, job satisfaction, and overall perceptions of the environment, and provide evidence that innovative lighting approaches and technologies are worth considering as an investment by hospital administrators looking to improve employees’ and patients’ perceptions of the patient room environment. This knowledge is intended to help facility designers and managers incorporate nurses’ perspectives in their decisions, as well as to inform technologists and engineers developing future generations of lighting systems for patient rooms. These future systems will utilize solid-state lighting technologies, such as LEDs, and will provide new opportunities for adapting the intensity, distribution, and spectrum of light to better satisfy the holistic needs of patients and caregivers at different times of day or night.

Davis, Robert G.↗