Graphical abstract
The illustration depicts a framework for evidence-based decision-making in hospital environments. It shows how physical and technological structures, such as ergonomic design, ventilation, noise control, rest facilities, and technological resources, influence staff productivity. The human connection section highlights job satisfaction and organizational support as key drivers of motivation. Job satisfaction is influenced by work-life balance, morale, teamwork, and fair compensation, while organizational support includes leadership support and access to resources. The result section explains how these factors enhance workforce productivity, with a high explanatory power of 82 percent. The managerial playbook provides actionable insights, such as treating the environment as core infrastructure, pairing infrastructure with people-focused policies, reducing organizational friction, and using predictive dashboards.