The symposium will discuss the work of researchers in both the United States and Australia who have been exploring how evidence-based design and research on health informatics can contribute to our understanding of how care is delivered at the bedside; and how research findings can help shape national health guidelines that have the potential to improve quality of care through better design. Specifically, the three speakers will discuss 1) the relationship of nursing unit design to communication patterns among nursing staff, and how such communication is related to informal learning, the development of necessary skills, and job stress; 2) how nurses and doctors interact over the course of a nursing shift, and the different communication channels (face-to-face, electronic) are used and how they affect work patterns; and 3) the role evidence-based design guidelines can play in promoting better quality of care and more effective and efficient use of hospital facilities.