Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety
Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety
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DOI：
10.1177/193758671200600102
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发表时间：
2012-09-01
影响因子：
2.2
通讯作者：
Hedges, Christine
中科院分区：
文献类型：
--
作者：
Hua, Ying;Becker, Franklin;Hedges, Christine
调查因素有助于提高护理质量的研究发现，有效的团队成员沟通是提供优质护理的最关键和最有影响力的方面之一。相对较少的研究探讨了护理单位之间的沟通模式的物理设计的作用。虽然分散式单元设计的概念是为了增加病人的安全，减少护士疲劳，并控制嘈杂，混乱和拥挤的空间与集中式护理站，直到最近很少有人注意到这种护理单元设计如何影响通信模式或其他医疗和组织的结果。使用前/后研究设计比较集中或分散的单位设计与新的多枢纽设计，本研究的目的是描述临床空间环境及其对沟通模式，护士满意度，步行距离，组织成果，患者安全和患者满意度的影响之间的关系。医院机构的数据表明，病人的满意度大幅提高。很少有显着的变化，发现在沟通模式，护士工作满意度，病人福尔斯，压疮，或组织的成果，如平均住院时间或病人普查没有显着的变化。
Studies investigating factors contributing to improved quality of care have found that effective team member communication is among the most critical and influential aspects in the delivery of quality care. Relatively little research has examined the role of the physical design of nursing units on communication patterns among care providers. Although the concept of decentralized unit design is intended to increase patient safety, reduce nurse fatigue, and control the noisy, chaotic, and crowded space associated with centralized nursing stations, until recently little attention has been paid to how such nursing unit designs affected communication patterns or other medical and organizational outcomes. Using a pre/post research design comparing more centralized or decentralized unit designs with a new multi-hub design, the aim of this study was to describe the relationship between the clinical spatial environment and its effect on communication patterns, nurse satisfaction, distance walked, organizational outcomes, patient safety, and patient satisfaction. Hospital institutional data indicated that patient satisfaction increased substantially. Few significant changes were found in communication patterns; no significant changes were found in nurse job satisfaction, patient falls, pressure ulcers, or organizational outcomes such as average length of stay or patient census.