× You are not currently logged in. To receive all the benefits our site has to offer, we encourage you to log in now.

Knowledge Repository

Effects of Nursing Unit Spatial Layout on Nursing Team Communication Patterns, Quality of Care, and Patient Safety

Author(s): Hua, Y., Becker, F., Wurmser, T., Bliss-Holtz, J., Hedges, C.
A number of studies have looked at the impact of different types of healthcare staff communication on patient outcomes, as communication and collaboration are crucial for patient care. One topic that is starting to be studied but requires more research is the effect of nursing unit layout and design on nurse communication. While traditionally nursing units have a centralized layout with one main nursing station used by all staff in the unit, more recently there has been movement toward other types of layouts in an attempt to impact patient care.
Key Point Summary

Out of Sight, Out of Reach. Correlating spatial metrics of nurse station typology with nurses’ communication and co ‐ awareness in an intensive care unit

Author(s): Cai, H., Zimring, C.

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Author(s): Gum, Lyn Frances, Prideaux, David, Sweet, Linda, Greenhill, Jennene
The nurses’ station serves a diverse array of purposes, one being that it acts as a space for communication and interprofessional collaboration. Previous studies have shown that the design of the nurses’ station alone can impact aspects of patient and staff privacy, walking distance, and access to resources. But no known studies prior to this paper have examined specifically the influence of nurse station design on the frequency and quality of interprofessional practice.
Key Point Summary

Infection Prevention Promotion Program Based on the PRECEDE Model: Improving Hand Hygiene Behaviors Among Healthcare Personnel

Author(s): Aboumatar, H., Ristaino, P., Davis, R. O., Thompson, C. B., Maragakis, L., Cosgrove, S., Rosenstein, B., Perl, T. M.
Hand hygiene is critical to prevent transmission of multidrug-resistant organisms and the development of healthcare-associated infections, yet compliance with recommendations is poor.  
Key Point Summary

Impact of the Design of Neonatal Intensive Care Units on Neonates, Staff, and Families: A Systematic Literature Review

Author(s): Shahheidari, M., Homer, C.
The authors indicate that the design of NICUs incorporating single family rooms as evidence indicates this room type contributes to the better development of babies, facilitates increased parental involvement in care, controls infection, and reduces noise and length of stay. 
Key Point Summary

Factors Impeding Flexible Inpatient Unit Design

Author(s): Pati, D., Evans, J., Harvey, T. E., Bazuin, D.
The physical environment can have a significant impact on operational efficiencies within healthcare environments. In an era of cost curtailment, design interventions that can provide maximum flexibility will become increasingly necessary. Following a 2006 study that identified domains within the design process that affect flexibility within acute care inpatient units, researchers wanted to understand whether domains external to the design process could influence the successful optimization of flexibility within the same environment.
Key Point Summary

Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care

Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit. 
Key Point Summary

Making acuity-adaptable units work: lessons from the field

Author(s): Zimring, C., Seo, H.
Acuity-Adaptable Units (AAUs) are rooms with a treatment model that allows all stages of patient care to come to the patient’s unit from the time of admission to discharge. Minimizing the amount of patient transfers helps decrease medication errors, infection rates, and medical complications. This helps avoid injuries and infections connected with patient transfers from unit to unit through transitions in stages of care.  
Key Point Summary

The Effect of Hospital Unit Layout on Nurse Walking Behavior

Author(s): Yi, L., Seo, H.-B.
Over the course of a typical shift, nurses spend a lot of time on their feet, walking back and forth on the unit to take care of patients' needs. The long distances that nurses walk is a topic of concern in the industry. Some believe it may potentially impact the amount of time spent with patients and also because of the physical toll on nurses, day after day. Researchers are attempting to understand whether unit layout and design might be revised to reduce walking distances and create efficiencies that enhance patient care.
Key Point Summary

Suicide Attempts and Completions in the Emergency Department in Veterans Affairs Hospitals

Author(s): Mills, P. D., Watts, B. V., DeRosier, J. M., Tomolo, A. M., Bagian, J. P.
Suicide is a leading cause of death in the United States, and approximately 1,500 suicides occur in inpatient hospital units in the United States each year, This study examines the specific environmental factors involved in suicide attempts and completions in an ED in a large, nationally represented hospital sample (VA).
Key Point Summary