A Comparison of Parent Satisfaction in an Open-Bay and Single-Family Room Neonatal Intensive Care Unit

Stevens, Dennis C.; Helseth, Carol C; Khan, Mohammad Akram; Munson, David P.; Reid, E.

doi:10.1177/193758671100400309

Cited by 47 publications

(61 citation statements)

References 34 publications

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“…The single-family room environment seemed more conducive to the provision of FCC. [19,20] In our study, most of the patients were of low and lower-middle socioeconomic status, and were semi-skilled or unskilled workers with minimal family support. A study conducted in private sector hospitals may result in different levels of satisfaction and different responses.…”

Section: Discussionmentioning

confidence: 99%

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

et al. 2017

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Background. Traditional systems of neonatal intensive care unit (NICU) care predispose parents to increased levels of stress and anxiety due to parental separation from their infant. Parental satisfaction, an indicator of the quality of care, is significantly compromised during prolonged NICU stay. The research is limited in developing countries. Objectives. To assess the parental satisfaction with traditional systems of NICU care in a public sector hospital and to identify the areas that need improvement and can be worked upon. Methods. A semi-structured questionnaire was used to interview the parents of the neonates on the day of discharge. Fifteen questions were categorised into four domains, namely interpersonal relationships with staff, parents' involvement, staff competence and services offered by the health system. Parental satisfaction level was marked on a three-point Likert scale, 0 corresponding to highly dissatisfied, and 2 to completely satisfied for each of the 15 questions. Results. Out of 100 patients interviewed, communication was the chief determinant of their satisfaction. Parents expressed fair satisfaction levels with regard to the emotional support and encouragement received, but discontent at being unable to look after their own baby and breastfeed the baby. They were satisfied with the competence of the staff. Conclusion. The traditional system of NICU care was not satisfying for the parents in many aspects and changes in the form of familycentred care should be tried for greater parental satisfaction. S Afr J Child Health

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Section: Discussionmentioning

confidence: 99%

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

et al. 2017

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“…We also reported improved staff [2] and parent [3] perceptions of care. In this journal, we published no significant increase in adverse medical outcomes with SFR care [4].…”

mentioning

confidence: 62%

“…We also reported improved staff [2] and parent [3] perceptions of care. In this journal, we published no significant increase in adverse medical outcomes with SFR care [4]. In all of our research, developmental therapy implemented by appropriately trained neonatal developmental specialists were used in both the open bay and SFR environments, possibly reducing the impact upon many of the variables measured.…”

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confidence: 62%

Mounting evidence favoring single-family room neonatal intensive care

Stevens

Thompson

Helseth

et al. 2015

NPM

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Abstract. Controversy regarding the optimal design for neonatal intensive care has existed for more than 20 years. Recent evidence confirms that in comparison with the traditional open-bay design, the single-room facility provides for improved control of excessive noise and light, improved staff and parental satisfaction with care and equal, or possibly reduced, cost of care. Single-room care was not associated with any increase in adverse outcomes. To optimize long term developmental outcomes, single-room care must be augmented with appropriate developmental therapy and programs to actively support parental involvement.

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“…(8) Centralized nursing units may provide improved perception of patient access and professional communication among staff (Parker et al, 2012). (9) Parents whose babies receive care in the single-family room facility may be more satisfied with the NICU environment and care than parents whose babies receive care in the open-bay facility (Stevens et al, 2010). (10) Staff may be more satisfied with workplace quality in single-family patient room NICU than in open-bay NICU (Stevens et al, 2009).…”

Section: Studies Using Structured Questionnairesmentioning

confidence: 99%

Research on nursing unit layouts: an integrative review

Rashid

2015

Facilities

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STRUCTURED ABSTRACTPurpose: To present an integrative review of the research studies on nursing unit layouts.Methodology: Studies selected for review were published between 1956 and 2014. For the purpose of this review, a framework for integrative review was developed using research orientations. The three primary dimensions-technical, psychological, and social-of the designed environment and various combinations of these dimensions were used to define the research orientations of these studies.Findings: Of all the publications reviewed for the paper, 21 presented technical orientations, 16 psychological orientations, 3 social orientations, 20 psychotechnical orientations, 10 sociotechnical orientations, 2 psychosocial orientations, and 13 presented psychosociotechnical orientations. With only a few exceptions, several issues related to nursing unit layouts were investigated no more than one time in any one category of research orientations. Several other seemingly important issues including patient and family behavior and perception, health outcomes, and social and psychosocial factors in relation to unit layouts have not been studied adequately.Research implications: Future studies on nursing unit layouts will need to focus on patient and family behavior and perception, health outcomes, and social and psychosocial factors in different units. They will also need to focus on developing theories concerning the effects of layouts on the technical, psychological, and social dimensions of nursing units.Originality/value: Despite a long history of research on nursing unit layouts, an integrative review of these studies is still missing in the literature. This review fills in the gap using a novel framework developed based on research orientations.

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A Comparison of Parent Satisfaction in an Open-Bay and Single-Family Room Neonatal Intensive Care Unit

Cited by 47 publications

References 34 publications

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

Mounting evidence favoring single-family room neonatal intensive care

Research on nursing unit layouts: an integrative review

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