A room of one′s own – <scp>B</scp>eing cared for in a hospital with a single‐bed room design

Persson, Eva; Anderberg, Patrice; Ekwall, Anna Kristensson

doi:10.1111/scs.12168

Cited by 41 publications

(78 citation statements)

References 24 publications

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“…There is an ongoing debate regarding whether hospital units should be designed exclusively with single rooms or multi-bed rooms, with a general trend towards the provision of single rooms in new health care buildings [30, 32, 33]. The most important argument for a single-room design is the reduction of airborne- and contact-transmitted infections [12].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, several studies have highlighted the complexity of the issues related to single rooms [30, 32, 38]. While some patients have reported that they preferred single rooms because the rooms allowed them to create a personal and private environment [32], staff have reported disadvantages related to visibility, surveillance, teamwork, monitoring and keeping patients safe [30].…”

Section: Discussionmentioning

confidence: 99%

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A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

et al. 2017

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Early mobilization and rehabilitation, multidisciplinary stroke expertise and comprehensive therapies are fundamental in a stroke unit. To achieve effective and safe stroke care, the physical environment in modern stroke units should facilitate the delivery of evidence-based care. Therefore, the purpose of this study was to explore patients’ activities and interactions in a stroke unit before the reconstruction of the physical environment, while in a temporary location and after reconstruction. This case study examined a stroke unit as an integrated whole. The data were collected using a behavioral mapping technique at three different time points: in the original unit, in the temporary unit and in the new unit. A total of 59 patients were included. The analysis included field notes from observations of the physical environment and examples from planning and design documents. The findings indicated that in the new unit, the patients spent more time in their rooms, were less active, and had fewer interactions with staff and family than the patients in the original unit. The reconstruction involved a change from a primarily multi-bed room design to single-room accommodations. In the new unit, the patients’ lounge was located in a far corner of the unit with a smaller entrance than the patients’ lounge in the old unit, which was located at the end of a corridor with a noticeable entrance. Changes in the design of the stroke unit may have influenced the patients’ activities and interactions. This study raises the question of how the physical environment should be designed in the future to facilitate the delivery of health care and improve outcomes for stroke patients. This research is based on a case study, and although the results should be interpreted with caution, we strongly recommend that environmental considerations be included in future stroke guidelines.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

et al. 2017

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“…33 Patients who had their own room experienced physical loneliness. 41 Physical loneliness was associated with the alien hospital environment, but also with having to leave home and having to give up one's earlier lifestyle, hobbies, and important relationships and freedom. Loneliness was described as alienation and anxiety.…”

Section: Loneliness In the Environment And Physical Lonelinessmentioning

confidence: 98%

Patient Experiences of Loneliness

Karhe

Kaunonen

2015

Advances in Nursing Science

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Loneliness is a painful experience for patients. To clarity the concept of patient loneliness, this study undertook an evolutionary concept analysis based on a literature search in the main relevant databases. We identified 7 dimensions in adult patients' experiences of loneliness. These dimensions of loneliness have different causes and theoretical foundations, which have different implications for patient care. Patients may be lonely in their different relationships, including those with nurses and doctors. Loneliness in relation to health care professionals is a new application of the concept of loneliness that provides a useful starting point for future research.

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“…Risk of patients isolating in single rooms and not getting out of bed is a step back seen in the context of fast track surgery progress where early mobilization is a main reason for shorter hospital stay. When patients have all they need in their room they are not naturally encouraged to get out of bed [16]. This theory is supported by Williams et al who found that patient in single-rooms were more likely to use the bell more often because they felt isolated and not safe going out of bed alone [21].…”

Section: Discussionmentioning

confidence: 99%

“…Another study showed that social interaction with other patients was not facilitated without effort and planning from the staff [16]. In single bedrooms the staffs is often the patient's main contact given that most patients stay in their room.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Being Hospitalized in a Single Bedroom versus a Four Bedroom: An Interview Study

Brauner¹,

Jørgensen²,

Madsen³

et al. 2017

Adv Practice Nurs

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A room of one′s own – Being cared for in a hospital with a single‐bed room design

Cited by 41 publications

References 24 publications

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

Patient Experiences of Loneliness

Experiences of Being Hospitalized in a Single Bedroom versus a Four Bedroom: An Interview Study

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