Centralized vs. Decentralized Nursing Stations: An Evaluation of the Implications of Communication Technologies in Healthcare

Bayramzadeh, Sara; Alkazemi, Mariam

doi:10.1177/193758671400700406

Cited by 28 publications

(32 citation statements)

References 22 publications

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“…The effectiveness of other types of communication technologies has also been tested. For example, Nurse Call Systems (NCSs) provide patients with a more natural and faster way to communicate with nurses; through NCSs, patients press a button on the bed, which turns on a light outside of a patient's room and on the bed station, showing which patient needs help Similarly, Guarascio-Howard (2011) found that wireless communication technology with audio and visual capabilities to facilitate communication between nurses and patients as well as among nurses improved the responses to patients falls from hospital beds, reduced cell phone usage among nurses and increased efficiency (7).…”

Section: Resultsmentioning

confidence: 99%

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Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services

Sayam¹,

Sukihananto²

2019

IJNHS

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Background: Advances in technology in the field of health are increasingly increasing, enabling everyone to use existing technology. Today, advances in information technology that allow for the development of professional nursing services, and the attention of current epidemiology and sociodemography, are very important for nurses. to become familiar with health information systems Methods: The conceptual framework proposed was to look at the theory and empirical literature used in nursing studies and its benefits, which were reviewed from several research results from 2013 to 2018. This study used 17 journals that were reviewed against it. Results: Several innovations in the field of information technology in the field of nursing have been developed and evaluated for its benefits. Based on what is in the literature in this article, Nurse Calling Systems (NCSS), EHR and CDSS, MDTT, computers and infusion management systems are a number of innovations that have been developed for developing technology to provide better quality services. The benefits obtained when using these innovations, namely more efficient management, more effective use of costs, improved planning programs, increased utilization of nurses. The benefits of information systems in nursing more time with, patients and less time in station nurses, reducing the use of paper nursing care automatically the same standard in care (nursing process) reduce the cost of nursing services can be measured Conclusion: it takes several innovations in the field of nursing that have been widely applied, which are carried out on benefits that provide enormous benefits in the practice of nursing services. So it is recommended that in the future Indonesia can implement innovations that can help improve nurse performance in Indonesia according to existing needs Keywords: Innovation, Nursing Information System, Benefits

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Section: Resultsmentioning

confidence: 99%

“…The NCSS system as already mentioned, this system can improve nurses' responses to patients, so that it can reduce the number of patients falling out, thus work efficiency can be assessed to increase with this system (7).…”

Section: Discussionmentioning

confidence: 99%

Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services

Sayam¹,

Sukihananto²

2019

IJNHS

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“…Two studies indicated a significant decrease in agreement that the unit layout supports teamwork after decentralization: one assessing three units (centralized M ¼ 4.72, 4.63, 4.15;decentralized M ¼ 2.25, 3.18, 2.86;p ¼ .05;Pati et al, 2015) and one overall (centralized M ¼ 4.21, decentralized M ¼ 2.94, p ¼ .00; Fay et al, 2017). Finally, Bayramzadeh and Alkazemi (2014) found that nurses on decentralized compared to centralized units had lower disagreement that most communication was face-to-face in their unit (centralized M ¼ 2.15, SD ¼ 0.87; decentralized M ¼ 1.77, SD ¼ 0.68, p ¼ .034). Nurses on the decentralized compared to centralized units also had higher disagreement that most communications between nursing stations occur through technology (centralized M ¼ 3.10, SD ¼ 0.79; decentralized M ¼ 3.60, SD ¼ 0.91, p ¼ .017 ;Bayramzadeh & Alkazemi, 2014).…”

Section: Collaboration and Communicationmentioning

confidence: 99%

Associations of Patient and Staff Outcomes With Inpatient Unit Designs Incorporating Decentralized Caregiver Workstations: A Systematic Review of Empirical Evidence

Jimenez¹,

Puumala²,

Apple

et al. 2019

HERD

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Objectives: This systematic literature review synthesizes and assesses quality of research addressing associations of patient and staff outcomes with inpatient unit designs incorporating decentralized caregiver workstations. Background: A current hospital design trend is to include decentralized caregiver workstations on inpatient units. A review of literature addressing decentralized unit design is needed. Methods: The systematic review methodology was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Database searches were conducted for studies published in peer-reviewed journals through October 2017. Included were empirical studies associating patient and/or staff outcomes and unit design with decentralized caregiver workstations. Individual studies were evaluated for quality using established methods, and Grading of Recommendations Assessment, Development and Evaluation (GRADE) and GRADE-Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) guided rigorous inspection of evidence quality and strength for quantitative outcomes and qualitative findings, respectively. Results: The search yielded 1,096 records with 36 full-text articles examined and 12 articles included in the final review. This work was dominated by studies with limited analyses. Staff outcomes have been most widely studied, especially collaboration/communication and walking. Overall, studies exploring decentralized nursing as a design intervention have produced limited results for both staff and patient outcomes. Strength of evidence of the current literature with quantitative methods as a whole was rated very low quality. Conclusions: Although varying degrees of caregiver workstation decentralization in

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“…However, Bayramzadeh and Alkazemi (2014) found communication was more frequent among staff working on a decentralized unit compared to those working on a centralized unit. This may have been due to the shared workload across the unit and staff staying together at the smaller stations, which not only increased communication but increased collaboration as well (Bayramzadeh & Alkazemi, 2014). Pati, Harvey, Redden, Summers, and Pati (2015) investigated staff performance on a hematology unit that transitioned from a centralized to a decentralized model.…”

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confidence: 99%

Implications of a Decentralized Postpartum Unit Design and Clinical Operations

Freihoefer¹,

Lindval²,

Bayramzadeh

et al. 2019

HERD

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Objectives: This postoccupancy study sought to understand whether a decentralized unit design supported a postpartum care delivery model by evaluating nurses’ efficiency, staff perception, acoustical conditions, and patient satisfaction. Background: Today, standardization and decentralization design concepts are being applied to all types of inpatient unit. There have been many studies that investigated how these concepts influence care delivery on medical-surgical units, but no study has evaluated a postpartum unit. Methods: This study utilized a mixed-method approach that involved unobtrusive shadowing (roughly 25 hr) and surveying ( n = 19) of nursing staff, physical acoustic readings (eight, 24-hr readings), and comparison of patient satisfaction pre- and postmove. Results: On average, nurses spent roughly 36.90% of their time at charting stations. Nurses were observed mostly using the central charting station located at the entry of the unit and adjacent to the well-baby nursery rather than the five decentralized chart stations. This was due to nurses operating with old workflow habits, not fully integrating electronic medical records, and needing to be near the nursery and other nurses. Nurses were satisfied with their ability to interact and their proximity to supplies, patients, and team members while in the central charting station. Additionally, patient satisfaction significantly increased postmove, particularly with the overall hospital’s quietness and cleanliness. Conclusion: This study highlights the importance of aligning administrative operations of the unit with the design intent. Although standardization and decentralization design concepts aimed to improve nurses’ workflow, misalignment with the operations may not deliver the most optimal outcomes.

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Centralized vs. Decentralized Nursing Stations: An Evaluation of the Implications of Communication Technologies in Healthcare

Abstract: Hospital, interdisciplinary, nursing, technology, work environment.

Cited by 28 publications

References 22 publications

Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services

Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services

Associations of Patient and Staff Outcomes With Inpatient Unit Designs Incorporating Decentralized Caregiver Workstations: A Systematic Review of Empirical Evidence

Implications of a Decentralized Postpartum Unit Design and Clinical Operations

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