Comparison of the auditory and visual privacy of emergency department treatment areas with curtains versus those with solid walls

Barlas, D.; Sama, Andrew E.; Ward, M.F.; Lesser, Martin

doi:10.1067/mem.2001.115441

Cited by 93 publications

(105 citation statements)

References 4 publications

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“…Ideally, sky or ceiling windows would be installed to provide access to natural lighting, and hospital recess lamps would be dimmed during the evening to follow diurnal patterns 18 and potentially diminish the risk of patients becoming disoriented to time. The use of sound-proof curtains between open bays throughout the ED might help to preserve privacy 19,20 and provide a more acoustic-friendly environment. Optimally, patients would rest on stretchers with pressure-reducing mattresses or, if able to sit, in reclining chairs during their ED evaluation.…”

Section: Geriatric Emergency Department Interventionsmentioning

confidence: 99%

The Geriatric Emergency Department

Hwang

Morrison

2007

J American Geriatrics Society

291

197

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With the aging of the population and the demographic shift of older adults in the healthcare system, the emergency department (ED) will be increasingly challenged with complexities of providing care to geriatric patients. The special care needs of older adults unfortunately may not be aligned with the priorities for how ED physical design and care is rendered. Rapid triage and diagnosis may be impossible in the older patient with multiple comorbidities, polypharmacy, and functional and cognitive impairments who often presents with subtle clinical signs and symptoms of acute illness. The use of Geriatric Emergency Department Interventions, structural and process of care modifications addressing the special care needs of older patients, may help to address these challenges. J Am Geriatr Soc 55:1873-1876, 2007. Key words: emergency medicine; geriatric health services F or most of the 20th century, the growth of the population aged 65 and older has far outpaced other age groups, and this trend will continue well into the 21st century. As a result of this demographic shift and an increase in longevity resulting from changes in lifestyles, health, and medical advances, one in five Americans will be aged 65 and older in 2030. By 2050, nearly 25% of Medicare beneficiaries will be aged 85 and older. 1 As the U.S. population continues to age, the healthcare system will need to face and embrace the challenges of caring for older adults. Care for elderly people is increasingly being sought in emergency departments (EDs), where older patients typically present with complex medical conditions, stay longer for more-extensive diagnostic testing and treatment regimens, and require special needs during their visit. The use of Geriatric Emergency Department Interventions may help to address these challenges and thereby improve the quality of care of elderly people in the ED. OLDER ADULTS AND THE EDAlthough the aging population will affect all areas of health care, the ED is likely to be disproportionately affected. In 2002, approximately 58% of 75-year-olds had at least one visit to an ED, as compared to 39% of those of all ages, and ED use increased with increasing age.3 Once in the ED, older patients are more likely to have an emergent or urgent condition, be hospitalized, and be admitted to a critical care unit. 4 In addition, older patients are also more likely to receive a greater number of diagnostic tests, spend longer times in the ED, and have higher charges for their ED services than younger patients. 5The Disconnect Between Emergency and Elder Care The ED is a unique environment where highly specialized care is delivered to the acutely ill and injured and safety net care is provided to disenfranchised and vulnerable populations. Although studies have begun to demonstrate disparities in care for older adults, most have focused on specific diseases or conditions 6 and have not looked specifically at how ED care and environmental factors may be associated with patient outcomes. Nonetheless, there are indications that the cu...

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Section: Geriatric Emergency Department Interventionsmentioning

confidence: 99%

The Geriatric Emergency Department

Hwang

Morrison

2007

J American Geriatrics Society

291

197

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“…Some patients prefer single rooms and report higher levels of satisfaction than those cared for in bays (Barlas et al, 2001;Moore et al, 2010). Also, there is a lower risk of 'mix-up' errors due to uninterrupted patient contact (Maben, 2009).…”

Section: Introductionmentioning

confidence: 99%

Reducing the number of missed isolation days in a paediatric high-dependency unit using semi-permanent pods

Keward

Bradshaw

Otter

2017

Journal of Infection Prevention

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Background: Single rooms are in short supply in many hospitals. Aim:To evaluate the impact of introducing semi-permanent pods to convert multi-occupancy bays into single occupancy pods. Methods:We performed a 24-month pre-post observational study in a 15-bed paediatric high dependency unit. Three semi-permanent pods were installed in February 2013, in the middle of the 24-month period. The percentage of missed isolation days and the proportion of days for which >4 patients required isolation (which would exceed existing isolation facilities) were compared for the year prior to the pods with the first year of pod use using a Fisher's exact tests. Results:Missed isolation days fell from 58.2% (662/1138; 95% confidence interval [CI], 55.3-61.0) pre-pod to 14.8% (205/1382; 95% CI, 13.0-16.8) during the first year of pod use (P <0.001). The percentage of days for which >4 patients required isolation was 74.5% overall (95% CI, 70.5-78.8), and increased from 63% (95% CI, 56.2-69.4) pre-Pod to 86% (95% CI, 80.9-90.3) during pod use (P <0.001). Discussion:The introduction of three semi-permanent pods was feasible in our paediatric HDU setting and reduced the number of missed isolation days, and hence transmission risk, for important hospital pathogens.

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“…Dentre os instrumentos de medida de privacidade encontra-se o desenvolvido por Barlas et al (2001) com o objetivo de comparar a privacidade auditiva e visual em áreas de tratamento de um serviço de emergência, protegidas com cortinas e paredes sólidas. O instrumento é composto por 11 itens direcionados aos pacientes, sendo que os 8 primeiros versam sobre a ruptura da privacidade visual e auditiva, e os demais se referem à opinião do paciente sobre a privacidade global, se a equipe respeitou sua privacidade e como sua expectativa por privacidade foi satisfeita.…”

Section: Revisão Da Literaturaunclassified

“…Para identificar a natureza, a severidade, o impacto, a freqüência e os fatores de risco associados à transgressão da privacidade percebidos pelos pacientes em um departamento de emergência australiano aplicou-se um instrumento constituído de 9 itens, traduzido e adaptado da versão americana elaborada por Barlas et al (2001). O estudo evidenciou que as mulheres são mais preocupadas com a privacidade do que os homens e que a maioria dos pacientes teve sua privacidade visual ou auditiva transgredida, tendo como principal fator o tipo de box com cortinas, ou seja, as cortinas não propiciam o mesmo grau de privacidade do que as paredes sólidas.…”

Section: Revisão Da Literaturaunclassified

“…A necessidade do paciente de ter seu corpo preservado da visão de pessoas que não estão envolvidas diretamente com a assistência foi constatada em diversos estudos (SILVEIRA, 1997;BARLAS et al, 2001;WALSH;KOWANKO, 2002;PUPULIM;SAWADA, , 2005aSAWADA, , 2005b Observa-se na prática assistencial que a impossibilidade de ir ao banheiro e ter que fazer uso de urinol ou comadre no leito, além de desagradável é desconfortável para a grande maioria dos pacientes. A posição a ser adotada durante o uso de ambos quase sempre é incômoda, ainda mais com a probabilidade de ter partes do seu corpo expostas e vistas por outras pessoas.…”

Section: Validade Discriminante Do Construtounclassified

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Satisfação do paciente hospitalizado com sua privacidade física: construção e validação de um instrumento de medida

Pupulim¹

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Comparison of the auditory and visual privacy of emergency department treatment areas with curtains versus those with solid walls

Cited by 93 publications

References 4 publications

The Geriatric Emergency Department

The Geriatric Emergency Department

Reducing the number of missed isolation days in a paediatric high-dependency unit using semi-permanent pods

Satisfação do paciente hospitalizado com sua privacidade física: construção e validação de um instrumento de medida

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