How can we help staff transition to a new NICU design?

Broom, Margaret; Gardner, Anne; Kecskés, Zsuzsoka; Kildea, Sue

doi:10.1016/j.jnn.2015.05.004

Cited by 7 publications

(9 citation statements)

References 12 publications

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“…However, consistent with previous findings (Domanico et al, 2010;Smith et al, 2009;Walsh et al, 2006), nurses reported increased isolation in the SFR, with interviews identifying this was about difficulties finding assistance when needed and a decrease in nurse education and informal interactions. Nurses also reported significant increases in workload in the SFR nursery, supporting previous findings (Broom et al, 2015). The interviews provided details about what contributed to perceptions of increased workload, including increased walking, time spent individually in parent-education, and the inability to multi-task.…”

Section: Discussionsupporting

confidence: 77%

“…In designing SFR nurseries and the organisation of work for individual staff, consideration also needs to be given to reducing the amount of walking. Such changes would address some of the workload and isolation issues found in our study and potentially improve outcomes for nurses longer term (Broom et al, 2015). In addition, nurses need strategies to manage the competing needs of different parents to ensure adequate care is provided for all families.…”

Section: Practical Implicationsmentioning

confidence: 99%

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The impact of special care nursery design on neonatal nurses

Hogan

Jones

Saul

2016

Journal of Neonatal Nursing

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The current study examined the impact of neonatal nursery design on nursing staff in an XXX context. Nurses' employee adjustment and job demands and resources were examined, using surveys and interviews, before and after the transition from an openbay to a single family room (SFR) design. Results revealed significant increases in the level of nurse workload and isolation. Most employee adjustment and resources indicators remained relatively unchanged after the transition, however inconsistencies were found between survey and interview findings. Personal accomplishment improved in the SFR, and nurses reported increased satisfaction from the benefits accruing to infants and parents in SFR, which we argue potentially ameliorate the impact of increased workload and isolation within the SFR.

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Section: Discussionsupporting

confidence: 77%

Section: Practical Implicationsmentioning

confidence: 99%

The impact of special care nursery design on neonatal nurses

Hogan

Jones

Saul

2016

Journal of Neonatal Nursing

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“…OPBY setting can easily adopt a team approach as needed to assist one another or provide coverage for breaks (Broom, Gardner, Kecskes, & Kildea, 2015). Excepting the use of OPBY layouts, the NICU work environment is similar to other critical care areas in the hospital: neonatal nurses contend with heavy workloads, stiff time pressures, and staffing inadequacies, which is associated with poor nurse-reported quality of care (Lake et al, 2016;Rochefort & Clarke, 2010;Rogowski et al, 2013Rogowski et al, , 2015.…”

mentioning

confidence: 99%

Neonatal Intensive Care Unit Layout and Nurses’ Work

Doede

Trinkoff

Gürses

2017

HERD

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Neonatal intensive care units (NICUs) remain one of the few areas in hospitals that still use an open bay (OPBY) design for patient stays greater than 24 hr, housing multiple infants, staff, and families in one large room. This creates high noise levels, contributes to the spread of infection, and affords families little privacy. These problems have given rise to the single-family room NICU. This represents a significant change in the care environment for nurses. This literature review answers the question: When compared to OPBY layout, how does a single family room layout impact neonatal nurses' work? Thirteen studies published between 2006 and 2015 were located. Many studies reported both positive and negative effects on nurses' work and were therefore sorted by their cited advantages and disadvantages. Advantages included improved quality of the physical environment; improved quality of patient care; improved parent interaction; and improvements in nurse job satisfaction, stress, and burnout. Disadvantages included decreased interaction among the NICU patient care team, increased nurse workload, decreased visibility on the unit, and difficult interactions with family. This review suggests that single-family room NICUs introduce a complex situation in which trade-offs occur for nurses, most prominently the trade-off between visibility and privacy. Additionally, the literature is clear on what elements of nurses' work are impacted, but how the built environment influences these elements, and how these elements interact during nurses' work, is not as well understood. The current level of research and directions for future research are also discussed.

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“…, Broom et al . ), but a systematic review reported increased staff walking distance, workload and staffing requirements (Shahheidari & Homer ). Previous studies also highlighted additional support and education needs, difficulties in team communication and staff isolation in SRD (Walsh et al .…”

Section: Introductionmentioning

confidence: 99%

“…Nurses have acknowledged the benefits of SRD in their ability to provide a developmentally appropriate environment and facilitate family-centred care (Carlson et al 2006, Smith et al 2009, Cone et al 2010, Broom et al 2015, but a systematic review reported increased staff walking distance, workload and staffing requirements (Shahheidari & Homer 2012). Previous studies also highlighted additional support and education needs, difficulties in team communication and staff isolation in SRD , Stevens et al 2010, Bosch & Jenzarli 2012, Swanson et al 2013.…”

Section: Introductionmentioning

confidence: 99%