Patients’ and Nurses’ Experiences of All Single-Room Hospital Accommodation: A Scoping Review

Søndergaard, Susanne Friis; Beedholm, Kirsten; Kolbæk, Raymond; Frederiksen, Kirsten

doi:10.1177/19375867211047548

Cited by 17 publications

(53 citation statements)

References 37 publications

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“…Twelve publications reported on outcomes related to patient care and disease management (see Figure 3 and supplementary Table 3). (26,8,(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) All were in adults or non-specified age groups. Three were before-and-after studies, four were contemporaneous studies, and five were evidence syntheses.…”

Section: Patient Care and Disease Managementmentioning

confidence: 99%

“…Forty-five publications, four of which were evidence syntheses, reported patients' views about noise, disturbance, and sleep associated with single-room accommodation (see Figure 4 and supplementary Table 11). (8,9,(24)(25)(26)28,30,32,33,36,(38)(39)(40)(41)(42)47,54,58,59,68,76,77,86,103,105,107,108,110,(112)(113)(114)(117)(118)(119)131,(133)(134)(135)(136)(137)(138)(139)(140)(141) Sixteen were before-and-after studies, 24 were contemporaneous studies, one used mixed study designs, and four were evidence syntheses. Nine had quality scores less than 50% and 13 had high quality scores.…”

Section: Noise Disturbance and Sleepmentioning

confidence: 99%

“…( 119) Most studies addressing sleep found that it was improved in single rooms. (28,30,32,33,36,58,59,86,113,114,117,118,136,140) This was generally due to fewer disturbances and/or a perceived quieter environment that in shared accommodation. Hosseini and colleagues (114) and Sakr and colleagues (140) noted that the risk of new-onset insomnia was significantly higher among patients in shared accommodation (95.7% vs 75%, p=0.011).…”

Section: Noise Disturbance and Sleepmentioning

confidence: 99%

“…Fifty-one publications, six of which were evidence syntheses, reported patients' satisfaction with care (see Figure 4 and supplementary Table 12). (8,12,19,25,27,28,30,32,33,35,36,(38)(39)(40)42,44,49,50,57,58,60,62,74,77,86,99,101,103,105,(107)(108)(109)(111)(112)(113)(114)(116)(117)(118)(119)121,125,128,129,131,133,136,(142)…”

Section: Satisfaction With Carementioning

confidence: 99%

“…Routine care was assessed in 30 studies (see supplementary table 12). (8,27,28,30,32,33,35,36,39,42,58,77,86,99,101,105,(111)(112)(113)(114)(116)(117)(118)121,129,131,133,136,143,144) Patients preferred shared accommodation in seven studies. (33,86,(116)(117)(118)129,133) Generally they preferred interaction with other patients, and in two reports they stated that they found the shared accommodation more secure and safe.…”

Section: Routine Carementioning

confidence: 99%

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The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Bertuzzi¹,

Martin

Clarke

et al. 2022

Preprint

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Objectives: Assess the impact of single rooms versus multioccupancy accommodation on inpatient health-care outcomes and processes. Design: Systematic review. Setting: Hospitals and secondary care units. Participants: Inpatients receiving routine, emergency, high-dependency, or intensive care with a named type of hospital accommodation. Main outcome measures: Qualitative synthesis of findings. Results: Of 4,861 citations initially identified, 215 were deemed suitable for full-text review, of which 145 were judged to be relevant to this review. Five main method types were reported: 60 before-and-after comparisons, 75 contemporaneous comparisons, 18 qualitative studies of accommodation preferences, 10 evidence syntheses. All studies had methodological issues that potentially biased the results by not adjusting for confounding factors that are likely to have contributed to the outcomes. Ninety-two papers compared clinical outcomes for patients in single rooms versus shared accommodation, but no clearly consistent conclusions could be drawn about overall benefits of single rooms versus shared accommodation (multioccupancy rooms, bays, or wards). Single rooms were most likely to be associated with a small overall clinical benefit for the most severely ill patients, especially neonates in intensive care. Patients who preferred single rooms tended to do so for privacy, and for reduced disturbances. By contrast, men, older adults, children, and adolescents were more likely to prefer shared accommodation to avoid loneliness. While shared accommodation seemed to be the most cost-effective approach for construction, greater costs associated with building single rooms were small and likely to be recouped over time by other efficiencies. Conclusions: The lack of difference between inpatient accommodation types in a large number of studies suggests that there would be little effect on clinical outcomes, particularly in routine care. Patients in intensive care areas are most likely to benefit from single rooms. Most patients preferred single rooms for privacy and some preferred shared accommodation for avoiding loneliness.

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Section: Patient Care and Disease Managementmentioning

confidence: 99%

Section: Noise Disturbance and Sleepmentioning

confidence: 99%

Section: Noise Disturbance and Sleepmentioning

confidence: 99%

Section: Satisfaction With Carementioning

confidence: 99%

Section: Routine Carementioning

confidence: 99%

See 3 more Smart Citations

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Bertuzzi¹,

Martin

Clarke

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements

Jensen,

Specht,

Mainz

2024

International Journal of Orthopaedic and Trauma Nursing

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Experiencing the physical and psychosocial aspects in a multi-bedded room in an oncology ward in the Netherlands before the COVID-19 pandemic

Zijlstra,

Hagedoorn,

Krijnen

et al. 2023

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Purpose Until now, it is not clear whether there are differences in patient perception between multi-bedded rooms with two and four beds. The purpose of this study was to investigate the effect of the physical (i.e. room type) and psychosocial (i.e. kindness of roommates and extraversion) aspects on the patients’ experience (i.e. pleasantness of the room, anxiety, sleep quality) in multi-bedded rooms in an oncology ward. Design/methodology/approach A group of 84 hospitalized oncology patients completed a questionnaire on the day of departure. Room types were categorized into two groups: two-person and four-person rooms. Findings Multivariate logistic regression analyses with the minimum Akaike Information Criterion (AIC) showed no direct main effects of room type (two vs. four-person room), kindness of roommates and extraversion on pleasantness of the room, anxiety and sleep quality. However, the authors found an interaction effect between room type and extraversion on pleasantness of the room. Patients who score relatively high in extraversion rated the room as more pleasant when they stayed in a four-person rather than a two-person room. For patients relatively low in extraversion, room type was not related to pleasantness of the room. Practical implications The findings allow hospitals to better understand individual differences in patient experiences. Hospitals should inform patients about the benefits of the different room types and potential influences of personality (extraversion) so patients are empowered and can benefit from autonomy and the most appropriate place. Originality/value This study emphasizes the importance of including four-person rooms in an oncology ward, while new hospital facility layouts mainly include single-bed rooms.

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Patients’ and Nurses’ Experiences of All Single-Room Hospital Accommodation: A Scoping Review

Cited by 17 publications

References 37 publications

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

The clinical, humanistic, and economic outcomes, including experiencing of patient safety events, associated with admitting patients to single rooms compared with shared accommodation for acute hospital admissions. A narrative synthesis systematic literature review

Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements

Experiencing the physical and psychosocial aspects in a multi-bedded room in an oncology ward in the Netherlands before the COVID-19 pandemic

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