Single-Occupancy Patient Rooms: A Systematic Review of the Literature Since 2006

Taylor, Ellen; Card, Alan J.; Piatkowski, Melissa

doi:10.1177/1937586718755110

Cited by 60 publications

(104 citation statements)

References 50 publications

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“…Single-family room NICU design may attenuate some restrictions. Private rooms make certain infection control measures easier by providing physical distancing, physical barriers, and separate air supplies [ 17 , 18 ]. At baseline we found no differences in 24-h parental presence among various NICU designs.…”

Section: Discussionmentioning

confidence: 99%

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

et al. 2020

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Objectives To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes. Study design A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability. Results Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83-53%, p < 0.001) and of preserving full parental participation in rounds fell (71-32%, p < 0.001). Single-family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single-family room 65%, hybriddesign 57%, open bay design 45%, p = 0.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support. Conclusions Hospital restrictions have significantly limited parental presence for NICU admitted infants, although singlefamily room design may attenuate this effect.

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Section: Discussionmentioning

confidence: 99%

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

et al. 2020

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“…Similarly, hospital design in Australia has moved toward a patient-centered care model (Australian Commission on Safety and Quality in Health Care, 2011) with a corresponding increase in SPRs in public hospitals. The Australasian Health Facility Guidelines (AusHFG, 2015/2018, p. 12), used widely as a standard, recommended SPRs because of the evidence on “patient safety, infection control, patient privacy and dignity, plus staff comfort.” Although SPRs can offer patients improved privacy and sense of control, this architectural choice may affect the level and frequency of care (Taylor et al, 2018). Decreased visibility of patients and reduced staff interaction are both relevant to quality of patient care and staff satisfaction (Ampt et al, 2008).…”

Section: Ebd and The Inpatient Roommentioning

confidence: 99%

Indigenous Preferences for Inpatient Rooms in Australian Hospitals: A Mixed-Methods Study in Cross-Cultural Design

Nash

O’Rourke

Memmott

et al. 2020

HERD

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Aim: This mixed-method study aimed to establish preliminary evidence for spatial and design features that can improve the experience and participation of Indigenous inpatients in healthcare. Background: Disadvantaged across a range of health measures, a disproportionately high number of Indigenous people leave hospital without receiving appropriate medical care. Australian government policies to improve cultural safety of Indigenous patients have largely ignored physical settings and their potential to improve health outcomes. Despite increasing evidence on the potential of design to reduce patient stress, there is minimal research on cross-cultural design in health facilities, including for Indigenous Australians. Methods: A cross-sectional, area-based survey elicited design preferences of four healthcare settings from Indigenous participants ( n = 602). On the screen-based survey, participants selected from paired images that indicated their preferences for room layout and features of inpatient rooms. Semistructured in-depth interviews ( n = 55) explored meanings behind preferences. Results: Participants showed majority preferences for the two-bed patient room, for a balcony rather than a window only, Indigenous art, and view of a park over an urban environment. Analysis of qualitative data shifted the focus from Ulrich’s three supportive design components to cultural recognition, the desire for company of family members, and connection to life outdoors. Conclusions: Social and cultural factors were highly significant to patients for sense of control, family support, and positive distraction. In response, inpatient room size and type, views, access to outdoors and Indigenous art need to be considered in hospital design for Indigenous patients and families.

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“…Single family room NICU design may attenuate some restrictions. Private rooms make certain infection control measures easier by providing physical distancing, physical barriers, and separate air supplies [17, 18]. At baseline we found no differences in 24-hour parental presence among various NICU designs.…”

Section: Discussionmentioning

confidence: 93%

Impact of Restrictions on Parental Presence in Neonatal Intensive Care Units Related to COVID-19

Mahoney

White

Velasquez

et al. 2020

Preprint

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Objectives: To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes. Study Design: A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability. Results: Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83% to 53%, p<0.001) and of preserving full parental participation in rounds fell (71% to 32%, p<0.001). Single family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single family room 65%, hybrid-design 57%, open bay design 45%, p=.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support. Conclusions: Hospital restrictions have significantly limited parental presence for NICU admitted infants, although single family room design may attenuate this effect.

show abstract

Single-Occupancy Patient Rooms: A Systematic Review of the Literature Since 2006

Cited by 60 publications

References 50 publications

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019

Indigenous Preferences for Inpatient Rooms in Australian Hospitals: A Mixed-Methods Study in Cross-Cultural Design

Impact of Restrictions on Parental Presence in Neonatal Intensive Care Units Related to COVID-19

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