An Empirical Examination of Nursing Units in China Based on Nurse Experience

Xuan, Xiaodong; Li, Zongfei; Chen, Xixi

doi:10.1177/1937586718786126

Cited by 8 publications

(16 citation statements)

References 27 publications

(47 reference statements)

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“…At both hospitals, the WoWs were placed beside the door of the patient room in the corridor. The WoWs were used as decentralized medication rooms, which could reduce nurses' walking distance (Xuan et al, 2019). In this study, the nurses were asked to mark the most efficient place for the WoWs according to their working experience.…”

Section: Questionnaire Surveymentioning

confidence: 99%

Impacts of Nursing Unit Design on Visibility and Proximity and Its Influences on Communication, Privacy, and Efficiency

Xuan

Chen

2019

HERD

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Objectives: This study examines the role of visibility and proximity on nurse communication patterns, perception of privacy, and efficiency in double-corridor nursing units. Background: Nurses are extremely important for the quality of healthcare. The literature suggests that visibility and proximity have a substantial impact on the delivery of care and staff experience. However, few studies have empirically examined nursing units in China. Method: Questionnaire surveys, observations, and simulations of medication administration tasks were employed. Results: Visibility and proximity influenced communication patterns, perceptions of privacy, and efficiency. The type of wall in the medication room could impact nurses’ perception of privacy and efficiency. A partial glass wall in the medication room could achieve balance between privacy and visibility. A medication room that is adjacent to and is easily accessed from the nurse station (NS) could provide efficient communication and efficient work. The partition type between the NS and the doctor’s office and the layout of the medication room could impact communication patterns. The relative position of the NS, medication room, and disposal room could influence the flow of medication administration tasks, and a geographically contiguous spatial layout could enhance work efficiency. Conclusions: The findings contribute to the body of knowledge on the impact of visibility and proximity on nurses’ communication patterns, perception of privacy, and efficiency. Recommendations to improve the design of double-corridor nursing units are also provided.

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Section: Questionnaire Surveymentioning

confidence: 99%

Impacts of Nursing Unit Design on Visibility and Proximity and Its Influences on Communication, Privacy, and Efficiency

Xuan

Chen

2019

HERD

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“…A few studies included older community-dwellers for the collection of viewpoints from different perspectives. Caregivers, family members, and the managements were also frequently involved as supplementary data sources ( Hsieh et al, 2012b ; Xuan et al, 2019 , 2020 ). Older adults with advanced dementia or severe mental illness were commonly excluded, due to challenges in collecting their QoL-related data directly from them ( Chang, 2013 ; Kasai et al, 2015 ; Komatsu et al, 2007 ; Tsai & Tsai, 2008 ).…”

Section: Resultsmentioning

confidence: 99%

The Role of the Built Environment on the Quality of Life for Residents in Long-Term Care Facilities in Asia: A Scoping Review

Chaudhury

2022

Innovation in Aging

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Background and Objectives The quality of the built environmental features in a long-term care (LTC) home significantly influences residents’ functioning (e.g., wayfinding, self-care, and social interaction) and well-being. There is limited research on the characteristics of the built environment of LTC and its influence on residents’ quality of life in countries in Asia-Pacific region (e.g., East Asia, South Asia). The older adult population in this region is expected to increase significantly in the coming decades. There are distinctive perceptions of nursing home, nursing home environment, and socio-cultural norms in this geographic region. Given this context, a better understanding of the built environment of LTC facilities in this region can inform design professionals and policymakers for evidence-based decision-making. The present study undertakes a scoping review of the empirical research on the characteristics and influence of the built environment of LTC facilities on residents’ quality of life in the Asia-Pacific context. Research Design and Methods Online relevant databases were used to identify papers published 2000-2021, from which we selected 33 publications. Results Three substantive themes were generated from the synthesis of the selected publications. These themes are: a) perceptions of nursing home, b) impact of built environment on residents’ quality of life, and c) assessment of the LTC built environment. Discussion and Implications We identified research gaps in understanding the role of the built environment in nursing homes in the particular geographic context, and future research directions. Five planning and design principles for LTC were derived from the synthesis of key findings to inform design professionals and policymakers.

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“…In some clinical departments, such as neurosurgery, a patient’s condition could be serious and change rapidly, and emergency rescue stretchers should be provided and conveniently located close to the patient’s room. As one of the most important spaces, workstation on wheels (WoWs) have been extensively used in nursing units (Xuan et al, 2019). However, the WoWs were not designed for different clinical departments according to their special requirements.…”

Section: Discussionmentioning

confidence: 99%

“…In short, the specialty-focused development in nursing services was conducive to increasing nurse engagement and improving patient care (Manning & Jones, 2021). However, the majority of studies related to nursing units have focused on general medical–surgical nursing units and combined the data from all departments without differentiating among clinical specialties (Hadi et al, 2016; Kalisch et al, 2013; Trzpuc & Martin, 2010; Xuan et al, 2019). In response to this gap in the body of knowledge, this study focused on specialized nursing requirements and how nursing unit design could support the specialty-focused nursing work of different departments to improve the efficiency of nursing care, which is one of the key factors that constitutes healthcare quality (Committee on Quality Health Care in America IoM, 2001), could increase the time nurses spent on direct patient care and interaction with patients and their family members (Shepley, 2002), improve medical outcomes (R.W.…”

Section: Introductionmentioning

confidence: 99%

The Demand for Specialization and Its Influence on the Design of Inpatient Nursing Units: Can Standardized Design Be Done Once and for All?

Xuan

Duan

2022

HERD

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Objectives: This study explores the specialized nursing requirements of different clinical departments and their influence on the design of nursing units, which ultimately improves the nursing staff’s efficiency and work experience. Background: Specialization of nursing work is important in the provision of quality of healthcare. Most of the research related to nursing units has focuses on general medical–surgical nursing units and has not differentiated between clinical departments. Method: This study was conducted in one inpatient building at a large general hospital in China. Survey data were collected from 11 clinical departments via questionnaire, and interviews were conducted in 10 of the clinical departments. Results: All 11 clinical departments had significant differences in their evaluations of and requirements for the arrangement of their physical space. Specialized requirements were found in three areas: nursing work processes, arrangement and needs of clinical spaces, and allocation of facilities and equipment. Conclusion: Evaluation of the specialized requirements of different clinical departments would contribute to the body of knowledge on nursing unit design and has a positive effect on the development and improvement of design theory. Suggestions for how the design of nursing units could be improved to support the specialized demands of different departments are provided.

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An Empirical Examination of Nursing Units in China Based on Nurse Experience

Cited by 8 publications

References 27 publications

Impacts of Nursing Unit Design on Visibility and Proximity and Its Influences on Communication, Privacy, and Efficiency

Impacts of Nursing Unit Design on Visibility and Proximity and Its Influences on Communication, Privacy, and Efficiency

The Role of the Built Environment on the Quality of Life for Residents in Long-Term Care Facilities in Asia: A Scoping Review

The Demand for Specialization and Its Influence on the Design of Inpatient Nursing Units: Can Standardized Design Be Done Once and for All?

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