Postoccupancy Evaluation of a Neighborhood Concept Redesign of an Acute Care Nursing Unit in a Planetree Hospital

Rose, Suzanne J.; Waggener, Laurie; Kiely, Sharon; Hedge, Alan

doi:10.1177/19375867221091318

Cited by 3 publications

(4 citation statements)

References 34 publications

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“…If no one answers, they ask their colleagues to confirm the location of the doctor they are looking for and then walk to speak with the doctor face to face. Although communication between healthcare professionals can be influenced by individual personalities (Holmes et al, 2020; Terry & Newham, 2020), communication patterns could also be influenced by the physical environment in healthcare settings (Naccarella et al, 2019; O’Hara et al, 2018; Rose et al, 2022; Xuan et al, 2020). It is of great significance to improve communication effectiveness between nurses and medical teams by optimizing spatial layouts and improving sound environments to improve the efficiency and satisfaction of nursing work.…”

Section: Discussionmentioning

confidence: 99%

Differences in Nurses’ Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China

Xuan,

Duan,

Feng

et al. 2023

HERD

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Objectives: The study aimed to extend original research and identify operational and space-related requirements for specialization from the perspectives of nursing behavior and process. Background: Studies related to the specialty of different nursing units have been widely conducted in nursing science, while few studies have explored the specialized requirements for the physical environments of nursing units in different departments. Method: Questionnaire survey data were collected from 125 nurses in 11 clinical departments, and nurse shadowing (approximately 68 hr) was conducted in four clinical departments. Results: The questionnaire survey showed that satisfaction with care activity, visibility, and physical environment within the existing nursing unit environment was rated differently among different departments of nursing units. However, nurses in different groups of age, education, work experience, and position indicated no statistically significant difference. Behavioral observations demonstrated that the spatial and temporal distributions of activities, spatial linkages, and communication patterns varied in distinct departments. Conclusion: This research found that nurses in different departments had different evaluations of satisfaction and environmental characteristics. It also explains the differences in nursing work behaviors and processes found in various departments and sheds light on specialized requirements from the behavior perspective. The findings could help optimize the design of efficient and satisfactory nursing units in different departments.

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Section: Discussionmentioning

confidence: 99%

Differences in Nurses’ Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China

Xuan,

Duan,

Feng

et al. 2023

HERD

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“…While our newly constructed patient rooms among all units and floors were developed as single patient rooms, 11 leadership decided it was best to double room occupancy among two of our general medical floors to ensure that proper isolation and bed availability were achieved via the use of COVID-19 and non-COVID-19 care zones. These procedures and novel workflow changes have been cited in the literature as best practices and strategies implemented internationally, [12][13][14] although taking place at large medical centers with additional resources and organizational surge capacity.…”

Section: Expanding Bed Capacitymentioning

confidence: 99%

Augmentation of a Hospital Incident Command System to Support Continued Waves of the COVID-19 Pandemic

Hartnett¹,

Houston²,

Rose³

2022

JHL

Self Cite

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Stamford Hospital (SH) is a 305 bed Level II Trauma center located in Fairfield County, the epicenter of the coronavirus disease 2019 (COVID-19) pandemic in Connecticut. The COVID-19 pandemic was a fast paced, rapidly evolving crisis, presenting our leadership team with unique challenges related to resource availability, patient care, and staff safety. The existing Hospital Incident Command System (HICS) was activated in March 2020 to coordinate our operational emergency management planning, response, and recovery capability for this unplanned event. Although HICS lays the groundwork for hospital preparations and protocol implementation, it is not designed to withstand prolonged crisis circumstances. Given the conditions that the COVID-19 pandemic presented, the possibility for future waves became an impending reality, prompting the need for a long-term solution. To establish guidelines that promoted balance between necessary preparations in the case of additional surges of the pandemic and concurrent resumption then maintenance of routine hospital operations, the SH COVID-19 Playbook was created. The Playbook, presented here, is arranged in accordance with the evidence-based 4 S’s (Space, Staff, Systems, and Stuff) strategic critical care planning framework, to address surge capacity management within our hospital’s four main patient care areas and additional supportive services. Through feedback from frontline caregivers and leaders within SH, the Playbook captures our experience, best practices, and insight acquired during the first wave of the pandemic. Established with the intentions of equipping leadership and staff globally, guidelines are presented to aid in the navigation of future pandemic surges and successfully care for COVID-19 patients, ensure staff safety, allow for normal services to operate, and provide optimal communication and support for the community, patients, and staff.

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“…To establish the spatial equilibrium of medical facilities, it is important to systematically assess the current spatial service condition of hospital buildings, establish reasonable assumptions, and find key elements [5]. Overall, the existing literature on the assessment of spatial balance in healthcare facilities involves three disciplines: architecture, urban planning, and public health [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…For example, Rose, SJ et al ( 2022) have used the Post-occupancy Evaluation method for evaluation of the use of nurses in an acute care nursing unit before and after relocation to a new hospital. The survey questions included work efficiency and productivity, the design of the patient room and support spaces, information systems, and environmental conditions [8]. Nimlyat, PS et al (2018) have studied indoor environmental quality (IEQ), methods of comparison through subjective or objective assessment, and the internal environment of buildings in a way that was related to health, comfort, and well-being [11].…”

Section: Introductionmentioning

confidence: 99%

Construction of a Spatial Equalization Assessment System for Medical Facilities

Liu,

Chen,

et al. 2024

Buildings

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The spatial equalization of medical facilities can alleviate the wastage of medical resources and improve the efficiency of medical services. Therefore, it is necessary to carry out spatially balanced planning and assessment of medical facilities in cities. Existing studies on the balanced planning, design, and evaluation of medical facilities have been conducted from the perspective of hospital buildings in terms of spatial utilization efficiency, service satisfaction, and their physical environment on one hand, and from the perspective of regional planning of medical facilities in terms of spatial accessibility to medical facilities and the suitability of medical facilities to the social environment on the other hand. This study hopes to break down the boundaries of each perspective and effectively integrate the architecture, planning, and social well-being of medical facilities, taking spatial equilibrium as the core, in order to establish a spatial equilibrium system for medical facilities and achieve a spatial equilibrium-based assessment of the current state of medical facilities. First, the factors influencing the spatial equilibrium of hospital buildings with the support of the system and environment of hospital buildings are determined. Second, the indicators of the spatial equilibrium of hospital buildings are extracted through the consideration of influencing factors, and the indicator weights are determined by discussing the degree to which they contribute to the influence of the operation of hospital building spatial equilibrium systems, thus forming a system of equilibrium indicators for hospital buildings. Finally, a spatial equilibrium evaluation model for hospital buildings is established to assess the effects of equilibrium. The results obtained in this study provide insights into the regional planning of medical facilities and the design of hospital buildings.

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Postoccupancy Evaluation of a Neighborhood Concept Redesign of an Acute Care Nursing Unit in a Planetree Hospital

Cited by 3 publications

References 34 publications

Differences in Nurses’ Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China

Differences in Nurses’ Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China

Augmentation of a Hospital Incident Command System to Support Continued Waves of the COVID-19 Pandemic

Construction of a Spatial Equalization Assessment System for Medical Facilities

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