Private Rooms in Low Acuity Settings: A Systematic Review of the Literature

Voigt, Jeffrey; Mosier, Michael; Darouiche, Rabih O.

doi:10.1177/1937586717702597

Cited by 28 publications

(63 citation statements)

References 54 publications

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“…Similar to previous studies, environmental barriers consisted of poor physical structure and lack of resources, such as poor placement or absence of sinks and handwashing stations [18,36,38,39]. While singlepatient rooms may facilitate patient management [40], our findings and other studies indicate that on their own they are unable to reduce HAI transmission [41][42][43].…”

Section: Discussionsupporting

confidence: 79%

Healthcare workers’ attitudes toward hand hygiene practices: Results of a multicentre qualitative study in Quebec

Atif

Lorcy

Dubé

2019

CJIC

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Background: Hand hygiene (HH) is one of the most effective practices to reduce healthcare-associated infection (HAI) transmission, though compliance remains inadequate among hospital personnel. The aim of this study was to explore perceived barriers and enablers of HH compliance in hospital care and healthcare workers’ (HCW) HAI risk and severity perceptions. Methods: Qualitative study using semi-structured interviews and observations. Interview recordings were transcribed verbatim and supplemented with transcribed observations and field notes. Data was aggregated and coded thematically using a qualitative data analysis software. Results: 65 interviews and 18 observations with HCWs were conducted in nine hospital centres in Quebec, Canada. Data analysis revealed several factors that may influence HCWs’ compliance with HH recommendations. These included clinical environment factors (e.g., lack of sinks), organizational factors (e.g., inadequate staffing, demanding workloads), and communication factors (e.g., dissemination of infection prevention and control [IPAC] information, feedback, and interpersonal professional relationships). At the individual level, knowledge of IPAC and HAI risk perceptions were associated with the adoption of HH. Conclusion: Understanding the determinants of HH adoption is crucial for improving current practices and reducing HAI rates in hospital care. Our findings suggest that environmental strategies (e.g., additional sinks and HH stations) and organizational and communication strategies (e.g., continuing education and training sessions, support from hospital management, positive feedback) could help raise HCWs’ awareness of HAI prevention and adoption of HH guidelines.

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Section: Discussionsupporting

confidence: 79%

Healthcare workers’ attitudes toward hand hygiene practices: Results of a multicentre qualitative study in Quebec

Atif

Lorcy

Dubé

2019

CJIC

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“…58,59 Regarding patient age (r = −0.277, p = 0.01), this finding was in accordance with previous studies, 56,59 which showed that the satisfaction level decreased with the increase in patients’ age. Although findings of studies conducted in some western countries explored the link between longer hospital stays and decrease in patients’ satisfaction level, 60–62 in this study, the results did not find any relationship between patients’ overall level of satisfaction with the duration of the stay at wards (Table 10). This may be due to the family support factor that decreased the effect of a long stay at a hospital on patients’ overall level of satisfaction, especially in Kurdish society, strengthened by the spirit of healing one another, strong family relations and solid familial fabric, social interaction and higher continuum of collective values compared to individualism.…”

Section: Findings and Discussioncontrasting

confidence: 67%

Healing environment correlated with patients’ psychological comfort: Post-occupancy evaluation of general hospitals

Mahmood

Tayib

2019

Indoor and Built Environment

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Modern hospital indoor environment aims at fulfilling the psychological needs and preferences of the people who use it. Nowadays, physical and non-physical and healing environments are perceived as potential contributors to recovery processes. Unlike curing, healing relates to aspects of health that are psychological and spiritual. This study aims at tracing the relationship between the qualitative level of the healing environment and patients’ psychological comfort. Therefore, a 43-item questionnaire was distributed among 148 respondents to obtain patients’ opinion; a total of 117 valid questionnaires were received. The results showed that the quality of the healing environment can be considerably related to the fulfilment of patients’ satisfaction. The patients at tested hospitals were generally satisfied with their healing environments. The findings revealed four crucial factors, Interior appearance, Comfort and control, Views and Privacy, to create a satisfying healing environment. A negative correlation between demographic information, such as age and education, and patient satisfaction was revealed. Additionally, this study suggests that post-occupancy evaluation is a relevant tool for evaluating the quality of indoor environment and a useful technique to inform designers that variations in the indoor physical design may positively influence the patients’ level of satisfaction.

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“…Whilst Ulrich et al (2010) highlight the relationships of how healthcare built environments can impact patients and their families, staff and organizational outcomes. In addition, a number of systematic reviews have been conducted around a particular space, care setting or a particular patient category, for example Bartlett (2013) reviewed research evidence related to design features that can be used to create an optimal inpatient psychiatric patient, whilst Taylor et al (2018) and Voigt et al (2018) have reviewed evidence related to the benefits of private-patient rooms, and Benitez, et al (2019) conducted a systematic review on layout planning in Healthcare Facilities.…”

Section: Enhancing Ebd In Practicementioning

confidence: 99%

Sources and flow of healthcare built environment design evidence

Wanigarathna

Sherratt

Price

et al. 2021

BEPAM

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PurposeA substantial amount of research argues that built environmental interventions can improve the outcomes of patients and other users of healthcare facilities, supporting the concept of evidence-based design (EBD). However, the sources of such evidence and its flow into healthcare design are less well understood. This paper aims to provide insights to both the sources and flow of EBD used in three healthcare projects, to reveal practicalities of use and the relationships between them in practice.Design/methodology/approachThree healthcare case study projects provided empirical data on the design of a number of different elements. Inductive thematic analysis was used to identify the source and flow of evidence used in this design, which was subsequently quantised to reveal the dominant patterns therein.FindingsHealthcare design teams use evidence from various sources, the knowledge and experience of the members of the design team being the most common due to both ease of access and thus flow. Practice-based research and peer-reviewed published research flow both directly and indirectly into the design process, whilst collaborations with researchers and research institutions nurture the credibility of the latter.Practical implicationsThe findings can be used to enhance activities that aim to design, conduct and disseminate future EBD research to improve their flow to healthcare designers.Originality/valueThis research contributes to understandings of EBD by exploring the flow of research from various sources in conflation and within real-life environments.

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Private Rooms in Low Acuity Settings: A Systematic Review of the Literature

Abstract: Based on CEBM and GRADE assessments, there is a lack of high-quality data supporting the use of low-acuity SBRs throughout the entire hospital. Furthermore, it is recommended that more research be conducted on the effect of SBRs, so higher quality evidence is developed.

Cited by 28 publications

References 54 publications

Healthcare workers’ attitudes toward hand hygiene practices: Results of a multicentre qualitative study in Quebec

Healthcare workers’ attitudes toward hand hygiene practices: Results of a multicentre qualitative study in Quebec

Healing environment correlated with patients’ psychological comfort: Post-occupancy evaluation of general hospitals

Sources and flow of healthcare built environment design evidence

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