Single-Room Ward Design and Its Impact on Service and Patient Outcomes

Davis, Melissa; Elliott, Rosalind; Hills, Rosemary; Fry, Margaret

doi:10.1097/nor.0000000000000593

Cited by 5 publications

(64 citation statements)

References 20 publications

(28 reference statements)

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“…For example, patients expressed in the Maben et al (2015) evaluation report that the benefits of control outweighed any disadvantages. We also established that age, gender, and diagnosis may have influenced the patients' experiences regarding their physical environment (Davis et al, 2019;Florey et al, 2009;Hosseini et al, 2017;Maben et al, 2015;Nahas et al, 2016). For example, Maben et al (2015) find that younger people staying in hospital for a relatively short time and patients with severe illness value the personal control of single-room accommodation more than other groups.…”

Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 86%

“…Narrative summary. Sixteen of the sources (72%) reported that patients experienced a high degree of "personal control" when accommodated in single rooms (Berry, 2013;Davis et al, 2019;Florey et al, 2009;Harrison, 2005;Hosseini et al, 2017;Hurst, 2008;Maben et al, 2016;Maben et al, 2015;Nahas et al, 2016;Pennington et al, 2013;Persson et al, 2015;Reid et al, 2015;Roos et al, 2020;Simon et al, 2016;Singh et al, 2015;Ulrich, 2006).…”

Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 99%

“…In the second submap "secure and insecure," we report from eight sources (36%) pointing to patients' divergent experiences of safety in nursing (Cusack et al, 2019;Davis et al, 2019;Harrison, 2005;Hurst, 2008;Maben et al, 2016;Pennington et al, 2013;Persson et al, 2015;Singh et al, 2015). The experiences of feeling "insecure" were reported in situations with increased illness, severe pain, or nausea.…”

Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 99%

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

Søndergaard

Beedholm

Kolbæk

et al. 2021

HERD

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Aim and Objective: To identify, examine, and map literature on the experiences of single-room hospital accommodation, exploring what is known about how single-room accommodation in hospitals is viewed by patients and nurses. Background: Worldwide, hospital design is changing to mainly single-room accommodation. However, there is little literature exploring patients’ and nurses’ experiences of single-room designs. Design: Scoping review following the Joanna Briggs Institute guidance on scoping reviews. Methods: We conducted the search in medical databases for scientific and gray literature. The four authors independently used a data extraction tool to include sources from the searches. The sources were discussed during the process, and in case of a disagreement between two reviewers, the third and fourth reviewer would be invited to participate in the discussion until consensus was achieved. Results: We included 22 sources published during the period 2002–2020, with a majority ( n = 16) during the period 2013–2020. The sources were distributed on 10 different countries; however, England dominated with 14 publications. We found three main maps for reporting on patients’ experiences: (1) personal control, (2) dignity, and (3) by myself. For the nurses’ experiences, we found four main maps: (1) the working environment, (2) changes of nursing practice, (3) privacy and dignity, and (4) patient safety. Conclusion: We suggested that patients’ and nurses’ experiences are predominantly interdependent and that the implications of single-room accommodation is a large and complex issue which goes beyond hospital design.

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Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 86%

Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 99%

Section: Conceptual Mapping and Narrative Summary Of Patients' Experiencesmentioning

confidence: 99%

See 1 more Smart Citation

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

Søndergaard

Beedholm

Kolbæk

et al. 2021

HERD

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“…Four studies involved patients receiving routine care, (7,8,16,22), all in adults, none of which found a significant difference in mortality between those in single rooms versus shared accommodation, including up to 1 year after discharge.…”

Section: Routine Carementioning

confidence: 99%

“…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%

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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Evaluation of a New Hospital Building’s Impact on Clinical Outcomes and Consumer Experience in Medical Inpatients

Koundakjian

Tompkins

Repp

2023

American Journal of Medical Quality

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Hospitals often seek to improve the effectiveness and experience of care through new building construction. However, the association between the built hospital environment, patient outcomes, and patient experience remains unclear. This retrospective matched cohort study leveraged natural experimental conditions to characterize major clinical outcomes and patient experience in medicine patients admitted to a new hospital building incorporating evidence-based design features compared with controls admitted to legacy buildings. Among patients discharged between June 1, 2019, and March 1, 2020, there were no significant differences in intensive care unit transfer, inpatient mortality, 30-day readmission, 30-day mortality, or length of stay. However, discharge from the new hospital building was associated with a higher percentage of top box scores on the Hospital Consumer Assessment of Healthcare Providers and Systems overall hospital rating item (60% vs 76%, P = 0.02). Further studies are needed to identify specific hospital design features that influence patient experience and clinical outcomes.

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Single-Room Ward Design and Its Impact on Service and Patient Outcomes

Cited by 5 publications

References 20 publications

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

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

Evaluation of a New Hospital Building’s Impact on Clinical Outcomes and Consumer Experience in Medical Inpatients

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