Janet T. Parish, PhD, 415 McCoy Hall, 601 University Drive, Texas State University, San Marcos, TX 78666 (
HERD. 2008 Winter;1(2):5-13. doi: 10.1177/193758670800100202.
The primary purpose of the research was to assess differences in nurses' perceptions of their job, hospital, and building features following the opening of a new hospital wing. Secondary purposes included assessing the impact on nurses left behind in the existing facility after the new wing opened and considering ways that nurses could more effectively contribute to facility design decisions that directly affect them.
Research related to the design of healthcare facilities is growing, yet studies of the impact of facility features on hospital staff is far less common than studies of the impact on patients.
Survey data were collected from a hospital's nurses six months before (N=235) and six months after (N=238) some of the nurses (N=65) moved to a new wing. Response rates were 49% and 55% for rounds 1 and 2, respectively. A test study also was conducted two months post-move (N=206) to enable assessment of a novelty effect. Focus groups also were conducted following the completion of round 2 data collection.
Significant differences were found between the round 1 and 2 samples for quality of patient rooms, safety, pleasantness, quality of workspace, job stress, job satisfaction, and service quality. Findings from the test study held up in round 2.
The design of the hospital impacts nurses and may impact their job satisfaction and stress, even the decision whether or not to remain a hospital nurse. A well-designed hospital is not only important to patients; it also is important to those who serve them.
本研究的主要目的是评估新病房楼启用后，护士对其工作、医院和建筑特征的感知差异。次要目的包括评估新病房楼启用后留在现有设施中的护士的影响，并考虑护士如何更有效地参与直接影响他们的设施设计决策。
与医疗保健设施设计相关的研究正在不断增加，但与设施特征对医院员工的影响相比，研究设施特征对患者影响的研究要少得多。
在一些护士（N=65）搬到新病房楼前后六个月，从医院的护士那里收集了调查数据（N=235）和（N=238）。两轮的回复率分别为 49%和 55%。在搬迁后两个月还进行了一项测试研究（N=206），以评估新颖性效应。在第二轮数据收集完成后，还进行了焦点小组讨论。
在第一轮和第二轮样本之间，发现病房质量、安全性、舒适度、工作空间质量、工作压力、工作满意度和服务质量存在显著差异。测试研究的结果在第二轮中得到了证实。
医院的设计会影响护士，可能会影响他们的工作满意度和压力，甚至影响他们是否继续留在医院做护士的决定。一个设计良好的医院不仅对患者很重要，对为他们服务的人也很重要。
