Kudchadkar Sapna R, Beers M Claire, Ascenzi Judith A, Jastaniah Ebaa, Punjabi Naresh M
Sapna R. Kudchadkar is an assistant professor, Department of Anesthesiology and Critical Care Medicine and Pediatrics, and Naresh M. Punjabi is a professor, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. M. Claire Beers is nurse manager of the pediatric intensive care unit and Judith A. Ascenzi is a clinical nurse specialist, Johns Hopkins Charlotte R. Bloomberg Children's Center, Baltimore, Maryland. Ebaa Jastaniah is a resident physician, Department of Pediatrics, Tufts Baystate Medical Center, Boston, Massachusetts.
Am J Crit Care. 2016 Sep;25(5):e98-e107. doi: 10.4037/ajcc2016463.
The architectural design of the pediatric intensive care unit may play a major role in optimizing the environment to promote patients' sleep while improving stress levels and the work experience of critical care nurses.
To examine changes in nurses' perceptions of the environment of a pediatric critical care unit for promotion of patients' sleep and the nurses' work experience after a transition from multipatient rooms to single-patient rooms.
A cross-sectional survey of nurses was conducted before and after the move to a new hospital building in which all rooms in the pediatric critical care unit were single-patient rooms.
Nurses reported that compared with multipatient rooms, single-patient private rooms were more conducive to patients sleeping well at night and promoted a more normal sleep-wake cycle (P < .001). Monitors/alarms and staff conversations were the biggest factors that adversely influenced the environment for sleep promotion in both settings. Nurses were less annoyed by noise in single-patient rooms (33%) than in multipatient rooms (79%; P < .001) and reported improved exposure to sunlight.
Use of single-patient rooms rather than multipatient rooms improved nurses' perceptions of the pediatric intensive care unit environment for promoting patients' sleep and the nurses' own work experience.
儿科重症监护病房的建筑设计可能在优化环境以促进患者睡眠、同时改善压力水平和重症护理护士的工作体验方面发挥重要作用。
研究从多人间过渡到单人间后，护士对儿科重症监护病房促进患者睡眠环境及自身工作体验的认知变化。
在搬至新医院大楼前后对护士进行横断面调查，新大楼中儿科重症监护病房的所有房间均为单人间。
护士报告称，与多人间相比，单人病房更有利于患者夜间良好睡眠，并促进更正常的睡眠-觉醒周期（P <.001）。监护仪/警报器和工作人员交谈是两种环境下对促进睡眠环境产生不利影响的最大因素。护士对单人病房噪音的烦恼程度（33%）低于多人间（79%；P <.001），并报告称日照情况有所改善。
使用单人病房而非多人间可改善护士对儿科重症监护病房促进患者睡眠环境及自身工作体验的认知。
