School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027, Australia.
Aust Crit Care. 2020 Jul;33(4):382-389. doi: 10.1016/j.aucc.2019.06.003. Epub 2019 Aug 7.
To systematically review and compare the evidence for the transition from multi- occupancy adult intensive care units to single room intensive care units.
A mixed methods systematic review informed by Joanna Briggs Institute guidelines for Systematic Reviews.
The databases CINAHL, Medline and Embase were searched for primary research articles relating from 2008-2019.
The methodological quality of all studies that met the inclusion criteria were assessed using Mixed Methods Appraisal Tool (MMAT). The findings were synthesised into themes.
6349 records were identified, and four of those met the inclusion criteria and included in the review. Eight inter-related themes were revealed, which were teamwork, isolation, patient safety, proximity, staff education, satisfaction, staff morale and ambience.
When planning transitions from multi-occupancy to single room ICU's, although patient safety, and patient and family privacy are paramount, consideration should be also given to the nurse work environment and work satisfaction.
系统回顾和比较多占用成人重症监护病房向单人病房重症监护病房过渡的证据。
采用循证医学 Joanna Briggs 研究所指南指导下的混合方法系统综述。
对 CINAHL、Medline 和 Embase 数据库进行了检索，以获取 2008 年至 2019 年期间与成人多占用重症监护病房向单人病房重症监护病房过渡相关的原始研究文章。
使用混合方法评估工具（MMAT）对符合纳入标准的所有研究的方法学质量进行评估。研究结果综合为主题。
共确定了 6349 条记录，其中 4 条符合纳入标准并纳入了综述。揭示了 8 个相互关联的主题，包括团队合作、隔离、患者安全、接近度、员工教育、满意度、员工士气和氛围。
在计划从多占用向单人 ICU 过渡时，尽管患者安全和患者及家属隐私至关重要，但也应考虑护士的工作环境和工作满意度。
