A comparison of nurses' work satisfaction between single-room and multioccupancy adult intensive care units: A mixed-methods integrative review.

OBJECTIVES

To systematically review and compare the evidence for the transition from multi- occupancy adult intensive care units to single room intensive care units.

REVIEW METHOD USED

A mixed methods systematic review informed by Joanna Briggs Institute guidelines for Systematic Reviews.

DATA SOURCES

The databases CINAHL, Medline and Embase were searched for primary research articles relating from 2008-2019.

REVIEW METHODS

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.

RESULTS

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.

CONCLUSIONS

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.