Department of Architecture, University of Wisconsin-Milwaukee, WI, USA.
HGA Architects and Engineers, Milwaukee, WI, USA.
HERD. 2020 Jul;13(3):70-83. doi: 10.1177/1937586719888221. Epub 2019 Nov 29.
The objective of this empirical research is to compare nurses' operational workflow and nurses' and patients' satisfactions of two different infusion center designs. One center has a traditional open bay design and the other has semi-private bays. This study also intends to gather baseline data to compare to a future post-occupancy evaluation of a new infusion center where the two existing centers will be combined.
The increasing number of patients with cancer diagnosis who refer to infusion centers highlights the importance of design of these centers.
The mixed-method approach of this study involves shadowing nurses and surveying nurses and patients. Data collection captured nurses' activities, activity durations, and nurses' and patients' satisfaction with the design of clinics.
Comparison of shadowing data indicated that although the infusion centers have different layouts, there are no significant differences in the activities or time spent by nurses in different areas among the centers. Staff, however, have different satisfaction levels with visual and speech privacy, ability to concentrate without distraction, collaboration with other staff, and the process of medication delivery. Patients also had slightly different satisfaction levels with their ability to communicate with staff and design of bays.
This research sheds light on operational workflows and satisfaction of staff and patients in two different infusion center design. Considering the limited studies on these settings, this study serves as baseline data to compare to other studies on cancer infusion centers and addresses issues of benchmarking and staff and patient satisfaction.
本实证研究旨在比较两种不同输液中心设计的护士操作流程和护士及患者满意度。一个中心采用传统的开放式床位设计，另一个采用半私人床位。本研究还旨在收集基线数据，以便与未来对新输液中心的入住后评估进行比较，届时两个现有中心将合并。
越来越多被诊断患有癌症的患者到输液中心就诊，凸显了设计这些中心的重要性。
本研究采用混合方法，包括对护士进行跟踪观察和对护士及患者进行调查。数据收集记录了护士的活动、活动持续时间以及护士和患者对诊所设计的满意度。
跟踪观察数据的比较表明，尽管输液中心的布局不同，但护士在不同区域的活动或时间并无显著差异。然而，工作人员对视觉和语音隐私、集中注意力不受干扰的能力、与其他工作人员的协作以及药物输送过程的满意度存在不同程度的差异。患者对与工作人员沟通的能力和床位设计的满意度也略有不同。
本研究揭示了两种不同输液中心设计的操作流程和工作人员及患者的满意度。考虑到这些环境的研究有限，本研究作为基线数据，可与其他癌症输液中心的研究进行比较，并解决基准比较和工作人员及患者满意度的问题。
