Pacific Northwest National Laboratory, Portland, OR, USA.
McCunn & Associates Consulting, Nanaimo, BC, Canada.
HERD. 2020 Jul;13(3):110-124. doi: 10.1177/1937586719890940. Epub 2020 Jan 7.
The present study aims to contribute to current knowledge about nurses' perceived importance of lighting in patient rooms and to compare these perceptions across different ages, work shifts, (day and night), and environments of care (traditional and contemporary).
Creating an environment of care in patient rooms that successfully balances energy efficiency concerns with the holistic needs of patients, families, and caregivers poses a major challenge for future lighting systems. This study adds to a growing evidence base on the effects of lighting on nurses' job performance, job satisfaction, and overall perceptions of the environment.
Survey responses from 138 participants working in medical-surgical units in four hospitals were analyzed using a mixed-methods approach, with three of the hospitals having lighting systems characterized as providing a traditional environment of care (TEC) and the other hospital having lighting systems characterized as providing a contemporary environment of care (CEC).
No significant differences were found based on age or work shift, but several significant differences were found between participants working in the hospital with a CEC and those working in hospitals with a TEC. Participants from the hospital with a CEC lighting system consistently reported higher lighting quality, fewer patient complaints, and less need for supplemental lighting than the participants from the three hospitals with TEC lighting systems.
The results of this study provide evidence that innovative lighting approaches and technologies are worth considering as an investment by hospital administrators looking to improve perceptions of the patient room environment.
本研究旨在增进人们对护士对病房照明重要性的认知,并比较不同年龄、轮班(白天和晚上)、护理环境(传统和现代)对其的感知。
为病房环境营造一种既能成功平衡节能问题,又能满足患者、家属和护理人员整体需求的平衡,这对未来的照明系统提出了重大挑战。本研究增加了关于照明对护士工作表现、工作满意度和对环境整体感知影响的日益增多的证据基础。
采用混合方法分析了来自四家医院四个医疗外科病房的 138 名参与者的调查反馈,其中三所医院的照明系统被描述为提供传统的护理环境(TEC),而另一所医院的照明系统被描述为提供现代的护理环境(CEC)。
未发现年龄或轮班差异,但在具有 CEC 照明系统的医院工作的参与者与在具有 TEC 照明系统的医院工作的参与者之间存在一些显著差异。来自 CEC 照明系统医院的参与者始终报告称,照明质量更高、患者投诉更少、对补充照明的需求也更少,而来自具有 TEC 照明系统的三所医院的参与者则没有。
本研究结果提供了证据,表明创新的照明方法和技术值得医院管理人员考虑,作为改善对病房环境的认知的一种投资。