Author Affiliations: Associate Professor, College of Design (Ms Fay), and Graduate (LTJ) Fellow and Teaching Assistant (Mr Santiago) and Professor (Dr Real), College of Communication and Information, University of Kentucky, Lexington; and Enterprise Director Nursing Professional Practice and Development (Dr Isaacs), University of Kentucky HealthCare, Lexington.
J Nurs Adm. 2020 Jun;50(6):335-342. doi: 10.1097/NNA.0000000000000894.
This study examined the impact of centralized and decentralized unit designs on an interdisciplinary team's perceptions of efficiency through the use of a preoccupancy and postoccupancy evaluation of a cardiovascular unit.
During the premove study, the service line was housed across 4 separate locations, each with a centralized nurses' station. The postmove design was housed on 1 floor with decentralized stations.
For this qualitative study, 14 focus groups and 1 interview were conducted. Analysis of the data was guided by a developed framework for efficiency classified into 7 categories.
Outcomes reveal that efficiency was impacted by issues including walking, access to supplies and equipment, proximity to staff, and overall unit configuration and size.
Although the design of the decentralized unit positions staff members closer to patients, many feel isolated while the centralized units seemed to better promote staff proximity and access to supplies.
本研究通过对心血管病房的预占和后占评估，考察了集中式和分散式单元设计对跨学科团队效率认知的影响。
在预搬迁研究期间，服务线分布在 4 个独立的地点，每个地点都有一个集中的护士站。搬迁后的设计位于 1 层，设有分散的工作站。
在这项定性研究中，进行了 14 个焦点小组和 1 次访谈。数据的分析由一个针对效率的分类框架指导，该框架分为 7 类。
研究结果表明，效率受到包括行走、供应品和设备的获取、接近工作人员以及整体单元配置和大小等问题的影响。
尽管分散式单元的设计使工作人员更接近患者，但许多人感到孤立，而集中式单元似乎更能促进工作人员的接近和供应品的获取。
