Centre for Research in Clinical Nursing, 53165Regional Hospital Viborg, VIA University College, Aarhus University, Denmark.
1006Aarhus University, Health, Denmark.
HERD. 2022 Jan;15(1):292-314. doi: 10.1177/19375867211047548. Epub 2021 Oct 12.
To identify, examine, and map literature on the experiences of single-room hospital accommodation, exploring what is known about how single-room accommodation in hospitals is viewed by patients and nurses.
Worldwide, hospital design is changing to mainly single-room accommodation. However, there is little literature exploring patients' and nurses' experiences of single-room designs.
Scoping review following the Joanna Briggs Institute guidance on scoping reviews.
We conducted the search in medical databases for scientific and gray literature. The four authors independently used a data extraction tool to include sources from the searches. The sources were discussed during the process, and in case of a disagreement between two reviewers, the third and fourth reviewer would be invited to participate in the discussion until consensus was achieved.
We included 22 sources published during the period 2002-2020, with a majority ( = 16) during the period 2013-2020. The sources were distributed on 10 different countries; however, England dominated with 14 publications. We found three main maps for reporting on patients' experiences: (1) personal control, (2) dignity, and (3) by myself. For the nurses' experiences, we found four main maps: (1) the working environment, (2) changes of nursing practice, (3) privacy and dignity, and (4) patient safety.
We suggested that patients' and nurses' experiences are predominantly interdependent and that the implications of single-room accommodation is a large and complex issue which goes beyond hospital design.
识别、检查和绘制有关单人病房住院体验的文献,探索关于患者和护士如何看待医院单人病房的现有知识。
在全球范围内,医院设计正在向主要的单人病房转变。然而,几乎没有文献探讨患者和护士对单人病房设计的体验。
遵循 Joanna Briggs 研究所关于范围综述的指南进行的范围综述。
我们在医学数据库中对科学和灰色文献进行了检索。四位作者独立使用数据提取工具,从搜索中纳入来源。在整个过程中,对来源进行了讨论,如果两位评审员之间存在分歧,则会邀请第三位和第四位评审员参与讨论,直到达成共识。
我们纳入了 2002 年至 2020 年期间发表的 22 篇来源,其中 2013 年至 2020 年期间的来源占多数(=16)。这些来源分布在 10 个不同的国家,但以英国的 14 篇出版物为主。我们发现报告患者体验的三个主要图谱:(1)个人控制,(2)尊严,(3)由我自己。对于护士的体验,我们发现了四个主要图谱:(1)工作环境,(2)护理实践的变化,(3)隐私和尊严,以及(4)患者安全。
我们认为患者和护士的体验主要是相互依存的,单人病房的影响是一个庞大而复杂的问题,超出了医院设计的范畴。