Adelaide Nursing School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Flinders University, Adelaide, South Australia, Australia.
BMC Health Serv Res. 2023 Jan 25;23(1):81. doi: 10.1186/s12913-023-09073-8.
There is sufficient and consistent international evidence of issues reported by nurses working in single-bed room environments, requiring a design that is not only comfortable for patients but meets nurses working needs. This paper presents a comparison of nursing staff and patients experience prior to a move to 100% single-bed room hospital in 2016 (Stage 1) and actual experiences after the move in 2021 (Stage 2) in South Australia.
Mixed method case study design. Survey sample of forty-two nursing staff; twelve patient interviews of their experiences of current environment and; thirteen nursing staff interviews of their experiences delivering nursing care in 100% single bed-room environment.
Nurses and patients highlighted single-bed rooms contributed to patients' privacy, confidentiality, dignity and comfort. As anticipated in Stage 1, nurses in Stage 2 reported lack of patient and staff visibility. This impacted workload, workflow and concern for patient safety.
Patient and nursing staff experiences are interdependent, and implications of single-bed room accommodation are complicated. Future impacts on the health system will continue to affect hospital design, which must consider nurses working needs and patient safety and comfort.
有足够且一致的国际证据表明，在单人间环境中工作的护士报告了一些问题，这需要一种不仅让患者舒适，而且满足护士工作需求的设计。本文比较了 2016 年（第 1 阶段）搬到 100%单人间医院之前和 2021 年（第 2 阶段）实际入住后的护理人员和患者的体验，地点在南澳大利亚。
混合方法案例研究设计。调查样本包括 42 名护理人员；12 名患者访谈，了解他们对当前环境的体验；13 名护理人员访谈，了解他们在 100%单人间环境中提供护理的体验。
护士和患者都强调单人间有助于保护患者的隐私、保密性、尊严和舒适。正如第 1 阶段所预期的那样，第 2 阶段的护士报告说缺乏患者和员工的可见性。这影响了工作量、工作流程和对患者安全的关注。
患者和护理人员的体验是相互依存的，单人间住宿的影响是复杂的。未来对卫生系统的影响将继续影响医院设计，医院设计必须考虑护士的工作需求以及患者的安全和舒适。
