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评估在一家急性国民保健署信托医院中,拥有 20 间单人病房和两个四人间病房的病房环境对患者和员工体验及结果的影响:一项混合方法研究方案。

Evaluating the impact of a ward environment with 20 single occupancy rooms and two four-bedded bays on patient and staff experiences and outcomes in an acute NHS Trust: a mixed-methods study protocol.

机构信息

Centre for Health Innovation, School of Health, Education, Policing and Sciences, Staffordshire University, Stafford, UK.

James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK.

出版信息

BMJ Open. 2024 Aug 6;14(8):e085528. doi: 10.1136/bmjopen-2024-085528.

Abstract

INTRODUCTION

Traditionally, wards in acute care hospitals consist predominately of multioccupancy bays with some single rooms. There is an increasing global trend towards a higher proportion of single rooms in hospitals, with the UK National Health Service (NHS) advocating for single-room provision in all new hospital builds. There is limited evidence on the impact of a ward environment incorporating mostly single and some multioccupancy bays on patient care and organisational outcomes.

METHODS AND ANALYSES

This study will assess the impact of a newly designed 28-bedded ward environment, with 20 single rooms and two four-bedded bays, on patient and staff experiences and outcomes in an acute NHS Trust in East England. The study is divided into two work packages (WP)-WP1 is a quantitative data extraction of routinely collected patient and staff data while WP2 is a mixed-methods process evaluation consisting of one-to-one, in-depth, semistructured interviews with staff, qualitative observations of work processes on the ward and a quantitative data evaluation of routinely collected process evaluation data from patients and staff.

ETHICS AND DISSEMINATION

Ethical approval was obtained from the UK Health Research Authority (IRAS ID: 334395). Study findings will be shared with key stakeholders, published in peer-reviewed high-impact journals and presented at relevant conferences.

摘要

简介

传统上,急性护理医院的病房主要由多床位病房和一些单人间组成。全球范围内,越来越多的医院倾向于提供更高比例的单人间,英国国民保健制度(NHS)提倡在所有新医院建设中提供单人间。关于在病房环境中主要设置单人间和一些多床位病房对患者护理和组织结果的影响,证据有限。

方法和分析

本研究将评估在英格兰东部一家急性 NHS 信托中,一个新设计的 28 张床位的病房环境(20 个单人间和两个四人间)对患者和员工体验及结果的影响。该研究分为两个工作包(WP)-WP1 是对常规收集的患者和员工数据进行定量数据提取,WP2 是一项混合方法的过程评估,包括对员工进行一对一、深入的半结构化访谈、对病房工作流程进行定性观察以及对患者和员工常规收集的过程评估数据进行定量评估。

伦理和传播

已从英国健康研究局(IRAS ID:334395)获得伦理批准。研究结果将与主要利益相关者分享,发表在高影响力的同行评议期刊上,并在相关会议上展示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a201/11308872/02411cf0c448/bmjopen-14-8-g001.jpg

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