Jalalianhosseini Mahshid, Freihoefer Kara, Ochsner Abbie, Doyle Nancy, Bunker-Hellmich Lou Ann, Rich Renae, Haunfelder Ryan
HGA Architects and Engineers, Milwaukee, WI, USA.
Flad Architects, Madison, WI, USA.
HERD. 2025 Jan;18(1):41-58. doi: 10.1177/19375867241280731. Epub 2024 Oct 3.
The current study performed a post-occupancy evaluation on a new cancer infusion center with pod-like layout and compared results to a pre-occupancy evaluation to investigate the impact of different cancer infusion center designs on staff efficiency and patient and staff satisfaction.
The new cancer infusion center opened in October 2020 and replaced two previously existing infusion centers, in the same healthcare system.
The study used a similar mixed-method approach as the pre-occupancy research, which included staff shadowing, medication delivery shadowing, and staff and patient questionnaires.
The new infusion center improved staff efficiencies by reducing nurse travel time compared to pre-occupancy infusion centers. Results also showed an increase in satisfaction with different aspects of the new infusion center including patient privacy, by both patients and nurses. The pod design allowed for better audio and visual privacy for patients, provided a higher amount of worksurface and availability of workstations, reduced noise levels, and enhanced nurse concentration at workstations. Findings indicated that nurses who had prior experience working in the pre-occupancy infusion centers expressed significantly lower levels of satisfaction in the new infusion center, especially in the ability to connect with nurses in other pods.
Although the new pod design had limitations in terms of collaborative opportunities across pods, it showed to provide a more efficient work environment for the staff and increase staff and patient satisfactions. The results also highlight the importance of effective change management strategies when nurses transition to a new work environment.
本研究对一个采用豆荚式布局的新建癌症输液中心进行了使用后评估，并将结果与使用前评估进行比较，以调查不同癌症输液中心设计对工作人员效率以及患者和工作人员满意度的影响。
新建的癌症输液中心于2020年10月开业，取代了同一医疗系统中先前存在的两个输液中心。
该研究采用了与使用前研究类似的混合方法，包括工作人员跟踪、药物配送跟踪以及工作人员和患者问卷调查。
与使用前的输液中心相比，新的输液中心通过减少护士的行走时间提高了工作人员效率。结果还显示，患者和护士对新输液中心不同方面（包括患者隐私）的满意度有所提高。豆荚式设计为患者提供了更好的视听隐私，提供了更多的工作面和工作站可用性，降低了噪音水平，并提高了护士在工作站的注意力。研究结果表明，在使用前的输液中心有工作经验的护士对新输液中心的满意度明显较低，尤其是在与其他豆荚中的护士联系方面。
尽管新的豆荚式设计在跨豆荚协作机会方面存在局限性，但它显示出为工作人员提供了更高效的工作环境，并提高了工作人员和患者的满意度。研究结果还凸显了护士过渡到新工作环境时有效变革管理策略的重要性。
