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Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods


ABSTRACT:

Background

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.

Method

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.

Results

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.

Conclusion

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.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12913-023-09073-8.

SUBMITTER: Cusack L 

PROVIDER: S-EPMC9875193 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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