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 patie...

Full description

Bibliographic Details
Main Authors: Lynette Cusack, Rebecca Munt, Naomi Verdonk, Tim Schultz, Jill Maben
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-09073-8
_version_ 1828051835476246528
author Lynette Cusack
Rebecca Munt
Naomi Verdonk
Tim Schultz
Jill Maben
author_facet Lynette Cusack
Rebecca Munt
Naomi Verdonk
Tim Schultz
Jill Maben
author_sort Lynette Cusack
collection DOAJ
description 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.
first_indexed 2024-04-10T19:44:25Z
format Article
id doaj.art-aa80ff0460b64299b22e9cda1fb37f16
institution Directory Open Access Journal
issn 1472-6963
language English
last_indexed 2024-04-10T19:44:25Z
publishDate 2023-01-01
publisher BMC
record_format Article
series BMC Health Services Research
spelling doaj.art-aa80ff0460b64299b22e9cda1fb37f162023-01-29T12:07:55ZengBMCBMC Health Services Research1472-69632023-01-0123111010.1186/s12913-023-09073-8Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methodsLynette Cusack0Rebecca Munt1Naomi Verdonk2Tim Schultz3Jill Maben4Adelaide Nursing School, Faculty of Health and Medical Sciences, University of AdelaideAdelaide Nursing School, Faculty of Health and Medical Sciences, University of AdelaideAdelaide Nursing School, Faculty of Health and Medical Sciences, University of AdelaideFlinders UniversityUniversity of SurreyAbstract 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.https://doi.org/10.1186/s12913-023-09073-8Case studyMixed methods, Patient experiencesNurses experiencesStaff expectationsSingle-bed room hospitals
spellingShingle Lynette Cusack
Rebecca Munt
Naomi Verdonk
Tim Schultz
Jill Maben
Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
BMC Health Services Research
Case study
Mixed methods, Patient experiences
Nurses experiences
Staff expectations
Single-bed room hospitals
title Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
title_full Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
title_fullStr Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
title_full_unstemmed Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
title_short Comparison of experiences of nursing staff and patients before and after move to 100% single-bed room hospital in Australia: mixed methods
title_sort comparison of experiences of nursing staff and patients before and after move to 100 single bed room hospital in australia mixed methods
topic Case study
Mixed methods, Patient experiences
Nurses experiences
Staff expectations
Single-bed room hospitals
url https://doi.org/10.1186/s12913-023-09073-8
work_keys_str_mv AT lynettecusack comparisonofexperiencesofnursingstaffandpatientsbeforeandaftermoveto100singlebedroomhospitalinaustraliamixedmethods
AT rebeccamunt comparisonofexperiencesofnursingstaffandpatientsbeforeandaftermoveto100singlebedroomhospitalinaustraliamixedmethods
AT naomiverdonk comparisonofexperiencesofnursingstaffandpatientsbeforeandaftermoveto100singlebedroomhospitalinaustraliamixedmethods
AT timschultz comparisonofexperiencesofnursingstaffandpatientsbeforeandaftermoveto100singlebedroomhospitalinaustraliamixedmethods
AT jillmaben comparisonofexperiencesofnursingstaffandpatientsbeforeandaftermoveto100singlebedroomhospitalinaustraliamixedmethods