Influence of single-room accommodation on nursing care: A realistic evaluation.

Nowadays, it is common that newly built hospitals are designed with single-room accommodation, unlike in the past, where shared accommodation was the favoured standard. Despite this change in hospital design, very little is known about how single-room accommodation affects nurses' work environment and nursing care. This study evaluates how the single-room design affects nurses and nursing care in the single-room hospital design. Nurses working in the single-room design predominantly work alone with little opportunity for peer training, interaction and reflection. In addition, the single-room design affects the nurses' work environment due to changes in sensory stimulation and increased walking distances. Furthermore, a change in the discourse, namely, regarding the single room as the patient's home, makes the nurses react to queries, demands and tasks in a new way. Overall, the new hospital design forces the nurses into a more reactive role and affect their way of providing nursing care. Despite this, the nurses find single-room accommodation beneficial for the patients and their nursing care.

[1]  M. Zokaei,et al.  A Bayesian network model to predict the role of hospital noise, annoyance, and sensitivity in quality of patient care , 2022, BMC Nursing.

[2]  Alireza Khatony,et al.  Explaining the consequences of missed nursing care from the perspective of nurses: a qualitative descriptive study in Iran , 2022, BMC Nursing.

[3]  Kirsten Frederiksen,et al.  Patients’ and Nurses’ Experiences of All Single-Room Hospital Accommodation: A Scoping Review , 2021, HERD.

[4]  P. Zannin,et al.  Environmental noise in hospitals: a systematic review , 2021, Environmental Science and Pollution Research.

[5]  P. Linsley.  Realistic Evaluation as both a science and as a methodology , 2019, Pielegniarstwo XXI wieku / Nursing in the 21st Century.

[6]  L. Cusack,et al.  Anticipated advantages and disadvantages of a move to 100% single-room hospital in Australia: A case study. , 2019, Journal of nursing management.

[7]  J. Olver,et al.  Bringing the single versus multi-patient room debate to vulnerable patient populations: a systematic review of the impact of room types on hospitalized older people and people with neurological disorders , 2018, Intelligent Buildings International.

[8]  Alan J. Card,et al.  Single-Occupancy Patient Rooms: A Systematic Review of the Literature Since 2006 , 2018, HERD.

[9]  G. Robert,et al.  Nursing work and sensory experiences of hospital design: A before and after qualitative study following a move to all-single room inpatient accommodation , 2017, Health & place.

[10]  Cheryle Moss,et al.  Single-room usage patterns and allocation decision-making in an Australian public hospital: a sequential exploratory study. , 2016, Journal of clinical nursing.

[11]  D. Walker.  Challenging the culture of caring of 100 years: the evidence behind single-room provision in hospitals , 2016, Future Hospital Journal.

[12]  Jill Maben,et al.  Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls , 2016, Journal of health services research & policy.

[13]  I. Singh,et al.  Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards. , 2015, Age and ageing.

[14]  G. Robert,et al.  One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs , 2015, BMJ Quality & Safety.

[15]  Denise E. De Souza,et al.  Elaborating the Context-Mechanism-Outcome configuration (CMOc) in realist evaluation: A critical realist perspective , 2013 .

[16]  Ray Pawson,et al.  The Science of Evaluation: A Realist Manifesto , 2013 .

[17]  Jo Rycroft-Malone,et al.  A realistic evaluation: the case of protocol-based care , 2010, Implementation science : IS.

[18]  C. Zimring,et al.  A Review of the Research Literature on Evidence-Based Healthcare Design , 2008, HERD.

[19]  Anne Goossensen,et al.  Do patients in hospitals benefit from single rooms? A literature review. , 2007, Health policy.

[20]  Maria Valente,et al.  Nurses' perception of single-occupancy versus multioccupancy rooms in acute care environments: an exploratory comparative assessment. , 2006, Applied nursing research : ANR.

[21]  R. Ulrich.  View through a window may influence recovery from surgery. , 1984, Science.

[22]  Michael C. Mosier,et al.  Private Rooms in Low Acuity Settings: A Systematic Review of the Literature , 2018, HERD.

[23]  Boqin,et al.  Missed Nursing Care , 2014 .

[24]  R. Bhaskar.  Scientific Realism and Human Emancipation , 1986 .