Identifying Unmet Patient Expectations via Critical Review of Five Simulated Hospital Rooms

Details

• Personal Author:
  Evans KD ; Lavender SA ; Li J ; Patterson ES ; Sanders E ; Sommerich CM
• Description:
  Our objective was to identify essential patient needs that can be utilized to design or renovate medical-surgical patient rooms in a hospital. Tens of millions of hospital patients in the United States stay in hospitals each year, and patient reimbursement from Medicare is now impacted by their patient satisfaction. There is an increased interest in supportive room design to improve patient satisfaction and the healing process. Trends include single rather than shared rooms, rooms which can adapt to clinical needs (acuity adaptability), increasing space for family members in a 'family zone' that includes a sleeper couch, and allowing visitation by family members and caregivers for longer and less restrictive periods. In some hospitals, children and pets are now allowed to visit patients during the day. We describe findings from a mixed-methods study (Patterson et al., in press 2017) that is part of a larger project. In the larger project, we identified the needs of hospital staff in the patient room (Lavender et al., 2015a), barriers to infection control for hospital staff using the room (Patterson et al,. 2014), the needs of environmental services staff for hospital room design (Patterson et al., 2017), and reactions by architects and interior designers to room design concepts (Sommerich et al., 2016). Patient reactions were elicited to intentional room elements embedded in a series of five full-scale simulated room design concepts (Lavender et al., 2015b). Each focus group of patients and caregivers provided verbal and written feedback regarding two of the five rooms designed from the input of 27 interdisciplinary teams of hospital staff. A grounded theory approach was employed to generate a codebook, identify the frequency of codes, group codes and memos into emerging themes. The insights from the emergent themes were compared with findings from written surveys on the importance of room design elements completed at the beginning of the focus groups. A theoretical design framework was generated, showing that patients need a hospital room that provides them with the core components of comfort needed to support healing, a room that facilitates a strong sense of connection to people and to the outside world, enables quick and independent access to the patient's things, and offers suitable levels of control to the patient throughout their hospital stay. There are implications for assisting architects, healthcare planners and interior space designers, as well as its potential for design guidance to meet patient needs and expectations, and likely improve the patient experience. [Description provided by NIOSH]
• Subjects:
  Engineering Ergonomics Health Care Facilities Workforce And Services Health Personnel Hospitals Occupational Health Safety
• Keywords:
  Engineering Controls Health Care Facilities Health Care Workers Hospital Equipment Human Factors Engineering Patient Handling
• ISSN:
  2327-8595
• Publisher:
  Human Factors and Ergonomics Society
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  116-117
• Volume:
  6
• Issue:
  1
• NIOSHTIC Number:
  nn:20051995
• Citation:
  Proceedings of the 2017 International Symposium on Human Factors and Ergonomics in Health Care, March 5-8, 2017, New Orleans, Louisiana. Santa Monica, CA: Human Factors and Ergonomics Society, 2017 Jun; 6(1):116-117
• Contact Point Address:
  Emily S. Patterson, Division of Health Information Management and Systems School of Health and Rehabilitation Sciences, Ohio State University Columbus, Ohio, USA
• Federal Fiscal Year:
  2017
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  The Ohio State University, Columbus, Ohio
• Peer Reviewed:
  True
• Start Date:
  20120701
• Source Full Name:
  Proceedings of the 2017 International Symposium on Human Factors and Ergonomics in Health Care, March 5-8, 2017, New Orleans, Louisiana
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:aefe040fa58e2f3ff5d2ba2508bb033263ab076f42f81863db7be9878ea45c5e7f576906f95decd11e8a75a81ba6220cfec36688d2daf858fc28a78724d6a4e1
• Download URL:
  https://stacks.cdc.gov/view/cdc/211631/cdc_211631_DS1.pdf
• File Type:
  [PDF - 118.74 KB ]