Effects of nursing unit spatial layout on nursing team communication patterns, quality of care, and patient safety

Health Environments Research and Design Journal

Volumn 6, Issue 1, 2012, Pages 8-38

  Hua, Ying ^a   Becker, Franklin ^b   Wurmser, Teri ^c,d   Bliss Holtz, Jane ^d   Hedges, Christine ^d  

^a Department of Obstetrics Gynecology   (United States)

^b Department of Design and Environmental Analysis ^*  (United States)

^c Georgian Court Meridian Health School of Nursing   (United States)

^d Meridian Health Ann May Center for Nursing and Allied Health   (United States)

Author keywords

Communication; Multi hub design; Nurse satisfaction; Nursing unit; Patient outcomes; Quality of care

Indexed keywords

HUMAN; INTERPERSONAL COMMUNICATION; JOB SATISFACTION; NURSE; NURSING STAFF; PATIENT SAFETY; PATIENT SATISFACTION;

COMMUNICATION; HUMANS; JOB SATISFACTION; NURSES; NURSING STAFF, HOSPITAL; PATIENT SAFETY; PATIENT SATISFACTION;

EID: 84878166413     PISSN: 19375867     EISSN: None     Source Type: Journal    
DOI: 10.1177/193758671200600102     Document Type: Article

References (38)

1. Agarwal, R., Sands, D. Z., Schneider, J. D., & Smaltz, D. H. (2010). Quantifying the economic impact of communication inefficiencies in U.S. hospitals. Journal of Healthcare Management, 55(4), 265-282.
2. Allen, T. J. (1970). Managing the flow of technology. Cambridge, MA: MIT Press.
3. Becker, F. (2007). The ecology of knowledge networks. California Management Review, 49(2), 1-20.
4. Becker, F., & Carthey, J. (2007). Evidence-based design: Key issues in a collaborative process. Proceedings of the W092: Interdisciplinarity in the Built Environment Procurement Conference, September 23-26, Newcastle, Australia.
5. Becker, F., & Sims, W. (2001). Offices that work: Balancing communications, flexibility and cost. International Workplace Studies Program, Cornell University, Ithaca, NY.
6. Campbell, S. M., & Hacker, J. (2001). Identifying predictors of high quality care in English general practice: Observational study. British Medical Journal, 323, 1-6.
7. Carson, K. D., Carson, P. P., Yallapragada, R., & Roe, W. C. (2001). Teamwork or interdepartmental cooperation: Which is more important in the health care setting? The Health Care Manager, 19(4), 39-46.
8. Carthey, J. (2008). Reinterpreting the hospital corridor: "Wasted space" or essential for quality multidisciplinary clinical care? Health Environments Research & Design Journal, 2(1), 17-29.
9. Chang, W., Ma, J., Chiu, H., Lin, K., & Lee, P. (2009). Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. Journal of Advanced Nursing, 65(9), 1946-1955.
10. Coiera, E. (2000). When conversation is better than computation. Journal of American Medical Informatics Association, 7(3), 277-286.
11. Coiera, E., Jayasuriya, R., Hardy, H., Bannan, A., & Thorpe, M. (2002). Communication loads on clinical staff in the emergency department. Medical Journal of Australia, 176, 415-441.
12. Coiera, E., & Tombs, V. (1998). Communication behaviours in a hospital setting: An observational study. British Medical Journal, 316(7132), 673-676.
13. Donchin, Y., Gopher, D., Olin, M., Badihi, Y., Biesky, M., Sprung, C., ... Cotev, S. (1995). A look into the nature and causes of human errors in the intensive care unit. Critical Care Medicine, 23(2), 294-300.
14. Flynn, L. (2005). Nursing stations for the 21st century. Building Design & Construction, 46(2), 24-31.
15. Gurascio-Howard, L., & Malloch, K. (2007). Centralized and decentralized nurse station design: An examination of caregiver communication, work activities, and technology. Health Environments Research & Design Journal, 1(1), 44-57.
16. Harrell, J. W. (2006). Spreading out: Decentralized and centralized spaces combine to replace nurses' stations. Health Facilities Management, 19(12), 35.
17. Harris, D. D., Joseph, A., Becker, F., Hamilton, D. K., Shepley, M. M., & Zimring, C. (2008). The practitioner's guide to evidence-based healthcare design. Concord, CA: Center for Health Design.
18. Hendrich, A., Chow, M. P., Bafna, S., Choudhary, R., Heo, Y., & Skierczynski, B. A. (2009). Unit-related factors that affect nursing time with patients: Spatial analysis of the time and motion study. Health Environments Research & Design Journal, 2(2), 5-20.
19. Hendrich, A. L., Fay, J., & Sorrells, A. K. (2004). Effects of acuityadaptable rooms on flow of patients and delivery of care. American Journal of Critical Care, 13(1), 35-45.
20. Hua, Y., Loftness, V., Kraut, R., & Powell, K. M. (2010). Workplace collaborative space layout typology and occupant perception of collaboration environment. Environment and Planning B: Planning and Design, 37(3), 429-448.
21. Kalisch, B. J., & Begeny, S. M. (2005). Improving nursing unit teamwork. Journal of Nursing Administration, 35(12), 550-556.
22. Kraut, R. E., Egido, C., & Galegher, J. (1990). Patterns of contact and communication in scientific research collaboration. In J. Galegher, R. E. Kraut, & C. Egido (eds.), Intellectual teamwork. Hillsdale: Erlbaum.
23. Long, D., Idema, R., & Bonson, B. (2006). Corridor conversations: Clinical communication in casual spaces. In R. Idema (ed.), Hospital Communication and Interaction: Professional, managerial, and organizational discourses and contestations in acute care. London, United Kingdom: Palgrave Macmillan.
24. Miovski, N. (2009). Healing the nursing shortage with staff-friendly design. Healthcare Design, 9(8), 66-69.
25. Neisner, J., & Raymond, B. (2002). Nurse staffing and care delivery models: A review of the evidence. Kaiser Permanente Institute for Health Policy, Retrieved from http://xnet.kp.org/ ihp/publications/docs/nurse_staffing.pdf
26. Philpin, S. (2006). 'Handing over': Transmission of information between nurses in an intensive therapy unit. Nursing in Critical Care, 11(2), 86-93.
27. Propp, K., Apker, J., & Ford, W. (2008). Improving outcomes of the patient-care team: Investigating the relationship between nurse-team communication processes and team performance. Conference paper-National Communication Association, 1.
28. Reeves, S., & Lewin, S. (2004). Interprofessional collaboration in the hospital: Strategies and meanings. Journal of Health Services Research & Policy, 9(4), 218-225.
29. Ritchey T., & Pati, D. (2008). Establishing an acute care nursing bed unit size: Employing a decision matrix framework. Health Environments Research & Design Journal, 1(4), 122-132.
30. Seneviratne, C. C., Mather, C. M., & Then, K. L. (2009). Understanding nursing on an acute stroke unit: Perceptions of space, time and interprofessional practice. Journal of Advanced Nursing, 65(9), 1872-1881.
31. Shortell, S. M., Zimmerman, J. E., & Rousseau, D. M. (1994). The performance of intensive care units: Does good management make a difference? Medical Care, 32, 508-525.
32. The Joint Commission. (2006). Sentinel events statistics. Retrieved from http://www.jointcommission.org
33. Trzpuc, S., & Martin, C. (2010). Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals. Health Environments Research & Design Journal, 4(1), 34-55.
34. Ulrich, R., Quan, X., Zimring, C., Joseph, A. & Choudhary, Z. (2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity, Report to the Center for Health Design for the Designing the 21st Century Hospital project. Concord, CA: Center for Health Design.
35. Wade, R. (2006). Nursing unit planning and design. Health Facilities Management, 19(1), 30-39.
36. Wanzer, M. B., Wojtaszczyk, A. M., & Kelly, J. (2009). Nurses' perceptions of physicians' communication: The relationship among communication practices, satisfaction, and collaboration. Health Communication, 24(8), 683-691.
37. Wood, N., Farrow, S. & Elliot, B. (1994). A review of primary health care organization. Journal of Clinical Nursing, 3, 243.
38. Zborowsky, T., Bunker-Hellmich, L., Morelli, A., & O'Neill, M. (2010). Centralized vs. decentralized nursing stations: Effects on nurses' functional use of space and work environment. Health Environments Research & Design Journal, 3(4), 19-42.