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KMID : 0948820150210030037
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Korea Institute of Healthcare Architecture Journal
2015 Volume.21 No. 3 p.37 ~ p.46
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A Study on the Effect of Unit Design for Patient-Centered Care on Family Members and Caregivers - A Case Study of the Intensive Care Unit (ICU) for Patient-Centered Care in the United States
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Choi Young-Seon
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Abstract
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The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement.
Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews.
Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses’ stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues.
Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.
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KEYWORD
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Patient-Centered Care , Intensive Care Unit , Physical Environment , Design Decision , Communication
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