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Experiences of Nurses Working in a Single-Room-Structured Intensive Care Unit

전 병상 1인실 구조인 중환자실에 근무하는 간호사의 경험

  • Received : 2021.04.17
  • Accepted : 2021.08.12
  • Published : 2021.10.31

Abstract

Purpose : This study aims to provide basic data for effective nursing interventions and improvement of nurses' work by exploring their work experiences in single-room-structured intensive care units (ICU) through focus group interviews. Methods : Data were collected through two focus group discussions conducted from March to November 2020 with 13 ICU nurses. Interviews were audio-recorded and analyzed thematically by investigators. Results : Through content analysis, 15 sub-categories and 6 categories were formed. Two themes, "positive experiences patients care in an independent space" and "difficulties in nursing work according to space separation of patients" emerged. There are positive aspects of single-room-structured ICUs, but it was found that practicing nurses had difficulties and required specialized nursing competencies. Therefore, efforts to reduce the burden of nurses in single-room-structured ICUs are necessary. Conclusion : The limitation of this study is that it was conducted in a single hospital because single-room-structured intensive care units are uncommon in Korea. However, this study is of great significance as a basis for establishing guidelines on the efforts required from nurses, hospitals, and governments single-room-structured ICUs in the future.

Keywords

Acknowledgement

본 연구는 2020년 이대서울병원 간호부에서 연구비를 지원받아 진행한 연구임

References

  1. Halpern NA, Goldman DA, Tan KS, Pastores SM. Trends in critical care beds and use among population groups and medicare and medicaid beneficiaries in the US: 2000-2010. Critical Care Medicine. 2016;44(8):1490-99. https://doi.org/10.1097/CCM.0000000000001722
  2. Halpern NA, Anderson DC, Kesecioglu J. ICU design in 2050: looking into the crystal ball! Intensive Care Medicine. 2017;43(5):690-2. https://doi.org/10.1007/s00134-017-4728-x
  3. Kacmarek RM. The mechanical ventilator: past, present, and future. Respiratory Care. 2011;56(8):1170-80. https://doi.org/10.4187/respcare.01420
  4. Shin EK, Park SB. A study on the user-centered patients' room planning criteria - focused on the analysis of the planning criteria in Korea, Japan, Germany, U.S., and Australia. Journal of the Korean Institute of Interior Design. 2015;24(4):135-42. https://doi.org/10.14774/JKIID.2015.24.4.135
  5. FGI. Guidelines for design and construction of hospitals [Internet]. Missouri: Facility Guidelines Institute; 2018 [cited 2019 September 19]. Available from: https://www.fgiguidelines.org/guidelines/2018-fgi-guidelines
  6. Lee SH, Lee YH. Perception on patient safety culture and patient safety competency of intensive care unit nurses. Journal of The Korean Data Analysis Society. 2016;18(4):2215-29.
  7. Jongerden IP, Slooter AJ, Peelen LM, Wessels H, Ram CM, Kesecioglu J, et al. Effect of intensive care environment on family and patient satisfaction: a before-after study. Intensive care medicine. 2013;39(9):1626-34. https://doi.org/10.1007/s00134-013-2966-0
  8. Oliver K, Kemp V. A comparison of nurses' work satisfaction between single-room nd multi occupancy adult intensive care units: a mixed-methods integrative review. Australian Critical Care. 2019;33(4):382-9. https://doi.org/10.1016/j.aucc.2019.06.003
  9. Lee HJ. Changes in ward environment after MERS. Review of Architecture and Building Science. 2017;61(6):32-7.
  10. Kim MS. Seoul National University Hospital operates 'one person quarantine rooms' in internal medicine intensive care unit. Yonhapnews. 2017 September 27; [cited 2019 September 19]. Avalilable from: https://www.yna.co.kr/view/AKR20170927116400017
  11. Cusack L, Wiechula R, Schultz T, Dollard J, Maben J. Anticipated advantages and disadvantages of a move to 100% single-room hospital in Australia: a case study. Journal of Nursing Management. 2018;27(5):963-70. https://doi.org/10.1111/jonm.12753
  12. Kim KC, Lee HJ, Kwun JB. A study on the functional efficiency according to composition of single bedroom in ward -focused on distance from NS to Bed-. Journal of Korea Institute Of Healthcare Architecture. 2019;21(2):17-24. https://doi.org/10.15682/jkiha.2015.21.2.17
  13. Cyr J. The pitfalls and promise of focus groups as a data collection method. Sociological methods & research. 2016;45(2):231-59. https://doi.org/10.1177/0049124115570065
  14. Morgan D. Focus group kit 2: planning focus groups. Thousand Oaks. CA: SAGE Publications; 1998.
  15. Lin FF, Chaboyer W, Foster M, Hervey L, Marshall AP. Facilitating the relocation of an intensive care unit from shared room to single room setting: staff perceptions on the effectiveness of a multicomponent intervention. Australian Critical Care. 2018;1-6. https://doi.org/10.1016/j.aucc.2018.06.008
  16. Holloway I, Wheeler S. Qualitative research in nursing. Oxford: Blackwell Science; 2002.
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  18. Holloway I, Wheeler S. Qualitative research in nursing and health care. 3rd ed. Iowa: Wiley Blackwell, Chichester, Ames; 2010.
  19. Lim JH. Current status of intensive care unit management in Korea and improvement direction of infection control. HIRA Policy Trends. 2018;(12)2:24-35.
  20. Kim MR, Kang HS, Kim KH, Lee WY. Visiting policy and nurses' attitudes towards visiting in intensive care units. Journal of the Korean Data Analysis Society. 2010;12(2):797-810.
  21. Kesecioglu J, Schneider MM, van der Kooi AW, Bion J. Structure and function: planning a new ICU to optimize patient care. Current Opinion in Critical Care. 2012;18(6):688-92. https://doi.org/10.1097/MCC.0b013e328358d4bd
  22. Kim DH. Foreign intensive care unit standard trend. In: Health Insurance Review & Assessment Service, editor. HIRA The Trend of Policy 10(4). Wonju: Health Insurance Review & Assessment Service; 2016. p. 69-81.
  23. Halaby T, Al Naiemi N, Beishuizen B, Verkooijen R, Ferreira JA, Klont R. Impact of single room design on the spread of multi-drug resistant bacteria in an intensive care unit. Antimicrobial Resistance & Infection Control. 2017;6(1):1-10. https://doi.org/10.1186/s13756-017-0275-z
  24. Kim JY, Kim MS. Nurses presence with patients dying in intensive care units. Journal of Qualitative Research. 2018;19(2):112-30. http://doi.org/10.22284/qr.2018.19.2.112
  25. Jang JI, Park EH. The experiences of patients in intensive care units. Journal of the Korean Society for Wellness. 2020;15(3):135-44. http://doi.org/10.21097/ksw.2020.08.18.3.135
  26. Kotfis K, Marra A, Ely EW. ICU delirium-a diagnostic and therapeutic challenge in the intensive care unit. Anaesthesiology Intensive Therapy. 2018;50(2):128-40. http://doi.org/10.5603/AIT.a2018.0011
  27. Apple M. A comparative evaluation of Swedish intensive care patient rooms. HERD: Health Environments Research & Design Journal. 2014;7(3): 78-93. https://doi.org/10.1177/193758671400700306
  28. Walsh WF, McCullough KL, White RD. Room for improvement: nurse's perceptions of providing care in a single room newborn intensive care setting. Advances in Neonatal Care. 2006;6(5):261-70. https://doi.org/10.1016/j.adnc.2006.06.002
  29. Shin SJ, Kim PJ, Kim JH. The operation performance and performance evaluation of nursing education system. Seoul, Korea: Korean Hospital Association; 2020.