Abstract
Objective:
To explore the implications of the single family room (SFR) care environment of neonatal intensive care units (NICU) compared to Open-bay, Combination and Double-occupancy configurations, focusing on family experience, neonate outcomes, staff perceptions, cost and environmental design.
Study design:
This study uses a multimethod design with 11 Level III NICUs. Space allocations, construction costs, staff preferences and perceptions, and occupant behaviors were evaluated.
Results:
SFR NICU design provides solutions for increasing parent privacy and presence, supporting Health Insurance Portability and Accountability Act compliance, minimizing the number of undesirable beds, increasing staff satisfaction and reducing staff stress.
Conclusion:
The analysis of this study suggests that there are benefits to SFR NICU. This study is an initial, comprehensive effort, the purpose of which is to spawn future, narrower, in-depth studies focused on SFR NICU design.
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Acknowledgements
This study was supported by a research grant from the Coalition for Health Environments Research (CHER) and is available at www.cheresearch.org. Support was also provided by the Regional Newborn Program at Memorial Hospital, South Bend, IN. Preliminary data were presented at the High Risk Infant Conference, Orlando, FL, 27 January 2006. We thank the participating hospitals, architecture firms and construction companies. We especially thank the other members of the research team: Stanley Graven, MD; Leslie Parker, ARNP; Beverly Johnson; Judy Smith, MHA; Teri Oelrich, RN; and Kathleen Philbin, PhD for their contributions to the completion of this project.
Statistical Reviewer: Xiaobo Quan, M ARCH, College of Architecture, Texas A&M University.
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Harris, D., Shepley, M., White, R. et al. The impact of single family room design on patients and caregivers: executive summary. J Perinatol 26 (Suppl 3), S38–S48 (2006). https://doi.org/10.1038/sj.jp.7211583
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DOI: https://doi.org/10.1038/sj.jp.7211583
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