Abstract
Design charettes have been utilized in architectural and design practice to generate innovative ideas. The Reimagining Workshop is a version that combines practical and blue-sky thinking to improve healthcare facility design. The workshop engages diverse stakeholders who follow a human-centered design framework. The Reimagining the Neonatal Intensive Care Unit workshop sought to generate ideas for the future, optimal NICU without specific site or client constraints. Key themes include family-centered care, technology-enabled care, neighborhood and village design and investing in the care team. Recommendations include a supportive physical environment, celebrating milestones, complementary and alternative medicine, enhancing the transition of care, aiding the transition period, and leveraging technology. The workshop showcased the potential for transformative change in NICU design and provided a roadmap for future advancements. These findings can inform regulatory standards for NICU design and drive improvements in family-centered care, patient experiences, and outcomes within the NICU environment.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Shepley MM, Savage T, Smith J. Reimagining Workshops. Health Environ Res Des J. 2022;15:16–24.
White RD. The next big ideas in NICU design. J Perinatol. 2016;36:259–62.
Lester BM, Hawes K, Abar B, Sullivan M, Miller R, Bigsby R, et al. Single-family room care and neurobehavioral and medical outcomes in preterm infants. Pediatrics. 2014;134:754–60.
Dunn MS, MacMillan-York E, Robson K. Single family rooms for the NICU: pros, cons and the way forward. Newborn Infant Nurs Rev. 2016;16:218–21.
Pineda RG, Neil J, Dierker D, Smyser CD, Wallendorf M, Kidokoro H, et al. Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments. J Pediatr. 2014;164:52–60.
Phillips R. The sacred hour: Uninterrupted skin-to-skin contact immediately after birth. Newborn Infant Nurs Rev. 2013;13:67–72.
White RD, Smith JA, Shepley MM. Recommended standards for newborn ICU design. J Perinatol. 2013;33:S2–S16.
Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal intensive care unit: environmental stressors and supports. Int J Environ Res Public Health. 2018;15:60.
Pineda R, Bender J, Hall B, Shabosky L, Annecca A, Smith J. Parent participation in the neonatal intensive care unit: Predictors and relationships to neurobehavior and developmental outcomes. Early Hum Dev. 2018;117:32–38.
Shepley M. Design for Pediatric and Neonatal Critical Care. London: Routledge; 2014.
Shepley MM, Harris DD, White R. Open-bay and single-family room neonatal intensive care units caregiver satisfaction and stress. Environ Behav. 2008;40:249–68.
Van Enk RA, Steinberg F. Comparison of private room with multiple-bed ward neonatal intensive care unit environments. Health Environ Res Des J. 2011;5:52–63.
Nyqvist KH, Häggkvist AP, Hansen MN, Kylberg E, Frandsen AL, Maastrup R, et al. Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care: expert group recommendations. J Hum Lactation. 2013;29:300–9.
Robson K, MacMillan-York E, Dunn MS. Celebration in the face of trauma: supporting NICU families through compassionate facility design. Newborn Infant Nurs Rev. 2016;16:225–9.
Cutler DM, Meara E. The technology of birth: Is it worth it? Health affairs. 2001;20:11–29.
Silverman WA. Incubator-baby side shows. Pediatrics. 1979;64:127–41.
Song Y, Shepley MM. Neonatal intensive care unit (NICU) room type design trends. AIA Academy of Architecture for Health Academy Journal. 2016;17:26–32.
Pineda R, Knudsen K, Breault CC, Rogers EE, Mack WJ, Fernandez-Fernandez A. NICUs in the US: levels of acuity, number of beds, and relationships to population factors. J Perinatol. 2023;43:796–805.
Author information
Authors and Affiliations
Contributions
SM—collected the data, contributed the data and tools, performed the analysis, wrote the paper. TS—collected the data, contributed the data and tools, provided edits to the paper. JS—collected the data, contributed the data and tools, provided edits to the paper. Dr MMS—collected the data, conceived, and designed the analysis, provided edits to the paper. Dr RDW—collected the data, conceived, and designed the analysis, provided edits to the paper.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mohammed, S., Savage, T., Smith, J. et al. Reimagining the NICU: a human-centered design approach to healthcare innovation. J Perinatol 43 (Suppl 1), 40–44 (2023). https://doi.org/10.1038/s41372-023-01794-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41372-023-01794-2