DOI QR코드

DOI QR Code

A Comparative Analysis of Patient Visibility, Spatial Configuration and Nurse Walking Distance in Korean Intensive Care Units(ICUs) - Focused on single corridor, Pod and Composite type units

  • Ullah, Ubaid (Department of Architecture, Graduate School of Hanyang University) ;
  • Park, Jae Seung (Department of Architecture, Hanyang University)
  • Received : 2016.10.15
  • Accepted : 2016.11.14
  • Published : 2016.12.15

Abstract

Purpose: The purpose of this paper is to analyze a sample of single corridor, pod type and composite type of ICUs in terms of patient visibility, spatial configurations and nurse walking distance focused on Korean cases. Methods: The measures of static visibility were used to quantify the patient visibility (upper third part of the patient bed) from the nurse station. The measure of space programme and area distribution (patient zone percentage, staff zone percentage, circulation zone percentage, corridor length per bed, distance from nurse station (NS) to patient bed and departmental gross square meter (DGSM) per patient bed) were calculated by using AutoCAD and MS Excel programs. In the second step of analysis the values of space distribution were compared among the three type of ICUs as well as the nurse walking distance, DGSM per bed and gross factor. in the third step of analysis regression analysis was conducted for the possible correlation between visibility and space programme and area distribution factors as well as nurse walking distance factors. Results: (1) It was found that on average composite type unit offer highest value of patient visibility followed by pod type, while single corridor type unit offers the minimum value of patient visibility among the three plan typologies. (2) Average patient visibility and DGSM per bed shows a strong positive correlation ($r^2=0.75$) and p=0.026. (3) Average patient visibility and average distance from NS has a strong negative correlation ($r^2=0.78$), and P=0.02. (4) On average composite type unit offer the minimum walking distance from NS (7.22 meter) followed by pod type unit (8.35 meter) and single corridor (9.76 meter). (5) Maximum distance from NS was noted in single corridor (18.19 meter) followed by pod type unit (15.14 meter) and Composite type unit (11.1 meter). Implications: This study may contribute to the visibility analysis of existing and future ICU design in Korea to achieve maximum patient visibility and reduced nurse walking distance.

Keywords

References

  1. Allison D, Hamilton DK. 2008."Analysis of department area in contemporary hospitals: Calculation methodologies & design factors in major patient care departments". Funded in part by the American Institute of Architects' Academy of Architecture for Health Foundation; 2008.
  2. Bauer, H., and K. Knoblich. 1978. "[Recording of walking performance of nurses working in hospital departments]." Zeitschrift fur die gesamte Hygiene und ihre Grenzgebiete 24, no. 7 pp. 539-541.
  3. Burgio, Louis D., et al.(1990) "A descriptive analysis of nursing staff behaviors in a teaching nursing home: Differences among NAs, LPNs, and RNs." The Gerontologist 30.1 Pp: 107-112. https://doi.org/10.1093/geront/30.1.107
  4. Cadenhead, Charles. D. (2014). Architectural Design of Critical Care Units: A Comparison of Best Practice Units and Design. In Pediatric Critical Care Medicine (pp. 17-32). Springer London.
  5. Cadenhead, C., and D. Anderson. (2010) "Critical care design: Trends in award winning designs." World Health Design 2, Pp: 72-77.
  6. Cai, Hui, and Craig Zimring. (2012). "Out of Sight, Out of Reach: Correlating spatial metrics of nurse station typology with nurses' communication and co-awareness in an intensive care unit." Proceedings of the 8th International Space Syntax Symposium, Santiago, Chile. Vol. 36.
  7. Catrambone, Cathy, et al.(2009) "The design of adult acute care units in US hospitals." Journal of Nursing Scholarship 41, no.1. Pp: 79-86. https://doi.org/10.1111/j.1547-5069.2009.01254.x
  8. Hendrich, Ann, et al. (2008) "A 36-hospital time and motion study: how do medical-surgical nurses spend their time?." The Permanente Journal, 12(3), Pp. 25-34.
  9. James, W. P., & Tatton-Brown, W. (1986). Hospitals: design and development: Architectural Press.
  10. Kang, Chul-Hwan, et al.(2009) "The variation in risk adjusted mortality of intensive care units." Korean Journal of Anesthesiology 57.no.6. pp: 698-703. https://doi.org/10.4097/kjae.2009.57.6.698
  11. Kwak, Sang-Hyun, et al.(2014) "Current status of intensive care units registered as critical care subspecialty training hospitals in Korea." Journal of Korean medical science 29.3 pp:431-437 https://doi.org/10.3346/jkms.2014.29.3.431
  12. Leaf, David E., et al. (2010). "Relationship between ICU design and mortality." CHEST Journal 137, no. 5: pp.1022-1027. https://doi.org/10.1378/chest.09-1458
  13. Lee, Jaemin. 2009. "The inter-hospital variations of the intensive care unit (ICU) mortality in Korea: what's the problem and what do we have to do to solve it?" Korean Journal of Anesthesiology 57, no. 6, Pp. 691-692. https://doi.org/10.4097/kjae.2009.57.6.691
  14. Lim, Chae-Man, et al.(2015) "Critical Care In Korea: Present and Future." Journal of Korean medical science 30, no.11 Pp: 1540-1544. https://doi.org/10.3346/jkms.2015.30.11.1540
  15. Lu, Yi, et al. (2014) "Patient visibility and ICU mortality: A conceptual replication."HERD: Health Environments Research &Design Journal 7, no. 2 Pp: 92-103. https://doi.org/10.1177/193758671400700206
  16. Nightingale, Florence 1863. Notes on hospitals. Longman, Green, Longman, Roberts, and Green.
  17. Rashid M. (2006) "A decade of adult intensive care unit design: A study of the physical design features of the best-practice examples." Critical Care Nursing Quarterly 29(4), Pp.282-311. https://doi.org/10.1097/00002727-200610000-00003
  18. Seelye, Alan (1982) "Hospital ward layout and nurse staffing*." Journal of Advanced Nursing 7, no. 3. Pp.195-201. https://doi.org/10.1111/j.1365-2648.1982.tb00231.x
  19. Society of Critical Care Medicine, (1995). Guidelines for intensive care unit design. Crit Care Med.23. pp. 582-588. https://doi.org/10.1097/00003246-199503000-00026
  20. Ullah, Ubaid, et al.(2016) "A Study on the Development of Predictive Model for Patient Visibility in Korean Intensive Care Units (ICUs)." Journal of The Korea Institute of Healthcare Architecture 22. no.3 pp. 27-34. https://doi.org/10.15682/jkiha.2016.22.3.27
  21. "Intensive care unit" https://en.wikipedia.org/wiki/Intensive_care_unit, 2016.11.15.
  22. "The Number of Delivery Rooms, Infant Units, Operating Rooms, Emergency Rooms, Intensive Care Units (Unit: Number)" http://www.medicalkorea.or.kr/content.do?method=getContent&gcd=G1001&cmscd=CM9015, Medical Korea Statistics, 2016.04.14.

Cited by

  1. Smart Intravenous Infusion Dosing System vol.11, pp.2, 2021, https://doi.org/10.3390/app11020513