Journal of The Korea Institute of Healthcare Architecture (의료ㆍ복지 건축 : 한국의료복지건축학회 논문집)

Korea Institute of Healthcare Architecture (한국의료복지건축학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Development of Predictive Model for Patient Visibility in Korean Intensive Care Units (ICUs) - Focused on "Corridor or Continental" type units

  • Ullah, Ubaid (Department of Architecture, Graduate School of Hanyang University) ;
  • Park, Jae Seung (Department of Architecture, Hanyang University)
  • Received : 2016.07.15
  • Accepted : 2016.08.31
  • Published : 2016.09.15
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this paper is to develop a predictive model for patient visibility in Korean ICUs (corridor or continental type). 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 and departmental gross square meter per patient bed) were calculated by using AutoCAD and MS Excel programs. Regression analysis was conducted for visibility as dependant variable with independent variables of patient area percentage, staff area percentage as well as departmental gross square meter per bed by using IBM SPSS. Results: (1) Average patient visibility and percentage of patient area in ICU shows a strong negative correlation ($r^2$=0.66), p=0.01. (2) Patient visibility in Korean ICU (corridor or continental type) can be calculated as below with the given conditions: Y= $-1.449(X)+124.3{\pm}6$, Y is the total visibility of the ICU (corridor or continental type) and X is the percentage of patient area in the unit. Conditions:1. Given that the unit has a mixed programme of open bed and closed patient rooms and 2. The unit have a minimum of 20% patient rooms. Implications: This study may contribute to the visibility analysis of existing and future ICU design (corridor or continental type) in Korea to achieve maximum patient visibility and reduced patient mortality.

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 staff management system for maintaining improvements in continence with elderly nursing home residents." Journal of Applied Behavior Analysis 23, no.1 Pp: 111-118. https://doi.org/10.1901/jaba.1990.23-111
  4. Cadenhead, C., and D. Anderson. (2010) "Critical care design: Trends in award winning designs." World Health Design 2, Pp: 72-77.
  5. 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.
  6. 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
  7. James, W. P., & Tatton-Brown, W. (1986). Hospitals: design and development: Architectural Press.
  8. Hendrich, Ann, Marilyn Chow, Boguslaw A. Skierczynski, and Zhenqiang Lu. 2008. "A 36-hospital time and motion study: how do medical-surgical nurses spend their time?." RCHE Publications, 50.
  9. Hendrich, Ann, et al. (2008) "A 36-hospital time and motion study: how do medical-surgical nurses spend their time?." RCHE Publications, 50.
  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. Leaf, David E., Peter Homel, and Phillip H. Factor. 2010. "Relationship between ICU design and mortality." CHEST Journal 137, no. 5: pp. 1022-1027. https://doi.org/10.1378/chest.09-1458
  12. 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
  13. 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
  14. 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
  15. Nightingale, Florence 1863. Notes on hospitals. Longman, Green, Longman, Roberts, and Green.
  16. Seelye, Alan.1982. "Hospital ward layout and nurse staffing*." Journa l of Advanced Nursing 7, no. 3. Pp.195-201. https://doi.org/10.1111/j.1365-2648.1982.tb00231.x
  17. 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
  18. "What is Intensive Care?" http://www.ics.ac.uk/icf/patients-and-relatives/information/about-critical-care/what-is-intensive-care/,IntensiveCareSocietyUK,2016.04.14.
  19. "The Number of Delivery Rooms, Infant Units, Operating Rooms, Em ergency 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. 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 vol.22, pp.4, 2016, https://doi.org/10.15682/jkiha.2016.22.4.37