TY - JOUR
T1 - Influence of Evidence-Based Design Strategies on Nurse Wellness
AU - Raj, Minakshi
AU - Jimenez, Francesqca E.
AU - Rich, Renae K.
AU - Okland, Kathy
AU - Roy, Lonnie
AU - Opollo, Jackline
AU - Rogers, Juliet
AU - Brittin, Jeri
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/10
Y1 - 2022/10
N2 - Objectives: The purpose of this study was to understand how specific evidence-based design strategies are related to aspects of nurse wellness. Background: Addressing burnout among the healthcare workforce is a system-level imperative. Nurses face continuous and dynamic physical and emotional demands in their role. Greater insight into the role of the physical environment can support efforts to promote nurse wellness. Methods: This exploratory qualitative study was conducted at new Parkland Hospital in Dallas, TX. We conducted five focus groups with nursing staff in July 2018. These sessions covered five topics related to nursing work in the facility which had been redesigned nearly 3 years earlier: (1) professional and social communication, (2) workflow and efficiency, (3) nurses’ tasks and documentation, (4) ability to care for patients, and (5) nurses’ overall health. We conducted a thematic analysis and first identified different aspects of wellness discussed by participants. Then, we examined how nurses related different design elements to different aspects of their wellness. Results: Participants included 63 nurses and nurse managers. They related environmental factors including facility size, break rooms, and decentralized workstations to social, emotional/spiritual, physical, intellectual, and occupational aspects of wellness. Conclusions: It is critical to inform and integrate nurses at all levels into planning, design, and activation of new healthcare environments in order to ensure the well-being of nurses and, therefore, their ability to effectively support patients.
AB - Objectives: The purpose of this study was to understand how specific evidence-based design strategies are related to aspects of nurse wellness. Background: Addressing burnout among the healthcare workforce is a system-level imperative. Nurses face continuous and dynamic physical and emotional demands in their role. Greater insight into the role of the physical environment can support efforts to promote nurse wellness. Methods: This exploratory qualitative study was conducted at new Parkland Hospital in Dallas, TX. We conducted five focus groups with nursing staff in July 2018. These sessions covered five topics related to nursing work in the facility which had been redesigned nearly 3 years earlier: (1) professional and social communication, (2) workflow and efficiency, (3) nurses’ tasks and documentation, (4) ability to care for patients, and (5) nurses’ overall health. We conducted a thematic analysis and first identified different aspects of wellness discussed by participants. Then, we examined how nurses related different design elements to different aspects of their wellness. Results: Participants included 63 nurses and nurse managers. They related environmental factors including facility size, break rooms, and decentralized workstations to social, emotional/spiritual, physical, intellectual, and occupational aspects of wellness. Conclusions: It is critical to inform and integrate nurses at all levels into planning, design, and activation of new healthcare environments in order to ensure the well-being of nurses and, therefore, their ability to effectively support patients.
KW - evidence-based design
KW - hospital design
KW - inpatient unit design
KW - nursing
KW - wellness
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U2 - 10.1177/19375867221110915
DO - 10.1177/19375867221110915
M3 - Article
C2 - 35923121
AN - SCOPUS:85135466794
SN - 1937-5867
VL - 15
SP - 233
EP - 248
JO - Health Environments Research and Design Journal
JF - Health Environments Research and Design Journal
IS - 4
ER -