Factors impeding flexible inpatient unit design

Journal article


Pati, Debajyoti, Evans, Jennifer, Harvey, Thomas E. and Bazuin, Doug. (2012). Factors impeding flexible inpatient unit design. Health Environments Research and Design Journal. 6(1), pp. 83 - 103. https://doi.org/10.1177/193758671200600105
AuthorsPati, Debajyoti, Evans, Jennifer, Harvey, Thomas E. and Bazuin, Doug
Abstract

Objective: To identify and examine factors extraneous to the design decision-making process that could impede the optimization of flexibility on inpatient units. Background: A 2006 empirical study to identify domains of design decisions that affect flexibility on inpatient units found some indication in the context of the acuity-adaptable operational model that factors extraneous to the design process could have negatively influenced the successful implementation of the model. This raised questions regarding extraneous factors that might influence the successful optimization of flexibility. Method: An exploratory, qualitative method was adopted to examine the question. Stakeholders from five recently built acute care inpatient units participated in the study, which involved three types of data collection: (1) verbal protocol data from a gaming session; (2) in-depth semi-structured interviews; and (3) shadowing frontline personnel. Data collection was conducted between June 2009 and November 2010. Results: The study revealed at least nine factors extraneous to the design process that have the potential to hinder the optimization of flexibility in four domains: (1) systemic; (2) cultural; (3) human; and (4) financial. Conclusions: Flexibility is critical to hospital operations in the new healthcare climate, where cost reduction constitutes a vital target. From this perspective, flexibility and efficiency strategies can be influenced by (1) return on investment, (2) communication, (3) culture change, and (4) problem definition. Extraneous factors identified in this study could also affect flexibility in other care settings; therefore, these findings may be viewed from the overall context of hospital design.

KeywordsHealthcare design; flexibility; evidence-based design
Year2012
JournalHealth Environments Research and Design Journal
Journal citation6 (1), pp. 83 - 103
PublisherSAGE Publications Inc.
ISSN1937-5867
Digital Object Identifier (DOI)https://doi.org/10.1177/193758671200600105
Scopus EID2-s2.0-84878182449
Page range83 - 103
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationUnited States
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