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Associations between healthcare environment design and adverse events in intensive care unit
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Vårdande i högteknologiska miljöer)ORCID iD: 0000-0002-7400-6574
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0002-9828-961X
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Vårdande i högteknologiska miljöer)ORCID iD: 0000-0002-0047-9723
Jönköping University.
2021 (English)In: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 26, no 2, p. 86-93Article in journal (Refereed) Published
Sustainable development
According to the author(s), the content of this publication falls within the area of sustainable development.
Abstract [en]

Background

Healthcare environment can affect health. Adverse events (AEs) are common because rapid changes in the patients' status can suddenly arise, and have serious consequences, especially in intensive care. The relationship between the design of intensive care units (ICUs) and AEs has not been fully explored. Hence, an intensive care room was refurbished with cyclic lightning, sound absorbents and unique interior, and exterior design to promote health.

Aims

The aim of this study was to evaluate the differences between a regular and a refurbished intensive care room in risk for AEs among critically ill patients.

Design

This study retrospectively evaluated associations of AEs and compared the incidence of AEs in patients who were assigned to a multidisciplinary ICU in a refurbished two‐bed patient room with patients in the control rooms between 2011 and 2018.

Methods

There were 1938 patients included in this study (1382 in control rooms; 556 in the intervention room). Descriptive statistics were used to present the experienced AEs. Binary logistic regressions were conducted to estimate the relationship between the intervention/control rooms and variables concerning AEs. Statistical significance was set at P < 0.05.

Results

For the frequency of AEs, there were no significant differences between the intervention room and the control rooms (10.6% vs 11%, respectively, P < 0.805). No findings indicated the intervention room (the refurbished room) had a significant influence on decreasing the number of experienced AEs in critically ill patients.

Conclusions

The findings revealed a low incident of AEs in both the intervention room as well as in the control rooms, lower than previously described. However, our study did not find any decreases in the AEs due to the design of the rooms.

Relevance to clinical practice

Further research is needed to determine the relationship between the physical environment and AEs in critically ill patients.

Place, publisher, year, edition, pages
2021. Vol. 26, no 2, p. 86-93
Keywords [en]
Intensive care, environment, evidence-based design
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-24415DOI: 10.1111/nicc.12513ISI: 000531566400001PubMedID: 32395862Scopus ID: 2-s2.0-85084470442OAI: oai:DiVA.org:hb-24415DiVA, id: diva2:1509506
Available from: 2020-12-14 Created: 2020-12-14 Last updated: 2021-12-20Bibliographically approved

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Sundberg, FredrikaFridh, IsabellLindahl, Berit

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