Interaction of nursing efficiency and spatial design in different departments: An agent-based modeling approach

IF 3.6 1区艺术学 0 ARCHITECTURE

Frontiers of Architectural Research Pub Date : 2026-02-01 Epub Date: 2025-05-10 DOI:10.1016/j.foar.2025.04.001

Xiaodong Xuan, Qi Wu, Leiming Yang, Wen Cao, Zixu Zhang, Yihe Zheng

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Abstract

The spatial design of nursing units can significantly enhance nurses' work efficiency. However, existing studies primarily focus on optimizing space for individual department, often overlooking the diverse spatial needs of different departments due to variations in work content. In this study, questionnaires were collected from 456 nurses across five departments of nursing units in 14 general hospitals, and semi-structured interviews and behavioral observations were conducted in the same five departments of nursing units in one hospital to assess spatial design and work efficiency, thus evaluating the impact of specialized design on departmental performance. Additionally, agent-based modeling (ABM) was utilized to simulate nursing efficiency in each department, comparing spatial arrangements before and after optimization by simulating nurses' behaviors. Results indicated obvious differences in spatial needs among departments, suggesting that standardized nursing unit designs fail to meet specific departmental needs, resulting in low satisfaction of nurses. Adjusting the spatial environments of nursing units based on departmental differences can improve efficiency. This study proposes optimization strategies for the spatial environments of nursing units in different departments, aiming to enhance nursing efficiency, job satisfaction, and reduce occupational stress.

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不同科室护理效率与空间设计的互动：基于主体的建模方法

护理单元的空间设计可以显著提高护士的工作效率。然而，现有的研究主要侧重于单个部门的空间优化，往往忽略了由于工作内容的变化，不同部门的空间需求存在差异。本研究通过对14家综合医院护理单位5个科室的456名护士进行问卷调查，并对某医院护理单位5个科室进行半结构化访谈和行为观察，评估空间设计和工作效率，从而评估专业化设计对科室绩效的影响。利用agent-based modeling （ABM）模拟各科室的护理效率，通过模拟护士行为，比较优化前后的空间安排。结果显示科室间空间需求存在明显差异，说明规范化护理单元设计不能满足科室需求，导致护士满意度较低。根据科室差异调整护理单元的空间环境，可以提高效率。本研究针对不同科室护理单元的空间环境提出优化策略，旨在提高护理效率、工作满意度、降低职业压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers of Architectural Research ARCHITECTURE-

CiteScore

6.20

自引率

2.90%

发文量

430

审稿时长

30 weeks

期刊介绍： Frontiers of Architectural Research is an international journal that publishes original research papers, review articles, and case studies to promote rapid communication and exchange among scholars, architects, and engineers. This journal introduces and reviews significant and pioneering achievements in the field of architecture research. Subject areas include the primary branches of architecture, such as architectural design and theory, architectural science and technology, urban planning, landscaping architecture, existing building renovation, and architectural heritage conservation. The journal encourages studies based on a rigorous scientific approach and state-of-the-art technology. All published papers reflect original research works and basic theories, models, computing, and design in architecture. High-quality papers addressing the social aspects of architecture are also welcome. This journal is strictly peer-reviewed and accepts only original manuscripts submitted in English.