A hospital recreation room quality improvement intervention.

IF 1 Q4 HEALTH POLICY & SERVICES
Lorraine Dolan, Maria Kane, Fiona Timmins, Geraldine Prizeman, Orla Dempsey
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引用次数: 3

Abstract

Purpose: Patients with extended hospital admissions had no recreation facilities in the ward. They were often confined to spaces around their beds, using the ward corridor for rehabilitation. The purpose of this paper is to outline a quality improvement (QI) intervention-provision of a recreational space for long-stay patients.

Design/methodology/approach: An exploratory quantitative pre-, post-test design was utilised, and executed in three phases: patients, visitors and staff survey to explore recreation and comfort needs and preferences; store room refurbishment; and patient, visitor and staff satisfaction with the recreation room.

Findings: Overall, 77 questionnaires were completed (n=49 staff; n=28 patient/visitor). Almost two-thirds (64.7 per cent; n=11) of patients had a stay greater than six weeks. Insufficient private space and concerns about disturbing other patients were identified as barriers to taking part in activities. Consequently, a store room was refurbished as a recreation room (9.0 m × 6.0 m) and furnished in three distinct areas. Following refurbishment, over 90 per cent (n=24) of respondents agreed that there was a suitable space where patients could "go and chat" and spend time with family and visitors or speak to the healthcare team.

Practical implications: The physical environment in acute hospitals is seldom prioritised. Needs-based QI projects can improve patient hospital experiences.

Originality/value: This case study highlights how nursing staff can be informed by patients' and families' needs and preferences, and initiate QI projects that improve patient hospital experiences.

医院娱乐室质量改善干预。
目的:延长住院时间的患者在病房内没有娱乐设施。他们经常被限制在病床周围的空间,使用病房走廊进行康复。本文的目的是概述一种质量改善(QI)干预措施-为长期住院患者提供娱乐空间。设计/方法/方法:采用探索性定量测试前和测试后设计,并分三个阶段执行:对患者、访客和员工进行调查,以探索娱乐和舒适的需求和偏好;库房装修;以及病人、访客和员工对娱乐室的满意度。结果:共完成问卷77份(n=49名员工;n = 28个病人/访客)。几乎三分之二(64.7%;11例患者住院时间超过6周。私人空间不足和担心打扰其他患者被确定为参加活动的障碍。因此,一个储藏室被翻新为一个娱乐室(9.0米× 6.0米),并在三个不同的区域布置。翻新后,超过90% (n=24)的受访者同意有一个合适的空间,患者可以“聊天”,与家人和访客共度时光,或与医疗团队交谈。实际意义:物理环境在急症医院很少被优先考虑。基于需求的QI项目可以改善患者在医院的体验。独创性/价值:本案例研究强调了护理人员如何了解患者和家属的需求和偏好,并启动改善患者住院体验的QI项目。
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
CiteScore
4.00
自引率
6.70%
发文量
6
期刊介绍: ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.
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