scholarly journals Experiences of Nurses Working in a Single-Room-Structured Intensive Care Unit

2021 ◽  
Vol 14 (3) ◽  
pp. 1-13
Author(s):  
Jung Hee Youn ◽  
Young Mi Shin ◽  
Su Jin Shin ◽  
Eun Min Hong
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Single Room

scholarly journals Association of natural light exposure and delirium according to the presence or absence of windows in the intensive care unit

2021 ◽  
Vol 36 (4) ◽  
pp. 332-341
Author(s):  
Hyo Jin Lee ◽  
Eunhye Bae ◽  
Hong Yeul Lee ◽  
Sang-Min Lee ◽  
Jinwoo Lee
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cumulative Incidence ◽  
Light Exposure ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Natural Light ◽  
Single Room ◽  
Secondary Outcomes ◽  
Pharmacologic Treatments

Background: Patients in the intensive care unit (ICU) have increased risks of delirium, which is associated with worse outcomes. As pharmacologic treatments for delirium are ineffective, prevention is important. Nonpharmacologic preventive strategies include exposure to natural light and restoring circadian rhythm. We investigated the effect of exposure to natural light through windows on delirium in the ICU.Methods: This retrospective cohort study assessed all patients admitted to the medical ICU of a university-affiliated hospital between January and June 2020 for eligibility. The ICU included 12 isolation rooms, six with and six without windows. Patients with ICU stays of >48 hours were included and were divided into groups based on their admission to a single room with (window group) or without windows (windowless group). The primary outcome was the cumulative incidence of delirium. The secondary outcomes were the numbers of delirium- and mechanical ventilation-free days, ICU and hospital length of stay, and in-ICU and 28-day mortalities.Results: Of the 150 included patients (window group: 83 [55.3%]; windowless group: 67 [44.7%]), the cumulative incidence of delirium was significantly lower in the window group than in the windowless group (21.7% vs. 43.3%; relative risk, 1.996; 95% confidence interval [CI], 1.220–3.265). Other secondary outcomes did not differ between groups. Admission to a room with a window was independently associated with a decreased risk of delirium (adjusted odds ratio, 0.318; 95% CI, 0.125–0.805).Conclusions: Exposure to natural light through windows was associated with a lower incidence of delirium in the ICU.

Microbiological survey following the conversion from a bay-room to single-room intensive care unit design

2011 ◽  
Vol 77 (1) ◽  
pp. 84-86 ◽  
Author(s):  
M. Bonizzoli ◽  
E. Bigazzi ◽  
C. Peduto ◽  
V. Tucci ◽  
G. Zagli ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Single Room ◽  
Unit Design

scholarly journals Facilitating the relocation of an intensive care unit from shared room to single room setting: Staff perceptions on the effectiveness of a multicomponent intervention

2019 ◽  
Vol 32 (4) ◽  
pp. 279-284
Author(s):  
Frances Fengzhi Lin ◽  
Wendy Chaboyer ◽  
Michelle Foster ◽  
Lucy Hervey ◽  
Andrea P. Marshall
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Staff Perceptions ◽  
Multicomponent Intervention ◽  
Single Room

scholarly journals Impact of single room design on the spread of multi-drug resistant bacteria in an intensive care unit

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Teysir Halaby ◽  
Nashwan al Naiemi ◽  
Bert Beishuizen ◽  
Roel Verkooijen ◽  
José A. Ferreira ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Drug Resistant Bacteria ◽  
Room Design ◽  
Single Room

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Sign in / Sign up

Export Citation Format

Share Document