当前位置: X-MOL 学术Frontiers of Architectural Research › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Exploring the spatial arrangement of patient rooms for minimum nurse travel in hospital nursing units in Korea
Frontiers of Architectural Research Pub Date : 2020-07-23 , DOI: 10.1016/j.foar.2020.06.003
Jisun Lee , Hyunsoo Lee , Mardelle McCuskey Shepley

With increasing demands on medical care services, one of the trends is the mixed patient room arrangement of single/double-bed and multi-bed rooms in a nursing unit on the same floor. This influences nurse-to-patient assignment and often causes an unbalanced workload and longer travel distances for nurses. The objective of this study was to investigate how floor configuration and room density influence nurse travel in the hospital's medical surgical units in Korea. This study presented a novel approach to measure nurse travel distances in eight existing nursing units. The agent-based simulation was conducted to model nurses' walking trails, and the distance of one nurse travel to assigned patient rooms was measured for each nurse. With revisions in the spatial arrangement of patient rooms, locating multi-bed rooms near the nurse station, symmetric room layout centering the nurse station, and planning both single/double-bed and multi-bed rooms on one side of corridors, nurse travel distance decreased more than 15%. This study contributed to the knowledge of agent-based simulation as an evaluation framework for spatial analysis. Apart from application to Korea, these results are particularly of interest in countries where private patient rooms are not commonly economically feasible.



中文翻译:

探索韩国医院护理室中病房的空间安排,以减少护士的旅行

随着对医疗服务需求的增长,趋势之一是在同一楼层的护理室中单人/双人床和多人病房的混合病房布置。这会影响护士到患者的分配,并经常导致工作量不平衡和护士的出行距离更长。这项研究的目的是调查地板结构和房间密度如何影响韩国医院医疗外科部门护士的出行。这项研究提出了一种新颖的方法来测量现有八个护理单位中护士的旅行距离。进行了基于代理的模拟以模拟护士的步行路径,并为每位护士测量了一名护士到指定病房的距离。随着对病房空间布局的修改,在护士站附近设置了多床病房,以护士站为中心的对称房间布局,并在走廊的一侧规划单人/双人床和多人房间,护士的出​​行距离减少了15%以上。这项研究有助于基于代理的模拟作为空间分析的评估框架的知识。除了应用于韩国外,这些结果在私人患者病房在经济上通常不可行的国家中尤其有意义。

更新日期:2020-07-23
down
wechat
bug