Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response

Hui Cai, Francis Fullam, Lorissa MacAllister, Louis F. Fogg, Jeff Canar, Irwin Press, Connie Weissman and Olivia Velasquez
Additional contact information
Hui Cai: Institute of Health and Wellness Design, Department of Architecture, The University of Kansas, Lawrence, KS 66047, USA
Francis Fullam: Health Systems Management, Rush University, Chicago, IL 60612, USA
Lorissa MacAllister: Enviah, Grand Rapids, MI 49512, USA
Louis F. Fogg: College of Nursing, Rush University, Chicago, IL 60612, USA
Jeff Canar: Health Systems Management, Rush University, Chicago, IL 60612, USA
Irwin Press: Health Systems Management, Rush University, Chicago, IL 60612, USA
Connie Weissman: Rush University Medical Center, Chicago, IL 60612, USA
Olivia Velasquez: HCA Healthcare, Brentwood, TN 37027, USA

IJERPH, 2021, vol. 18, issue 18, 1-27

Abstract: This study explores the relationship between inpatient unit design and patient experience and how spatial features and visibility impact patients’ perception of staff responsiveness. The first part of this study is a retrospective pre–post and cross-sectional study evaluating the impacts of unit design on patient experience at the unit level. This study compares patient experiences based on Press Ganey and HCAHPS surveys in two orthopedic units (existing unit in Atrium building and new unit in Tower) with differing design features at Rush University Medical Center. The chi-square test results show that when moving from the old orthopedic unit to the new unit, almost all patient survey items related to patient experience showed statistically significant improvements. The second part of this study is a room level on the new unit. The ANOVA and Pearson correlation tests revealed that the visibility measure of metric step depth had significant impacts on patients’ perception of staff’s “promptness in responding to call button” and “help with toileting”. This study confirms that inpatient unit design plays a direct role in improvement for patient experience and should be considered as an important area of focus for future development.

Keywords: nursing unit design; patient experience; patient satisfaction; response to call button; visibility; space syntax; HCAHPS; CAHPS; Press Ganey; orthopedic patients (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/18/9747/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/18/9747/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:18:p:9747-:d:636671

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().