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- Title
NURSES' EXPERIENCES OF PROVIDING CARE IN AN ENVIRONMENT WITH DECENTRALISED NURSING STATIONS.
- Authors
Miles, Aimee; Lesa, Raewyn; Ritchie, Lorraine
- Abstract
Aim: This research sought to evaluate the experiences of nurses working with decentralised workstations in New Zealand hospital wards, to explore the intersection between the physical environment and its impact on nurses and nursing care. Background: The environment in which nurses deliver care is always changing. There has been a shift away from centralised nurses' stations in wards to decentralised satellite workstations. While studies have shown positive aspects of this shift, unintended challenges of this design for nurses have been identified, eg increased physical exertion, feelings of isolation and challenges related to teamwork. Methods: This exploratory qualitative design collected data by way of two focus groups with nurses who worked in a hospital ward with a decentralised nursing station. Each focus group consisted of seven participants and ran for approximately 30 minutes. The focus groups were audio-recorded and transcribed for thematic analysis. Findings: The findings showed a dichotomy of experiences and views about decentralised workstations. While there were benefits for patients, such as quicker response to call bells, nurses being in close proximity and more communication with families, for the nurses, there were feelings of isolation which affected teamwork, collegiality and nursing culture. The nurses also faced challenges related to increased walking, less patient visibility, lack of space to document nursing care and limited knowledge of other patients on the ward. Conclusion: There is a need for well-researched and considered hospital design, with both the patient and the staff considered during the planning process.
- Subjects
NEW Zealand; WORK environment; RESEARCH; TEAMS in the workplace; MEDICAL quality control; NURSES' attitudes; NURSING; FOCUS groups; WORK; QUALITATIVE research; EXPERIENTIAL learning; HOSPITAL wards; THEMATIC analysis
- Publication
Kaitiaki Nursing Research, 2021, Vol 12, Issue 1, p25
- ISSN
1179-772X
- Publication type
Article