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Article

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

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Institute of Health and Wellness Design, Department of Architecture, The University of Kansas, Lawrence, KS 66047, USA
2
Health Systems Management, Rush University, Chicago, IL 60612, USA
3
Enviah, Grand Rapids, MI 49512, USA
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College of Nursing, Rush University, Chicago, IL 60612, USA
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Department of Anthropology, University of Notre Dame, Notre Dame, IN 46556, USA
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Rush University Medical Center, Chicago, IL 60612, USA
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HCA Healthcare, Brentwood, TN 37027, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Anjali Joseph and Ellen Taylor
Int. J. Environ. Res. Public Health 2021, 18(18), 9747; https://doi.org/10.3390/ijerph18189747
Received: 30 June 2021 / Revised: 9 September 2021 / Accepted: 10 September 2021 / Published: 16 September 2021
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. View Full-Text
Keywords: nursing unit design; patient experience; patient satisfaction; response to call button; visibility; space syntax; HCAHPS; CAHPS; Press Ganey; orthopedic patients nursing unit design; patient experience; patient satisfaction; response to call button; visibility; space syntax; HCAHPS; CAHPS; Press Ganey; orthopedic patients
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MDPI and ACS Style

Cai, H.; Fullam, F.; MacAllister, L.; Fogg, L.F.; Canar, J.; Press, I.; Weissman, C.; Velasquez, O. Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response. Int. J. Environ. Res. Public Health 2021, 18, 9747. https://doi.org/10.3390/ijerph18189747

AMA Style

Cai H, Fullam F, MacAllister L, Fogg LF, Canar J, Press I, Weissman C, Velasquez O. Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response. International Journal of Environmental Research and Public Health. 2021; 18(18):9747. https://doi.org/10.3390/ijerph18189747

Chicago/Turabian Style

Cai, Hui, Francis Fullam, Lorissa MacAllister, Louis F. Fogg, Jeff Canar, Irwin Press, Connie Weissman, and Olivia Velasquez. 2021. "Impact of Inpatient Unit Design Features on Overall Patient Experience and Perceived Room-Level Call Button Response" International Journal of Environmental Research and Public Health 18, no. 18: 9747. https://doi.org/10.3390/ijerph18189747

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