Articlegreen2013

Two Decades (1993-2012) of Adult Intensive Care Unit Design

48 citations0/0 files storedCritical Care Nursing Quarterly

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Healthcare Facilities Design and Sustainability Healthcare Quality and Management Family and Patient Care in Intensive Care Units

Abstract

In 2006, Critical Care Nursing Quarterly published a study of the physical design features of a set of best practice example adult intensive care units (ICUs). These adult ICUs were awarded between 1993 and 2003 by the Society of Critical Care Medicine (SCCM), the American Association of Critical-Care Nurses, and the American Institute of Architects/Academy of Architecture for Health for their efforts to promote the critical care unit environment through design. Since 2003, several more adult ICUs were awarded by the same organizations for similar efforts. This study includes these newer ICUs along with those of the previous study to cover a period of 2 decades from 1993 to 2012. Like the 2006 study, this study conducts a systematic content analysis of the materials submitted by the award-winning adult ICUs. On the basis of the analysis, the study compares the 1993-2002 and 2003-2012 adult ICUs in relation to construction type, unit specialty, unit layout, unit size, patient room size and design, support and service area layout, and family space design. The study also compares its findings with the 2010 Guidelines for Design and Construction of Health Care Facilities of the Facility Guidelines Institute and the 2012 Guidelines for Intensive Care Unit Design of the SCCM. The study indicates that the award-winning ICUs of both decades used several design features that were associated with positive outcomes in research studies. The study also indicates that the award-winning ICUs of the second decade used more evidence-based design features than those of the first decades. In most cases, these ICUs exceeded the requirements of the Facility Guidelines Institute Guidelines to meet those of the SCCM Guidelines. Yet, the award-winning ICUs of both decades also used several features that had very little or no supporting research evidence. Since they all were able to create an optimal critical care environment for which they were awarded, having knowledge of the physical design of these award-winning ICUs may help design better ICUs.

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2008A Review of the Research Literature on Evidence-Based Healthcare Design 2003Health Care Environments and Patient Outcomes 2012Guidelines for intensive care unit design*2005Advantages and Disadvantages of Single-Versus Multiple-Occupancy Rooms in Acute Care Environments 2006A Decade of Adult Intensive Care Unit Design 2010Relationship Between ICU Design and Mortality

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2016Design to Improve Visibility 2017Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study 2017Decentralization 2015Research on nursing unit layouts: an integrative review 2023Four Decades of Intensive Care Unit Design Evolution and Thoughts for the Future 2020Nurses’ Participation in the Design of an Intensive Care Unit: The Use of Virtual Mock-Ups 2020Keeping a 2009 Design Award–Winning Intensive Care Unit Current: A 13-Year Case Study 2021Space Use and the Physical Attributes of Acute Care Units: A Quantitative Study

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