Effect of intensive care environment on family and patient satisfaction: a before–after study
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To determine to what extent intensive care unit environment affects family and patient satisfaction.
A before–after study was performed in one university hospital in The Netherlands, 2 months before and 2 months after the migration of an intensive care unit (ICU) with multiple beds on a ward to a newly built ICU with all single rooms. Family and patient satisfaction were determined by two surveys: family satisfaction with care in the ICU and patient satisfaction with care in the ICU, respectively.
From 387 of 617 (63 %) discharged patients at least one survey (patient and/or family) was returned. Both family and patients were more satisfied with their overall ICU experience in the new ICU as compared with the old ICU. Mean scores for family satisfaction increased from 69.5 [standard deviation (SD) 16.6] to 74.1 (SD 15.2) for old and new ICU, respectively (p = 0.02). For patients, satisfaction rates increased from 63.6 (SD 18.9) to 69.6 (SD 18.3) for old and new ICU, respectively (p = 0.02). The largest differences on single items of the surveys were noted on environmental aspects.
This is the first study to quantify the effect of ICU environment on family and patient satisfaction. Family and patient satisfaction with ICU experience increased by 6 % in the new ICU environment with noise-reduced, single rooms with daylight, adapted colouring and improved family facilities.
KeywordsIntensive care units Patient satisfaction Family satisfaction Health facility environment Questionnaires
The authors thank all patients and their families for filling in the surveys, and Marie-Louise Luiking for the back-translation of the FS-ICU.
Conflicts of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 20.Thompson DR, Hamilton DK, Cadenhead CD, Swoboda SM, Schwindel SM, Anderson DC, Schmitz EV, St Andre AC, Axon DC, Harrell JW, Harvey MA, Howard A, Kaufman DC, Petersen C (2012) Guidelines for intensive care unit design. Crit Care Med 40:1586–1600. doi: 10.1097/CCM.0b013e3182413bb2 PubMedCrossRefGoogle Scholar
- 22.Dehmel C, Braune SA, Kreymann G, Baehr M, Langebrake C, Hilgarth H, Nierhaus A, Dartsch DC, Kluge S (2011) Do centrally pre-prepared solutions achieve more reliable drug concentrations than solutions prepared on the ward? Intensive Care Med 37:1311–1316. doi: 10.1007/s00134-011-2230-4 PubMedCrossRefGoogle Scholar
- 23.Canadian researchers at the end of life network (CARENET) (2006) Family satisfaction in the intensive care unit (FS-ICU) survey. http://www.thecarenet.ca/docs/fss/FS_ICU_34.pdf. Accessed 10 November 2009
- 27.Polit DF, Beck CT (2012) Nursing research: generating and assessing evidence for nursing practice. Wolters Kluwer/Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
- 32.Schwarzkopf D, Behrend S, Skupin H, Westermann I, Riedemann NC, Pfeifer R, Gunther A, Witte OW, Reinhart K, Hartog CS (2013) Family satisfaction in the intensive care unit: a quantitative and qualitative analysis. Intensive Care Med. doi: 10.1007/s00134-013-2862-7
- 33.Davidson JE, Powers K, Hedayat KM, Tieszen M, Kon AA, Shepard E, Spuhler V, Todres ID, Levy M, Barr J, Ghandi R, Hirsch G, Armstrong D (2007) Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine task force 2004–2005. Crit Care Med 35:605–622. doi: 10.1097/01.CCM.0000254067 PubMedCrossRefGoogle Scholar
- 36.Zaal IJ, Spruyt CF, Peelen LM, van Eijk MM, Wientjes R, Schneider MM, Kesecioglu J, Slooter AJ (2012) Intensive care unit environment may affect the course of delirium. Intensive Care Med. doi: 10.1007/s00134-012-2726-6
- 42.Tanja-Dijkstra K, Pieterse ME (2011) The psychological effects of the physical healthcare environment on healthcare personnel. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD006210
- 45.Chan RJ, Webster J, Marquart L (2011) Information interventions for orienting patients and their carers to cancer care facilities. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD008273