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Environment and Behavior, Vol. 40, No. 2, 249-268 (2008)
DOI: 10.1177/0013916507311551
© 2008 SAGE Publications

Open-Bay and Single-Family Room Neonatal Intensive Care Units

Caregiver Satisfaction and Stress

Mardelle McCuskey Shepley

Texas A&M University, mardelle{at}archmail.tamu.edu

Debra D. Harris

IDR Studio

Robert White

Memorial Hospital

The purpose of this study is to explore the implications of neonatal intensive care unit (NICU) single-family rooms (SFRs) relative to open-bay arrangements. A recent trend in the design of NICUs has been to increase the number of private patient rooms for neonates and their families. Several factors have contributed to the popularity of SFRs, including compliance with the Health Insurance Portability and Accountability Act, which mandates the need to provide patient privacy. Surveys of NICU medical staff (N = 75) explored the preferences and experiences of individuals providing care in two facilities, an SFR NICU and a combination unit with open-bay infant stations and SFRs. The results of this study indicate that SFR NICU design may increase staff satisfaction and reduce staff stress.

Key Words: intensive care • neonatal • private room • staff • stress


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