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Implications for the physical design of the postnatal care unit from a targeted analysis of issues with accessing the bathroom at night in the acute care setting: A secondary analysis
Event Type
Poster Presentation
TimeThursday, April 152:00pm - 3:00pm EDT
LocationPatient Safety Research and Initiatives
DescriptionAssessing hospital environment conditions is necessary for providers and caretakers to coordinate care. “Supporting new mothers and their infants to have an optimal postpartum recovery is 1 of the best investments that can be made toward improving human health.” (Seashore & Tully, 2018). The aims of this research included: a) detecting problem patterns in hospital visit feedback transcripts regarding bathroom doors and lights in the hospital room and b) using the coded data to make recommendations for clinical providers. The methods used by the research team included organizing transcript data, assigning codes, and conducting an interrater reliability test to assess codebook efficacy. Finally, working with maternal and infant mortality experts, recommendations for the hospital were developed.

Several problem areas were identified from the transcript analysis. These problem areas consisted of bathroom space constraints with regard to fitting equipment in the bathroom as well as various issues with the bathroom door design. Additionally, staff and patients’ lack of personal lights and low-level lighting was an issue. We identified four possible interventions to address these concerns: a) implement low-height, dimmable lighting along the base of the patient room, b) provide personal lights, such as pen-lights, to staff, c) install and improve on existing grab bars in patient room bathrooms and d) replace the patient room bathroom door with a different kind of auditory/visual barrier. The importance of this study is "reengineering postnatal unit care around the needs of new families ... to holistically support women in becoming mothers" (Seashore & Tully, 2018).
Authors
MD, Professor, Director of the Division of Maternal-Fetal Medicine
Associate Professor at The Ohio State University