Who's got what? A benchmarking exercise for tertiary neonatal units

Area of Science:

• Neonatal Intensive Care Unit (NICU) Design
• Healthcare Facility Planning
• Neonatal Care Standards

Background:

• Many neonatal units in Australia and New Zealand are undergoing redesign or new construction.
• Existing local standards for neonatal unit design do not adequately reflect current neonatal care practices.

Purpose of the Study:

• To assess current facilities in level-3 neonatal units (NNU) in Australia and New Zealand.
• To inform the development of new standards for NNU design.

Main Methods:

• A survey was distributed to all level-3 NNUs within the Australia and New Zealand Neonatal Network (ANZNN).
• The survey collected data on existing space, clinical facilities, and support/family spaces.
• Information was gathered on plans for rebuilding or renovating NNU facilities.

Main Results:

• 18 of 26 responding NNUs plan to rebuild or renovate within 6 years.
• Inadequate floor space per cot and insufficient storage were reported by most units.
• Issues with noise levels and privacy were significant concerns, particularly in level-3 areas.

Conclusions:

• Most NNUs suffer from insufficient space and poor environmental control, affecting infection control, privacy, and staff satisfaction.
• Level-2 areas require attention comparable to level-3 areas, especially regarding parental involvement.
• There is a need for updated local NNU design recommendations that incorporate modern neonatal practices, family-centered care, and staff needs.