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Use of single rooms on the children's ward: Part 1
1Faculty of Health and Social Care, University of Chester.
Insights
Single rooms in pediatric wards can improve infection control but may negatively impact children
Area of Science:
- Pediatric healthcare
- Infection control
- Child psychology
Background:
- Limited single occupancy rooms in general pediatric wards create challenges when a child requires one.
- This article reviews the literature on single room use in pediatric settings.
Purpose of the Study:
- To explore the psychological and social impacts of isolation nursing.
- To examine evidence for single rooms in infection control.
- To assess the role of single rooms in meeting psychosocial needs and family preferences.
Main Methods:
- Literature review of studies on single room use in pediatric wards.
- Analysis of evidence for infection control benefits.
- Evaluation of psychosocial impacts and family preferences.
Main Results:
- Literature supports single rooms for infection control, with alternatives like cohort nursing available.
- Balancing privacy needs with potential detrimental psychological effects of isolation is crucial.
- Evidence suggests single rooms can meet some privacy and preference needs.
Conclusions:
- Single rooms offer benefits for infection control in pediatric wards.
- The psychological impact of isolation must be carefully weighed against privacy and preference considerations.
- Further guidance on optimal single room utilization is needed.
Abstract:
Most general children's wards have a limited number of single occupancy rooms. This poses problems when a child presents at hospital needing a single room when one is not available. In this first of a two-part article we present the findings of a literature review, beginning with an exploration of the psychological and social impact of isolation nursing. Evidence for the use of single rooms in infection control and to meet the psychosocial needs and personal preferences of children and families is then discussed. The literature supports the use of single rooms in infection control but also offers alternatives such as cohort nursing. In relation to psychosocial needs and family preferences the literature suggests that while there is an argument for ensuring privacy in certain circumstances, this needs to be balanced against the detrimental psychological effects of isolation. Part two in the February 2009 issue presents guidance for practice on the use of single rooms based on this review.
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