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Anticipated advantages and disadvantages of a move to 100% single room hospital in Australia: a case study

Cusack, Lynette, Wiechula, Rick, Schultz, Tim, Dollard, Joanne and Maben, Jill (2019) Anticipated advantages and disadvantages of a move to 100% single room hospital in Australia: a case study Journal of Nursing Management, 27. pp. 963-970.

Anticipated advantages and disadvantages of a move to 100% single room hospital in Australia.pdf - Accepted version Manuscript

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There is an international policy trend for building government hospitals with greater proportions of single‐occupancy rooms. The study aim was to identify advantages and disadvantages for patients and nursing staff of a pending move to 100% single room hospital, in anticipation of the challenges for nurse managers of a different ward environment. This paper presents these findings, summarising potential advantages and disadvantages as well as comparison with findings from similar studies in England.


Mixed method case study design was undertaken in four wards of a large hospital with multi‐bed rooms. Three components of a larger study are reported here: nurse surveys and interviews, patient interviews of their experiences of the current multi‐bedroom environment and expectations of new single room environment. Integration was achieved via data transformation where results of the nursing staff survey and interviews and patient interviews were coded as narrative allowing for quantitative and qualitative data to be merged.


Four constructs were derived: physical environment; patient safety and comfort; staff safety; and importance of interaction.


There are important factors that inform nurse managers when considering a move to an all single room design. These factors are important for nurses’ and patients’ well‐being.

Implications for nursing management

This study identified for nurse managers key factors that should consider when contributing to the design of a 100% single room hospital. Nurses’ voices are critically important to inform the design for a safe and efficient ward environment.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
Cusack, Lynette
Wiechula, Rick
Schultz, Tim
Dollard, Joanne
Date : 21 April 2019
DOI : 10.1111/jonm.12753
Copyright Disclaimer : © 2019 John Wiley & Sons. All rights reserved. This is the peer reviewed version of the following article: Cusack, L, Wiechula, R, Schultz, T, Dollard, J, Maben, J. 'Anticipated advantages and disadvantages of a move to 100% single-room hospital in Australia: A case study', which has been published in final form at . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
Uncontrolled Keywords : Single occupancy rooms; Staff expectations; Patient expectations; Case study
Depositing User : Clive Harris
Date Deposited : 22 Feb 2019 09:20
Last Modified : 02 Feb 2020 02:08

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