Comparing centralized vs. decentralized nursing unit design as a determinant of stress and job satisfaction

Abstract

The purpose of the study was to determine the effect of the nursing unit design on stress and job satisfaction. The Perceived Stress Scale (PSS) and Demand-Control-Support Questionnaire (DCSQ) were administered to 40 nurse participants to evaluate staff stress, job satisfaction, and perceptions of work environment. In addition, two follow-up focus groups were conducted to expand upon the collected survey data. Results suggest that the centralized floor lends itself to better patient access and professional communication. Further research is needed regarding nurse burn-out and turn-over as it relates to the designed work environment.