A comparison of nurses' work satisfaction between single-room and multioccupancy adult intensive care units: A mixed-methods integrative review.

Objectives: To systematically review and compare the evidence for the transition from multi- occupancy adult intensive care units to single room intensive care units.

Review Method Used: A mixed methods systematic review informed by Joanna Briggs Institute guidelines for Systematic Reviews.

Data Sources: The databases CINAHL, Medline and Embase were searched for primary research articles relating from 2008-2019.

Review Methods: The methodological quality of all studies that met the inclusion criteria were assessed using Mixed Methods Appraisal Tool (MMAT). The findings were synthesised into themes.

Results: 6349 records were identified, and four of those met the inclusion criteria and included in the review. Eight inter-related themes were revealed, which were teamwork, isolation, patient safety, proximity, staff education, satisfaction, staff morale and ambience.

Conclusions: When planning transitions from multi-occupancy to single room ICU's, although patient safety, and patient and family privacy are paramount, consideration should be also given to the nurse work environment and work satisfaction.