Priority 13 from the Paediatric Hospital Care PSP

UNCERTAINTY: What is the impact of the patient’s room/environment on health outcomes on the general paediatric inpatient unit? (e.g. noise, lights, private/shared room, window/no window) (JLA PSP Priority 13)
Overall ranking	13
JLA question ID	0114/13
Explanatory note	Children hospitalized on a general paediatric inpatient unit are not in an environment they are familiar, as such, it is important to understand how the patient's room can impact their health outcomes
Evidence	van Veenendaal, N. R., Heideman, W. H., Limpens, J., van der Lee, J. H., van Goudoever, J. B., van Kempen, A. A., & van der Schoor, S. R. (2019). Hospitalising preterm infants in single family rooms versus open bay units: a systematic review and meta-analysis. The Lancet Child & Adolescent Health, 3(3), 147-157. van Veenendaal, N. R., van Kempen, A. A., Franck, L. S., O'Brien, K., Limpens, J., van der Lee, J. H., ... & van der Schoor, S. R. (2020). Hospitalising preterm infants in single family rooms versus open bay units: A systematic review and meta-analysis of impact on parents. EClinicalMedicine, 23, 100388. [PARENTS]
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	What is the evidence for environmental interventions to reduce stress for families and staff? ~ The benefits of private rooms vs shared rooms ~ Window bed vs no window bed - effects on recovery and mental health ~ Appropriate assignment of roommates in shared rooms ~ Security for patients and staff with potentially violent patients ~ Cleanliness and disinfecting rooms at the time of patient turn over ~ The effect of noise/lights in a general pediatric ward on the healing and wellbeing of children admitted to the ward ~ Effect of noise/lights at night on the pediatric ward for children admitted to the ward ~ could more space in hospital rooms to allow for mobility (such as dedicated playmat for time out of cribs for infants) decrease length of stay?
Submitted by	3 x physician, 1 x friend/family member, 1 x physical therapist

Extra information provided by this PSP

Original uncertainty examples

What is the evidence for environmental interventions to reduce stress for families and staff? ~ The benefits of private rooms vs shared rooms ~ Window bed vs no window bed - effects on recovery and mental health ~ Appropriate assignment of roommates in shared rooms ~ Security for patients and staff with potentially violent patients ~ Cleanliness and disinfecting rooms at the time of patient turn over ~ The effect of noise/lights in a general pediatric ward on the healing and wellbeing of children admitted to the ward ~ Effect of noise/lights at night on the pediatric ward for children admitted to the ward ~ could more space in hospital rooms to allow for mobility (such as dedicated playmat for time out of cribs for infants) decrease length of stay?

Submitted by

3 x physician, 1 x friend/family member, 1 x physical therapist

PSP information
PSP unique ID	0114
PSP name	Paediatric Hospital Care (Canada)
Total number of uncertainties identified by this PSP.	75 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	18th and 19th August 2021