Comparative Analysis of Inpatient Department (IPD) for Spatial Configuration, Nurse Walking Distance, and Patient Visibility in Selected Hospitals for Efficient Design

Abstract

This study proposes guidelines for designing efficient inpatient wards with a focus on patient visibility, nurse walking distance, and spatial configuration. These guidelines prioritize clear lines of sight between caregivers and patients, enabling nurses to respond promptly to patient needs while minimizing unnecessary movement. Thoughtful spatial design can also enhance communication among staff and foster a more calming and supportive environment for patients. Ultimately, these improvements aim to promote healing, well-being, and patient satisfaction.

Seven selected Inpatient Departments (I.P.D.s) from District Headquarters (D.H.Q.) hospitals in K. were analyzed to evaluate plan configurations that accommodate diverse healthcare requirements and improve staff performance and patient care. The plans were obtained from NESCOM and the respective hospital authorities. Nurse walking distance (N.W.D.), patient visibility, and spatial configuration were analyzed for each ward type using AutoCAD software. The results were then tabulated and compared.

D.H.Q. Charsadda demonstrated the smallest average nurse walking distance at 23’2” per unit, while D.H.Q. Hangu recorded the highest patient visibility at 88.88%, followed by D.H.Q. Abbottabad at 63.10%. Increased fenestration in appropriate locations was found to enhance visual permeability. The spatial placement of the nurse station plays a crucial role in the functional efficiency of inpatient departments and should be positioned to ensure full visibility of all wards.