Abstract
The emerging pandemic(1) caused by the rapid spread of the new coronavirus Covid-19 required urgent reorganization to respond to care demands of patients with this new disease(2-4). In Spain, nurses were key contributors to providing out of hospital care. Transforming a hotel into a medical setting was an innovative idea that was able to provide integrated nursing and quality health care for patients recovering from Covid-19(5,8,9).
Purpose: To examine the experiences and perceived care of patients admitted to a Medicalized Hotel (MH) for Covid-19, from March 25 and May 15, 2020, by asking them directly(10) using a validated and translated survey, the 15-item Picker Patient Experience Questionnaire (PPE-15)(11,12). Additional information from professional focus groups was used to validate responses and increase understanding of factors that supported quality care or created problematic experiences for patients.
Design: A cross-sectional descriptive design used the PPE-15 questionnaire and 4 open questions as a single survey, 1 month after discharge, supplemented with data from professional focus groups.
Methods: Following consent, the survey was emailed or asked by phone to all patients (n=517) admitted tin MH from March 25 and May 15, 2020. Descriptive statistics categorized patients' perceptions of factors supporting quality care as well as problem areas in the MH. The MAXQDA© program analyzed the qualitative data.
Results: Total participants 427. The 83% response rate (258 phone/169 online) revealed positive patient perceptions: “being treated with respect and dignity” (95%), “being informed about the medicines to take at home (86%) and “getting understanding answers” by doctors (79%) and nurses (86%). Problems were: “involvement in decisions about care and treatment” (57%); “finding anyone to talk to about worries and fears” (46%); and “being informed about side effects of medication” (46%). Personal treatment was positive (64%) and organizational aspects (catering and cleaning) were problems. Professional focus groups (N=18) identified problems including Isolation, patient concerns or fears, and communication.
Conclusions: These findings identify opportunities for clinical nurse specialists to address patient and professional perceived needs in future alternative out-of-hospital care. They may help institutions and organizations to consider adopting this Medicalized Hotel model in future similar situations as alternatives to conventional hospitalization.
Notes
References:
1. World Health Organization. Coronavirus disease (COVID-19). Accessed October 14, 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2. Sedes PR, Sanz MÁB, Saera MAB, et al. Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19. Enferm Intensiva. 2020;31(2):82-89. doi:10.1016/j.enfi.2020.03.001
3. Bruni T, Lalvani A, Richeldi L. Telemedicine-enabled accelerated discharge of patients hospitalized with COVID-19 to isolation in repurposed hotel rooms. Am J Respir Crit Care Med. 2020;202(4):508-510. doi:10.1164/rccm.202004-1238OE
4. Spina S, Marrazzo F, Migliari M, Stucchi R, Sforza A, Fumagalli R. The response of Milan’s Emergency Medical System to the COVID-19 outbreak in Italy. The Lancet. 2020;395:e49-e50. doi:10.1016/S0140-6736(20)30493-1
5. Nicolás D, Coloma E, Pericàs JM. Alternatives to conventional hospitalisation that enhance health systems’ capacity to treat COVID-19. Lancet Infect Dis. 2021;21(5):591-593. doi:10.1016/S1473-3099(21)00093-1
6. Ramírez-Cervantes KL, Romero-Pardo V, Pérez-Tovar C, Martínez-Alés G, Quintana-Diaz M. A medicalized hotel as a public health resource for the containment of Covid-19: more than a place for quarantining. J Public Health. Published online 2020:1-9. doi:10.1093/pubmed/fdaa129
7. Corina C. Z, John D. R, James T, Susan C, Michel K. What do hotels and hospitals have in common? How we can learn from the hotel industry to take better care of patients. Surg Neurol Int. 2014;5(Suppl 2). doi:10.4103/2152-7806.128913
8. Cucchiari D, Guillen Olmos E, Cofan F, et al. Taking care of kidney transplant recipients during the COVID-19 pandemic: experience from a medicalized hotel. Clin Transplant. 2020;35. doi:10.1111/ctr.14132
9. Torrallardona-Murphy O, Pericàs JM, Rabaneda-Lombarte N, et al. Medicalized Hotel as an Alternative to Hospital Care for Management of Noncritical COVID-19. Published online June 15, 2021. doi:10.7326/M21-1873
10. Escarrabill J, Almazán C, Barrionuevo-Rosas L, Moharra M, Fité A JJ. Patients Reported Experience Measurements (PREM). Agència de Qualitat i Avaluació Sanitàries de Catalunya. Departament de Salut. Generalitat de Catalunya; 2020:67.
11. Bertran MJ, Viñarás M, Salamero M, et al. Spanish and Catalan translation, cultural adaptation and validation of the Picker Patient Experience Questionnaire-15. J Healthc Qual Res. 2018;33(1):10-17. doi:10.1016/j.cali.2017.12.004
12. Jenkinson C, Coulter A, Bruster S. The Picker Patient Experience Questionnaire: Development and Validation Using Data from in-Patient Surveys in Five Countries. Vol 14.; 2002:353-358.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Interprofessional Interdisciplinary, Interprofessional Initiatives, COVID-19, Non-traditional Hospital Settings, Spain
Recommended Citation
Barta, Ariadna; Cervera, Marta; Escarrabill, Joan; Palou, Eva; Carbonell, Anna; Narsavage, Georgia; Feu, Faust; and Hernandez, Carmen, "The Experience of a Medicalized Hotel Due to COVID-19" (2025). International Nursing Research Congress (INRC). 142.
https://www.sigmarepository.org/inrc/2025/posters_2025/142
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
The Experience of a Medicalized Hotel Due to COVID-19
Seattle, Washington, USA
The emerging pandemic(1) caused by the rapid spread of the new coronavirus Covid-19 required urgent reorganization to respond to care demands of patients with this new disease(2-4). In Spain, nurses were key contributors to providing out of hospital care. Transforming a hotel into a medical setting was an innovative idea that was able to provide integrated nursing and quality health care for patients recovering from Covid-19(5,8,9).
Purpose: To examine the experiences and perceived care of patients admitted to a Medicalized Hotel (MH) for Covid-19, from March 25 and May 15, 2020, by asking them directly(10) using a validated and translated survey, the 15-item Picker Patient Experience Questionnaire (PPE-15)(11,12). Additional information from professional focus groups was used to validate responses and increase understanding of factors that supported quality care or created problematic experiences for patients.
Design: A cross-sectional descriptive design used the PPE-15 questionnaire and 4 open questions as a single survey, 1 month after discharge, supplemented with data from professional focus groups.
Methods: Following consent, the survey was emailed or asked by phone to all patients (n=517) admitted tin MH from March 25 and May 15, 2020. Descriptive statistics categorized patients' perceptions of factors supporting quality care as well as problem areas in the MH. The MAXQDA© program analyzed the qualitative data.
Results: Total participants 427. The 83% response rate (258 phone/169 online) revealed positive patient perceptions: “being treated with respect and dignity” (95%), “being informed about the medicines to take at home (86%) and “getting understanding answers” by doctors (79%) and nurses (86%). Problems were: “involvement in decisions about care and treatment” (57%); “finding anyone to talk to about worries and fears” (46%); and “being informed about side effects of medication” (46%). Personal treatment was positive (64%) and organizational aspects (catering and cleaning) were problems. Professional focus groups (N=18) identified problems including Isolation, patient concerns or fears, and communication.
Conclusions: These findings identify opportunities for clinical nurse specialists to address patient and professional perceived needs in future alternative out-of-hospital care. They may help institutions and organizations to consider adopting this Medicalized Hotel model in future similar situations as alternatives to conventional hospitalization.
Description
Patient experiences have been shown to be one of the pillars that define and can improve the quality of healthcare.
An assessment of Covid-19 adult patients' perceptions of care in the Medicalized Hotel was designed to identify factors supporting quality care or creating problematic experiences. Information was supplemented by professional focus group data.
These findings identify opportunities for clinical nurse specialists to address perceived needs in future alternative out-of-hospital care.