The Integral Role of Nurses in Ensuring Well‐Designed and Functional New Public Hospitals: A Qualitative Study

AIM: To explore the role of nursing in the planning and establishment of a new public hospital, from initial design to full operational capacity. BACKGROUND: Building new public hospitals requires comprehensive planning and collaboration to address population growth and aging demographics. Nurses offer invaluable insights into patient care and workflow, which are crucial for effective hospital design. METHODS: A qualitative descriptive study was conducted using focus groups and interviews with 36 participants, including nurses, administrative staff, physicians, and laboratory directors involved in the design and operation of a new public hospital. Data were analyzed using thematic analysis. FINDINGS: Three themes emerged. The first involved challenges such as recruiting qualified staff, creating standardized regulations, and mismatches between infrastructure and system requirements. The second described coping strategies, including salary adjustments, policy development, and equipment acquisition. The third offered recommendations for future projects, emphasizing comprehensive planning, collaboration, and nursing involvement in decision-making. DISCUSSION: Nurses' knowledge of patient care and workflows bridges the gap between architectural design and clinical function. Their early and sustained involvement supports operational readiness and interdisciplinary collaboration. CONCLUSIONS: Nurses play a vital role in hospital planning and operation, improving teamwork, recruitment, and standardization. IMPLICATIONS FOR NURSING: Nursing involvement in hospital planning ensures alignment with patient care and workflow needs. Leaders should advocate for participation and develop competencies in design and construction to enhance collaboration and patient safety. IMPLICATIONS FOR NURSING POLICY: Evidence-based nursing input should be integrated into hospital design, and nursing leaders should promote expertise in planning and architectural considerations.