ARTICLE
23 October 2026

A Detailed Design Scheme for Piloting Unaccompanied Ward Services in a Public General Hospital in Beijing

Ying Yan1 ,  Lijie Shi2 ,  Ping Ma3 ,  Jie Li1*
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1 Beijing Liangxiang Hospital, Fangshan District, Beijing 102401, China
2 Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China
3 Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
JCNR 2026 , 10(9), 295–301; https://doi.org/10.26689/JCNR.v10i9.15830
© 2026 by the Author(s). Licensee: Bio-Byword Scientific Publishing Pty Ltd, Australia. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objective: To construct a detailed design scheme for unaccompanied ward services, providing a reference for pilot implementation in public general hospitals. Methods: Using Liangxiang Hospital as the carrier, problems were identified through field investigations, literature research, expert consultations, and in-hospital surveys. Following the principles of “safety first and closed-loop management”, the scheme was designed across four domains: management and institutional framework, patient-centered care throughout the entire process, operational safeguards for care delivery, and quality evaluation. Pilot implementation was planned for three wards in September 2025. Results: A scheme was developed comprising a three-tier management structure with seven core institutional documents, a full-process care pathway, operational safeguards, and quality monitoring with 12 quantitative indicators, with dynamic adjustments based on evaluation results. Conclusion: This scheme provides a relatively comprehensive design covering management responsibilities, care processes, operational safeguards, and quality evaluation. It can serve as a reference for pilot implementation and standardized management in general hospitals, though its actual effectiveness requires verification through pilot practice.

Keywords
General hospital
Unaccompanied ward
Detailed design
Patient safety
Nursing management
References

[1]       Ye L, 2023, The Caring Rationale of Long-Term Care for the Elderly. Chinese Medical Ethics, 36(1): 64–68.

[2]       Implementation Plan for the Campaign to Improve Healthcare Experience and Enhance Patient Experience (2023–2025), 2023. China Rural Health, 15(6): 1–4.

[3]       Cai D, Xu T, Tao Y, et al., 2025, Practical Exploration of Narrative Unaccompanied Care Model Wards from the Perspective of Value-Based Healthcare. Chinese Health Service Management, 15(3): 107–112.

[4]       Wang J, Liu Y, Chen F, et al., 2020, The Impact of the No-Attendant Care Model on the Safety of Elderly Inpatients. Chinese Nursing Management, 20(8): 1204–1208.

[5]       Wang Y, Wang R, Dun Y, et al., 2025, A Mixed-Methods Study on Inpatients’ Willingness to Choose Unaccompanied Wards. Chinese Journal of Hospital Administration, 41(6): 473–478.

[6]       Bao X, Lan M, Song J, et al., 2025, Multi-Department Collaborative Practice of “Unaccompanied” Services in Public Hospitals. Chinese Journal of Hospital Administration, 41(2): 133–138.

[7]       Xenya K, Michelle R, Kevin A, et al., 2020, Training Healthcare Assistants Working in Adult Acute Inpatient Wards in Psychological First Aid: An Implementation and Evaluation Study. Journal of Psychiatric and Mental Health Nursing, 27(6): 742–751.

[8]       Gao J, Yin J, Sun Q, 2025, Barriers and Challenges: A Descriptive Qualitative Study of Job Satisfaction Among Direct Care Workers Who Provide Long-Term Care Services in Shandong Province, China. BMJ Open, 15(7): e097491.

[9]       Bernburg M, Groneberg D, Mache S, 2019, Mental Health Promotion Intervention for Nurses Working in German Psychiatric Hospital Departments: A Pilot Study. Issues in Mental Health Nursing, 40(8): 706–711.

[10]     Huang D, Zhang L, Lu S, et al., 2026, Job Satisfaction and Organisational Determinants Among Medical Nursing Assistants Under Hospital-Based Care Reforms: A Large Cross-Sectional Study in China. Frontiers in Public Health, 14: 1793432.

Conflict of interest
The authors declare no conflict of interest.
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