scholarly journals Evaluation of hospital outdoor spaces through users’ participation analysis

2017 ◽  
Vol 15 (1) ◽  
pp. 73-84
Author(s):  
Zoran Djukanovic ◽  
Jelena Maric ◽  
Francesca Giofrè
Keyword(s):  
Healing Process ◽  
Main Tool ◽  
Outdoor Environment ◽  
Hospital Environment ◽  
Urban Theory ◽  
Healthcare Facilities ◽  
Military Medical Academy ◽  
Outdoor Spaces ◽  
Four Books ◽  
University Of Rome

Hospital outdoor spaces (HOS) play an important part of the Healthcare facilities, with a particular impact on the healing process, which is possible to evaluate by their cultural, social, ecological and economic characteristics and values (Ulrich 1984, 2001, Burnett, 1997; Marcus and Barnes, 1999). However, this paper argues that research studies refer to HOS only as residual spaces to support medical activities. Urban theory, policy and scientific research is focusing on the issue of the hospital evaluation, but mainly on interior and spatial characteristics, rather than a hospital outdoor environment. No more than 1000 papers have been published on this topic. This paper discusses quality and significance of HOS in Belgrade, while identifying the problems and potentials of HOS, from the user perspective. The presented paper is established as the part of the larger research done in collaboration of the Faculty of Architecture in Belgrade and Sapienza University of Rome, Faculty of Architecture, which will be presented in a series of four books. The first book (Health Spaces: Hospital outdoor environment) is already published and it offers a general ?top-down? interdisciplinary overview of the topic of HOS, given by experts - architects, urban planners and designers. Particularly, this paper is prepared as a foundation for the second book, with the aim to offer a ?bottom-up? overview on the topic of HOS given by hospital ?community? (doctors, patients, staff, visitors, etc.). Furthermore, this research was also conducted as a part of an academic course: ?Participative Urban Design?, with the students at the master level of studies. The methodological framework used in this paper consists of extensive and fundamental literature review. In the frame of participative and collaborative approach, all analyses were conducted in the form of quality assessment, from the perspective of stakeholders, aforementioned as a hospital community. The survey was conducted using specific two-part questionnaire, carefully established within the academic course, as a main tool for reaching the database. Focusing on the case of Belgrade, four major hospitals were chosen as case studies: Clinical center of Serbia, Military Medical Academy, and both Clinical Hospital Centers: ?Bezanijska kosa? and ?Zvezdara?. The group of 12 students conducted the survey over a period of four weeks, with more than 120 participants from each hospital, gathering both specific and general results. Overall, this paper presents the first assessment of HOS of this kind ever done in Serbia. The results of the research will contribute to improving hospital environment and could present the first step on the path to integrate outdoor spaces into hospital life.

scholarly journals Art for Healthcare: A Review of Artists and Their Ideations

2020 ◽  
Vol 2 (2) ◽  
pp. 124-137
Author(s):  
Nurhaya Baniyamin ◽  
Ain Farhana Binti Mohd Nazri
Keyword(s):  
Interior Design ◽  
Visual Stimulation ◽  
Healing Process ◽  
Well Being ◽  
Hospital Environment ◽  
Aesthetic Quality ◽  
Healthcare Facilities ◽  
Healing Environment ◽  
Artistic Works ◽  
The Right

Recently there is an increase in interest to use art as a part of the healthcare healing process and environment. The artwork is now regularly set as a condition in design feature for hospitals. The benefits of art in hospitals and medical institutions have been confirmed by numerous studies and subjective evidence. The artwork produced can be a commission collection or a seamless development of interior design concepts. This paper attempts to compile and discuss a range of artistic works and artists that specialize in nature and abstractions of nature which have contributed to healthcare or the healing environment. The paper highlights their thoughts and ideas on the making of their concepts and the way certain techniques help achieve their artistic works. The guidelines published in a study will also be reviewed. Selecting the right artwork for a medical facility requires various thoughts and concern. This includes choosing landscapes and nature-based art, avoiding abstract art, and choosing the right colours for art. Notably, there are many benefits for patients in using beautiful wall art for hospitals and healthcare facilities. The paper reckoned that the primary goal for the patient's well-being is choosing art that can help the patient and improve the overall aesthetic quality of the space. The integration of the healing environment into medicine has taken a more holistic approach and has turned the hospital environment into a place of courage that impacts both staff and patients' well-being. Visual stimulation of nature, natural lighting, artwork, relaxing colours and therapeutic sound can greatly accelerate the therapeutic process. The paper concluded that when art is considered an integral part of hospital design, this will maximize the benefits of arts in healthcare facilities. 

scholarly journals Hospital outdoor spaces: Therapeutic benefits and design considerations

2010 ◽  
Vol 8 (3) ◽  
pp. 293-305 ◽  
Author(s):  
Dejana Neducin ◽  
Milena Krkljes ◽  
Nadja Kurtovic-Folic
Keyword(s):  
Healing Process ◽  
Well Being ◽  
Outdoor Environment ◽  
Past Century ◽  
Hospital Design ◽  
Positive Effects ◽  
Design Considerations ◽  
Therapeutic Benefits ◽  
Outdoor Spaces ◽  
Set Up

The awareness of positive influences of outdoor environment on patients' healing process has long been present in hospital architecture. Despite the fact that economic factors had the greatest impact on hospital design during the past century, which caused a neglect of possible restorative benefits of hospital surroundings, recently developed and integrated healthcare systems are more focused on patients' needs regarding the effects of treatments and services on their satisfaction. With the aim to reduce costs of medical therapies without sacrificing their quality, this new approach resulted in a substantial shift in planning and designing of both indoor and outdoor hospital spaces. This paper presents an analysis of various aspects that need to be taken into account while planning of hospital outdoor spaces. It proposes a list of design considerations that may contribute to achieving a healing environment with positive effects on patients' well-being and outcomes of their medical treatments, while simultaneously raising the overall hospital's efficiency. Having in mind specific organizational structure and functional flows that an institution of this type comprises, these considerations are determined, preconditioned and set up to meet strictly defined norms, regulations and criteria. The purpose of this research is to examine which elements and features and to what extent may assist in generating a supportive, inviting, secure and non-threatening atmosphere of the outdoor hospital surroundings that discharges negative reminiscences, experiences or assumptions on how unpleasant the stay in a hospital may be.

scholarly journals Restructuring the Out Door Spaces of Selected Public Buildings to Enhance User Satisfaction in Abuja

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
User Satisfaction ◽  
Quantitative Research ◽  
Open Space ◽  
Well Being ◽  
Outdoor Environment ◽  
Physical Factors ◽  
Research Approach ◽  
Public Buildings ◽  
Open Spaces ◽  
Outdoor Spaces

The use of outdoor (open) spaces in public buildings is vast and has significant roles ranging from individual (users) perception of the development of urban centers and cities to the satisfaction of the various functions they perform. However, little research is available on the use of the outdoor spaces in these Public buildings environment and the activities that take place thereof. This study investigates the factors that take users of public buildings to the outdoor environment and the physical factors that constitute their uses within the spaces. Using both qualitative and quantitative research approach, the paper examined the importance of restructuring the outdoor spaces for quality of the surrounding of the built environment. The study adopts a purposive sampling where participants were selected based on the outdoor use only. A total of seventy (75) questionnaires were administered to the various users of public buildings within specific open spaces. Only seventy (70) representing (93.33%) of the total population were returned and subjected to data analysis using the relevant descriptive and inferential statistical techniques, Mean Weighted Score (MWS) and Relatively Important Index (R.I.I) were used to rank features obtained. The study concludes that proper restructuring of landscape elements is necessary within public buildings, in order to provide human comfort, well-being and improved productivity. It was recommended that revitalizing the environmental features of these public building necessitates the insufficiency of outdoor features in government own buildings. Therefore, the user’s satisfaction of this outdoor (open) space in public buildings should be key consideration and emphasized on right from planning and design stages to it implementation.

scholarly journals The Satisfaction of the Users with the Islamic Design Quality in Instant Hospitals for Non-Critical Covid-19 Patients in Malaysia

2021 ◽  
Vol 11 (1) ◽  
pp. 355-373
Author(s):  
Adila Zakaria ◽  
Norliza Mohd Isa ◽  
Taufik Hairudin ◽  
Hairul Nizam Ismail
Keyword(s):  
Quantitative Research ◽  
Healing Process ◽  
Hospital Environment ◽  
Design Criteria ◽  
Media Content ◽  
Media Content Analysis ◽  
Design Quality ◽  
Qualitative And Quantitative ◽  
Number Of Patients ◽  
Excessive Number

Malaysia is currently going through its 3rd wave of Covid-19 and the cases have spiked up to nearly 4000/day. This has put an enormous pressure on the Malaysian healthcare system. Therefore, the Ministry of Health has come up with the idea of so-called “instant hospitals” to cope with the excessive number of patients, particularly non-critical Covid-19 patients. As a multi-racial country with Islam as the official religion, the Islamic Principles should be considered in the design of “instant hospitals” to promote Islamic awareness, strengthen the commitment to Islam and ultimately gain Allah’s mercy and forgiveness. The implementation of Islamic Principles in the design of these hospitals will enhance the healing process. The objective of this study is to identify the qualified personages to be selected as respondents and the criteria to implement Islamic design quality in an instant hospital or quarantine centre. This study sifts the satisfaction of the respondents on the basis of the criteria related to the implementation of Islamic design quality.  This research has utilised the descriptive and survey-based method rooted in qualitative and quantitative research and supported by Media Content Analysis. From the analysis, new Islamic design criteria for hospitals has been outlined, which is consistent with the qualities in the Islamic Built Environment. The results will influence the Malaysian administrators and designers to develop a better hospital environment with the implementation of Islamic quality for the benefit of all the Malaysians.

scholarly journals Outdoor personal heating and cooling by a Janus textile

2020 ◽  
Author(s):  
Hao Luo ◽  
Yining Zhu ◽  
Qiang Li ◽  
Ziquan Xu ◽  
Yu Hong ◽  
...  
Keyword(s):  
Thermal Management ◽  
Electricity Generation ◽  
Outer Space ◽  
Outdoor Environment ◽  
Conventional Heating ◽  
Radiative Loss ◽  
Cooling Mode ◽  
Heating And Cooling ◽  
Outdoor Spaces ◽  
Localized Heating

Abstract Enhancing the personal thermal comfort in outdoor environment is of substantial significance to ameliorate the health conditions of pedestrian and outdoor laborer. However, the uncontrollable sunlight, substantial radiative loss, and intense temperature change in the outdoor environment present majestic challenges to outdoor personal thermal management. To date, a wearable device with optional passive heating and cooling abilities to abet people combat extreme temperatures in outdoor spaces, is lacking. Here, we report an eco-friendly passive textile which converts the challenges into opportunities and harvests energy from the sun and the outer space for optional localized heating and cooling. Compared to conventional heating/cooling textiles like black/white cotton, its heating/cooling mode enables a skin simulator temperature increase/decrease of 11.3 ℃/14.5 ℃ respectively under sunlight exposure. Meanwhile, the temperature gradient created between the textile and skin simulator allows a continuous electricity generation with thermoelectric modules. Owing to the exceptional outdoor thermoregulation ability, this Janus textile is promising to help maintain a comfortable microclimate for individuals in outdoor environment and provide a platform for pervasive power generation.

Barriers to Garden Visitation in Children's Hospitals

2013 ◽  
Vol 6 (4) ◽  
pp. 76-96 ◽  
Author(s):  
Samira Pasha
Keyword(s):  
Family Members ◽  
Healthcare Setting ◽  
Significant Negative Correlation ◽  
Design Guidelines ◽  
Institutional Review Boards ◽  
Design Features ◽  
Support Design ◽  
Healthcare Facilities ◽  
Outdoor Spaces

OBJECTIVE: This study aimed to identify barriers to use of outdoor spaces in Texas pediatric healthcare facilities. BACKGROUND: Available research on hospital healing gardens and outdoor spaces has indicated that despite several health benefits of garden visitation for staff, patients, and family members, these amenities are not being used to their fullest capacity. Previous researchers have recommended design features such as comfortable seats and adequate shade to increase garden visitation in healthcare setting. However no quantitative data have demonstrated significance of correlation between presence of these design features and garden use. The present study served to statistically support design guidelines suggested by previous researchers and introduce new guidelines. METHODS: Site visits and surveys were conducted in five green outdoor spaces in three pediatric hospitals in east Texas. Hospital visitors, family members, and staff responded to questions concerning barriers to garden visitation, their visitation habits, and satisfaction with the garden features. The study was reviewed and approved by Institutional Review Boards of the relevant hospitals and academic institutions. RESULTS: A negative significant correlation was found between staff garden use and dissatisfaction with quality of seats and poor shade. While quality of seats didn't impact visitor and family member garden visitation, a significant negative correlation was found between poor shade and their garden use. CONCLUSIONS: The study served to statistically support previous design suggestions for hospital gardens, and introduced new design guidelines. Design recommendations include functionality, visibility, accessibility, exclusivity, and availability of shade and seats.

scholarly journals Integrating Depression Care Within NCD Provision in Bangladesh and Pakistan: A Qualitative Study

2020 ◽  
Author(s):  
Jerome Wright ◽  
Papiya Mazumdar ◽  
Deepa Barua ◽  
Silwa Lina ◽  
Humaira Bibi ◽  
...  
Keyword(s):  
Health Workers ◽  
Psychological Intervention ◽  
Screening Tools ◽  
Hospital Environment ◽  
Depression Care ◽  
Framework Analysis ◽  
Healthcare Facilities ◽  
Motivation Factors ◽  
Co Morbidity ◽  
Depression Intervention

Abstract Background: Co-morbidity of depression with other non-communicable diseases (NCDs) worsens clinical outcomes for both conditions. Low- and middle-income countries need to strengthen mechanisms for detection and management of co-morbid depression within NCDs. The BEACON study explored the acceptability and feasibility of integrating a brief depression intervention (behavioural activation, BA) into NCD services in healthcare facilities in Bangladesh and Pakistan.Methods: Face-to-face qualitative interviews were conducted with 43 patients and 18 health workers attending or working in NCD centres in four healthcare facilities in Bangladesh and Pakistan, and with three policy makers in each country. The interviews addressed four research questions (1) how NCD care is delivered, (2) how NCD patients experience distress, (3) how depression care is integrated within NCD provision, and (4) the challenges and opportunities for integrating a brief depression intervention into usual NCD care. The data were analysed using framework analysis, organised by capability, opportunity and motivation factors, cross-synthesised across countries and participant groups.Results: Patients and health workers described NCD centres as crowded and time pressured, with waiting times as long as five hours, and consultation times as short as five minutes; resulting in some patient frustration. They did not perceive direct links between their distress and their NCD conditions, instead describing worries about family and finance including affordability of NCD services. Health worker and policy maker accounts suggested these NCD centres lacked preparedness for treating depression in the absence of specific guidelines, standard screening tools, recording systems or training. Barriers and drivers to integrating a brief depression intervention reflected capability, opportunity and motivation factors for all participant groups. While generally valuing the purpose, significant challenges included the busy hospital environment, skill deficits and different conceptions of depression.Conclusions: Given current resource constraints and priorities, integrating a brief psychological intervention at these NCD centres appears premature. An opportune first step calls for responding to patients’ expressed concerns on service gaps in provisioning steady and affordable NCD care. Acknowledging differences of conceptions of depression and strengthening psychologically informed NCD care will in turn be required before the introduction of a specific psychological intervention such as BA.

scholarly journals The Effectiveness of Family Communication Strategies for Family Members with Health Problems: A Systematic Review

2020 ◽  
Vol 1 (2) ◽  
pp. 69-78
Author(s):  
Siti Riskika ◽  
Melinda Restu Pertiwi ◽  
Nessy Anggun Primasari ◽  
Niswa Salamung
Keyword(s):  
Family Life ◽  
Health Workers ◽  
Healing Process ◽  
Family Members ◽  
Physical Contact ◽  
Hospital Environment ◽  
Open Communication ◽  
Eligibility Criteria ◽  
Good Communication ◽  
The Family

Introduction: Many things are done by a person to get peace in his life, but sometimes someone does not realize the importance of interacting with other people, in this case communication. Communication is very crucial in life, especially in family life. Someone who is experiencing illness also needs clear communication to help the healing process, be it communication with family or communication with health workers. Method: The literature search was carried out by looking for literature studies in Scopus and in ScienceDirect with the theme of communication in the family. Results: After applying the eligibility criteria in the review, the 15 studies that had been obtained were included. The 15 studies, it shows that the communication provided by the family to other family members is very important in supporting the recovery of a sick family member, even a baby who is sick will gradually improve if he gets good communication from his mother, in the form of communication with physical contact. and attachment. The study of communication is important considering that many do not understand that communication is very important in life. Effective and open communication is also one of the keys to achieving a harmonious life in the family. Conclusion: Effective and open communication is important to apply, especially in family life, and also in the hospital environment, good communication between health workers, patients and families will help heal patients who are experiencing illness

scholarly journals Interaction of modern architectural design with the environment: Evaluation and application in urban open spaces for developing resilient cities

2021 ◽  
Vol 899 (1) ◽  
pp. 012011
Author(s):  
M Avramidou ◽  
S Manika
Keyword(s):  
Climate Change ◽  
Architectural Design ◽  
Outdoor Environment ◽  
Urban Resilience ◽  
Open Spaces ◽  
Coating Materials ◽  
Qualitative And Quantitative ◽  
Bioclimatic Design ◽  
Outdoor Spaces

Abstract The concept of urban resilience, either as a response to the effects of climate change or as a need to address the emerging challenges of the pandemic crisis, plays an important role in the modern forefront of urban policies. This article focuses, in the light of climate change, on the prospects of the adoption of the principles of urban resilience in the design of urban outdoor spaces, initially creating a clear framework for their definition. In order to achieve this, the article proceeds to the evaluation of successful European and Greek examples of urban open spaces in which the assurance of urban resilience is achieved through the application of bioclimatic design. Emphasis is placed on the factors of sunlight, ventilation, the role of water and greenery, and the properties of surface coating materials in urban outdoor spaces. Then the study area is analyzed, with qualitative and quantitative assessment of the factors that affect the outdoor environment.

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