Healing environment: A review of the impact of physical environmental factors on users

Huisman, Emelieke; Morales, Ernesto; Hoof, van J Joost; Kort, Hsm Helianthe

doi:10.1016/j.buildenv.2012.06.016

Cited by 400 publications

(383 citation statements)

References 74 publications

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“…Such reviews highlight the lack of an adequate method that integrates credible findings holistically to demonstrate the cumulative and interactive effects of various environmental aspects on occupants' wellbeing. This has been highlighted since 2010 by Durmisevic and Ciftcioglu (2010), Huisman et al (2012), Salonen, Lahtinen, Lappalainen, and Reijula (2013) and Nimlyat and Kandar (2015). However, most of the current research still focuses on examining the effect of a specific HBE characteristic on a specific health outcome for a certain group of occupants.…”

Section: Resultsmentioning

confidence: 99%

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Healing built-environment effects on health outcomes: environment–occupant–health framework

Zhang

Tzortzopoulos

Kagioglou

2018

Building Research & Information

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An investigation examined the structured scientific evidence on healthcare facilities (the healing built environment -HBE) and its impact on patients' health outcomes under a holistic conceptual evaluative framework. The integrative review considered 127 papers (of which 59 were review papers). It found there was no adequate framework that could integrate existing research findings holistically. Such a holistic framework needs to demonstrate the cumulative and interactive effects of various HBE characteristics on patients' health outcomes and wellbeing. An environment-occupant-health (E-O-H) framework is proposed, taking a holistic perspective to identify and evaluate different HBE characteristics. The E-O-H framework should support future research by (1) identifying the HBE characteristics that affect health outcomes; (2) defining appropriate future research designs; and (3) understanding the need for holistic analysis of the integrated effects of diverse HBE characteristics on health outcomes.

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Section: Resultsmentioning

confidence: 99%

“…Outcome measures in HBE studies are usually categorized according to a specific group of users: patients, family, non-physician staff, physicians and the organization (Huisman et al, 2012;Schweitzer, Gilpin, & Frampton, 2004;Ulrich et al, 2010). The majority of extant empirical studies have focused on patient outcomes.…”

Section: Hbe Impact On Health Outcomesmentioning

confidence: 99%

Healing built-environment effects on health outcomes: environment–occupant–health framework

Zhang

Tzortzopoulos

Kagioglou

2018

Building Research & Information

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“…This is somewhat puzzling because a large number of studies have reported on the effect of aspects of the interior of consultation rooms (or even of adjacent waiting areas) on patient stress and patient disclosure (Okken, van Rompay, and Pruyn 2013;Huisman et al 2012;Ajiboye et al 2015;Miwa 2006;Liu et al 2014;Dahlgaard et al 2008;Sobral, Rosenbaum, and Figueiredo-Braga 2015;Charise et al 2011;Baskaya 2004;Noordman et al 2010;Frankel et al 2005;Almquist et al 2009). For example, Okken et al (2013) found that brightness of the consultation room might influence the communication between the healthcare professional and patient.…”

Section: Current Interventions To Improve Sdmmentioning

confidence: 99%

“…Several studies have investigated the effect on patient stress caused by parts of the hospital outside the consultation room, such as the layout of waiting areas, overhearing conversations at the reception desk, adequate selection of art on the walls, adequate wayfinding (Huisman et al 2012;Baskaya 2004;Douglas and Douglas 2005), easy to use schemes (floor plan), landmarks (Baskaya 2004), acoustic comfort (and speech discrimination), or music in the waiting room (Huisman et al 2012), and even the stress reducing effect of room names instead of room numbers (Leibrock and Harris 2011). To the extent that these effects are prolonged enough, all these stressors might have effects on the implementation of SDM.…”

Section: Current Interventions To Improve Sdmmentioning

confidence: 99%

The potential of service design for improving the implementation of shared decision-making

et al. 2017

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This paper addresses the potential contribution of service design for improving the implementation of shared decisionmaking in healthcare. The iterative approach of design research is compared with the more linear, (social) scientific approaches often seen in health services research. Five foundational principles of service design are explored regarding their potential contribution to the improvement of the implementation of shared decision-making. Thus, this position paper can be seen as a call on service designers and healthcare professionals to combine their efforts to improve the implementation of shared decision-making in healthcare.

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“…However, even within the constraints of EBD there is still discussion and debate as to what actually constitutes evidence. For example Dijkstra et al (2006), Huisman et al (2012) and Salonen et al (2013) to name but a few, have been extremely strict as to what could be considered as 'evidence', and claim only scientific research derived through randomised controlled trials is permissible, whilst other scholars' definitions are much looser, for example Hamilton and Watkins (2009) specific context, what is perhaps of equal importance is how such evidence is used by designers; how it is mobilised in 'designerly ways' (see Cross, 2001 and later for further description) by those engaging in the creation of our healthcare built environments ,something which remains relatively under-researched. A better understanding of how evidence in its many forms is used by designers in practice, through both performancebased and prescriptive-based approaches, can in turn help optimise how new and emerging evidence is included within future design guidance.…”

Section: Introductionmentioning

confidence: 99%

Healthcare designers’ use of prescriptive and performance-based approaches

Wanigarathna

Sherratt

Price

et al. 2016

Architectural Engineering and Design Management

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In the UK, healthcare built environment design is guided by a series of long established design standards and guidance issued by the Department of Health.More recently, healthcare design focus has broadened to encompass new approaches, supported by large bodies of credible research evidence. It is therefore timely to rethink how healthcare design standards and guidance should be best expressed to suit 'designerly ways' of using evidence, to improve their use and effectiveness in practice. This research explored how designers use performance and prescriptive approaches during the healthcare design process.Three in-depth healthcare built environment case studies were used to explore how designers employed such approaches during the design of selected exemplar design elements. Results show that design elements in the pre and conceptual design phases significantly employed performance based approaches, and due to project-unique circumstances, prescriptive solutions were often significantly modified based on performance criteria. For design elements in the detailed and technical design phases, there was significant use of solutions based on prescriptive approaches, whilst performance-based criteria were used to evaluate design solutions. This research proposes a performance-based, specification driven healthcare design with supplementary prescriptive specifications provided for optimum healthcare environment design.Keywords: healthcare built environments; evidence; designing; performancebased specification; prescriptive specification IntroductionHospital design has traditionally focused on efficiency, cost and clinical functionality (Gesler et al., 2004). Similar to many elements of the built environment, the healthcare design process draws on various sources of evidence including but not limited to formal education, personal and colleagues' knowledge and experience, common sense, intuitions and personal interpretations (Hamilton, 2003, Tetreault & Passini, 2003, Lawson, 2004, Martin & Guerin, 2007 as well as more formal design guidance (Lafratta, 2006, Hignett andLu, 2009) This paper presents an empirical examination, drawing on three case study projects, of how healthcare designers draw on evidence, through designerly ways, in the process of healthcare built environment design. Evidence within this study is considered as either based on experience, found within formally produced design guidance or more explicitly grounded in academic research findings, or indeed a combination of all three, creating a naturally broad and inclusive definition which enables the process of design to be explored in depth. It is hoped that in taking a practice-based approach with due recognition of designerly ways, this research can contribute to improvements within the process of healthcare design, and also provide useful insights to help develop an 'ideal balance' of prescriptive and performance specification within this specific built environment context.

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Healing environment: A review of the impact of physical environmental factors on users

Cited by 400 publications

References 74 publications

Healing built-environment effects on health outcomes: environment–occupant–health framework

Healing built-environment effects on health outcomes: environment–occupant–health framework

The potential of service design for improving the implementation of shared decision-making

Healthcare designers’ use of prescriptive and performance-based approaches

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