Interdisciplinary User Groups and the Design of Healthcare Facilities

Carthey, Jane

doi:10.1177/1937586719843877

Cited by 6 publications

(10 citation statements)

References 40 publications

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“…Obtaining relevant and useful input from groups who have no design experience is problematic [7,16,18]. Design professionals are concerned that users are lacking in design conceptual knowledge and experience [10].…”

Section: Discussionmentioning

confidence: 99%

“…Although the structured format for gathering user input was beneficial in providing focused guidelines for discussion, there was an issue that arose during the joint working group discussion. The relative status of participants has been identified as an issue [6,7]. In the early stages of the joint working group discussion, nurses and patients were observed deferring to doctors, and patients in turn deferring to nurses.…”

Section: Discussionmentioning

confidence: 99%

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A Structural Format to Facilitate User Input for the Co-design of a Cardiac Health Unit

Waroonkun¹

2020

cea

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Experience-based co-design and post occupancy evaluation are two mechanisms adopted for future planning and design of built spaces. They share a common strategy in that they both require input from a prospective, or current, built environment user. In the case of healthcare spaces, these users include doctors, nurses, patients and family. However, obtaining relevant and useful information from these sources is problematic. The users lack any specific conceptual knowledge and skills required in the design process. Several authors have addressed this issue by asking the user to comment on specific healthcare environment variables. These variables are the results of prior evidence-based research. Based on the work of Van der Voort and Van Wegen (2005) the author has developed a survey questionnaire and user input procedure Waroonkun (2019) that addresses the functional elements of a healthcare, built environment (in this case, a cardiac health unit). The strength and impact of this method was its ability to tap into a broad functional view of the users' experience of a built environment. The results of the present study indicate using a POE based, structured assessment strategy provided a solid guideline for determining a wide range of design issues from a user perspective.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Structural Format to Facilitate User Input for the Co-design of a Cardiac Health Unit

Waroonkun¹

2020

cea

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“…67 While collaboration between architects and healthcare professionals is not new, 70 limited evidence informs current consultation processes. 67,71 High-quality healthcare environments are produced when shared decision-making and collaboration happens across healthcare, construction, and architecture to create designs based on evidence and end-users' perspectives. 69 A number of research approaches are suggested to facilitate this collaboration, including participatory design, co-design, and Living Labs.…”

Section: Safety and Well-beingmentioning

confidence: 99%

“…48 Planning and design of new healthcare environments: Challenges and opportunities Healthcare environments research and design is a multistakeholder endeavor involving government, healthcare providers, managers, clinical staff, patients, architects, quantity surveyors, construction companies, building managers, etc. This collaborative process can be challenging, 67,68 considering interdisciplinary differences in knowledge and approaches. 69 The complexity of hospital procurement and the fact that design and construction processes are foreign to many healthcare professionals adds further challenge.…”

Section: Safety and Well-beingmentioning

confidence: 99%

Why hospital design matters: A narrative review of built environments research relevant to stroke care

Bernhardt

Lipson-Smith

Davis

et al. 2021

International Journal of Stroke

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Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. How building design can best support healthcare services, staff, and patients is important to consider. In this narrative review we outline why the healthcare environment matters and describe areas of research focus and current built environment evidence that supports health care in general and stroke care in particular. Ward configuration, corridor design, and staff station placements can all impact care provision, staff and patient behaviour. Contrary to many new ward design approaches, single bed rooms are neither uniformly favoured, nor strongly evidence-based, for people with stroke. Green spaces are important both for staff (helping to reduce stress and errors), patients and relatives, although access to, and awareness of, these and other communal spaces is often poor. Built environment research specific to stroke is limited but increasing and we highlight emerging collaborative multi-stakeholder partnerships (Living Labs) contributing to this evidence base. We believe that involving engaged and informed clinicians in design and research will help shape better hospitals of the future.

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“…The Facility Guidelines Institute (2018) recommends engagement of a multidisciplinary team early in the design process in order to conduct a safety risk assessment and evaluates the environment for conditions that may lead to adverse outcomes. However, ability to gain useful feedback from each stakeholder group is limited by the challenges in conveying architectural design to clinicians and the complexities of clinical care to architects (Carthey, 2019;Wingler et al, 2019). The ability to effectively design a complex healthcare system relies on input from both architects and clinical end users in order to address the needs of the stakeholders through design .…”

mentioning

confidence: 99%

Designing for Patient Safety and Efficiency: Simulation-Based Hospital Design Testing

Colman

Edmond

Dalpiaz

et al. 2020

HERD

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Objective: In the schematic design phase of a new freestanding children’s hospital, Simulation-based Hospital Design Testing (SbHDT) was used to evaluate the proposed design of 11 clinical areas. The purpose of this article is to describe the SbHDT process and how it can help identify and mitigate safety concerns during the facility design process. Background: In the design of new healthcare facilities, the ability to mitigate risk in the preconstruction period is imperative. SbHDT in a full-scale cardboard mock-up can be used to proactively test the complex interface between people and the built environment. Method: This study was a prospective investigation of SbHDT in the schematic design planning phase for a 400-bed freestanding children’s hospital where frontline staff simulated episodes of care. Latent conditions related to design were identified through structured debriefing. Failure mode and effect analysis was used to categorize and prioritize simulation findings and was used by the architect team to inform design solutions. A second round of testing was conducted in order to validate design changes. Results: A statistically significant reduction in criticality scores between Round 1 ( n = 201, median = 16.14, SD = 5.8) and Round 2 ( n = 201, median score of 7.68, SD = 5.26, p < .001) was identified. Bivariate analysis also demonstrated a statistically significant reduction in very high/high criticality scores between Round 1 and Round 2. Conclusions: SbHDT in the schematic phase of design planning was effective in mitigating risk related to design prototypes through effective identification of latent conditions and validation of design changes.

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Interdisciplinary User Groups and the Design of Healthcare Facilities

Cited by 6 publications

References 40 publications

A Structural Format to Facilitate User Input for the Co-design of a Cardiac Health Unit

A Structural Format to Facilitate User Input for the Co-design of a Cardiac Health Unit

Why hospital design matters: A narrative review of built environments research relevant to stroke care

Designing for Patient Safety and Efficiency: Simulation-Based Hospital Design Testing

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