Territories of Engagement in the Design of Ecohumanist Healthcare Environments

Peters, Terri; Verderber, Stephen

doi:10.1177/1937586716668635

Cited by 10 publications

(16 citation statements)

References 23 publications

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“…Research content gaps in this literature became apparent, notably the need to conduct more in-depth research on the physical and psychological benefits of engagement with nature, art, and multisensory stimulation. Aspects of salutogenic design, and biophilia, warrant further research, perhaps within the umbrella afforded by an ecohumanist perspective—a perspective that fuses these concerns with ecological sustainability concerns ( Verderber & Peters, 2017 ). Evidence-based research is warranted on attention restoration theory in ICU settings, perhaps combined with the phenomena of nature-deficit disorder as postulated by psychologist Richard Louv (2008) .…”

Section: Discussionmentioning

confidence: 99%

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Verderber

Gray

Suresh-Kumar

et al. 2021

HERD

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Background: The intensive care environment in hospitals has been the subject of significant empirical and qualitative research in the 2005–2020 period. Particular attention has been devoted to the role of infection control, family engagement, staff performance, and the built environment ramifications of the recent COVID-19 global pandemic. A comprehensive review of this literature is reported summarizing recent advancements in this rapidly expanding body of knowledge. Purpose and Aim: This comprehensive review conceptually structures the recent medical intensive care literature to provide conceptual clarity and identify current priorities and future evidence-based research and design priorities. Method and Result: Each source reviewed was classified as one of the five types—opinion pieces/essays, cross-sectional empirical investigations, nonrandomized comparative investigations, randomized studies, and policy review essays—and into nine content categories: nature engagement and outdoor views; family accommodations; intensive care unit (ICU), neonatal ICU, and pediatric ICU spatial configuration and amenity; noise considerations; artificial and natural lighting; patient safety and infection control; portable critical care field hospitals and disaster mitigation facilities including COVID-19; ecological sustainability; and recent planning and design trends and prognostications. Conclusions: Among the findings embodied in the 135 literature sources reviewed, single-bed ICU rooms have increasingly become the norm; family engagement in the ICU experience has increased; acknowledgment of the therapeutic role of staff amenities; exposure to nature, view, and natural daylight has increased; the importance of ecological sustainability; and pandemic concerns have increased significantly in the wake of the coronavirus pandemic. Discussion of the results of this comprehensive review includes topics noticeably overlooked or underinvestigated in the 2005–2020 period and priorities for future research.

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Section: Discussionmentioning

confidence: 99%

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Verderber

Gray

Suresh-Kumar

et al. 2021

HERD

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“…Every building constructed in the far north must be more resilient in the face of these disruptions (Harvey, 2019). From this point, the challenge is to build healthcare architecture in far north regions equally salutogenic and ecologically sustainable and resilient—in short, ecohumanist (Peters & Verderber, 2017). LEED-inspired methods and tools developed in more temperate climates can be adopted to the far north (Verderber & Peters, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…From this point, the challenge is to build healthcare architecture in far north regions equally salutogenic and ecologically sustainable and resilient-in short, ecohumanist (Peters & Verderber, 2017).…”

Section: Discussionmentioning

confidence: 99%

Indigenous Ecohumanist Architecture for Health in Canada’s Far North

Verderber

Wolf²,

Skouris³

2020

HERD

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Background: Circumpolar nations are experiencing unprecedented environmental and public health policy challenges due to global climate change, exploitation of nonrenewable natural resources, the endangerment of myriad wildlife species, and growing sovereignty disputes. In a call to action, the Arctic states’ health ministers recently signed a declaration identifying shared priorities for mutual international cooperation. Among agreed-upon collaborations, an enhancement of intercultural understanding and promotion of culturally appropriate healthcare delivery systems is to be of high priority going forward. Purpose and Aim: In far north Canada, health policies perpetuated for generations upon indigenous communities have, traditionally, often had adverse consequences for the medically underserved inhabitants of these communities. This discussion addresses the cultural disconnect between the colonial era and current indigenous, decolonialist health and healing design strategies. Method and Result: In response, two architectural design case studies are presented that synthesize ecological site planning precepts with salutogenic architectural design attributes—a behavioral health and substance abuse residential treatment center and three elderhousing prototypes for construction in Canada’s Northwest Territories. Conclusion: This conceptual synthesis is practicable, transferable, and adaptable to varied, extreme climatic conditions, as reflective of best practices in the delivery of healthcare facilities that express a synthesis of ecohumanist and salutogenic values and methodologies. The discussion concludes with a call for empathic, evidence-based collaboration and research that further examines the blending together of prefabricated off-site construction with on-site construction approaches.

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“…The social environment encompasses the groups that individuals belong to, the places they live, and policies of their lives. The built environment includes all the infrastructures around human beings, which can be divided into different scales from interior scale of the living to urban spaces (Bosch & Gharaveis, 2017; Lambert, Coad, Hicks, & Glacken, 2014; Peters & Verderber, 2017; Stern, MacRae, & Gerteis, 2003). It should be considered that physical and social environments are not segregated from each other, and any environment is the result of interaction between them (Yen & Syme, 1999).…”

mentioning

confidence: 99%

The Role of Environmental Design in Cancer Prevention, Diagnosis, Treatment, and Survivorship: A Systematic Literature Review

Gharaveis

Kazem-Zadeh

2018

HERD

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The purpose of this literature review is to provide a better understanding of the impact that environmental design can have on the process of cancer prevention, diagnosis, treatment, and survivorship. Cancer is considered a chronic disease in the United States, and more than 1.6 million new cases are diagnosed annually. New strategies of cancer care propose patient-centered services to achieve the best outcome, and researchers have found that environmental design can be an important part of improving this care. Searches were conducted in the PubMed and Google Scholar databases as well as in specific healthcare design journals such as Health Environments Research & Design, Environmental Psychology, and Environment and Behavior. The criteria for articles included in the review were (a) English-language articles related to facility design, which addressed (b) the topics of built environment in relation to cancer diagnosis, treatment, and survivorship, and were (c) published in peer-reviewed journals between 2000 and 2017. Finally, 10 articles were selected, and the contents were analyzed. The selected articles demonstrate that environmental design is one of the critical factors for success throughout the whole continuum of cancer care from diagnosis to end-of-treatment. Some of the specific conclusions from the review are that "neighborhood-oriented" design strategies can be beneficial (by providing accessibility to all facilities along the patient's path), that access to nature for patients, staff, and visitors alike is associated with better outcomes, and that provisions for natural lighting and noise reduction are associated with cancer patients' well-being.

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Territories of Engagement in the Design of Ecohumanist Healthcare Environments

Cited by 10 publications

References 23 publications

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Intensive Care Unit Built Environments: A Comprehensive Literature Review (2005–2020)

Indigenous Ecohumanist Architecture for Health in Canada’s Far North

The Role of Environmental Design in Cancer Prevention, Diagnosis, Treatment, and Survivorship: A Systematic Literature Review

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