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The future
Published in Emmanuel Tsekleves, John Keady, Design for People Living with Dementia, 2021
Emmanuel Tsekleves, John Keady
To increase the rigour and robustness of qualitative methods we should, as a design research community, develop and share validated evaluation frameworks and wherever possible employ evidence-based design. An increasing base of research suggests that evidence-based design can be used in parallel with evidence-based medicine to create healthcare systems and processes that support patient care and safety (Ulrich et al., 2008). Healthcare design is increasingly guided by rigorous research linking hospitals’ physical environments to healthcare outcomes (Ulrich et al., 2008; Shoemaker et al., 2010; Van Hoof et al., 2015). Evidence-based design, derived from evidence-based medicine, requires full-bodied research efforts and a large amount of valid information, resulting from systematic reviews of research literature that can be applied in practice (Zimring and Bosch, 2008). It is therefore imperative that we develop a repertoire of strategies that can be used with different individuals participating in research (Hubbard et al., 2003). This forms an opportunity for design researchers to adapt existing design research methods and/or develop new ones.
Health + well-being
Published in Rob Fleming, Saglinda H Roberts, Sustainable Design for the Built Environment, 2019
Rob Fleming, Saglinda H Roberts
Evidence-based design is an approach that bases its decisions on findings from the scientific study of human interaction with spaces, environments, materials, acoustics, and visual stimuli. This research can be done by observing occupants’ reactions in real time, doing post-occupancy evaluations (POEs), or by using MRI and CAT scans to understand human reaction on a neurological level. Researchers look for deep-level connections between the physical world and the inner psychological and neurological workings of human beings. The goal is to establish supporting data on measurable changes in health, behavior, and learning capability directly related to the built environment.
Design management and value
Published in Peter Fewings, Christian Henjewele, Construction Project Management, 2019
Peter Fewings, Christian Henjewele
Evidence-based design involves placing a strong emphasis on research and the feedback from the users of buildings for a specific primary purpose, such as faster healing in hospitals and learning enhancement in schools and universities. This is a pragmatic approach to making sure that key operational objectives are achieved and it is useful when making a case for enhancing value in the operational stages of a building. Evidence-based design brings designers, patients and medical staff closer. Case study 6.2 provides two examples.
Hospital design principles implementation: Reflections from practitioners in Thailand
Published in Journal of Asian Architecture and Building Engineering, 2023
Traiwat Viryasiri, Vikrom Laovisutthichai, Kullathida Sangnin, Kawin Dhanakoses, Pakwan Roopkaew, Pundharee Viryasiri
To help designers achieve all desirable attributes, various suggestions on the design process and methodology are provided. Evidence-based design, for example, is a scientific approach that uses rigorous research as a basis for design development (Caixeta and Fabricio 2013; Halawa et al. 2020). This can be achieved by, for example, early collaboration among key stakeholders, defining project directions, interdisciplinary knowledge expansion, screening and interpretation, establishing criteria, developing design alternatives, monitoring, and post-occupancy evaluation for a new building life cycle (McCullough 2010). Apart from the process revitalization, some healthcare architecture design principles have also been proposed. The UK (2014) offers some examples, including accessibility, wayfinding, patient safety, sustainability, and a healing environment. Various architectural forms, colors, decorations, natural light, and other positive distractions are recommended to revitalize the space and improve the patient’s recovery rate (Dalke et al. 2006; Said et al. 2005). Besides, hospital planning should foster social interaction and provide nature access while controlling infections and other safety issues Ulrich et al. (2008).
A structural approach for the redesign of a small-scale care facility as a guideline for decision-makers
Published in Intelligent Buildings International, 2020
Emelieke Huisman, Rianne Appel-Meulenbroek, Helianthe Kort
This growing attention for building design as a means to shape healthcare environments that promote healing is based on the healing environments concept and evidence-based design (Zimring and Bosch 2008, 147–150). The Center for Health Design (2016) defined evidence-based design as ‘the process of basing decisions about the built environment on credible research to achieve the best possible outcomes’. So far, this concept has been applied mainly with regard to hospital settings, wherein the effects of the physical environment on patient healing and staff well-being were also studied (Codinhoto et al. 2009, 138–151; Huisman et al. 2012, 70–80; Ulrich et al. 2008, 61–125). Many of the basic elements of healing or enriched hospital environments have thus been clearly identified (see for example Huisman et al. 2012; Salonen et al. 2013, 3–25; Ulrich et al. 2008), such as building physics aspects, layout and interior. Besides health, other proven benefits of enriched environments are enhancement of client satisfaction, promotion of healing and well-being, improvement in employees’ satisfaction and strengthening of competitive advantage (Oi-Zhen, Weng-Wai, and Yu-Tian 2015).