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Sources and flow of healthcare built environment design evidence

Nadeeshani Wanigarathna (School of Engineering and the Built Environment, Anglia Ruskin University, Chelmsford, UK)
Fred Sherratt (School of Engineering and the Built Environment, Anglia Ruskin University, Chelmsford, UK)
Andrew D.F. Price (School of Civil and Building Engineering, Loughborough University, Loughborough, UK)
Simon Austin (School of Civil and Building Engineering, Loughborough University, Loughborough, UK)

Built Environment Project and Asset Management

ISSN: 2044-124X

Article publication date: 29 April 2021

Issue publication date: 20 October 2021

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Abstract

Purpose

A substantial amount of research argues that built environmental interventions can improve the outcomes of patients and other users of healthcare facilities, supporting the concept of evidence-based design (EBD). However, the sources of such evidence and its flow into healthcare design are less well understood. This paper aims to provide insights to both the sources and flow of EBD used in three healthcare projects, to reveal practicalities of use and the relationships between them in practice.

Design/methodology/approach

Three healthcare case study projects provided empirical data on the design of a number of different elements. Inductive thematic analysis was used to identify the source and flow of evidence used in this design, which was subsequently quantised to reveal the dominant patterns therein.

Findings

Healthcare design teams use evidence from various sources, the knowledge and experience of the members of the design team being the most common due to both ease of access and thus flow. Practice-based research and peer-reviewed published research flow both directly and indirectly into the design process, whilst collaborations with researchers and research institutions nurture the credibility of the latter.

Practical implications

The findings can be used to enhance activities that aim to design, conduct and disseminate future EBD research to improve their flow to healthcare designers.

Originality/value

This research contributes to understandings of EBD by exploring the flow of research from various sources in conflation and within real-life environments.

Keywords

Acknowledgements

The authors wish to acknowledge those who participated in the interviews, case studies and industry partners who supported the research overall.

Funding details: This work was supported by the [Loughborough University ESPRC IMCRC] under Grant [number EP/E002323/1]; and [EPSRC] under Grant [numbers EP/D039614/1 and EP/I029788/1].

Disclosure statement: No potential conflict of interest was reported by the authors.

Citation

Wanigarathna, N., Sherratt, F., Price, A.D.F. and Austin, S. (2021), "Sources and flow of healthcare built environment design evidence", Built Environment Project and Asset Management, Vol. 11 No. 5, pp. 851-869. https://doi.org/10.1108/BEPAM-08-2020-0144

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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