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Article
Publication date: 28 April 2023

Yelda Durgun Şahin, Osman Metin Yavuz and Erol Kesiktaş

This study discusses that the necessary criteria and the solution approach taken to resolve the main spatial infection problems with a burn center design should be evaluated…

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Abstract

Purpose

This study discusses that the necessary criteria and the solution approach taken to resolve the main spatial infection problems with a burn center design should be evaluated holistically to achieve spatial infection control in a burn center. The burn center design plays an important role in protecting severely burned patients from infection because the microbial flora of the hospital can affect the infection risk. In hospitals, sterilization and disinfection are the basic components of infection prevention; however, the prevention and control of infection for burn patients also requires the design of burn centers that adhere to a specific set of criteria that considers spatial infection control in addition to appropriate burn treatment methods and treatments. In this study, a burn facility converted from a burn unit into a burn center is introduced and the necessary design inputs for the transformation are discussed because there is no holistic study in the literature that delas with all the spaces that should be in a burn center and relations between spaces. This study aims to define the functional relations between each of the units and the spaces that change according to different sterilization demands in the burn center for ensuring spatial infection control. Furthermore, it aims to propose a method for ensuring continuity in the control of spatial infections.

Design/methodology/approach

The burn care and health facilities guidelines are examined within the framework of spatial standards, together with a comprehensive literature review. The design method was based on the spread of microorganisms and the effect of human movement on space and spatial transitions in the burn center, according to all relevant literature reviews. To determine the extent to which the differences in treatment protocols of burn care guidelines were reflected in the space, interviews were conducted with burn facility officials. The plan–do–check–act (PDCA) method is also modeled to ensure the continuity of infection control in the burn center.

Findings

The burn center design findings are classified under three main headings, namely, location of the burn center in the hospital, spatial organization and physical features of the burn center and the air flowing system. The importance of the interactions among the criteria for spatial infection control has been revealed. Due to the physical space characteristics and air flow characteristics that change according to human movement and the way microorganisms spread, it has been seen that designing the air flow and architectural aspects together has an effective role in providing spatial infection control. Accordingly, a functional relation scheme for the center has been suggested. It is also proposed as a model to ensure the continuity of infection control in the burn center.

Practical implications

This research presents spatial measures for infection control in burn centers for practitioners in health-care settings such as designers, engineers, doctors and nurses. The PDCA method also leads to continuity of infection control for hospital management.

Originality/value

This is the first study, to the best of the authors’ knowledge, to focus on developing the criteria for spatial infection control in burn center. Moreover, the aim is to create a function chart that encompasses the relationships between the units within the burn center design so that infection control can be coordinated spatially.

Details

Facilities , vol. 41 no. 9/10
Type: Research Article
ISSN: 0263-2772

Keywords

Article
Publication date: 9 May 2022

Anahita Sal Moslehian, Tuba Kocaturk, Fiona Andrews and Richard Tucker

Despite the undeniable need for innovation in hospital building design, the literature highlights the disconnect between research and practice as the primary knowledge gap…

Abstract

Purpose

Despite the undeniable need for innovation in hospital building design, the literature highlights the disconnect between research and practice as the primary knowledge gap hindering such innovation. This study shows this focus to be an oversimplification, for the complex processes that trigger design innovations and impact their ecosystems need to be examined from a systemic perspective. This paper aims to conceptualise the evolution of hospital building design and identify and explain the main factors triggering design and construction innovations over the past 100 years.

Design/methodology/approach

A novel hybrid research design to mixed grounded theory (MGT) methodology, with Charmaz constructivist paradigm, is developed as a new systematic way of constructing and interpreting the concepts and interconnections among them that triggered design innovation.

Findings

This study represents a taxonomy of concepts and an explanatory innovation framework, containing 617 interconnections between 146 factors classified across 14 categories. The complex innovation ecosystem comprises multi-faceted processes between heterogenous factors with both individual and collective impacts on design innovations.

Originality/value

This research highlights the main components of the innovation ecosystem and its overall behaviour in this field, and the most influential and interrelated contextual factors, as well as representing and mapping generative interactions that support innovation processes. This knowledge can help hospital researchers, designers, policymakers and stakeholders adopt a multidimensional outlook to analyse the strength of all influential factors, introduce potential novel ways of collaborating, conceptualise an organisational approach, re-formulate research questions through transdisciplinary methods and introduce interdisciplinary courses and programs in architecture schools, thereby contributing to timely design innovation.

Details

Construction Innovation , vol. 23 no. 4
Type: Research Article
ISSN: 1471-4175

Keywords

Article
Publication date: 13 December 2022

Hadeel T. Salaheldin, Mark David Major, Ahmad Mohammed Ahmad and Heba O. Tannous

Many factors contribute to public rail transit use in an urban network. However, a dysfunctional relationship between the built environment and the transport system significantly…

Abstract

Purpose

Many factors contribute to public rail transit use in an urban network. However, a dysfunctional relationship between the built environment and the transport system significantly deters such use. Architects, urban designers, town planners and policymakers must understand the factors that promote or deter pedestrian use of the urban environment.

Design/methodology/approach

The paper investigates four connectivity and walkability factors for three different metro stations in Doha, Qatar: Al Aziziyah, Hamad Hospital and West Bay. The analysis includes pedestrian sheds, block sizes, ground-level land uses and connectedness in the urban spatial network based on catchment contour maps using space syntax.

Findings

The results indicate the three metro stations and neighborhoods are representative of diverse type of neighborhoods in Doha: relatively compact but expansive for the Hamad Hospital Station area, metrically and topologically restrictive due to the poor planning and the peninsular location of the reclaimed land in the West Bay area, and expansive, shallow and reliant on attraction for the Al Waab transportation corridor associated with Al Aziziyah Station.

Research limitations/implications

Time factors and temporary closure/capacity reductions due to the global pandemic restricted planned efforts to collect more pedestrian use data based on passive observations and preference choices using surveys during the study. Nonetheless, adapting the investigation to the circumstances produced significant findings.

Social implications

The analysis can help us develop better guidelines and diagnostic tools to calibrate design and planning strategies promoting more walkable, healthy and sustainable neighborhoods.

Originality/value

The study is original due to examining stations of the new Doha Metro for the first time. However, it relies on well-established representational techniques in urban morphology and space syntax research.

Details

Open House International, vol. 48 no. 3
Type: Research Article
ISSN: 0168-2601

Keywords

Article
Publication date: 14 March 2023

Mohd Zairul, Mohd Azli and Aznida Azlan

This study aims to provide insight into the patterns and trends in the literature on the direction of future studio education in architecture schools, and can be useful to…

Abstract

Purpose

This study aims to provide insight into the patterns and trends in the literature on the direction of future studio education in architecture schools, and can be useful to architecture schools, researchers and boards of studies in making decisions on how to move forward post-COVID-19.

Design/methodology/approach

This study conducted a thematic review (TR) from SCOPUS and WoS that discuss the direction of future architecture studio education in the post-COVID-19 era and their recommendations for how to move forward.

Findings

The final theme is feedback studies, innovation in studio teaching, and a new model for post-COVID-19 studio education.

Research limitations/implications

Due to the temporal constraints of the data investigated between 2020 and 2022 based on the post-COVID period, only 13 publications were assessed based on the search strings utilized in this study, considering the decision and efforts made after COVID-19 among the participating architectural schools.

Practical implications

This study will prove helpful to architecture schools, studio education researchers and the architecture board of studies.

Social implications

This study intends to promote blended learning and enables the student to access the materials from anywhere at any time while enjoying the benefits of face-to-face (F2F) support and instruction.

Originality/value

This is the first review paper for architecture studio education post-COVID-19, as well as the first to use a TR approach to analyze the available literature on the subject. The focus on the post-COVID-19 period and the use of TR allow for a comprehensive understanding of the trends and patterns in the literature on the direction of future studio education in architecture schools. Additionally, this research aligns with the United Nations Sustainable Development Goal 4 on ensuring inclusive and equitable quality education and promoting lifelong learning opportunities for all, as it seeks to address the challenges and opportunities presented by the pandemic to support the learning and development of architecture students.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. 17 no. 3
Type: Research Article
ISSN: 2631-6862

Keywords

Article
Publication date: 16 February 2024

Shahla Safwat Ravhee and Sazdik Ahmed

This paper aims to examine how the interrelation between architecture and the physical environment came to prominence and influenced the pioneering modernist architects to acquire…

Abstract

Purpose

This paper aims to examine how the interrelation between architecture and the physical environment came to prominence and influenced the pioneering modernist architects to acquire the features of modern architecture that the British modernists later adopted. How the post-war urban poor of Britain, suffering from ill-health and dire need of sun, air and a good environment, played an essential role in alleviating the environmental concerns of the modern movement architects.

Design/methodology/approach

The methodology of this research involves a comprehensive architectural analysis of the Finsbury Health Centre alongside an in-depth historical investigation of modernist design principles. This review article examines books, articles and some archival materials, such as recordings, pictures, etc. on the early phase of British modernism and its environmental dimension by looking at the works of historians, architects and critics.

Findings

Design based on modernist principles. While it can be seen as the political agenda of the Labor Party, this building was not only functionally efficient but also represented the biometric concerns of modern architecture with the most natural means.

Research limitations/implications

While this study provides valuable insights, it may be limited by historical documents and data availability.

Originality/value

The originality and value of this paper lie in its examination of the Finsbury Health Centre as a case study, shedding light on the environmental rhetoric of modernism in historic architecture. By providing a holistic assessment of the building’s environmental aspects, this research contributes to both architectural history and contemporary sustainable design practices.

Details

Archnet-IJAR: International Journal of Architectural Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2631-6862

Keywords

Article
Publication date: 26 October 2021

Faezeh Ghaffari, Maryam Shabak, Nima Norouzi and Siyamak Nayyeri Fallah

This study aimed at the identification of perceptional environment properties in hospital public spaces that can affect salutogenic components and patients' overall satisfaction…

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Abstract

Purpose

This study aimed at the identification of perceptional environment properties in hospital public spaces that can affect salutogenic components and patients' overall satisfaction and suggested a conceptual framework.

Design/methodology/approach

A systematic review focused on specific steps to clarify the impact of public spaces' environmental quality on patients' satisfaction through the salutogenic approach. Searches were conducted in five databases and four scientific journals.

Findings

Five perceptional environment components of hospital public spaces: physical–psychological comfort, visibility, accessibility, legibility and relationability can be related to three indicators of salutogenic approach: manageability, perception and meaning and can be evaluated in patients' overall satisfaction: desire to use hospital again, to recommend the hospital to others, to prefer hospital to other healthcare environments and to trust in the hospital.

Originality/value

Despite studies on healthcare environments, there is a lack of research on the salutogenic approach in hospital public spaces. Therefore, this paper focuses on the environmental quality in public spaces as an influence on patients' satisfaction with the salutogenic perspective to create a health-promoting environment.

Details

International Journal of Building Pathology and Adaptation, vol. 41 no. 5
Type: Research Article
ISSN: 2398-4708

Keywords

Article
Publication date: 4 December 2023

Marziyeh Faghiholislam, Hamidreza Azemati, Hadi Keshmiri and Somayeh Pourbagher

The most common reaction to an acute physical illness is anxiety, which may be followed by depression. In patients with chronic diseases, the prevalence of anxiety disorders and…

Abstract

Purpose

The most common reaction to an acute physical illness is anxiety, which may be followed by depression. In patients with chronic diseases, the prevalence of anxiety disorders and depression is almost twice as high as in other diseases. This study aims to extract prominent components in the design of treatment spaces on reducing hospitalized patients’ depression from both experts and patients/users’ point of views. A final model is also presented based on the findings.

Design/methodology/approach

This research used an exploratory mixed method. The effective components were extracted through the administration of two Likert-scale researcher-made questionnaires in two phases. Q factor analysis was conducted to reach the components. A total of 205 patients were admitted to Namazi Hospital in Shiraz, and 20 architecture and psychology experts participated in the survey. Final modeling of the data was done through path analysis.

Findings

Six factors were found to be effective by experts in reducing depression in therapeutic spaces: nature-oriented space, targeted social space, diverse space, visual comfort, logical process and safe space. On the part of patients, seven components were deemed to be effective: visual perception, naturalism, functionalism, physical security, logical process, psychological safety and diversity. Also, four main cycles were extracted from the final model with the direct effect of diversity and the other five cycles were mediated by naturalism.

Research limitations/implications

A total of 15 interviews with architects and psychologists, who were available at the time of the study, were conducted in January 2018. The only general question during interviews was “In your opinion, what factors are effective in reducing the level of depression of patients in the design of treatment spaces?” This may have limited the range of factors that could be surveyed in the study. After collecting the effective factors from the aforementioned expert’s points of view, the questionnaire of experts was designed (Appendix). The expert questionnaires were distributed and edited in two stages in January 2019 among 20 architect experts who were available at the time of the study. The one-year interval between designing and administering the questionnaires occurred because of the limitations posed by the COVID-19 pandemic situation. However, the interval did not pose methodological obstacles for the study.

Originality/value

Evidence-based investigation of the effectiveness of proper design components of therapeutic spaces in reducing the symptoms of patients with chronic secondary depression has received little attention in the literature. Using a “conceptual model,” the present study brought the issue into its focus so as to find effective components in the design of treatment spaces that can alleviate depression symptoms in chronically hospitalized patients.

Details

Facilities , vol. 42 no. 1/2
Type: Research Article
ISSN: 0263-2772

Keywords

Open Access
Article
Publication date: 21 March 2024

Mohammad Yasser Arafat and Sonal Atreya

The study investigates the relationship between hospital environmental factors and the well-being of geriatric in-patients. It aims to identify the impact of architectural design…

Abstract

Purpose

The study investigates the relationship between hospital environmental factors and the well-being of geriatric in-patients. It aims to identify the impact of architectural design on comfort, safety, privacy and stress levels experienced by elderly patients during their hospital stays.

Design/methodology/approach

Employing a mixed-methods approach, the research assesses the experiences of 100 geriatric in-patients across various hospital types through surveys, observational checklists and state anxiety measurements. The methodology involves examining architectural features, patient perceptions and correlations among environmental variables and patient experiences. Statistical analyses, including correlations and chi-square tests, were employed to discern associations between environmental variables and patient experiences.

Findings

The research identified key architectural features significantly impacting geriatric patients' experiences. Factors such as sturdy beds, furniture quantity, lighting conditions, proximity to facilities and ward occupancy levels were found to influence spatial, sensory and social comfort. Notably, proximity to facilities and control over the immediate environment were crucial for self-control and safety perceptions. Privacy, highly valued by patients, correlated with the presence of curtains and ward occupancy. Moreover, patient stress levels exhibited correlations with autonomy, privacy and ward occupancy.

Originality/value

This research offers significant insights into the criticality of specific architectural elements in enhancing comfort and reducing stress for geriatric in-patients. These findings hold substantial value for healthcare facility design, emphasizing the need to prioritize certain design aspects to promote the well-being of elderly patients during hospitalization.

Details

Frontiers in Engineering and Built Environment, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2634-2499

Keywords

Article
Publication date: 13 February 2024

Ilkay Cankurtaran and M. Halis Gunel

Cancer has become a priority among today’s health problems. Therefore, providing facilities that ensure high-quality cancer treatment has become an essential design problem…

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Abstract

Purpose

Cancer has become a priority among today’s health problems. Therefore, providing facilities that ensure high-quality cancer treatment has become an essential design problem. Additionally, a considerable number of studies have introduced the ‘healing environment concept’ as a substantial input for healthcare buildings. The purpose of this paper is to present a design guide for cancer treatment services that is compatible with the healing environment concept.

Design/methodology/approach

In this context, studies on the healing environment have been analyzed, and the legislation of some selected countries has been assessed. Then, all the filtered data are used to form the design guideline for chemotherapy department, radiation oncology department and inpatient care services under a new series of analysis criteria.

Findings

The resulting principles are revealed according to the criteria of general settlement principles, internal function relations, medical necessities, user experience, interior design, social interaction/privacy, safety, landscape design and outdoor relations by the help of proposed plans, diagrams and schematic drawings.

Originality/value

This research constitutes the first and yet only study in its field that aims to increase efficiency and user satisfaction and provide better patient-centered care while providing a design guide on health-care architecture.

Article
Publication date: 16 August 2023

Supuck Prugsiganont and Tanut Waroonkun

This study aims to investigate the physical environmental problems of two Thai community hospitals’ outpatient departments (OPDs) during the COVID-19 outbreak and to provide…

Abstract

Purpose

This study aims to investigate the physical environmental problems of two Thai community hospitals’ outpatient departments (OPDs) during the COVID-19 outbreak and to provide design guidelines for respiratory disease prevention.

Design/methodology/approach

A three-step method was used. The first step involved walk-through observations at Mae Wang Hospital and Doi Saket Hospital to assess the physical environment. The second step consisted of interviews with 22 medical staff working in the two hospitals. Third, the observation and interview data were used to develop a preliminary design guideline, which was evaluated by two focus groups comprising the same interview participants.

Findings

The observational findings showed that the two hospitals had difficulties following the COVID-19 prevention protocol due to physical environmental problems. Four different themes emerged from the analysis of the medical staff interviews. The preliminary design guidelines that were evaluated through two focus group discussions resulted in design recommendations for four areas (the overall building, clinical, support and staff areas) in the Mae Wang and Doi Saket OPD buildings. Three topics of design recommendations were provided to reduce the spread of COVID-19: improving hospital management, space design and air quality.

Originality/value

To the best of the authors’ knowledge, this study is the first to provide design guidelines for COVID-19 and respiratory disease prevention in Thai community hospital OPD buildings.

Details

Facilities , vol. 42 no. 3/4
Type: Research Article
ISSN: 0263-2772

Keywords

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