Herd-Health Environments Research & Design Journal最新文献

ObjectivesThis study aims to explore how architects perceive their role in designing Extra Care Housing (ECH) environments in the UK, focusing on the impact of architectural design on the quality of life (QoL) for older residents.BackgroundECH represents a housing model for older adults that emphasizes independence, community integration, and access to care services. While existing literature examines ECH from healthcare and policy perspectives, little is known about how architects approach its design. This study addresses that gap by investigating architects' perspectives on designing ECH to enhance residents' autonomy, safety, and social inclusion.MethodsSemi-structured interviews were conducted with 12 architects across seven UK locations who specialize in ECH projects. Data were analyzed using thematic analysis, supported by qualitative software tools (Atlas.ti and NVivo), applying a primarily deductive coding approach based on six QoL domains. Code concurrence was assessed through cross-tabulations to explore interconnections between sub-themes.ResultsFindings reveal three overarching themes-Sense of Community, Health and Safety, and Choice and Control-each encompassing subthemes that illustrate how design supports autonomy, social interaction, and spatial orientation. Additionally, the study identifies a cross-cutting theme, Mobility, Sensory, and Cognitive Stimulation, as a critical yet often overlooked dimension in ECH design. Participants also highlighted persistent challenges, including regulatory constraints and limited financial resources.ConclusionsArchitects view ECH design as a balance between promoting independence and accommodating care needs. Their insights underline the importance of community-connected design, flexible spaces, and unobtrusive safety features. These findings inform future ECH practices and underscore the need for interdisciplinary collaboration in housing design for older adults.

ObjectiveTo clarify the influence of daylight access on patients' and their companions' stress perception and coping behavior (communication) in cancer hospital waiting areas.BackgroundIn patient care, managing stress and encouraging effective coping strategies are essential. Daylight has shown as a modulator of stress responses and coping behaviors. Limited research has been done regarding the impact of daylight access on the waiting experience of cancer patients and their companions.MethodsEmpirical data were collected through on-site observations and questionnaire surveys in 30 waiting areas across seven cancer hospitals in China. Based on responses from 419 patients and 371 family companions, we examined differences in stress and communication between groups in the areas with and without daylight access. Multivariate logistic regression models were used to assess the significance of daylight access and communication in predicting stress.ResultsPatients and families in the areas with daylight access communicated more with peers (p ≤ .05) and perceived less stress (p ≤ .10) compared to those in windowless areas. They also communicated more with nurses, though this difference was not statistically significant (p > .10). Participants who engaged in more peer communication reported less stress (p = 0.00). Daylight access and peer communication significantly contributed to stress reduction, explaining over 15% of the variance in stress, along with personal and social variables in modeling.ConclusionAccess to daylight in the waiting areas of cancer hospitals reduces stress and promotes communication among patients and family companions. Healthcare facilities should provide daylight access in their waiting areas to reduce stress and encourage communication.

Environmental design in palliative care settings receives increasing attention, yet methodologies for studying such environments often lack interdisciplinary integration. Traditional research designs may overlook the lived expertise of clinicians and designers.ObjectivesThis article describes a collaborative, cross-disciplinary communities-of-practice model developed as a methodological framework to enable effective environmental evaluation and design processes in healthcare settings. Its application is illustrated through a case study in a palliative care unit.MethodsA co-designed, multi-methods approach was developed by a team of clinicians, facility managers, and academic researchers. The methodology included a scoping review, site-specific environmental data logging (sound, temperature, lighting), and co-created survey tools for staff and patients or proxies. Data were collected over two phases, following ethically approved protocols to protect privacy and support data validity.ResultsThe communities-of-practice model successfully integrated cross-sector expertise, improved the contextual relevance of study instruments, and enabled real-time, context-sensitive data collection in a high-acuity clinical setting. The method supported context-aware adaptations that would not have emerged from conventional top-down research approaches, effectively bridging academic inquiry and practical clinical application.ConclusionThe communities-of-practice model offers a replicable, interdisciplinary method for researching complex healthcare environments. Its case study in a palliative care unit demonstrates its capacity to generate actionable insights aligned with patient-centred outcomes. As health architecture increasingly intersects with evidence-based care delivery, such methodological approaches are vital for aligning design decisions with clinical and human-centred goals.

AimThis systematic literature review, following the PRISMA statement, aims to review the knowledge of how the indoor lighting environment and color palettes impact individuals living with Autism Spectrum Disorders (ASD), particularly their behavior and lighting and/or color preferences.BackgroundA supportive built environment is crucial for persons with ASD. Lighting design (daylight and electrical lighting) and color schemes significantly impact their behavior, information processing, and overall well-being. Despite its importance, lighting design for autism has received limited attention in architecture and design research.MethodsA comprehensive search across seven electronic databases (PubMed, CINAHL, SveMed+, and four library databases including Oria, Regina, the British National Bibliography, and the Royal Danish Library), followed by a thorough review and critical appraisal, resulted in seven (7) high-quality studies with moderate to low risk of bias. Articles were assessed using three standardized checklists, for example, JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies, JBI Critical Appraisal Checklist for Qualitative Research, and Mixed Methods Appraisal Tool (MMAT).ConclusionsThe findings are consistent with previous research and confirm that light and color influence ASD individuals' behavior and sensitivity. However, there is a substantial gap in understanding practical applications, as most studies are descriptive or exploratory rather than experimental. Future research should emphasize experimental approaches to develop evidence-based guidelines for designers.

ObjectivesOur study examines experiences of patients admitted to multibedded patient rooms in a former hospital building, compared to patients' experiences in single-occupancy patient rooms (SPRs) in a new hospital building, designed according to principles of a healing environment.BackgroundTo improve patients' privacy, comfort and infection control, newly built hospitals increasingly accommodate patients in SPRs.MethodsIn a single-center, before-after study, patients completed a questionnaire of 40 items in four domains: privacy, sanitary facilities, patient room and ward layout. This substudy was embedded within the WELCOME study.ResultsA total of 227 participants were involved in the before-measurement and 416 in the after-measurement. Patients considered the SPRs better in terms of privacy; more than 90% of participants (strongly) agreed with the privacy-related questionnaire items. Sanitary facilities, patient rooms and ward layout were also rated higher in the new hospital building. For most questionnaire items pertaining to these domains, more than 80% of patients in the new facility (strongly) agreed. 23.5% of respondents in the new building reported missing the companionship of fellow patients.ConclusionsPatients rated the 100% single-occupancy ward configuration more favorably than the former multi-occupancy layout, with enhanced privacy emerging as an important advantage. However, this same privacy can leave some patients feeling isolated. Future studies should explore targeted interventions-such as structured social activities or volunteer-led engagement-to mitigate loneliness and promote mobilization, while preserving the established benefits of SPRs.

ObjectivesThis study proposes an evidence-based design guideline for oncology inpatient rooms that addresses the physical, emotional, and psychosocial needs of cancer patients.BackgroundCancer inpatients frequently experience long hospital stays with emotional vulnerability and clinical stress. Growing evidence suggests environmental design can shape patient experience, comfort, and recovery. Yet, current literature lacks an integrated framework for the spatial and sensory needs of this population.MethodA systematic literature review was conducted across Web of Science, Scopus, and PubMed. From an initial pool of 1004 records, 36 studies met the inclusion criteria. Data were thematically analyzed and interpreted using established healthcare design theories.ResultsThe synthesis coalesced a wide range of findings into five core thematic domains: (a) the patient's personal sphere of privacy, control, and identity; (b) the social dimension of balancing solitude with connection; (c) the sensory environment of nature, art, and acoustic well-being; (d) the integration of embedded safety and hygiene; and (e) a culture of responsive and participatory design. The analysis reveals a critical tension between clinical necessity (e.g., infection control) and psychological well-being (e.g., avoiding isolation), highlighting the need for integrated solutions.ConclusionsThe physical environment is an active agent in the cancer care experience. This review presents a comprehensive, patient-centered design framework translating empirical evidence into practical strategies. Despite study design limitations, the findings emphasize creating adaptable, psychologically supportive environments for patients' evolving needs. The proposed guideline is a foundation for future design standards and evidence-driven practice in oncology care.

Objective: This study examined staff perceptions of design and patterns of work locations and activities across two different designs, linear design and onstage/offstage clinic design, to inform evidence-based facility design and planning decisions. Background: Healthcare industry trends indicate an increasing focus on outpatient facilities, which currently represent 42% of healthcare construction spending, necessitating research on optimal design approaches for staff efficiency and satisfaction. Method: Three types of data collection and analysis were employed. First, surveys were conducted with nursing, medicine, physician assistants, case managers, and medical assistants/technicians from linear design (N = 48) and onstage/offstage design (N = 50) clinics. Second, focus groups of 24 staff were employed across clinics. Third, staff shadowing utilized tablet-based applications to record patterns of work activities, participants, and locations (N = 6,604 observations; 150 h). Results: Survey results showed Onstage/Offstage clinic staff had significantly more favorable perceptions of Clinic Design Features (p = .000), Design Awareness (p = .001), and Satisfaction with Design (p = .001) than Linear Design staff. Open-ended survey comments provided staff preferences and issues with clinic design. Focus group analysis revealed two themes from Linear Design staff: (1) Distance, and (2) Onstage/Offstage clinic design was superior and one theme from Onstage/Offstage staff: Proximity. Shadowing data revealed distinct workflow patterns, with Onstage/Offstage clinic staff spending significantly more time in direct patient care while Linear Design staff allocated more time to paperwork and patient reception activities. Conclusions: Key implications for clinic designers include prioritizing centralized staff work areas, implementing acoustic privacy solutions with spatial zoning; and redesigning patient interaction points for enhanced privacy compliance.

BackgroundClinical nurses are consistently exposed to high levels of occupational stress, which can undermine their professional quality of life, resulting in burnout, reduced compassion satisfaction, and psychological exhaustion. In the aftermath of the COVID-19 pandemic, resilience has emerged as a critical protective factor in helping nurses manage these stressors. Moreover, connectedness to nature has gained recognition as a potential influence on enhancing nurses' professional quality of life.PurposeDrawing on Nature-Based Biopsychosocial Resilience Theory and General Systems Theory, this research investigates how connectedness to nature influences nurses' Professional Quality of Life, exploring the mediating role of psychological resilience.MethodsA cross-sectional survey was conducted among clinical nurses during the COVID-19 pandemic. Path analysis examined direct and indirect relationships among connectedness to nature, psychological resilience, and three components of professional quality of life: compassion satisfaction, burnout, and secondary traumatic stress.ResultsConnectedness to nature was significantly associated with higher compassion satisfaction and lower burnout. Psychological resilience partially mediated these relationships, indicating that while connectedness to nature may offer immediate stress-buffering benefits, it also contributes to the development of resilience, a critical long-term protective resource. No significant effects were observed for secondary traumatic stress.ConclusionsThe findings suggest that connectedness to nature serves as a potent, nature-based avenue for strengthening nurses' psychological capital and elevating critical components of their professional quality of life. This underscores the compelling rationale for integrating nature-based strategies into healthcare environments to proactively foster the emotional well-being and long-term sustainability of frontline nurses.

BackgroundResearch has demonstrated that therapeutic architectural spaces can significantly enhance patient treatment outcomes. However, current designs underutilize therapeutic potential due to three key limitations: poor environmental comfort, suboptimal health metrics, and weak cultural immersion.PurposeThis study develops a healing-oriented spatial design framework for Traditional Chinese Medicine (TCM) clinics.MethodsForty-one requirements were identified through literature review, interviews, and WELL v2 standards, which were refined to 23 core needs based on environmental healing theory. The Kano model and Better-Worse coefficient analysis were applied to quantify their dual impacts on user satisfaction and health benefits.Results and ConclusionsThe four-layer design model comprises: (a) a Basic layer that strictly adheres to six essential requirements from TCM clinic standards; (b) an Enhanced layer that optimizes five performance-driven needs; (c) an Innovative layer that develops 11 culturally distinctive features; and (d) a Potential Optimization layer that formulates dynamic strategies for indifferent-type requirements. It provides the first quantitative tool for TCM clinic space design that integrates healing environment theory with TCM characteristics, highlights the value of the built environment as a nonpharmacological therapy, and promotes the paradigm shift of healthcare spaces from "disease treatment" to "health promotion."