Herd-Health Environments Research & Design Journal最新文献

{"title":"From Challenges to Innovations: Expert Insights in Pediatric Healthcare Design.","authors":"Haripriya Sathyanarayanan, Luisa Caldas","doi":"10.1177/19375867251353733","DOIUrl":"https://doi.org/10.1177/19375867251353733","url":null,"abstract":"<p><p><b>Background:</b> Pediatric healthcare design increasingly addresses clinical and psychosocial needs, highlighting the role of spatial, technological, and environmental factors in supporting patient well-being. Emerging technologies, such as virtual reality (VR) and artificial intelligence (AI), show potential for improving patient engagement and healthcare operations, though adoption remains challenged by privacy, ethical, and implementation barriers. <b>Objectives:</b> This study explores current trends, barriers, and future directions in pediatric healthcare design, focusing on patient-centered care, adaptability, emerging technologies, and participatory design strategies. <b>Methods:</b> Fifteen experts-including architects, pediatric nurses, child life specialists, and healthcare administrators-were interviewed via Zoom using a semi-structured format. Purposive and snowball sampling facilitated recruitment, and thematic analysis was conducted to extract key themes. <b>Results:</b> Experts highlighted the evolution of family-centered and culturally responsive design, emphasizing the need for privacy-conscious, adaptable spaces that support neurodivergent children and behavioral health needs. Biophilic and sustainable design were seen as essential for creating calming environments and supporting long-term well-being. While VR and AI offer promise in enhancing patient experiences and operational efficiency, privacy concerns, costs, and regulatory concerns remain key barriers. Infection control measures, while critical, were seen as potentially conflicting with patient-centered and socially supportive environments. Interdisciplinary collaboration and participatory design methods were underscored as key to addressing complex design challenges. <b>Conclusions:</b> Future pediatric healthcare design will prioritize flexibility, inclusivity, and a public health approach, balancing clinical safety with emotional and psychological well-being. Ongoing interdisciplinary collaboration and adaptive design strategies will be critical in creating environments that enhance patient experience, caregiver support, and healthcare efficiency.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353733"},"PeriodicalIF":1.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Method to Understand Value Generation in Healthcare Built Environments Based on the Means-End Chain Approach.","authors":"Giulie Anna Baldissera Leitte-Teixeira, Carlos Torres Formoso, Patricia Tzortzopoulos","doi":"10.1177/19375867251353734","DOIUrl":"https://doi.org/10.1177/19375867251353734","url":null,"abstract":"<p><p>BackgroundExisting literature highlights the crucial role of Healthcare Built Environments (HBEs) in generating value and shaping service experiences. HBEs must fulfil their intended purpose during the operational phase of construction projects to generate value. Additionally, many design requirements for facilities are shaped by the needs of clinical and support services, as well as those of users. Therefore, understanding value generation requires considering the dynamic interdependence between physical space and service needs. However, previous studies have not thoroughly explored these relationships, leaving a critical research gap.ObjectiveIt aims to propose a method to understand value generation in HBEs by examining the relationships between built environment attributes and healthcare service delivery, from the perspectives of multiple user groups.MethodDesign Science Research was the methodological approach adopted in this investigation. Two empirical studies were undertaken in different hospitals.ResultsThe primary output is the i3 method, a novel approach for understanding value generation in HBEs. It integrates the laddering technique, which is based on the means-end chain conceptual model, with additional sources of data, such as design documents, interviews with stakeholders, and direct observations of the HBEs.ConclusionsFindings highlight the importance of analyzing the interactions between the HBE and services, revealing opportunities to enhance value generation. The hierarchical value maps generated through the i3 method offer a structured approach to support design decision-making. The i3 method helps identify overlooked constructs and relationships, such as the need for HBE adaptability to address service changes or respond to unforeseen service demands.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353734"},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design Ideas for Inpatient Stroke Rehabilitation Facilities: Living Lab Findings.","authors":"Ruby Lipson-Smith, Aaron Davis, Marcus White, Luis Pflaumer, Julie Davey, Leonid Churilov, Anna Fox, Natalie Pitt, Ciara Shiggins, Juan Pablo Saa, Mark Lam, Julie Bernhardt","doi":"10.1177/19375867251343910","DOIUrl":"https://doi.org/10.1177/19375867251343910","url":null,"abstract":"<p><p>ObjectivesTo provide actionable, co-designed ideas for how to optimize the built environment and service of inpatient stroke rehabilitation facilities.BackgroundInput from diverse stakeholders is needed to ensure that stroke rehabilitation spaces address the unique learning and practice needs of users. In this paper, we report the first phase of the Neuroscience Optimized Virtual Environments Living Lab (NOVELL) Redesign project.MethodWe engaged with key stakeholders across: (1) Four co-design workshops (<i>n</i> ranged between 23 and 31 people per workshop including stroke survivors, clinicians, and designers) to generate ideas for design innovation; (2) a workshop with a healthcare architecture firm responding to these ideas; and (3) an online prioritization task to rank outcomes from previous workshops.ResultsOutputs included: (1) A framework of objectives describing what is important in stroke rehabilitation environments and services; (2) 28 actionable design ideas for achieving these objectives; (3) 10 scenarios that integrate these design ideas and objectives to describe a speculative, visionary stroke rehabilitation facility; and (4) prioritization of these scenarios. Key scenarios included: Bedrooms that achieve the benefits of both a single and shared room; environments/services that allow stroke survivors access to appropriate levels of risk; and therapy spaces that provide supported challenge and real-world practice.ConclusionsWe identified opportunities for innovation that bring service design and architectural design together symbiotically. The interdisciplinary methods-combining co-design, Design Thinking, Speculative Futures, and Multi-Attribute Evaluation within a Living Lab framework-were successful in generating collaborative, actionable, and visionary design ideas.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251343910"},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a Culture of Inquiry in Healthcare Design: Research, Appraisal, and Empowerment Through the RAISE Heuristic Model.","authors":"Elizabeth A Johnson, Jordan Zignego, Katheen Valentine","doi":"10.1177/19375867251355297","DOIUrl":"https://doi.org/10.1177/19375867251355297","url":null,"abstract":"<p><p>BackgroundThe Nursing Institute of Healthcare Design conducted an interdisciplinary design professional workshop surrounding evidence-based research inclusion throughout the continuum of healthcare projects. A mnemonic was developed to guide learners through steps of research integration: Rethink; Appraise; Inquire; Study; and Empower (RAISE).PurposeThe purpose of developing the RAISE heuristic model was to create a common approach to evidence-based design integration in healthcare projects through easily interpretable, guided steps and adaptable use across multiple stakeholder groups/settings.MethodGuided by situational learning theory, RAISE was introduced to over 49 design professionals via a keynote presentation, panel session, and interactive virtual escape room activity. Workshop attendees used the mnemonic to find clues, solve puzzles, and complete a quiz to 'escape' one of four project scenarios: operating room; pediatric in-patient behavioral health; community clinic; and emergency department.ResultsA total of 34 attendees completed an evaluation survey, which included Likert-scale quantitative questions and qualitative open-ended questions. Over 80% of respondents rated the knowledge of subject, presentation skills, content, and overall session as 'Excellent.' Qualitative findings noted areas of opportunity to refine the RAISE model to smaller scale project applications.ConclusionThe RAISE model has been adopted by an interprofessional graduate healthcare systems design course at Montana State University and by industry partners of the Nursing Institute of Healthcare Design to make research approachable to new generations of designers. Future work will include further testing and iterative refinement of the model as part of an online toolkit developed by the Institute.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251355297"},"PeriodicalIF":1.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying Environmental Priorities: A Weighted Model for Doctors' Workspaces Design.","authors":"Yaonan Ai, Yue Wu, Fangfang Liu, Da Yang","doi":"10.1177/19375867251353737","DOIUrl":"https://doi.org/10.1177/19375867251353737","url":null,"abstract":"<p><p><b>Background:</b> Doctors often face heavy workloads and high-stress levels. Optimizing their workspaces can enhance emotional well-being, increase satisfaction, and improve healthcare outcomes. Currently, no theoretical framework exists for such spatial optimization, necessitating the exploration of key elements and interactions within the typical workspaces for doctors. <b>Objectives:</b> In this study, we focused on typical workplaces for doctors to identify the factors within these spaces that influence emotional regulation, assess their effectiveness, and establish an evaluation framework. <b>Methods:</b> Semi-structured interviews were conducted with 30 medical experts, followed by qualitative thematic analysis to construct a clustering model. Subsequently, we identified the key categories to construct the Analytic Hierarchy Process model. We invited 10 medical experts and 10 architectural design experts to evaluate the importance of these factors using a judgment matrix approach. <b>Results:</b> The clustering model for emotional regulation included six dimensions: individual characteristics, spatial dimensions, physical aspects, decorative elements, atmosphere, and emotional expressions. The model identified four primary categories (spatial dimensions, physical aspects, decorative elements, and atmosphere) and assessed their relative weights. <b>Conclusions:</b> In this study, we identified key factors influencing doctors' emotional regulation and established a clustering model. The evaluation model and importance weights of different factors provide effective recommendations for optimizing doctors' workspaces and enhancing their work environments theoretically and practically.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353737"},"PeriodicalIF":1.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Mixed Methods Reimagination of Rural Critical Access Hospital Design Process.","authors":"Elizabeth A Johnson, Julie Alexander-Ruff, Bernadette McCrory","doi":"10.1177/19375867251351029","DOIUrl":"https://doi.org/10.1177/19375867251351029","url":null,"abstract":"<p><p>PurposeA pilot mixed methods facility environmental evaluation of a rural critical access hospital in Montana coupled with qualitative community interviews to identify areas of convergence and divergence of meaningful design changes to enhance hospital operations, service line offerings, and access.BackgroundMontana is the fourth largest state with a population of approximately one million residents. Most Montana residents live in geographically isolated rural or frontier communities with chronic healthcare provider shortages and critical access hospitals closing or at risk of closure. As many rural hospitals undergo renovations, there is a need for a holistic approach to align facility and community needs in an interpretable manner to both design teams and hospital leadership.MethodsEnvironmental evaluation was conducted using checklists for seven indicators of facility health: lighting; air quality; noise; infection control/prevention; information security; travel and wayfinding; and supply management. In tandem, qualitative semi-structured community resident interviews were conducted. Findings were synergistically interpreted in partnership with a community advisory board and hospital leadership.ResultsOf the seven environmental indicators, noise and lighting were most significant to local resident perspectives and attitudes to accessing care at the hospital. Residents noted the need for heightened safeguards to support privacy and confidentiality when individuals and family groups are familiar with one another in small towns.ConclusionsFindings in this study suggest rural healthcare facility design teams may benefit from a mixed methods approach and use of a rural culture-specific guiding conceptual framework to align decision-making with meaningful changes to enhance community engagement.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251351029"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Pediatric Outpatient Waiting Room Design on the Experiences of Autistic Children: A Pilot Study.","authors":"Maria J Vetter, Ashley E Mason, Kathryn L Hansen","doi":"10.1177/19375867251353735","DOIUrl":"https://doi.org/10.1177/19375867251353735","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to better understand how the design of the pediatric outpatient waiting room impacts the experiences of autistic children. <b>Background:</b> Outpatient waiting rooms are frequented by autistic children for a variety of healthcare services. Often, these settings consist of unpredictable, uncontrollable, and intense stimuli that may be difficult for children to tolerate. Due to the increased prevalence of autism and significant differences in sensory and self-regulation needs, it is essential to design waiting rooms that are more supportive and inclusive. <b>Methods:</b> Data collection included participant observations, semistructured interviews with the participant and their family, and administration of parent surveys. The Person-Environment-Occupation Model was used to guide data collection and analysis. Once all data was collected, a six-step thematic analysis process was used. <b>Results:</b> Three children and their families participated in this study. Three themes emerged: waiting room triggers, facilitating regulation, and supported inclusion. Each theme identified specific barriers and facilitators of the current waiting room design. <b>Conclusions:</b> This study contributes important perspectives to the literature when designing outpatient therapy waiting rooms. More research is needed to fully tailor healthcare design to be supportive of autistic children.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353735"},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Four-Stage Air Filtration Systems on the Well-Being of Residents Living in Skilled Nursing Care Facilities.","authors":"Sandra Arias-Guzman, Zulijana Anastasova-Mikic, Susan Jellum, Michael Young, Rachel D'agostini, Karli Broderius, Evan Call","doi":"10.1177/19375867251353736","DOIUrl":"https://doi.org/10.1177/19375867251353736","url":null,"abstract":"<p><p><b>Purpose:</b> A non-randomized exploratory and observational study evaluated the effects of high-performance four-stage air filtration systems on health and well-being of residents in skilled nursing facilities. <b>Background:</b> Air pollution and microorganisms are environmental hazards that can increase stress levels and are associated with increased susceptibility to heart attacks, strokes, and heart failure. Research indicates that filtration devices can lower exposure to fine particulate matter, potentially improving health. <b>Methods:</b> Four-stage air-filtration systems, including a pre-filter for large particulate matter, a patented molecular filtration media, chemical filtration, and a HEPA filter, were installed at two skilled nursing facilities. A facility without any intervention was also considered to provide comparative results. Data from electronic medical records were analyzed to assess changes in vital signs and instances of infection before and after filter installation. The criterion for subject selection was admission at least 6 months before the installation date of the filtration system; residents had diverse medical conditions. Surveys were used to gather staff perspectives on the air filtration systems. <b>Results:</b> Residents in facilities with air-filtration systems showed significant improvements in systolic blood pressure, body temperature, and pulse rate (<i>p</i> < 0.05). Staff reported noticeable odor reduction after filter installation. No such improvements were observed in the facility without air-filtration intervention. <b>Conclusions:</b> Findings suggest that the improved air quality from the four-stage air filtration systems positively impacted residents of skilled nursing care facilities, highlighting the potential benefits of implementing high-performance filtration systems in such settings. Further research is necessary to understand the long-term effects of these interventions.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353736"},"PeriodicalIF":1.7,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing Research: A Theoretical Perspective on Research and Creativity in Architecture.","authors":"Melissa Piatkowski","doi":"10.1177/19375867251353730","DOIUrl":"https://doi.org/10.1177/19375867251353730","url":null,"abstract":"<p><p><b>Objective:</b> This article provides a conceptual exploration of research and creativity within the profession of architecture, including a proposed theoretical framework exemplifying research as a catalyst in the creative process in practice. <b>Background</b>: There is a growing recognition among thought leaders in the profession of architecture that both intuition and research have a rightful place in the creative process. However, there remains a pervasive concern in practice that research can threaten or detract from creativity. There is an opportunity for conceptual integration of these approaches. <b>Methodology</b>: Inspired by Reflective Equilibrium, this work is an analysis of the potential synergies between research and creativity in architecture. The dichotomy between normative assumptions of the two concepts is reassessed. <b>Results</b>: A conceptual model called The Supportive Model of Research is proposed, showing how research is more likely suited as a catalyst within the creative process in the profession of architecture. This model explores three ways research can benefit the creative process: (a) fortification; (b) protection; and (c) elevation. Three narratives are presented to illustrate the three components of the model. <b>Conclusions</b>: The apparent dichotomy between intuition and research may be false; after all, there is rarely a one-size-fits-all approach to every problem. There is a need to construct a new paradigm with clarity around the benefits of an expansive view and an integrated approach, with research as a support for the virtues of creativity. The work in this paper is an attempt to \"break ground\" on this conceptual construction project.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251353730"},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Environmental Design Interventions to Reduce Aggression and Violence in Emergency Departments: A Scoping Review.","authors":"Darren Jacob, Belinda Jacob, Elisabeth Jacob, Alycia Jacob","doi":"10.1177/19375867251351027","DOIUrl":"https://doi.org/10.1177/19375867251351027","url":null,"abstract":"<p><p>AimTo investigate evidence for the effectiveness of physical design interventions to reduce patient and bystander violence in emergency departments.BackgroundWorkplace violence in emergency departments can cause financial, emotional and physical harm for health care staff and organizations. Violence may be impacted by the physical design of the department.MethodA scoping review was undertaken of CINAHL, Medline, Scopus, and PsycINFO. The search utilized Boolean operators with key words, major search terms and subject headings. Inclusion criteria were physical design, violence and emergency departments. Studies on mental health or pediatric emergency department<u>s</u>, or non-research papers were excluded. AS review was used to sort and filter. Data was extracted into Covidence. Studies were reviewed for physical design elements used to manage aggression and outcomes. Content analysis of extracted data identified four themes.ResultsTen papers were identified. The majority of studies provided staff perceptions on the effectiveness of physical design on violence. Data revealed four main areas where physical design interventions could impact on violence from patients and bystanders. These were preventing harm from weapons, controlling physical access, observation and awareness and patient comfort.ConclusionThere is little evidence for the effectiveness of physical design interventions to reduce patient and bystander violence in hospital emergency departments. Despite a lack of empirical evidence, staff perceive that the physical design of the emergency department impacts on their safety. Further research is needed to better understand the effect of physical design on violence and determine which interventions are effective in impacting on aggressive behavior.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251351027"},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}