Herd-Health Environments Research & Design Journal最新文献

{"title":"A Systems Approach to Pediatric Mental and Behavioral Healthcare in Emergency Departments: Recommendations From a National Workshop.","authors":"Anjali Joseph, Monica Gripko","doi":"10.1177/19375867251374665","DOIUrl":"https://doi.org/10.1177/19375867251374665","url":null,"abstract":"<p><p>BackgroundPediatric patients increasingly seek care for mental and behavioral health (MBH) conditions in Emergency Departments (EDs). Yet, ED environments are poorly designed, organized, and equipped to deliver safe, effective care to these patients. There is an urgent need for solutions that improve safety and care quality and support provider wellbeing. To address this need, our team brought together experts from across the United States to identify and prioritize the most urgent challenges for further study and design intervention.MethodsA workshop held in September 2023 brought together 61 multidisciplinary experts and clinical stakeholders to identify, prioritize, and brainstorm solutions for the most urgent challenges facing EDs in providing care to pediatric MBH patients. Breakout groups built upon presentations from leaders in pediatric emergency healthcare and the research team's study findings to identify the six most critical challenges and brainstorm possible systems-based interventions to solve them.ResultsKey challenges included accommodating families, supporting flexibility and adaptability, respecting patient dignity and humanity, optimizing communication, minimizing the psychological effects of boarding, and safely supporting coping. The ideas generated in this workshop indicate that built environment interventions that facilitate flexible caregiving, support sensory environment control, and balance patient privacy with staff monitoring and ED policy and process interventions that clarify care team roles and standardize processes may support pediatric MBH care better.ConclusionsThe ideas generated in this serve as a framework and catalyst for researchers and health systems interested in developing systems-based solutions to the complex challenges of pediatric emergency mental healthcare.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251374665"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092653","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":"Designing Autonomy and Community: Architects' Perspectives on Extra Care Housing in the UK.","authors":"Suyee Jung, Karim Hadjri","doi":"10.1177/19375867251373097","DOIUrl":"https://doi.org/10.1177/19375867251373097","url":null,"abstract":"<p><p>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-<i>Sense of Community, Health and Safety, and Choice and Control</i>-each encompassing subthemes that illustrate how design supports autonomy, social interaction, and spatial orientation. Additionally, the study identifies a cross-cutting theme, <i>Mobility, Sensory, and Cognitive Stimulation</i>, 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.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251373097"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092657","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":"Architect Insights: Implications and Barriers of Future-Proofing Hospitals.","authors":"Sanaz Memari, Tuba Kocaturk, Mirjana Lozanovska, Fiona Andrews, Richard Tucker","doi":"10.1177/19375867251374676","DOIUrl":"https://doi.org/10.1177/19375867251374676","url":null,"abstract":"<p><p><b>Aim:</b> This study explores how future-proofing is understood and applied in hospital building design, focusing on the perspectives of experienced architects. It aims to examine the practical implications of future-proofing and to identify key barriers to its implementation within contemporary healthcare infrastructure projects. <b>Background:</b> Existing literature often focuses on the general benefits, such as cost savings and sustainability, but lacks detailed analysis of the multifaceted implications and obstacles encountered in real-world projects. This study addresses this gap by directly examining architects' perspectives, offering critical insights into the practical realities and complexities of future-proofing hospital buildings, thereby contributing to a more nuanced understanding and informed decision-making in this field. <b>Methods:</b> Sixteen semistructured interviews were conducted with experienced hospital architects based in Australia. Data were analyzed using a combination of deductive and inductive thematic analysis. <b>Results:</b> The results of thematic analysis have been categorized under three overarching categories: perceived benefits, perceived drawbacks, and implementation challenges. The findings highlight that future-proofing is neither inherently beneficial nor burdensome, but rather a context-sensitive strategy that must be tailored to each project's evolving operational, economic, and policy. <b>Conclusions:</b> The study underscores the need for more systematic, longitudinal evaluation of future-proofing strategies, as well as greater integration of advanced futures methodologies into healthcare planning and design processes. A more structured and evidence-based approach to future-proofing can support the development of hospital infrastructure that is both resilient and responsive to the long-term evolution of healthcare systems.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251374676"},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076347","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":"Daylight Access and Waiting Experiences in Cancer Hospitals.","authors":"Zhe Wang, Daiming Peng","doi":"10.1177/19375867251365870","DOIUrl":"https://doi.org/10.1177/19375867251365870","url":null,"abstract":"<p><p><b>Objective:</b> To clarify the influence of daylight access on patients' and their companions' stress perception and coping behavior (communication) in cancer hospital waiting areas. <b>Background:</b> In 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. <b>Methods:</b> Empirical 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. <b>Results:</b> Patients and families in the areas with daylight access communicated more with peers (<i>p</i> ≤ 0.05) and perceived less stress (<i>p</i> ≤ 0.10) compared to those in windowless areas. They also communicated more with nurses, though this difference was not statistically significant (<i>p</i> > 0.10). Participants who engaged in more peer communication reported less stress (<i>p</i> = 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. <b>Conclusion:</b> Access 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.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365870"},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076303","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":"Physical Environment Factors Influencing Falls Among Women During Pregnancy.","authors":"Ellie Nahirafee, Debajyoti Pati","doi":"10.1177/19375867251375076","DOIUrl":"https://doi.org/10.1177/19375867251375076","url":null,"abstract":"<p><p>Objectives, Purpose, or AimThis study investigates how physical environmental features influence balance loss and falls among women in their third trimester of pregnancy. It aims to identify environmental affordances that contribute to or mitigate fall risks.BackgroundFalls during pregnancy pose significant risks to maternal and fetal health. Understanding interactions between pregnant women and home environments is essential for effective fall prevention. This study employs ecological and dynamic systems theories to explore these interactions.MethodsWeekly interviews were conducted with 13 pregnant women in their third trimester. Participants documented real-world incidents of falls and near-falls within home environments. Data were analyzed to identify patterns in environmental affordances and behaviors linked to balance loss and fall prevention.ResultsFindings identified three types of affordances:• <b>Functional affordances</b> supporting behavior (e.g., sufficient lighting levels to navigate spaces).• <b>Dysfunctional affordances</b> increasing risks, such as low furniture, slippery surfaces, and inadequate supports.• <b>Preventive affordances</b> used to avoid falls.Behaviors linked to falls included rising from low furniture, descending stairs, navigating cluttered spaces, and entering bathtubs. Environmental factors like slippery surfaces and open furniture layouts were key contributors.ConclusionsFalls during late pregnancy result from complex interactions between environmental and behavioral constraints. This study offers insights into designing safer environments tailored to pregnant women's needs. Limitations include recall bias and limited generalizability due to the small sample size. Despite these, the study provides a strong foundation for future research and fall prevention strategies.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251375076"},"PeriodicalIF":1.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056153","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 Outdoor Care Retreat: Key Insights for Navigating Biophilic Design Innovation in Healthcare Environments.","authors":"Eli Kindervaag, Åshild Lappegard Hauge, Svein Åge Kjøs Johnsen","doi":"10.1177/19375867251365849","DOIUrl":"10.1177/19375867251365849","url":null,"abstract":"<p><p><b>Aim:</b> The present case study explores insights related to navigating biophilic design innovation in public healthcare using the Outdoor Care Retreat at Oslo University Hospital and the Hospital of Southern Norway as a case. <b>Background:</b> Available research from environmental psychology proposes an association between access to biophilic design, well-being, health, and hospitalization satisfaction. Still, integrating this research into public healthcare is challenging and there is a need for research that builds on innovative examples of biophilic design integration in this context. <b>Methods:</b> Study findings are based on eight individual interviews with people involved in project initiation and development of the Outdoor Care Retreat, in addition to online public records and other digital documents related to the case study. The qualitative materials were analyzed according to reflexive thematic analysis and categorized into themes. <b>Results:</b> Findings illustrate how moving beyond conventional healthcare practices can support the implementation of biophilic design. Specifically, the findings suggest that biophilic design in healthcare benefits from an appealing story, individual contributions, and an organizational and environmental context that challenges common conventions. Drawing from research from public healthcare innovation and biophilic design, the study outlines key insights for implementation. <b>Conclusions:</b> This study contributes to bridging the gap between theory and practice in a public healthcare context. It offers key insights for implementing biophilic design in healthcare environments, with the potential to ensure valuable improvements in the hospitalization experience for patients and their families in future developments of public healthcare facilities.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365849"},"PeriodicalIF":1.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973579","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":"Predicting Leisure Walking Intentions Among Older Adults in Urban Residential Areas: Extended Theory of Planned Behavior and Health Belief Model.","authors":"Jinhui Zhuge, Wan S Wan Mohamed, Shureen F Abdul Shukor","doi":"10.1177/19375867251365886","DOIUrl":"https://doi.org/10.1177/19375867251365886","url":null,"abstract":"<p><p>AimThis study aimed to examine the factors influencing leisure walking intention among older adults in urban residential areas, analyze their interrelationships, and propose strategies for promoting walking activities.BackgroundUnderstanding the factors influencing walking intentions among older adults is essential for developing interventions that enhance physical activity levels in an ageing society. A comprehensive approach that integrates psychological and environmental factors provides deeper insight into these influences.MethodsData were primarily obtained from older adults aged 60 years and older residing in five residential areas in Guilin, China, selected based on construction time, population density, available facilities, and aesthetic design. Participants were recruited through assistance from residential management. After excluding questionnaires with ineligible ages, excessively short completion times, or uniform responses, 527 valid questionnaires were retained. Data analysis was constructed using structural equation modeling, integrating the Theory of Planned Behavior and the Health Belief Model. Reliability and validity of the questionnaire were evaluated through Cronbach's alpha, composite reliability, factor loadings and average variance extracted.ResultsThe findings of this study revealed that among the factors influencing walking behavior intention, attitudes towards walking had the strongest positive effects. Perceived environmental barriers have a stronger negative impact on walking intention than perceived personal barriers.ConclusionsImproving residential walking facilities to reduce environmental barriers and enhancing community health education to reinforce health beliefs are effective strategies for promoting physical activity among older adults. These findings provide practical guidance for urban planning and public health initiatives.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365886"},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973948","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":"Smart Room Design for Dementia Nursing Home Based on Kano-AHP-QFD Integrated Methodology.","authors":"Qian Dong, Jiangang Zhu","doi":"10.1177/19375867251365851","DOIUrl":"https://doi.org/10.1177/19375867251365851","url":null,"abstract":"<p><p><b>Background:</b> With the growing demand for dementia-friendly care environments, existing smart room designs often lack systematic methods to translate user needs into functional solutions. <b>Objective:</b> This study proposes an integrated Kano Model, Analytic Hierarchy Process, and Quality Function Deployment (Kano-AHP-QFD) framework to optimize the design of smart living rooms for dementia patients in nursing homes. <b>Method:</b> Through literature reviews and user interviews, 22 user requirements were identified and categorized using the Kano model. The AHP was then employed to prioritize these requirements, with \"behavior recognition (e.g., falls, wandering)\" emerging as the top priority, assigned a weight of 0.3622. Subsequently, the QFD method translated these weighted requirements into design functions via the House of Quality, resulting in a set of optimized smart living room designs. <b>Results:</b> The study demonstrates that the integration of Kano-AHP-QFD provides a structured and data-driven approach to systematically address the complex needs of dementia patients, enhancing the scientific rigor and practicality of smart room design. User satisfaction scores improved from 61.655 to 80.663 after implementing the optimized smart living room designs. <b>Conclusions:</b> The proposed framework offers valuable insights for designers, care providers, and policymakers aiming to improve the quality of life for elderly individuals with dementia. It is also applicable to various cognitive impairment care scenarios such as rehabilitation centers and assisted living facilities, and can provide scientific references for the environmental design of other special user groups.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365851"},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973646","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 Collaborative Communities-of-Practice Methodology for Environmental Design Research: A Case Study Application in Palliative Care.","authors":"Emil E Jonescu, Benjamin Farrell, Chamil Erik Ramanayaka, Lori Delaney, Edward Litton, Talia J Uylaki, Gareth Watts, Bella Brigham, Frances Bellemore, Davinia Seah","doi":"10.1177/19375867251365876","DOIUrl":"https://doi.org/10.1177/19375867251365876","url":null,"abstract":"<p><p>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. <b>Objectives:</b> This 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. <b>Methods:</b> A 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. <b>Results:</b> The 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. <b>Conclusion:</b> The 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.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365876"},"PeriodicalIF":1.8,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973967","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":"Designing for Well-Being in Pediatric Patients Scheduled for Surgery.","authors":"Hande Işık Tosun, Berrin Işık","doi":"10.1177/19375867251365872","DOIUrl":"https://doi.org/10.1177/19375867251365872","url":null,"abstract":"<p><p><b>Objectives:</b> Children scheduled for surgery and anesthesia often experience fear and anxiety before the procedure, as well as pain afterward. While medical treatments are essential for managing these challenges, design strategies that positively influence environmental and psychological factors can significantly improve children's experiences and their overall subjective well-being. This narrative literature review examines \"design for well-being\" strategies that support the subjective well-being of children undergoing surgical procedures. <b>Background:</b> According to the World Health Organization, health is defined not merely as the absence of disease but as a state of complete physical and mental well-being. Achieving such well-being requires not only medical care but also the optimization of environmental and psychological conditions that impact emotional states. Today, evidence-based, multidisciplinary approaches are recommended to promote well-being. In health-related design, one focus is on improving the quality of medical care, while another addresses non-medical factors that influence subjective well-being. <b>Methods:</b> This research employs a non-systematic literature review methodology, utilizing existing literature and evidence-based approaches to synthesize relevant strategies. <b>Results:</b> Enhancing subjective well-being-through evidence-based design strategies such as age-appropriate environmental modifications, sensory-friendly elements, and interactive distraction tools-alongside optimized medical practices in pediatric surgeries contributes to improved clinical outcomes and reduced perioperative stress. The review highlights \"design for well-being\" strategies, which effectively support the subjective well-being of children undergoing surgical procedures. <b>Conclusions:</b> Emphasizing \"design for well-being\" strategies is crucial for enhancing the overall experiences and well-being of children undergoing surgery. Future research should focus on the implementation and long-term impact of these design interventions to further validate their effectiveness and scalability.</p>","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251365872"},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974024","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}