Skip to main content
SpringerLink
Log in

Case Studies: Design Practice and Application of Healthcare Technical Guidance and Tools

  • Chapter
  • First Online:
Sustainability and Evidence-Based Design in the Healthcare Estate

Part of the book series: SpringerBriefs in Applied Sciences and Technology ((BRIEFSAPPLSCIENCES))

Abstract

Through a number of carefully selected purpose-built Case Studies from the UK, EU, USA, China and Australasia, this section indicates how strategies that integrate sustainability and evidence-based design have been implemented in healthcare design practice. The aim is to document the key drivers for these case study projects and the consequences of applying these design approaches. In doing so, the brief seeks to increase our understanding of the relationship between theory and practice, thus uncovering mechanisms to embed sustainability and evidence-based design in working practices. Ultimately, this will improve efficiency and effectiveness in the delivery of positive healthcare outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Baillie J (ed) (2012) Operating theatre technology: premier performers for the theatre. Health Estate J 55–66

    Google Scholar 

  • Baird CL, Bell PA (1995) Place attachment isolation and the power of a window in a hospital environment: a case study. Psychol Rep 76(1995):847–850

    Article  Google Scholar 

  • Beauchemin KM, Hays P (1996) Sunny hospital rooms expedite recovery from severe and refractory depressions. J Affect Disord 40:49–51

    Article  Google Scholar 

  • Becker C, Kron M, Lindemann U, Sturm E, Eichner B, Walter-Jung B, Nikolaus T (2003) Effectiveness of a multifaceted intervention on falls in nursing home residents. J Am Geriatr Soc 51(3):306–313

    Article  Google Scholar 

  • Belver MH, Ullan AM (2011) Art in a Spanish children’s hospital. Arts Health: Am Int J Res Policy Practice 3(1):73–83

    Article  Google Scholar 

  • Ben-Abraham R, Keller N, Szold O, Vardi A, Weinberg M, Barzilay Z, Paret G (2002) Do isolation rooms reduce the rate of nosocomial infections in the pediatric intensive care unit? J Crit Care 17(3):176–180

    Article  Google Scholar 

  • Boardman A, Hodgson R (2000) Community in-patient units and halfway hospitals. Adv Psychiatr Treat 6(2000):120–127

    Google Scholar 

  • Brandis S (1999) A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients. J Qual Clin Pract 19(4):215–220

    Article  Google Scholar 

  • Brown K, Gallant D (2006) Impacting patient outcomes through design: acuity adaptable care/universal room design. Crit Care Nurs Q 29(4):326–341

    Article  Google Scholar 

  • Bruce N, Perez-Padilla R, Albalak R (2000) Indoor pollution in developing countries: A major environmental and public health challenge. Bull World Health Org 78(9):1078–1092

    Google Scholar 

  • Buchanan TL, Barker KN, Gibson JT, Jiang BC, Pearson RE (1991) Illumination and errors in dispensing. Am J Hosp Pharm 48(10):2137–2145

    Google Scholar 

  • Busch-Vishniac IJ, West JE, Barnhill C, Hunter T, Orellana D, Chivukula R (2005) Noise levels in John Hopkins Hospital. J Acoust Soc Am 118:3629–3645

    Article  Google Scholar 

  • Carthey J, Chow V, Jung Y-M, Mills S (2011) Flexibility: beyond the buzzword- practical findings from a systematic literature review. Health Environ Res Des J (HERD) 4(4):89–108 (Summer)

    Google Scholar 

  • Cimprich B (1993) Development of an intervention to restore attention in cancer patients. Cancer Nurs 16(1993):83–92

    Google Scholar 

  • Clemons BJ (2000) the first modern operating room in America. AORN Journal 71(1):164–170

    Article  MathSciNet  Google Scholar 

  • Coss RG (2003) The role of evolved perceptual biases in art and design. In: Voland E, Grammer K (eds) Evolutionary aesthetics. Springer: New York

    Google Scholar 

  • Crimi P, Argellati F, Macrina G, Tinteri C, Copello L, Rebora D, Rizzetto R (2006) Microbiological surveillance of hospital ventilation systems in departments at high risk of nosocomial infections. J Prev Med Hygiene 47(3):105–109

    Google Scholar 

  • Curtis S, Gesler W, Priebe S and Francis S (2009) New spaces of inpatient care for people with mental illness: A complex ‘rebirth’ of the clinic? Health & Place, Vol. 15, Issue 1, March 2009: 340-348

    Google Scholar 

  • Cusack P, Lankston L, Isles C (2010) Impact of visual art in patients waiting rooms; a survey of patients attending a transplant clinic in Dumfries. J R Soc Med Short Rep 1(52):1258

    Google Scholar 

  • Department for Communities & Local Government (2012) National planning framework, London, ISBN: 978-1-4098-3413-7

    Google Scholar 

  • Department of Planning Transport and Infrastructure (DPTI) Publications (2012) Policies & guide notes http://www.bpims.sa.gov.au/bpims/library/showLibrary.do (Accessed 20 August 2012)

  • Donahue L (2009) A pod design for nursing assignments: eliminating unnecessary steps and increasing patient satisfaction by reconfiguring care assignments. Am J Nurs 109(11 Suppl):38–40

    Article  Google Scholar 

  • Douglas C, Douglas M (2009) Patient-centred improvements in healthcare built environments: perspectives and design indicators. Health Expect 8(2005):264–276

    Google Scholar 

  • Essex-Lopresti M (1999) Operating theatre design. Lancet 353(157):1007–1112

    Google Scholar 

  • Ezzati M, Kammen DM (2001) An exposure-response relationship for acute respiratory infections as a result of exposure to indoor air pollution from biomass combustion in Kenya. Lancet 358(9282):619–624

    Article  Google Scholar 

  • Figueiro MG, Rea MS, Stevens RG, Rea AC (2002) Daylight and productivity – A possible link to circadian regulation, Light and Human Health: EPRI/LRO 5th International Lighting Research Symposium: Palo Alto CA: The Lighting Research Office of the Electric Power Research Institute 2002:185–193.

    Google Scholar 

  • Gonzalez MT, Hartig T, Patil GG, Martinsen EW, Kirkevold M (2010) Therapeutic horticulture in clinical depression: a prospective study of active components. J Adv Nurs 66(9):2002–2013

    Google Scholar 

  • Grahn P, Stigsdotter UA (2003) Landscape planning and stress. Urban Forest Urban Green 2:1–18

    Article  Google Scholar 

  • Gurascio-Howard L, Malloch K (2007) Centralized and decentralized nurse station design: an examination of caregiver communication, work activities, and technology. Health Environ Res Des J 1(1):44–57

    Google Scholar 

  • Guarascio-Howard L (2011) Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety, Health Environments Research and Design Journal, Winter 4(2):109–120.

    Google Scholar 

  • Hagerman I, Rasmanis G, Blomkvist V, Ulrich R, Eriksen CA, Theorell T (2005) Influence of intensive coronary care acoustics on the quality of care and physiological state of patients. Int J Cardiol 98(2):267–270

    Article  Google Scholar 

  • Hahn T, Cummings KM, Michalek AM, Lipman BJ, Segal BH, McCarthy PL (2002) Efficacy of high-efficiency particulate air filtration in preventing aspergillosis in immunocompromised patients with hematologic malignancies. Infect Control Hosp Epidemiol 23(9):525–531

    Article  Google Scholar 

  • Hamilton DK (2003) The four levels of evidence-based practice. Healthc Des 3:18

    MathSciNet  Google Scholar 

  • Hendrich AL, Fay J, Sorrells AK (2004) Effects of acuity-adaptable rooms on flow of patients and delivery of care. Am J Crit Care 13(1):35–45

    Google Scholar 

  • Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL (2004) Combat duty in Iraq and Afghanistan, mental health problems and barriers to care. N Engl J Med 35(2004):11322

    Google Scholar 

  • Jaffray B (2005) Acute paediatrics, minimal invasive surgery. Arch Dis Childhood 90(2005):537–542

    Article  Google Scholar 

  • Jiang SP, Huang LW, Chen XL, Wang JF, Wu W, Yin SM, Huang Z (2003) Ventilation of wards and nosocomial outbreak of severe acute respiratory syndrome among healthcare workers. Chin Med J 116(9):1293–1297

    Google Scholar 

  • Kaplan S, Kaplan R (1989) The experience of nature: a psychological perspective. Cambridge University Press, New York

    Google Scholar 

  • Kaplan LM, McGuckin M (1986) Increasing handwashing compliance with more accessible sinks. Inf Control 7(8):408–410

    Google Scholar 

  • Kerr J, Rosenberg D, Frank L (2012) The role of the built environment in healthy aging: community design, physical activity and health among older adults. J Plan Lit 27(1):43–60

    Article  Google Scholar 

  • Lawson BR, Phiri M (2003) The architectural healthcare environment and its effects on patient health outcomes, London TSO ISBN 9780113224807

    Google Scholar 

  • Leather P, Beale D, Santos A, Watts J, Lee L (2003) Outcomes of environmental appraisal of different hospital waiting areas. Environ Behav 35(6):842–869

    Article  Google Scholar 

  • Li D, Cheung K, Wong S, Lam T (2010) An analysis of energy-efficient light fittings and lighting controls. Appl Energy 87(2):558–567

    Article  Google Scholar 

  • MacLeod M, Dunn J, Busch-Vishniac IJ, West JE, Reedy A (2007) Quieting Weinberg 5C: a case study in hospital noise control. J Acoust Soc Am 121(2007):3501–3508

    Article  Google Scholar 

  • McCarthy M (2011) Overcrowding in emergency departments and adverse outcomes. BMJ 2011:342

    Google Scholar 

  • McManus AT, Mason AD Jr, McManus WF, Pruitt BA Jr (1992) Control of pseudomonas aeruginosa infections in burned patients. Surg Res Commun 12:61–67

    Google Scholar 

  • Memarzadeh F, Jiang Z (2004) Effect of operation room geometry and ventilation system parameter variations on the protection of the surgical site. In: IAQ 2004

    Google Scholar 

  • Ministry of Construction & Ministry of Health PR China (1988) The architectural and design code for general hospitals, JGJ 49–88, Ministry of Construction & Ministry of Health PR China, Beijing, p 25

    Google Scholar 

  • Moorthy K, Munz Y, Dosis A, Bann S, Darzi A (2003) The effect of stress-inducing conditions on the performance of a laparoscopic task. Surg Endosc 17(9):1481–1484

    Article  Google Scholar 

  • NHS England Carbon Emissions (2008) Carbon footprint study 2008, London: NHS Sustainable Development Unit, Sustainable Development Commission & Stockholm Environment Institute 2008, p 15

    Google Scholar 

  • Nordh H, Hartig T, Hagerhall CM, Fry G (2009) Components of small urban parks that predict the possibility for restoration. Urban Fores Urban Green 8:225–235

    Article  Google Scholar 

  • O’Connor C, Friedrich JO, Scales DC, Adhikari NK (2009) The use of wireless email to improve healthcare team communication. J Am Med Inform Assoc 16(5):705–713

    Article  Google Scholar 

  • Office for National Statistics (2012) Expenditure on healthcare in the UK-1997-2010 http://www.ons.gov.uk/ons/search/index.html?pageSize=50&sortBy=none&sortDirection=none&newquery (Accessed 15 Aug 2012)

  • Office of the Deputy Prime Minister (Department for Communities & Local Government since May 2006) (2004) Planning Policy Statement 22 (PPS22): Renewable Energy, TSO (The Stationary Office), London, UK, ISBN 9780117539242

    Google Scholar 

  • Ottosson J, Grahn PA (2005) A comparison of leisure time spent in a garden with leisure time spent indoors: on measures of restoration in residents in geriatric care. Landscape Res 30(1):23–55

    Google Scholar 

  • Parr H, Philbo C, Burns N (2003) That awful place was home: reflections on the contested meanings of Craig Dunain asylum. Scottish Geographical Journal 119(4):341–360

    Google Scholar 

  • Passini R, Pigot H, Rainville C, and Tétreault M-H (2000) Wayfinding in a nursing home for advanced dementia of the Alzheimer’s type. Environ Behavi 32(5):684–710

    Google Scholar 

  • Pati D, Cason C, Harvey TE Jr, Evans J (2010) An empirical examination of patient room handedness in acute medical-surgical settings. Health Environ Res Des J 4(1):11–33

    Google Scholar 

  • Pelletier RJ, Thompson D (1960) Yale Index measures design efficiency. Mod Hosp 95:73–77

    Google Scholar 

  • Petrella RJ, Kennedy E, Overend TJ (2008) Geographic determinants of healthy lifestyle change in a community-based exercise prescription delivered in family practice. Environ Health Insights 1(2008):51–62

    Google Scholar 

  • Phiri M (2004) Ward layouts with single rooms and space for flexibility in health building note 04 inpatient accommodation: options for choice. NHS Estates, TSO ISBN 978-0-11-322719-8

    Google Scholar 

  • Rappe E (2005) The influence of green environment and horticultural activities on subjective wellbeing of elderly living in long-term care, Publication No 24, Finland: University of Helsinki, Department of Applied Biology, 2005

    Google Scholar 

  • Sadler BL, Berry LL, Guenther R, Hamilton KD, Hessler FA, Merritt C, Parker D (2011) Fable hospital 2.0: the business case for building better health care facilities. Hastings Cent Rep 41(1):13–23

    Google Scholar 

  • Sherman SA, Varni JW, Ulrich RS, Malcarne VL (2005) Post occupancy evaluation of healing gardens in a paediatric cancer centre. Landscape Urban Plan 73(2–3):167–183

    Google Scholar 

  • Smith KR et al (2000) Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax 55(6):518–532

    Article  Google Scholar 

  • Staricoff RL, Duncan J, Wright M (2003) A study of the effects of visual and performing arts in healthcare. Chelsea Westminster Hospital Arts, London

    Google Scholar 

  • Taylor AF, Kuo FE, Sullivan WC (2001) Growing up in the inner city: green places to grow. Environ Behav 33(2001):54–77

    Article  Google Scholar 

  • Taylor AF, Kuo FE, Sullivan WC (2002) Views of nature and self-discipline: evidence from inner-city children. J Environ Psychol 22(2002):49–64

    Article  Google Scholar 

  • Taylor AF. Kuo FE (2009) Children with attention deficits concentrate better after walk in the park. J Atten Disorders 12(5):402–409

    Google Scholar 

  • Tennessen CM, Cimprich B (1995) Views of nature: effects on attention. J Environ Psychol 15(1995):77–85

    Article  Google Scholar 

  • Trites DK, Galbraith FD, Sturdavant M, Leckwart JF (1970) Influence of nursing-unit design on the activities and subjective feelings of nursing personnel. Environ Behav 2(3):303–334

    Article  Google Scholar 

  • Trzeciak S, Rivers RP (2003) Emergency department overcrowding in the united states an emerging threat to patient safety and public health. Emerg Med J 20(5):402–405

    Article  Google Scholar 

  • Ulrich RS (1984) View through a window may influence recovery from surgery. Science 224:420–421

    Article  Google Scholar 

  • US Department of Health and Human Services (2008) Physical Activity Guidelines for Americans, http://www.health.gov/PAGuidelines/guidelines/ (Accessed 25 July 2012)

  • Van den Berg AE, Hartig T, Staats H (2007) Preference for nature in urbanized societies: stress, restoration, and the pursuit of sustainability. J Social Issues 63:79–96. doi:10.1111/j.1540-4560.2007.00497.x

    Article  Google Scholar 

  • Varni JW, Burwinkle TM, Dickinson P, Sherman SA, Dixon P, Ervice JA, Leyden PA, Sadler BL (2004) Evaluation of the built environment at a children’s convalescent hospital: Development of the paediatric quality of life inventory™ parent and staff satisfaction measures for paediatric healthcare facilities. J Dev Behav Pediatr 25(1):10–20

    Google Scholar 

  • Villarreal EL, Semadeni-Davis A, Bengtsson L (2004) Inner city storm water control using a combination of best management practices. Ecol Eng 22(4-5):279–298

    Article  Google Scholar 

  • Walch JM, Rabin BS, Day R, Williams JN, Choi K, and Kang JD (2005) The effect of sunlight on post-operative analgesic medication use: A prospective study of patients undergoing spinal surgery, Psychosomatic Medicine, 67:153–156

    Google Scholar 

  • Williams AM, Irurita VF (2005) Enhancing the therapeutic potential of hospital environments by increasing the personal control and emotional comfort of hospitalised patients. Appl Nurs Res 18:22–28

    Article  Google Scholar 

  • World Health Organisation (2002) Addressing the links between indoor air pollution, household energy and human health, based on the WHO-USAID global consultation on the health impact of indoor air pollution and household energy in developing countries (Meeting report), Washington DC, 3–4 May 2000

    Google Scholar 

  • Zborowsky T, Bunker‐Hellmich L, Morelli A, O’Neill M (2010) Centralized vs. decentralized nursing stations: effects on nurses’ functional use of space and work environment. Health Environ Res Des J 3(4):19–42

    Google Scholar 

  • Zhang J, Smith KR (2007) Household air pollution from coal and biomass fuels in China: measurements, health impacts and interventions. Environ Health Perspect 115:848–855

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Sheffield, Sheffield, UK

    Michael Phiri

  2. Xi’an Jiaotong-Liverpool University, Ren’ai Road, Suzhou, 215123, People’s Republic of China

    Bing Chen

Authors
  1. Michael Phiri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bing Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael Phiri .

Rights and permissions

Reprints and permissions

Copyright information

© 2014 The Author(s)

About this chapter

Cite this chapter

Phiri, M., Chen, B. (2014). Case Studies: Design Practice and Application of Healthcare Technical Guidance and Tools. In: Sustainability and Evidence-Based Design in the Healthcare Estate. SpringerBriefs in Applied Sciences and Technology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39203-0_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-39203-0_4

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39202-3

  • Online ISBN: 978-3-642-39203-0

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation