An integral view of innovation in hospital building design: understanding the context of the research/practice gap

Moslehian, Anahita Sal; Kocatürk, Tuba; Tucker, Richard

doi:10.1080/09613218.2020.1740577

Cited by 8 publications

(3 citation statements)

References 48 publications

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“…The difficulty of evaluating design occurs even in contexts where the integration of the EBD to the BLC is more developed, as in the initiatives of contractual regulation by the United Kingdom National Health Service (NHS Estates & Department of Health, 2004). The literature highlights the persistence of the research/practice gap (Moslehian et al, 2021), and the design problems occurrence linked to private finance initiative in public–private partnerships (Hignett, & Lu, 2009; Symons, 2021). These occurrences are contractual issues but are also related to methodological difficulties in design evaluation.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Literature Review on Healthcare Facility Evaluation Methods

Pereira

Ornstein

2023

HERD

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To present a systematic literature review on predesign evaluation (PDE), postoccupancy evaluation (POE), and evidence-based design (EBD); to delimit the concepts and relationships of these terms and place them in the building life cycle framework to guide their application and indicate a common understanding and possible gaps. The preferred reporting items for systematic reviews and meta-analyses protocol was used. Inclusion criteria cover texts that present a concept, method, procedure, or tool and use the example in healthcare services or other environments. The reports were excluded if there was no evidence of a relationship between the terms, if cited rhetorically, duplicated, or if an instrument was not related to at least one other term. The identification used Scopus and Web of Science and considered reports until December 2021 (search period). When extracting the evidence, formal quality criteria were observed and sentences and other elements were collected as evidence and tabulated to segment topics of interest. The searches identified 799 reports with 494 duplicates. In the selection, 53 records were selected from 305 obtained in 14 searches. The classification extracted concepts, relationships, and frameworks. Results indicate a consistent understanding of POE and EBD and a diffuse understanding of PDE. A summary of the three concepts including two frameworks is proposed. Situations are contextualized where these frameworks are used in specific areas of research. One of these frameworks provides a basis for classifying building assessment methods, procedures, and tools but does not detail the classification criteria. Thus, more detailed adjustments should be considered in specific studies.

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Section: Resultsmentioning

confidence: 99%

A Systematic Literature Review on Healthcare Facility Evaluation Methods

Pereira

Ornstein

2023

HERD

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“…Singha (2020, p. 13) noted five constants happening repeatedly in developing visions/ concepts for the creation and delivery of hospital building design: attachment, money, risks, silos, and reorganization. As we argued elsewhere, design innovation occurs at the interactions of different contextual factors; when new concepts in these constants are developed (Sal Moslehian et al, 2022;Sal Moslehian et al, 2020). other words, design innovations, generated because of the interplay between factors, are likely to be developed from emotional concepts for attachment to and engagement with hospitals; financial concepts for efficiency and sustainability; structural concepts for healthcare delivery; operational concepts for collaboration; and/or organizational concepts for involvement in the health system.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Factors Historically Affecting Innovation in Hospital Building Design

Moslehian

Tucker

Kocatürk

et al. 2022

HERD

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Purpose: This article aims to complement the historical literature on the evolution of hospital buildings via a holistic analysis of the contextual factors triggering hospital design innovation over the past 100 years. Background: Innovation in hospital building design should be considered as a complex ecosystem with a heterogeneous set of actors. Methods: A novel hybrid research design to the Mixed Grounded Theory methodology, with Charmaz’s constructivist paradigm, was developed to explore, construct, and interpret concepts and the interconnections between them. Results: Six hundred seventeen interconnections between 146 factors, classified across 14 categories, were developed to explain the individual and combined impacts of all components of the design innovation ecosystem. Conclusions: This study provides hospital building designers, researchers, policy makers, and stakeholders with a systemic understanding of the innovation ecosystem and their potential role in this system. This knowledge suggests the need for interdisciplinary education to address complex and quickly evolving real-world building design problems.

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“…The R-P gap is only a small part of a more complex picture, because there is a myriad of other factors that interconnect, interact and inter-influence one another while simultaneously impacting the R-P gap (Sal Moslehian et al , 2021). This paper posits that understanding the nature of complex innovation ecosystems in hospital building design enlightens an in-depth appreciation of various dimensions of the R-P gap.…”

Section: Introductionmentioning

confidence: 99%

The nature of innovation in hospital building design: a mixed grounded theory study

Moslehian

Kocatürk

Andrews

et al. 2022

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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.

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An integral view of innovation in hospital building design: understanding the context of the research/practice gap

Cited by 8 publications

References 48 publications

A Systematic Literature Review on Healthcare Facility Evaluation Methods

A Systematic Literature Review on Healthcare Facility Evaluation Methods

Analysis of Factors Historically Affecting Innovation in Hospital Building Design

The nature of innovation in hospital building design: a mixed grounded theory study

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