Physical-digital model for co-design in healthcare buildings

Caixeta, Michele Caroline Bueno Ferrari; Fabrício, Márcio Minto

doi:10.1016/j.jobe.2020.101900

Cited by 14 publications

(15 citation statements)

References 24 publications

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“…Users also influence decisions on design options. This level of involvement represents the highest in the building design process, according to various authors (e.g., [14,49]). In fact, there are two other levels of user involvement, as explained by Caixeta et al [14]: the informative level and consultative level.…”

Section: Lean Approach In Healthcare Projectsmentioning

confidence: 99%

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The Challenges and Advantages of Implementing a Lean-Led Design Approach

Chbaly

2022

Architecture

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Healthcare projects, like other complex projects, begin with a project definition phase, where client needs are identified, and design solutions are proposed. All decisions related to this phase have an important impact on workspace conditions. Nevertheless, traditional methods of project definition management have been proven to be inadequate. An ill-defined project might lead to an increase in hospital-acquired infections or patient mortality. Participatory approaches such as Lean-led Design—in which clients including users play an important role from the beginning—are proposed to address this problem. This paper aims to identify and analyze the advantages and difficulties of Lean-led Design during the project definition process. A single case study was used to explore these issues. The case study chosen was a mega Canadian hospital project that implemented a Lean-led Design approach. Data were collected using archive research and semistructured interviews. This paper will help AEC industry stakeholders to understand the advantages and challenges involved in implementing a Lean-led Design approach. The findings of this study could help architects as well as managers to concentrate their efforts on significantly relevant issues.

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Section: Lean Approach In Healthcare Projectsmentioning

confidence: 99%

“…In fact, there are two other levels of user involvement, as explained by Caixeta et al [14]: the informative level and consultative level. Each classification of levels is based on the reason and typology of interaction between users and architects [49]. The informative level is when users are not proactive.…”

Section: Lean Approach In Healthcare Projectsmentioning

confidence: 99%

The Challenges and Advantages of Implementing a Lean-Led Design Approach

Chbaly

2022

Architecture

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“…Each type of client stakeholder has their own needs and interests that could sometimes be conflicting with those of others [11,12]. In the end, what usually happens is that only the "paying client" will be involved in the project definition process and "user" clients will usually be neglected [13,14]. The lack of involvement disrupts the potential for viewing and understanding all design angles (e.g., functional) and potentially leads to errors in the design.…”

Section: Introductionmentioning

confidence: 99%

“…Unlike the traditional mindset, users in this approach play a significant role from the beginning of project definition since they are involved in the process of mapping, analyzing, and optimizing the care pathways (flows) that patients and clinicians would follow [17]. In this mindset, involving users in the process is seen as an essential step for a successful project [3] as it will help design professionals to communicate better with users to align their needs with the ultimate design solutions [14].…”

Section: Introductionmentioning

confidence: 99%

Towards a Framework for Promoting Communication during Project Definition

2021

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Project definition refers to the first three stages of a project life cycle, namely planning, programming, and preliminary design during which client needs are identified and translated into design solutions. An ill-defined hospital project definition may lead to hospital-acquired infections or patient mortality. The traditional management practices have been proved to be inadequate since architects usually do not communicate with users, and thus do not have detailed knowledge about how services are performed in the building. There is the need for more knowledge about the subject to improve and thus promote client value generation. This study first reviews factors that impact the communication between architects and clients during project definition based on the literature. The study then offers a framework based on these factors to help managers assess and improve communication between professionals and clients. The validity of the framework will then be empirically validated and revised based on findings of a longitudinal mega-hospital case study. The main objective of the current investigation is to improve the project definition practices of complex projects, and the assumption is that an effective communication provides more value to end users, as well as better project performance in terms of environmental and social sustainability.

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“…There is a growing body of research to account for the contributions of nurses (Clark, 2014), patients (Castro et al, 2018), and even surrounding communities (Farmer & Nimegeer, 2014) as part of a collection of interdisciplinary committees. Fueled by participatory design frameworks, the interdisciplinary interactions of these "nondesigner" participants within healthcare design teams are facilitated by paper-based representations (Payne et al, 2015), full scale prototypes (Kasali & Nersessian, 2015), or other novel digital methods (Caixeta & Fabricio, 2021). As documented in the studies above, the participatory design models strategically bring designers and nondesigners together to enable the adaptation, appropriation, or invention of functions concerning a particular layout configuration.…”

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confidence: 99%

Generating Plan Layouts: A Case Study on Visualization of Implicit Knowledge by “Doctor Architects”

Kasali

2022

HERD

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Aim: This article presents an opportunistic case with particular focus on instances from an extended procurement operation in which medical professionals run a proactive process involving the generation of layouts through distinct modes of representational practices without any actual collaboration with designers. The questions of inquiry involve an analysis on how the visualizations came into being and a discussion into the content of drawings that was shaped by individuals without any formal design education. Background: Although the literature introduces examples of genuine participation, particularly in healthcare design practices, the instances in which nondesigners demonstrate accomplished skills in spatial reasoning and representation are limited. Method: The research was formulated as a qualitative case study including a series of observations of the activities of the participants followed by interviews recorded at different locations. The investigation also focuses on the features of these authentic graphics which illustrate the intentions of the medical professionals concerning the function of spaces. Results: In this research, the participants went through a labor intensive and elaborate effort to produce “architectural representations” with the intention to convey their implicit professional expertise in the domain. The layouts were introduced to be the vital elements to visualize the implicit knowledge regarding the functioning of space. Conclusions: The productive and creative engagement of clinicians within this research makes the case for a multidisciplinary approach that reframes the limits and potential contributions of participants alongside drawings, which are exclusively claimed by and strategically employed by architects as negotiation devices within participatory design processes.

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Physical-digital model for co-design in healthcare buildings

Cited by 14 publications

References 24 publications

The Challenges and Advantages of Implementing a Lean-Led Design Approach

The Challenges and Advantages of Implementing a Lean-Led Design Approach

Towards a Framework for Promoting Communication during Project Definition

Generating Plan Layouts: A Case Study on Visualization of Implicit Knowledge by “Doctor Architects”

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