Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: systematic review

Dijkstra, Karin; Pieterse, Marcel E.; Pruyn, Adriaan T.H.

doi:10.1111/j.1365-2648.2006.03990.x

Cited by 318 publications

(293 citation statements)

References 38 publications

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“…Physical environment is defined as ambient, architectural or interior design features that are purely stimulus objects (Dijkstra et al, 2006;Harris et al, 2002) and that characterize the healthcare settings. Swan et al (2003) found that patients recovering in appealing rooms rated their rooms significantly higher than did patients in typical rooms in the same hospital, and Leather et al (2003) found that a relocated (and redesigned) waiting area originated more positive environmental appraisals, and greater reported environmental satisfaction than the traditional waiting area before relocation.…”

Section: Introductionmentioning

confidence: 99%

Inpatients’ and outpatients’ satisfaction: The mediating role of perceived quality of physical and social environment

et al. 2013

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a b s t r a c tThis study analyses the processes through which the physical environment of health care settings impacts on patients' well-being. Specifically, we investigate the mediating role of perceptions of the physical and social environments, and if this process is moderated by patients' status, that is, if the objective physical environment impacts inpatients' and outpatients' satisfaction by different socialpsychological processes. Patients (N ¼ 206) evaluated the physical and social environments of the care unit where they were receiving treatment, and its objective physical conditions were independently evaluated by two architects. Results showed that the objective environmental quality affects satisfaction through perceptions of environmental quality, and that patients' status moderates this relationship. For inpatients, it is the perception of quality of the social environment that mediates the relationship between objective environmental quality and satisfaction, whereas for outpatients it is the perception of quality of the physical environment. This moderated mediation is discussed in terms of differences on patients' experiences of health care environments.

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Section: Introductionmentioning

confidence: 99%

Inpatients’ and outpatients’ satisfaction: The mediating role of perceived quality of physical and social environment

et al. 2013

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“…They need to spend more time on detection (Blake et al, 2008) and this issue effects the colour detection on them as well (Ho et al, 2001). Therefore, the visual effect of colour on elderlies is different to the other age group, which needs a comprehensive investigation accordingly (Dijkstra et al, 2006). Within the years a few studies investigates the visual impact of colours on elderlies.…”

Section: Elderly Visual Abilitymentioning

confidence: 99%

“…Dijkstra et al (2006) and Ulrich et al (2004) showed that the psychological effect of an environment could release stress and increase the feel of relaxation. Previous researchers classified the comparison of colour emotions.…”

Section: Cool Colours Against Warm Coloursmentioning

confidence: 99%

“…Warm colours associated with aroused feeling and cool colours associated with calm and relaxation feeling (Kaya & Epps, 2004). Dijkstra et al (2006) mentioned the primary environmental stimulus is the colour of the walls in an environment, which will change the feeling of the place to get an appropriate result in human health. They added, colours in an indoor environment could be a beneficial effect on patients as the first healing factor in a healthcare system.…”

Section: Cool Colours Against Warm Coloursmentioning

confidence: 99%

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An Experimental Comparison of the Effectiveness of Cool Colors as Environmental Stimulus on the Elderlies in High-rise Condominiums of Kuala Lumpur

Ghashghaei

Hussein

Ghaffarianhosein

et al. 2017

JDBE

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The rapid urban spatial expansion and population growth in recent years has resulted in the development of numerous high-rise condominiums in Kuala Lumpur. Many of these buildings include general relaxation and recreational facilities for the occupants. However, the majority of these spaces are designed to cater for the basic needs of typical residents, with less attention to the expectations of the elderlies. As a result, elderlies residing in such condominiums predominantly prefer to stay in their flats, and this phenomenon can negatively impact their overall health and quality of life. While with an appropriate consideration of shared facilities this occurrence can be solved. In this study, cool colours in fifteen intensities were tested (10 minutes as the test duration for each intensity) on 64 elderly occupants in a 3m×2m test room based on the Quasi-experimental method to evaluate the impacts of cool colours as environmental stimulus in common indoor facilities of condominiums. The participants were the residents of two high-rise condominiums in Kuala Lumpur, and they were all above 60 years old. Their blood pressure, heart beat rate and skin temperature as dependent variables were measured by sphygmomanometer and infrared thermometer as two required instruments and analysed to evaluate their relationship with cool colours and time spent. There are three significant results: Firstly, the lightest intensity of bluegreen and green colours have decreased dependent variables with strongest relationship. Secondly, violet has negative impacts by increasing dependent variables. And thirdly, green colour, in general, has decreased dependent variables with positive impact as environmental stimulus while lightest blue-green colour affects the dependents variable faster than the other intensities. Higher rate of dependent variables associated with arousing feeling, while lower rate of dependent variables associated with calm and relaxation feeling. The study concludes that particular cool colours embrace promising potentials to be taken into consideration during the design of indoor spaces, particularly for the elderlies, by architects and interior designers.

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“…However, even within the constraints of EBD there is still discussion and debate as to what actually constitutes evidence. For example Dijkstra et al (2006), Huisman et al (2012) and Salonen et al (2013) to name but a few, have been extremely strict as to what could be considered as 'evidence', and claim only scientific research derived through randomised controlled trials is permissible, whilst other scholars' definitions are much looser, for example Hamilton and Watkins (2009) specific context, what is perhaps of equal importance is how such evidence is used by designers; how it is mobilised in 'designerly ways' (see Cross, 2001 and later for further description) by those engaging in the creation of our healthcare built environments ,something which remains relatively under-researched. A better understanding of how evidence in its many forms is used by designers in practice, through both performancebased and prescriptive-based approaches, can in turn help optimise how new and emerging evidence is included within future design guidance.…”

Section: Introductionmentioning

confidence: 99%

Healthcare designers’ use of prescriptive and performance-based approaches

Wanigarathna

Sherratt

Price

et al. 2016

Architectural Engineering and Design Management

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In the UK, healthcare built environment design is guided by a series of long established design standards and guidance issued by the Department of Health.More recently, healthcare design focus has broadened to encompass new approaches, supported by large bodies of credible research evidence. It is therefore timely to rethink how healthcare design standards and guidance should be best expressed to suit 'designerly ways' of using evidence, to improve their use and effectiveness in practice. This research explored how designers use performance and prescriptive approaches during the healthcare design process.Three in-depth healthcare built environment case studies were used to explore how designers employed such approaches during the design of selected exemplar design elements. Results show that design elements in the pre and conceptual design phases significantly employed performance based approaches, and due to project-unique circumstances, prescriptive solutions were often significantly modified based on performance criteria. For design elements in the detailed and technical design phases, there was significant use of solutions based on prescriptive approaches, whilst performance-based criteria were used to evaluate design solutions. This research proposes a performance-based, specification driven healthcare design with supplementary prescriptive specifications provided for optimum healthcare environment design.Keywords: healthcare built environments; evidence; designing; performancebased specification; prescriptive specification IntroductionHospital design has traditionally focused on efficiency, cost and clinical functionality (Gesler et al., 2004). Similar to many elements of the built environment, the healthcare design process draws on various sources of evidence including but not limited to formal education, personal and colleagues' knowledge and experience, common sense, intuitions and personal interpretations (Hamilton, 2003, Tetreault & Passini, 2003, Lawson, 2004, Martin & Guerin, 2007 as well as more formal design guidance (Lafratta, 2006, Hignett andLu, 2009) This paper presents an empirical examination, drawing on three case study projects, of how healthcare designers draw on evidence, through designerly ways, in the process of healthcare built environment design. Evidence within this study is considered as either based on experience, found within formally produced design guidance or more explicitly grounded in academic research findings, or indeed a combination of all three, creating a naturally broad and inclusive definition which enables the process of design to be explored in depth. It is hoped that in taking a practice-based approach with due recognition of designerly ways, this research can contribute to improvements within the process of healthcare design, and also provide useful insights to help develop an 'ideal balance' of prescriptive and performance specification within this specific built environment context.

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Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: systematic review

Cited by 318 publications

References 38 publications

Inpatients’ and outpatients’ satisfaction: The mediating role of perceived quality of physical and social environment

Inpatients’ and outpatients’ satisfaction: The mediating role of perceived quality of physical and social environment

An Experimental Comparison of the Effectiveness of Cool Colors as Environmental Stimulus on the Elderlies in High-rise Condominiums of Kuala Lumpur

Healthcare designers’ use of prescriptive and performance-based approaches

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