Abstract: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… Show more
“…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%
“…Considering the importance of transparency and replicability in a GT study, detailed reflection on the process of GT data analysis has been explained in the authors' previous article (Sal Moslehian et al, 2022). In sum, the GT analysis has been largely conducted through computer assistance analysis using NVivo.…”
Section: Methodsmentioning
confidence: 99%
“…As constructivist GT “lies squarely in the interpretive tradition” and gives priority to “showing patterns and connections” (Charmaz, 2006, p. 130), we used the Charmazian approach to GT to answer the question “What is going on here?” (Charmaz, 2006, p. 24; Swanson & Holton, 2005) in relation to the innovation ecosystem in hospital building design. As we have explained in detail elsewhere (Sal Moslehian et al, 2022), a novel multirepresentational approach integral to the research design was employed in this study to promote systemic and systematic thinking and enhance the process of grounded theorizing. It aided particularly with the examination of incidents within a wider relational composition, as stressed in the ontology and epistemology principles of the Charmaz (2014) constructivism paradigm.…”
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.
“…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%
“…Considering the importance of transparency and replicability in a GT study, detailed reflection on the process of GT data analysis has been explained in the authors' previous article (Sal Moslehian et al, 2022). In sum, the GT analysis has been largely conducted through computer assistance analysis using NVivo.…”
Section: Methodsmentioning
confidence: 99%
“…As constructivist GT “lies squarely in the interpretive tradition” and gives priority to “showing patterns and connections” (Charmaz, 2006, p. 130), we used the Charmazian approach to GT to answer the question “What is going on here?” (Charmaz, 2006, p. 24; Swanson & Holton, 2005) in relation to the innovation ecosystem in hospital building design. As we have explained in detail elsewhere (Sal Moslehian et al, 2022), a novel multirepresentational approach integral to the research design was employed in this study to promote systemic and systematic thinking and enhance the process of grounded theorizing. It aided particularly with the examination of incidents within a wider relational composition, as stressed in the ontology and epistemology principles of the Charmaz (2014) constructivism paradigm.…”
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.
“…To achieve this, we created an Arc diagram, for this is able to represent a wide picture of interactions between concepts within and across categories while indicating the sequence of concepts (Figure 4). Arc diagrams describe interactions between concepts with higher levels of generalisation (called parents) rather than focusing on individual codes (children), and contain both direct and indirect relationships between concepts.Figure 4.The final cumulative Arc diagram developed from the analysis of 11 data sources (Sal Moslehian, Kocaturk, et al, 2022). …”
Section: Case Study: the Implementation Of The Multi-representational...mentioning
confidence: 99%
“…The final cumulative Arc diagram developed from the analysis of 11 data sources (Sal Moslehian, Kocaturk, et al, 2022). …”
Section: Case Study: the Implementation Of The Multi-representational...mentioning
Grounded Theory (GT) researchers have an ever-expanding palette of digital tools available to further analyse complex phenomena with interrelated data sets. However, few GT researchers have systematically examined how the use of diagramming tools can enhance analysis. To advance the analytical process of GT, this study develops a multi-representational approach that integrates with research design. After diagrams supportive of GT are identified for their potential improvements to the analytical process, the research focuses on the experience of employing three diagramming tools (Flourish, Observable, and Pajek) in developing two complementary diagrams (Network and Arc diagrams). The use of these tools for analysis is explained in detail for conducting extensive constructivist GT study; illustrated via a case study examining a century of innovation in hospital design. Via this multiple-source case study, this paper demonstrates how the sagacious deployment of diagramming tools, when carefully aligned to research objectives, can complement GT analysis by facilitating systematic thinking and holistic interpretation of hidden patterns.
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