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WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY 2016 GRADUATE RESEARCH FELLOWSHIP SPONSORED BY YONGYEON CHO 11/13/2017 @ 3:15pm., SUN 3&4, 2017 HCD

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  • WELLNESS DESIGN EVALUATION CRITERIAFOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    2016 GRADUATE RESEARCH FELLOWSHIP SPONSORED BY

    YONGYEON CHO

    11/13/2017 @ 3:15pm., SUN 3&4, 2017 HCD

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    QUESTIONS

    IMPROVE USER EXPERIENCE IN A HEALTHCARE MAIN ENTRY LOBBY?

    MEASURE WELLNESS DESIGN EXPERIENCE?

    ASSESS DESIGN IN OCCUPANCY OR DURING DESIGN PROCESS?

    AN EVALUATION TOOL, ENOUGH IN DIFFERENT CIRCUMSTANCES?

    WHAT DESIGN CONSIDERATIONS ARE IMPORTANT IN HEALTHCARE DESIGN?

    WELLNESS DESIGN FEATURES = IMPORTANT DESIGN FEATURES?

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    OBJECTIVES OF THE PRESENTATION

    WELLNESS CONCEPT in the healthcare environmental design (10MIN)

    Existing healthcare DESIGN EVALUATION TOOLS & GUIDELINES (15MIN)

    NEW PROCESS to produce a USER-CENTERED wellness design evaluation tool (15MIN)

    THE HEALTHCARE MAIN ENTRY LOBBY WELLNESS DESIGN EVALUATION TOOL (10MIN)

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEFINITION OF WELLNESS RELATED CONCEPTS

    HEALTHrefer more closely to physical, and mental health and to healthy social relationships.

    WELL-BEINGrefer to all aspects of quality of life, including financial, occupational and community aspects.

    WELLNESSrefer to a similar meaning of health including spiritual, intellectual, and environmental aspects

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THEORIES & STUDIES RELEVANT TO THE WELLNESS CONCEPT

    STRESS

    HEALING ENVIRONMENT

    SUPPORTIVE DESIGN

    ACTIVE DESIGN

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THEORIES & STUDIES RELEVANT TO THE WELLNESS CONCEPT

    STRESS

    Stress is linked with psychological, physiological, and behavioral dimensions of wellness (Ulrich, 1991, p.99)

    Recent research suggests that the severe stress experienced by caregivers has suppressive effects on their immune system functioning (Kiecolt-Glaser et al., 1987)

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THEORIES & STUDIES RELEVANT TO THE WELLNESS CONCEPT

    HEALING ENVIRONMENT

    Healthcare physical environment may have an impact on health by influencing the behaviors, actions, and interactions of patients and their families as well as staff members (Schweitzer et al, 2004)

    The influence of the physical environment on the healing process and elaborated further that the physical environment also contributed towards a better quality of life(Joseph, 2006)

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THEORIES & STUDIES RELEVANT TO THE WELLNESS CONCEPT

    SUPPORTIVE DESIGN

    Ulrich (1991) developed a supportive design theory that explains essential aspects of healthcare facilities design that help to create an optimum healing environment (Escobar, 2014)

    Fostering a perception of control, promoting social support and providing access to nature and other positive distractions (Ulrich. 1991)

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THEORIES & STUDIES RELEVANT TO THE WELLNESS CONCEPT

    ACTIVE DESIGN

    Active design is an environmental design that encourages physical activities, based on current academic research as well as best practices and cost-effective solutions.

    Active design promises benefits not only for the health of the public but also for the areas of both environmentally friendly design and universal design (Active Design Guidelines, 2010).

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    IMPROVEMENT OF USERS EXPERIENCE

    OPTIMAL POSITIVE DISTRACTION

    ENHANCING USERS SENSE OF CONTROL

    ASPECTS OF SOCIAL SUPPORT

    ENHANCEMENT OF SAFETY AND SECURITY

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

  • IMPROVEMENT OFUSERS EXPERIENCE

    WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    Entrance experience

    Check-in experience

    Waiting experience

    Wayfinding experience

    Amenities

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

  • OPTIMAL POSITIVE DISTRACTION

    WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

    Natural elements

    Sensory aspects

  • ENHANCING USERS SENSE OF CONTROL

    WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

    Privacy

    Physical activities

  • ASPECTS OFSOCIAL SUPPORT

    WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

    Furniture layout

    Space configuration

  • ENHANCEMENT OFSAFETY AND SECURITY

    WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    5 WELLNESS DESIGN CRITERIA IN HEALTHCARE MAIN LOBBY FROM LITERATURE

    Entry access control

    Cleanness

    Hand washing and hygiene

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    CONTENT ANALYSIS

    6 EXISTING EVALUATION TOOLS &DESIGN GUIDELINES

    1. Patient Room Post Occupancy Evaluation Tool The Center for health design2. Clinic Design Post Occupancy Evaluation Toolkit - The Center for health design3. Guidelines for Design and Construction of Health Care Facilities - The Facility Guidelines Institute 4. LEED V2009 for Healthcare - U.S Green Building Council 5. Building Occupants Survey System Australia - Building Research & Information 6. Centers for Disease Control and Prevention Work Health Score Card - Centers for Disease Control and Prevention

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    6 EVALUATION TOOLS AND GUIDELINES ARE CHOSEN ON THE BASIS OF THE FOLLOWING

    1. The tools and guidelines are related to the built environment, including interior spaces.

    2. The tools and guidelines are not specific to a main lobby (waiting area, public space) in

    healthcare design environments.

    3. The tools and guidelines are related to human health and wellness.

    4. The tools and guidelines have been updated or published before 2014.

    5. The tools and guidelines are open to public.

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    5 STEPS OF CONTENT ANALYSIS

    STEP 1.

    STEP 2.

    STEP 3.

    STEP 4.

    STEP 5.

    Reviewing MAJOR CATEGORIES of the WELLNESS concept applied to the PUBLIC SPACE.

    REORGANIZING the selected major criteria according to the 5 WELLNESS DESIGN CRITERIA.

    Categorizing SPECIFIC CRITERIA of the selected major criteria into 20 DESIGN FEATURES.

    REORGANIZING the specific criteria into 5 wellness design criteria and 20 DESIGN FEATURES.

    SUMMARIZING each of the specific criteria into A PHRASE.

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 1. Reviewing major categories of the wellness concept applied to the lobby design.PRPOE

    Lob

    by

    Wel

    lne

    ss

    CDPOE

    Lob

    by

    Wel

    lne

    ss

    GDCHF

    Lob

    by

    Wel

    lne

    ss

    EBD goals Design principles Space planning

    Improve mobility and reduce falls Enhance Privacy Nursing units Reduce risk of injury Improve access and wayfinding Diagnostic and treatment locations Reduce risk of contamination Enhance waiting experience Patient support service Improve hand sanitation Enhance communication/ interaction between

    staff and patient General support services and facilities

    Provide safe delivery of care Enhance communication/ teamwork between staff members

    Public and administrative areas

    Provide efficient delivery of care Reduce patient anxiety Design and construction requirements

    Improve communication Reduce patient infection risk Building systemsImprove staff health Reduce staff stress and improve job satisfactio

    n

    Improve job satisfaction Improve patient flow and throughout

    Reduce patient pain, stress, anxiety, and delirium

    Reduce resource consumption

    Enable & Enhance patient sense of control Improve recycling and reduce waste

    Improve patient engagement Provide a healthy environment (reduce negative health effects)

    Improve patient satisfaction Enhance security (patient staff facility)

    Improve family presence and engagement in patient care

    Incorporate state-of-art technology

    Improve comfort Reduce noise Respect privacy Ensure durability Enable change readiness/ Future-proofing

    Enhance sustainability Provide return on investment

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 1. Reviewing major categories of the wellness concept applied to the lobby design.PRPOE

    Lob

    by

    Wel

    lne

    ss

    EBD goals

    Improve mobility and reduce falls Reduce risk of injury Reduce risk of contamination Improve hand sanitation Provide safe delivery of care Provide efficient delivery of careImprove communication Improve staff health Improve job satisfaction Reduce patient pain, stress, anxiety, and delirium Enable & Enhance patient sense of control Improve patient engagement Improve patient satisfaction Improve family presence and engagement in patient care Improve comfort Reduce noise

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 2. Reorganizing the selected major criteria according to the 5 wellness design criteria.1 Improvement of users experience

    2 Optimal positive distraction 3 Enhancing users sense of control

    4 Aspects of social support 5 Enhancement of safety and security

    PRPOE Reduce patient pain, stress, anxiety, and delirium

    Reduce patient pain, stress, anxiety, and delirium

    Enable & Enhance patient sense of control

    Increase patient engagement Reduce risk of contamination

    Increase patient engagement Improve patient satisfaction Improve patient satisfaction Improve comfort Improve hand sanitation

    Improve comfort Respect privacy Respect privacyReduce noiseImprove comfort

    CDPOE Enhance waiting experience Enhance waiting experience Enhance waiting experience Enhance waiting experience Enhance security (patient staff facility)

    Improve access and wayfinding Reduce patient anxiety Enhance Privacy Reduce patient infection risk

    Incorporate state-of-art technology

    Enhance Privacy Enhance waiting experience

    GDCHF Functional program Functional program Functional program Functional programPublic and administrative areas

    LEED+HC Sustainable sites Indoor environmental quality Sustainable sites

    BOSSA Connection to outdoor environment

    Connection to outdoor environment

    Noise distraction and privacy Spatial comfort Building image and maintenance

    Thermal comfort Visual comfortBuilding image and maintenance Personal control

    Visual comfort Spatial comfortIndoor air quality

    CWHSC Physical Activity NutritionNutrition Physical Activity

    Weight Management

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 2. Reorganizing the selected major criteria according to the 5 wellness design criteria.

    1 Improvement of users experience

    2 Optimal positive distraction

    PRPOE Reduce patient pain, stress, anxiety, and delirium

    Reduce patient pain, stress, anxiety, and delirium

    Increase patient engagement Improve patient satisfaction

    Improve comfort Respect privacyReduce noiseImprove comfort

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 3. Categorizing specific criteria of the selected major criteria into 20 design features.Category number

    Major category Specific criteria Wellness design criteria Design features

    PRPOE-01 Reduce patient pain, stress, anxiety, and delirium

    Patient has access to views of nature 2. Positive distractions 06. natural elementsPRPOE-02 Nature-themed artwork 2. Positive distractions 08. visual appealsPRPOE-03 Access to music 2. Positive distractions 10. positive sound distractions

    PRPOE-04 Physical environment is visually appealing 2. Positive distractions 08. visual appealsPRPOE-05 Large windows for natural daylight and window views 2. Positive distractions 06. natural elementsPRPOE-06 Presence of clock and watch for patient's orientation with time 1. Experiences 04. additional space programPRPOE-07 Presence of clock and watch for patient's orientation with time 2. Positive distractions 09. perception of noisePRPOE-08 Use of white noise/sound masking to reduce disruptions from noise 2. Positive distractions 10. positive sound distractions,

    PRPOE-09 Lighting design that allows lighting variation for the purpose of maintaining patients' circadian rhythm

    2. Positive distractions 07. controlled lighting system

    PRPOE-10 Improve comfort Ventilation and air conditioning system accommodating temperature differences during seasons

    2. Positive distractions 11. air comfort and freshness

    PRPOE-11 Glare sources controlled to minimize patient discomfort 2. Positive distractions 07. controlled lighting system

    PRPOE-12 Furniture suitable for wide age and size variations 4. Social support 17. variety of furniturePRPOE-13 Amenities as considered appropriate, such as power outlets, wireless connection, p

    hones1. Experiences 04. additional space program

    PRPOE-14 Reduce noise Use of acoustic tiles 2. Positive distractions 09. perception of noisePRPOE-15 Sound-absorbing construction and finish 2. Positive distractions 09. perception of noisePRPOE-16 Respect privacy Technology to filter/mask external noise such as white noise machine 2. Positive distractions 09. perception of noisePRPOE-17 Furniture configured to allow patient and family privacy 3. Control 13. visual and auditory privacy

    PRPOE-18 Minimum perceived visibility from public areas 3. Control 13. visual and auditory privacy

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 3. Categorizing specific criteria of the selected major criteria into 20 design features.

    Category number

    Major category

    Specific criteriaWellness design criteria

    Design features

    PRPOE-01 Reduce patient pain, stress, anxiety, and delirium

    Patient has access to views of nature 2. Positive distractions 06. natural elementsPRPOE-02 Nature-themed artwork 2. Positive distractions 08. visual appeals

    PRPOE-03 Access to music 2. Positive distractions 10. positive sound distractions

    PRPOE-04 Physical environment is visually appealing 2. Positive distractions 08. visual appeals

    PRPOE-05Large windows for natural daylight and window views

    2. Positive distractions 06. natural elements

    PRPOE-06Presence of clock and watch for patient's orientation with time

    1. Experiences 04. additional space program

    PRPOE-07Presence of clock and watch for patient's orientation with time

    2. Positive distractions 09. perception of noise

    PRPOE-08Use of white noise/sound masking to reduce disruptions from noise

    2. Positive distractions 10. positive sound distractions

    PRPOE-09Lighting design that allows lighting variation for the purpose of maintaining patients' circadian rhythm

    2. Positive distractions 07. controlled lighting system

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 4. Reorganizing the specific criteria into 5 wellness design criteria and 20 design feature.Wellness design criteria

    Design features

    Specifics Category number

    2. Optimal positive distraction

    06. Nature elements

    External view BOSSA-10Access to daylight BOSSA-11Windows and/or skylight provide plenty of direct or indirect natural light CDPOE-11

    Indoor plants, outside nature/gardens, artwork, or other pleasant stimuli are visible for users

    CDPOE-16

    Light and views - use of natural light, illumination, and views in the physical environment

    GDCHF-07

    Provide a garden or other controlled exterior space that is accessible to building users GDCHF-08

    Daylight and views - daylight LEED+HC-07

    Daylight and views - views LEED+HC-08

    Patient has access to views of nature PRPOE-01Large windows for natural daylight and window views PRPOE-05

    07. Controlled lighting system

    Lighting BOSSA-13Indirect lighting should be considered to reduce glare GDCHF-09

    Lighting design that allows lighting variation for the purpose of maintaining patients' circadian rhythm

    PRPOE-09

    Glare sources controlled to minimize patient discomfort PRPOE-11

    Glare controlled PRPOE-20

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 4. Reorganizing the specific criteria into 5 wellness design criteria and 20 design feature.Wellness design criteria

    Design features

    Specifics Category number

    2. Optimal positive distraction

    06. Nature elements

    External view BOSSA-10Access to daylight BOSSA-11Windows and/or skylight provide plenty of direct or indirect natural light CDPOE-11

    Indoor plants, outside nature/gardens, artwork, or other pleasant stimuli are visible for users

    CDPOE-16

    Light and views - use of natural light, illumination, and views in the physical environment

    GDCHF-07

    Provide a garden or other controlled exterior space that is accessible to building users GDCHF-08

    Daylight and views - daylight LEED+HC-07

    Daylight and views - views LEED+HC-08

    Patient has access to views of nature PRPOE-01Large windows for natural daylight and window views PRPOE-05

    07. Controlled lighting system

    Lighting BOSSA-13Indirect lighting should be considered to reduce glare GDCHF-09

    Lighting design that allows lighting variation for the purpose of maintaining patients' circadian rhythm

    PRPOE-09

    Glare sources controlled to minimize patient discomfort PRPOE-11

    Glare controlled PRPOE-20

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 5. Summarizing each of the specific criteria into a phrase.Wellness design criteria

    Design features Summary of specifics

    1. Improvement of users experience

    01.Entrance experience Covered area for vehicle drop off and pick up, proximity of parking lots, pedestrian entrance, clear signage, bicycle lots02.Entry vestibule experience Wheelchair storage area that out of the path of traffic, view of drop off and pick up area, waiting area for discharge

    03.Basic space program Information center, waiting area, public restrooms for male, female, and family, space for special group of people04.Additional space program Kids area, multi-purpose lactation, place of respite, drinking water, local phone calls, power outlets, wireless connection, clock, waiting

    monitor, vending area, kiosks or other displays for information, clear signage and landmark for wayfinding05.Accessibility to other space Cafe, gift shop, book store, chapel, business center, family library, exercise facility on-site, convenience store

    2. Optimal positive distraction

    06.Nature elements Skylight, large windows for outside view, accessible gardens, indoor plants, water features07.Controlled lighting system Overall experiences of lighting, minimizing glare on the floor, providing efficient lighting for the purpose of circadian rhythm, lighting a

    esthetic08.Visual appeals Hospital brand, harmonized color, finishes, materials, nature themed artworks09.Perception of noise Noise from equipment, sound of footsteps, murmur of conversation10.Positive sound distractions White noise, access to soothing music, nature sound such as from water feature, or interior healing garden

    11.Air comfort and freshness Comfortable air temperature, relative humidity, and flow speed, no unpleasant smell, air quality and freshness, appropriate temperature in season

    3. Enhancing users sense of control

    12.Environmental support for physical activities

    Highly visible staircase, interior healing garden, meditation garden, indoor climbing wall, space for free body fat assessment

    13.Visual and auditory privacy Barriers in seating, privacy screens on registration area and/or kiosks

    14.User controlled environments Adjustable furniture, adequate storage space for personal belongings, manual shading system

    15.Information for healthier life Brochures, or pamphlets that address the benefits of health eating, overweight, or obese, nutritional information for foods and beverages sold in vending area, local farmers' market information

    4. Aspects of social support

    16.Space configuration Visibility within space, spatial connectivity17.Variety of furniture Variety of seating options for different group sizes, wide age groups and size variations

    5. Enhancement of safety and security

    18.Access control system Protection devices, automatically closed door with alarms, safeguard staff, adequate exterior lighting19.Cleanness and maintenance Cleanness of overall waiting area, quality of maintenance, public restroom experience

    20.Infection control system Plenty of sinks and/or alcohol gel dispensers in visible and accessible locations, separated area for infectious visitors, visual cues as reminders for hand washing/ sanitation

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    STEP 5. Summarizing each of the specific criteria into a phrase.Wellness design criteria

    Design features Summary of specifics

    2. Optimal positive distraction

    06.Nature elements Skylight, large windows for outside view, accessible gardens, indoor plants, water features

    07.Controlled lighting system

    Overall experiences of lighting, minimizing glare on the floor, providing efficient lighting for the purpose of circadian rhythm, lighting aesthetic

    08.Visual appeals Hospital brand, harmonized color, finishes, materials, nature themed artworks

    09.Perception of noise Noise from equipment, sound of footsteps, murmur of conversation

    10.Positive sound distractions

    White noise, access to soothing music, nature sound such as from water feature, or interior healing garden

    11.Air comfort and freshness

    Comfortable air temperature, relative humidity, and flow speed, no unpleasant smell, air quality and freshness, appropriate temperature in season

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN LOBBY FROM EXISTING EVALUATION TOOL & GUIDELINE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    SURVEY1. Online survey implemented from Qualtrics survey panel, The survey obtained total N=899

    2. The research purchased and used 299 participants responses for the most reliable survey results

    (4) DEMOGRAPHY QUESTIONS(4) VISITING PATTERN QUESTIONSUSER EXPERIENCE OF THE (20) DESIGN FEATURESIMPORTANCE / IMPACT ON USERS PHYCIAL, EMOTIONAL, SOCIAL

    3. Data analysis with EXCEL and SPSS for comparing means, t-test, and ANOVA

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    (4) DEMOGRAPHY QUESTIONS

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    1. GENDER

    2. AGE GROUP

    3. EDUCATION LEVEL

    4. DESIGN BACKGROUND

    M / F

    18-35 / 35-50 / 50- 69 / 70-87

    H / 2 / 4 / P / D

    Y / N

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    (4) VISITING PATTERN QUESTIONS

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    1. TYPE OF HEALTHCARE FACILITY

    2. PURPOSE OF VISIT

    3. DURATION OF STAY

    4. FREQUENCY OF VISIT

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    USER EXPERIENCE OF THE (20) DESIGN FEATURES

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    1. entrance experience2. entry vestibule experience3. access control system4. basic space program5. additional space program6. accessibility to other space7. space configuration8. environmental support for physical activities 9. variety of furniture10. nature elements11. controlled lighting system12. visual appeal13. visual and auditory privacy14. perception of noise15. positive sound distractions16. air comfort and freshness17. User-controlled environments18. cleanness and maintenance19. infection control system20. information for healthier life

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTS MEAN VALUE OF THE FEATURES

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTS MEAN VALUE OF THE FEATURES BY 5 WELLNESS GOAL

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTS MEAN VALUE OF THE 5 WELLNESS GOAL

    0.00

    0.50

    1.00

    1.50

    2.00

    2.50

    3.00

    3.50

    4.00

    4.50

    Criteria 1.Improvements of

    users facility experience

    Criteria 2.Optimal positive

    distractions

    Criteria 3.Enhancing users sense of control

    Criteria 4.Aspects of users

    social support

    Criteria 5.Enhancement of

    safety and security

    User's perception on the Importance of the wellness experience in the main lobby

    1

    52 3 4

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSGENDER

    49.5

    MALE

    50.5

    FEMALE

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    1 / 20

    7 / 207 / 201 / 20

    T-TEST

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSAGE GROUP

    26.8

    18-34

    29.4

    35-50

    37.8

    51-69

    6.0

    70-87

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    11 / 20

    11 / 208 / 20

    12 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSEDUCATION LEVEL

    2.3

    > HIGH SCHOOL

    21.1

    HIGH SCHOOL

    21.4

    COLLEGE

    9.0

    2 YEAR

    31.4

    4 YEAR

    13.4

    PRO-FESSIONAL

    1.3

    DOC-TORATE

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    5 / 20

    1 / 203 / 204 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSDESIGN BACKGROUND

    13.0

    DESIGN

    77.6

    NON-

    DESIGN

    9.4

    N/A

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    0 / 20

    14 / 2010 / 2020 / 20

    T-TEST

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSTYPE OF HEALTHCARE FACILITY

    59.2

    HOSPITAL

    29.1

    AMBUL

    ATORY

    7.4

    RESIDE

    NTIAL

    4.3

    OTHER

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    10 / 20

    3 / 205 / 20

    10 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSFREQUENCY OF VISIT

    47.5

    11.7

    LESS ONE/

    A YEAR

    19.1

    9.0

    4.31.7 2.3 1.3

    3.0

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    12 / 20

    2 / 205 / 20

    12 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

    1-2/A

    YEAR

    1/3

    MONTHS

    1/A

    MONTHS

    2/A

    MONTHS

    1/A

    WEEK

    2/A

    WEEK

    MORE 4/A

    WEEK

    EVERY DAY

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSDURATION OF STAY

    20.4

    LESS 1

    HOUR

    47.2

    1-2HOURS

    17.7

    2-4HOURS

    5.43.0

    4.71.7

    4-6HOURS

    6-8HOURS

    ALL DAY

    DO NOT KNOW

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    2 / 20

    0 / 206 / 201 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    DEVELOPING WELLNESS DESIGN EVALUATION CRITERIA FOR THE HEALTHCARE MAIN ENTRY LOBBY WITH USERS EXPERIENCE

    SURVEY RESULTSPURPOSE OF VISIT

    80.3

    PATIENT

    17.4

    VISITOR

    2.3

    N/ASTAFF

    0.0

    IMPORTANCEOF THE DESIGN

    IMPACET ON PHYSICAL WELL-BING

    EMOTIONAL HEALTH

    SOCIAL INTERACTION

    18 / 20

    16 / 2015 / 2018 / 20

    ANOVA

    NUMBER OF DESIGN FEATURE (20) INDICATE

    SIGNIFICANT DIFFERENCE

    * SIG. >0.05

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE TOOL

    INTRODUCING THE WELLNESS DESIGN EVALUATION TOOL FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    MAIN TABCOVER TAB DETAIL TAB

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    Goals of the evaluation tool

    Basic information regarding of the evaluation

    How to use the tool

    Main tabTabs for design features

    COVER TAB

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    Itemized scores

    Percentile ranks (0 - 100)

    Level of quality based on percentile ranks

    Main questions

    20 Design features and the specifics

    MAIN TAB

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    Diagram

    Written explanations

    Reference guide for users

    Navigation

    DETAIL TAB

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    Itemized scores

    Percentile ranks (0 - 100)

    Level of quality based on percentile ranks

    Main questions

    20 Design features and the specifics

    MAIN TAB

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOLA formula for a Itemized score

    Mean value of importance of the design features

    Mean value of impacts on physical well-being

    Mean value of impacts on emotional health

    Mean value of impacts on social interaction

    Itemized scores of design features

    01. entrance experience 3.37 2.64 2.68 2.58 26.6 02. entry vestibule experience 3.05 2.66 2.68 2.60 24.2 03. basic space program 3.86 2.92 3.00 2.99 34.4 04. additional space program 3.41 2.65 2.97 2.93 29.2 05. accessibility to other space 2.55 2.49 2.70 2.72 20.2 06. nature elements 3.30 2.68 3.24 2.72 28.5 07. controlled lighting system 3.15 2.76 2.90 2.47 25.7 08. visual appeals 2.84 2.33 2.87 2.51 21.9 09. perception of noise 3.09 2.35 2.58 2.50 23.0 10. positive sound distractions 2.86 2.52 2.97 2.57 23.1 11. air comfort and freshness 3.98 3.26 3.25 2.83 37.2 12. environmental support for physical activities 2.70 2.82 2.85 2.67 22.5

    13. visual and auditory privacy 3.39 2.50 2.96 2.83 28.1 14. user controlled environment 2.63 2.62 2.68 2.53 20.6 15. information for healthier life 2.83 2.83 2.73 2.53 22.9 16. space configuration 3.02 2.55 2.76 2.69 24.2 17. variety of furniture 2.85 2.71 2.59 2.72 22.8 18. access control system 3.22 2.76 2.79 2.54 26.1 19. cleanness and maintenance 3.47 3.42 3.44 3.04 34.4 20. infection control 4.28 3.57 3.21 2.84 41.2

    Color code for the scores

    Survey result

    Mean value of importance of the design features

    Mean value of impacts on physical well-being

    Mean value of impacts on emotional health

    Mean value of impacts on social interaction

    Itemized scores of design features

    01. entrance experience

    3.37

    2.64

    2.68

    2.58

    26.6

    02. entry vestibule experience

    3.05

    2.66

    2.68

    2.60

    24.2

    03. basic space program

    3.86

    2.92

    3.00

    2.99

    34.4

    04. additional space program

    3.41

    2.65

    2.97

    2.93

    29.2

    05. accessibility to other space

    2.55

    2.49

    2.70

    2.72

    20.2

    06. nature elements

    3.30

    2.68

    3.24

    2.72

    28.5

    07. controlled lighting system

    3.15

    2.76

    2.90

    2.47

    25.7

    08. visual appeals

    2.84

    2.33

    2.87

    2.51

    21.9

    09. perception of noise

    3.09

    2.35

    2.58

    2.50

    23.0

    10. positive sound distractions

    2.86

    2.52

    2.97

    2.57

    23.1

    11. air comfort and freshness

    3.98

    3.26

    3.25

    2.83

    37.2

    12. environmental support for physical activities

    2.70

    2.82

    2.85

    2.67

    22.5

    13. visual and auditory privacy

    3.39

    2.50

    2.96

    2.83

    28.1

    14. user controlled environment

    2.63

    2.62

    2.68

    2.53

    20.6

    15. information for healthier life

    2.83

    2.83

    2.73

    2.53

    22.9

    16. space configuration

    3.02

    2.55

    2.76

    2.69

    24.2

    17. variety of furniture

    2.85

    2.71

    2.59

    2.72

    22.8

    18. access control system

    3.22

    2.76

    2.79

    2.54

    26.1

    19. cleanness and maintenance

    3.47

    3.42

    3.44

    3.04

    34.4

    20. infection control

    4.28

    3.57

    3.21

    2.84

    41.2

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    A formula for Percentile ranks based on raw score

    Level of quality based on percentile ranks

    Check all Best

  • WELLNESS DESIGN EVALUATION CRITERIA FOR THE MAIN LOBBY IN A HEALTHCARE FACILITY

    THE HEALTHCARE MAIN ENTRY LOBBY DESIGN EVALUATION TOOL

    Link - the tool

  • THANK YOU

    [email protected]@hok.com

    AAHID GRADUATE RESEARCH FELLOWSHIP11/13/2017. YONGYEON CHO

    This research was funded in part by the Steelcase Corporation and the American Academy of Healthcare Interior Designers, Inc.Any opinions, findings, conclusions or recommendations expressed in this publication are those of the author and do not

    necessarily reflect the views of the American Academy of Healthcare Interior Designers, Inc. or Steelcase

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