STRINKING A BALANCE BETWEEN GREENNESS AND HEALING OF A HOSPITALGSAS Sponsored Seminar / Workshop

Professor. Mohammed Arif, University of Salfrod, UK

Qatar National Convention Centre, Doha – Qatar 14th June 2014

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Where Did It All Start?

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FACILITY PURPOSE PRODUCTIVITY

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

People Are More Important Than Buildings

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

Building Automation Vs Comfort

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

Localised Controls and Manual Over-rides Important

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

Value Added For BREEAM Credits Vs Actual Value Added

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

BREEAM Results Are Important

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

Automation Can Lead to Bad Habits

EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

MOVING TO A HEALTHCARE FACILITY NOW

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EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION

HEALING ENVIRONMENT

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– External Space Scale• Upkeep and care

– Cleanliness– Paths and sidewalks– Hospital entrance– Building Conditions

• Orientation– Signposts– Wayfinding

• Green Spaces– Trees– Colourfulness– Water– Benches

• Building Aesthetics– Shape and color– General upkeep

PATIENT PERCEPTION

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• Spatial– Furnishing– Wall – Ceiling– Temperature– Humidity– Quietness– Views and lighting

• Information– Direction– Helpfulness

• Privacy– Being watched vs being cared– Gossip– Intrusiveness

PATIENT PERCEPTION CONTD.

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– Patients and their families• Reduction of errors

– Identical rooms– Lighting

• Increased safety and security» Reduced falls» Reduced infection rates» Indoor quality

• Enhanced control• Privacy

» Patient rooms» Waiting areas

• Comfort» Materials» Art» View» Visual comfort» Acoustic comfort

• Furniture Orientation

PATIENT AND FAMILIES

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– Spatial• Indoor plants, interior landscaping• Furniture layout• Exterior view from the workspace• Presence of coordinated art objects• Pleasant colour scheme• Architectural design of the space• Location and orientation of the space

HEALTHCARE PROVIDERS

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– Environmental• Adequate illumination• Availability of daylight• Thermal comfort• Noise level• Air quality and freshness

HEALTHCARE PROVIDERS CONTD.

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– Maintenance• Provision of hand hygiene• Proximity to wards• Cleanliness and ease of maintenance• Spaciousness

HEALTHCARE PROVIDERS CONTD.

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– Number of beds in a room– Safe and easily cleaned surface materials– Sound absorbing ceiling tiles– Adequate ventilation– Thermal comfort– Natural daylight– Control over temperature and lighting– Views– Exposure and access to nature– Appropriate equipment and furniture

BENEFICIAL INDOOR ENVIRONMENT

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DEPARTMENT SPECIFIC RESEARCH

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• GARDEN– Some areas better utilised than others– Need to be more colourful, with more trees– Colourful flowers and sound of flowing water very soothing– Garden needs to interactive for kids– Wheelchair and stroller friendly path– Some private areas for bereavement or stress

• ATRIUM– Atrium proved overwhelming for kids– However, it provided comfort to the vistors– Architectural distractions such as paintings and building design features reduced

stress of parents– Retail spaces further lowered the stress– Glass elevators was intimidating for kids as some of them felt fear of heights– Atrium helped identify landmarks and made wayfinding easy.

PEDIATRICS

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• Single patient rooms with private bathrooms• Ward layout for smaller patient group size• Movable seating in spacious dayrooms, lounges• Low noise, good acoustics• Nature window views• Garden accessible to patients• Nature art, no abstract art• Daylight exposure• Staff stations close to activity areas, providing good visibility• Easy wayfinding and signage

PSYCHIATRY

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– Finding a Space Amongst Congestion and Clutter– Trying to work underwater – Accessibility and water

temperature– Ambience– Being equipped for flexible spaces with appropriate

furniture

MIDWIFERY

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BIG QUESTIONS

• ARE ANY OF THESE PROCESS RELATED REQUIREMENTS INCORPORATED IN DESIGN AND CONSTRUCTION OF HOSPITALS IN QATAR?

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• HOW CAN GUIDELINES SUCH AS GSAS AND LEED INCORPORATE THESE IN HOSPITAL ACCREDITATION?

BIG QUESTIONS

THANK YOU