A Systematic Review and Conceptual Framework of Biophilic Design Parameters in Clinical Environments

Bekir Huseyin Tekin; Rhiannon Corcoran; Rosa Urbano Gutiérrez

doi:10.1177/19375867221118675

journal article Open Access Aug 22, 2022

A Systematic Review and Conceptual Framework of Biophilic Design Parameters in Clinical Environments

Bekir Huseyin Tekin

Rhiannon Corcoran Rosa Urbano Gutiérrez

HERD: Health Environments Research & Design Journal Vol. 16 No. 1 pp. 233-250 · SAGE Publications

View at Publisher Save 10.1177/19375867221118675

Abstract

Objectives:
To provide a live-experience knowledge base about biophilic design parameters and environmental features to inform policy and design in clinical therapeutic environments.

Background:
It is increasingly important to review hospital design to make the best use of the affordances of natural elements in supporting both patients’ and staff’s physical and psychological well-being. The biophilic design theory provides an appropriate design approach. However, current biophilic design frameworks fail to provide efficiently standardized guidance. This systematic review aims to examine the experience of hospital users (patients and staff) with a view to informing a standardized biophilic design framework to improve future design in this context.

Methods:
This study performed a review and synthesis of nine studies identified using systematic procedures focusing on biophilic design features in healthcare environments.

Results:
The study identified a selection of biophilic parameters specifically relevant to this building typology, according to three different user groups: outpatients (fresh air, light-daylight, thermal comfort, welcoming and relaxing), inpatients (feeling relaxed and comfortable, prospect refuge, security and protection, light-daylight, view), and staff (privacy-refuge, quietness).

Conclusions:
The systematically identified studies helped to identify and rank the biophilic design parameters that appear the most critical for promoting and supporting human health and well-being in clinical therapeutic environments from the user’s perspective. It also provides an up-to-date compilation of crucial design interventions related to biophilic parameters and as such provides benchmark information for future research and design guidance in these environments.

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References

56

[1]

Abdelaal M. S. Soebarto V. (2019). Biophilia and salutogenesis as restorative design approaches in healthcare architecture. Architectural Science Review 62(3) 195–205. https://doi.org/10.1080/00038628.2019.1604313 10.1080/00038628.2019.1604313

[2]

The Cognitive Benefits of Interacting With Nature

Marc G. Berman, John Jonides, Stephen Kaplan

Psychological Science 10.1111/j.1467-9280.2008.02225.x

[3]

Blaschke S. O’Callaghan C. C. Schofield P. (2017). Nature-based care opportunities and barriers in oncology contexts: A modified international e-Delphi survey. BMJ Open 7(10) e017456. https://doi.org/10.1136/BMJOPEN-2017-017456 10.1136/bmjopen-2017-017456

[4]

Blaschke S. O’Callaghan C. C. Schofield P. (2018). Cancer patients’ recommendations for nature-based design and engagement in oncology contexts: Qualitative research. Health Environments Research & Design Journal 11(2) 45–55. https://doi.org/10.1177/1937586717737813 10.1177/1937586717737813

[5]

10.1176/ajp.151.7.979

[6]

Boland C., Dickson M. G., Angela R. (2017). Doing a systematic review: A student’s guide. SAGE.

[7]

The impacts of nature experience on human cognitive function and mental health

Gregory N. Bratman, J. Paul Hamilton, Gretchen C. Daily

Annals of the New York Academy of Sciences 10.1111/j.1749-6632.2011.06400.x

[8]

Bratman G. N. Olvera-Alvarez H. A. Gross J. J. (2021). The affective benefits of nature exposure. Social and Personality Psychology Compass 15(8) e12630. https://doi.org/10.1111/spc3.12630 10.1111/spc3.12630

[9]

Browning W. Ryan C. Clancy J. (2014). 14 Patterns of biophilic design: Improving health & well-being in the built environment. Terrapin Bright Green LLC 1–60. https://doi.org/10.1016/j.yebeh.2008.04.024 10.1016/j.yebeh.2008.04.024

[10]

Canter D., Kenny C. (1979). Evaluating acute general hospitals. In Canter D., Canter S. (Eds.), Designing for therapeutic environments. A review of research. Wiley.

[11]

Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence

David M Clarke, Kay C Currie

Medical Journal of Australia 10.5694/j.1326-5377.2009.tb02471.x

[12]

DeJean D. Giacomini M. Vanstone M. Brundisini F. (2013). Patient experiences of depression and anxiety with chronic disease: A systematic review and qualitative meta-synthesis. Ontario Health Technology Assessment Series 13(16) 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3817854/

[13]

10.1093/jurban/jtg137

[14]

Galea S. Ahern J. Rudenstine S. Wallace Z. Vlahov D. (2005). Urban built environment and depression: A multilevel analysis. Journal of Epidemiology & Community Health 59(10) 822–827. https://doi.org/10.1136/JECH.2005.033084 10.1136/jech.2005.033084

[15]

Guthrie E. (1996). Emotional disorder in chronic illness: Psychotherapeutic interventions. British Journal of Psychiatry 168(MAR.) 265–273. https://doi.org/10.1192/BJP.168.3.265 10.1192/bjp.168.3.265

[16]

Holloway Cripps G. K. (2016). Too hot too cold and then just right: Balancing form and function in biophilic designed office workspaces. Doctoral dissertation University of Maryland University College.

[17]

10.2307/1568678

[18]

International Living Future Institute. (2019). Living building challenge SM 4.0: A visionary path to a regenerative future. https://livingfuture.org/lbc/

[19]

International WELL Building Institute. (2020). WELL building standard v2. https://v2.wellcertified.com/en

[20]

Jencks C. (2017). Maggie’s architecture: The deep affinities between architecture and health. Architectural Design 87(2) 66–75. https://doi.org/10.1002/ad.2154 10.1002/ad.2154

[21]

Kellert S. Calabrese E. (2015). The practice of biophilic design. www.biophilic-design.com

[22]

Kellert S., Heerwagen J., Mador M. (2011). Biophilic design: The theory, science and practice of bringing buildings to life (pp. 3–15). John Wiley & Sons.

[23]

Kellert S. Wilson E. O. (1993). The biophilia hypothesis. Island Press. https://liverpool.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cat00003a&AN=lvp.b1667370&site=eds-live&scope=site

[24]

Kuo M. (2015). How might contact with nature promote human health? Promising mechanisms and a possible central pathway. Frontiers in Psychology 6 1093. https://doi.org/10.3389/fpsyg.2015.01093 Link to access the article: https://doi.org/10.3389/fpsyg.2015.01093 Link to access the article: https://www.frontiersin.org/articles/10.3389/fpsyg.2015.01093/full 10.3389/fpsyg.2015.01093

[25]

Laursen J. Danielsen A. Rosenberg J. (2014). Effects of environmental design on patient outcome: A systematic review. Health Environments Research & Design Journal 7(4) 108–119. https://doi.org/10.1177/193758671400700410 10.1177/193758671400700410

[26]

Mayou R. Hawton K. Feldman E. Ardern M. (1991). Psychiatric problems among medical admissions. International Journal of Psychiatry in Medicine 21(1) 71–84. https://doi.org/10.2190/NDPB-YCW9-BETA-AYJE 10.2190/ndpb-ycw9-beta-ayje

[27]

McDaniel J. S. Musselman D. L. Porter M. R. Reed D. A. Nemeroff C. B. (1995). Depression in patients with cancer: Diagnosis biology and treatment. Archives of General Psychiatry 52(2) 89–99. https://doi.org/10.1001/ARCHPSYC.1995.03950140007002 10.1001/archpsyc.1995.03950140007002

[28]

Mcsweeney J. Rainham D. Johnson S. A. Sherry S. B. Singleton J. (2015). Indoor nature exposure (INE): A health-promotion framework. Health Promotion International 30(1) 126–139. https://doi.org/10.1093/heapro/dau081; https://pubmed.ncbi.nlm.nih.gov/25252597/ 10.1093/heapro/dau081

[29]

Moore T. H. M. Kesten J. M. López-López J. A. Ijaz S. McAleenan A. Richards A. Gray S. Savović J. Audrey S. (2018). The effects of changes to the built environment on the mental health and well-being of adults: Systematic review. Health & Place 53 237–257. https://doi.org/10.1016/J.HEALTHPLACE.2018.07.012 10.1016/j.healthplace.2018.07.012

[30]

Murphy M. Mansfield J. (2017). Can architecture heal? Building as instruments of health. Architectural Design 87(2) 82–89. https://doi.org/10.1002/ad.2156 10.1002/ad.2156

[31]

Restorative Design Features for Hospital Staff Break Areas

Adeleh Nejati, Mardelle Shepley, Susan Rodiek et al.

HERD: Health Environments Research & Design Jo... 10.1177/1937586715592632

[32]

Nightingale F. (1863). Notes on hospitals. Longman, Green, Longman, Roberts, and Green.

[33]

NVIVO Q. (2012). Nvivo qualitative data analysis software. https://www.qsrinternational.com/nvivo-qualitative-data-analysis-software/home

[34]

Rayyan—a web and mobile app for systematic reviews

Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz et al.

Systematic Reviews 10.1186/s13643-016-0384-4

[35]

Park S. H. Mattson R. H. (2009). Ornamental indoor plants in hospital rooms enhanced health outcomes of patients recovering from surgery. The Journal of Alternative and Complementary Medicine 15(9) 975–980. https://doi.org/Home.Liebertpub.Com/Acm https://doi.org/10.1089/ACM.2009.0075 10.1089/acm.2009.0075

[36]

Peditto K. Shepley M. Sachs N. Mendle J. Burrow A. (2020). Inadequacy and impact of facility design for adolescents and young adults with cancer. Journal of Environmental Psychology 69(September 2019) 101418. https://doi.org/10.1016/j.jenvp.2020.101418 10.1016/j.jenvp.2020.101418

[37]

Multisensory, Nature-Inspired Recharge Rooms Yield Short-Term Reductions in Perceived Stress Among Frontline Healthcare Workers

David Putrino, Jonathan Ripp, Joseph E. Herrera et al.

Frontiers in Psychology 10.3389/fpsyg.2020.560833

[38]

Rao M. Prasad S. Adshead F. Tissera H. (2007). The built environment and health. The Lancet 370(9593) 1111–1113. https://doi.org/10.1016/S0140 10.1016/s0140-6736(07)61260-4

[39]

Silverstein A. (2009). A history of immunology. Academic Press.

[40]

Sloane D. C. Sloane B. C. (2002). Medicine moves to the mall. Johns Hopkins University Press. http://ebookcentral.proquest.com/lib/liverpool/detail.action?docID=3318068 10.56021/9780801870644

[41]

Smith R. Watkins N. (2016). “Therapeutic Environments”. From the Therapeutic Environments Forum AIA Academy of Architecture for Health WBDG – Whole Building Design Guide accessed December 2021: https://www.wbdg.org/resources/therapeutic-environments+

[42]

Sternberg E. M. (2009). Healing spaces: The science of place and well-being. Harvard University Press. https://books.google.com/books/about/Healing_Spaces.html?hl=tr&id=xyDqRAAACAAJ 10.2307/j.ctvjghtgs

[43]

Stone P. (1976). Hospitals: The heroic years. Architects’ Journal, 164(50), 1121–1148.

[44]

Tanja-Dijkstra K. Andrade C. C. (2018). 12—Healthcare settings. In Devlin A. S. (Ed.) Environmental psychology and human well-being (pp. 313–334). Academic Press. https://doi.org/10.1016/B978-0-12-811481-0.00012-3 10.1016/b978-0-12-811481-0.00012-3

[45]

Tekin B. H. Corcoran R. Urbano Gutiérrez R. (2021). A new reading of therapeutic environments: Biophilic elements in Maggie’s Centres [Conference session]. The 8th International Conference on Architecture and Built Environment with AWARDs (pp. 289–298). www.s-arch.net

[46]

10.1016/j.foar.2022.06.013

[47]

Thompson J. D. Goldin G. (1975). The hospital: A social and architectural history (pp. 1975–349). Yale University Press. https://books.google.com/books/about/The_Hospital.html?hl=tr&id=POJzQgAACAAJ

[48]

Tinner M. Crovella P. Rosenbaum P. F. (2018). Perceived importance of wellness features at a cancer center: Patient and staff perspectives. Health Environments Research & Design Journal 11(3) 80–93. https://doi.org/10.1177/1937586718758446 10.1177/1937586718758446

[49]

Turner J. Kelly B. (2000). Emotional dimensions of chronic disease. Western Journal of Medicine 172(2) 124. https://doi.org/10.1136/EWJM.172.2.124 10.1136/ewjm.172.2.124

[50]

View Through a Window May Influence Recovery from Surgery

Roger S. Ulrich

Science 10.1126/science.6143402

Showing 50 of 56 references

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Details

Published: Aug 22, 2022
Vol/Issue: 16(1)
Pages: 233-250
License: View

Authors

B

Bekir Huseyin Tekin

School of Architecture, University of Liverpool, United Kingdom

R

Rhiannon Corcoran

Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, United Kingdom

R

Rosa Urbano Gutiérrez

School of Architecture, University of Liverpool, United Kingdom

Cite This Article

Bekir Huseyin Tekin, Rhiannon Corcoran, Rosa Urbano Gutiérrez (2022). A Systematic Review and Conceptual Framework of Biophilic Design Parameters in Clinical Environments. HERD: Health Environments Research & Design Journal, 16(1), 233-250. https://doi.org/10.1177/19375867221118675

A Systematic Review and Conceptual Framework of Biophilic Design Parameters in Clinical Environments

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