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From experiences of the outdoors to the design of healthcare environments

a phenomenological case study at nursing homes

Bengtsson, Anna (2015). From experiences of the outdoors to the design of healthcare environments. Diss. (sammanfattning/summary) Alnarp : Sveriges lantbruksuniv., Acta Universitatis Agriculturae Sueciae, 1652-6880 ; 2015:66
ISBN 978-91-576-8330-4
eISBN 978-91-576-8331-1
[Doctoral thesis]

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This thesis strives to create opportunities within landscape architecture to promote the development of the outdoors as a resource for health and well-being in healthcare settings. The overall aim is to describe users’ experiences of contact with the outdoors in healthcare environments, and from this generate frameworks and tools for use in the design processes of such environments. The work is built on theoretical frameworks including person-environment fit and universal design, together with theories on restorative and supportive environments. In the background, evidence-based design is described in relation to outdoor environments in healthcare and this leads to the identification of four zones of contact that are used as part of a holistic approach to explore the experience of contact with the outdoors. The result reflects two different parts of the working process. The first part describes the users’ contact with the outdoors, as experienced by staff, next of kin and residents. These descriptions portray a variety of universal wishes, needs and opportunities in relation to the outdoor environment in healthcare settings. Such universal needs and wishes became the main perspective in the second part of the work, as the empirical results were interpreted from a researcher’s and designer’s point of view.

The main contribution of the present work is the generation of frameworks and tools useful in design processes that correspond to users’ wishes and needs in healthcare settings. The quality evaluation tool (QET) is the final manifestation of these frameworks. In all, these frameworks consist of 19 environmental qualities, the three design concepts of comfortable design, inspiring design, and the gradient of challenge, and the principal model of the four zones of contact with the outdoors. The frameworks also offer explanations of the ways in which the 19 environmental qualities relate to theories on different resources of the outdoors. These frameworks are designed to help designers to be comprehensive and aware in their work, and not overlook important qualities and aspects of the outdoors in a healthcare context. Furthermore, they are designed to be useful in participatory design processes.
Keywords: case study, evidence-based, healthcare architecture, instorative, landscape architecture, nursing home, person-environment fit, phenomenology, place attachment, restorative, salutogenesis, supportive environment, universal design.

Authors/Creators:Bengtsson, Anna
Title:From experiences of the outdoors to the design of healthcare environments
Subtitle:a phenomenological case study at nursing homes
Series Name/Journal:Acta Universitatis Agriculturae Sueciae
Year of publishing :2015
Depositing date:8 May 2015
Number of Pages:81
IBengtsson, A., Carlsson, C., 2006. Outdoor Environments at Three Nursing Homes: Focus Group Interviews with Staff. Journal of Housing for the Elderly 19 (3), 49-69.
IIBengtsson, A., Carlsson, C., 2013. Outdoor Environments at Three Nursing Homes -Qualitative Interviews with Residents and Next of Kin. Urban Forestry and Urban Greening 12, 393-400.
IIIBengtsson, A., Hägerhäll, C., Englund, J-E., Grahn, P., 2015. Outdoor Environments at Three Nursing Homes: Semantic Environmental Descriptions. Journal of Housing for the Elderly 29 (1-2).
IVBengtsson, A., Grahn, P., 2014. Outdoor Environments in Healthcare Settings: A Quality Evaluation Tool for Use in Designing Healthcare Gardens, Urban Forestry and Urban Greening 13 (4), 878-891.
Place of Publication:Alnarp
Publisher:Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences
ISBN for printed version:978-91-576-8330-4
ISBN for electronic version:978-91-576-8331-1
Additional Information:The Research Program Arts in Hospital and Care as Culture within Stockholm County Council has supported this work, together with Formas, project number 2006-793.
Publication Type:Doctoral thesis
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Nursing
(A) Swedish standard research categories 2011 > 4 Agricultural Sciences > 401 Agricultural, Forestry and Fisheries > Landscape Architecture
Agrovoc terms:health, elderly, environmental factors, psychological factors, parks, gardens, design, landscaping, case studies
Keywords:case study, evidence-based, healthcare design, landscape architecture, phenomenology, universal design
Permanent URL:
ID Code:12192
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology (until 2020)
External funders:FORMAS
Deposited By: Ms Anna Bengtsson
Deposited On:11 May 2015 10:20
Metadata Last Modified:10 Sep 2020 13:41

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