Matching Items (25)
Description
ABSTRACT In an attempt to advocate body-conscious design and healing work environments, this research study of holistic health in the workplace explores cognitive, social and physical well-being in four small US offices that are between 1000 and 4000 square feet and employ three to twelve employees. Holistic health, as pursued in this research, includes social health, emotional health and physical health. These three factors of holistic health have been identified and investigated in this study: biophilia: peoples' love and affiliation with other species and the natural environment; ergonomics: the relationship between the human body, movement, the immediate environment and productivity; and exercise: exertion of the body to obtain physical fitness. This research study proposes that employees and employers of these four participating workplaces desire mobility and resources in the workplace that support holistic health practices involving biophilia, ergonomics, and exercise. Literature review of holistic health and the holistic health factors of this research topic support the idea that interaction with other species can be healing, ergonomic body-conscious furniture and equipment increase productivity, limit body aches, pains and health costs; and exercise stimulates the mind and body, increasing productivity. This study has been conducted primarily with qualitative and flexible research approaches using observation, survey, interview and pedometer readings as methods for data collection. Two small corporate franchise financial institutions and two small private healthcare providers from both Arizona and Georgia participated in this study. Each office volunteered one employer and two employee participants. Of the holistic health factors considered in these four case studies, this study found that a majority of participants equally valued emotional health, social health and physical health. A majority of participants declared a preference for workplace environments with serene natural environments with outdoor spaces and interaction with other species, work environments with body-conscious furniture, equipment and workstations, as well as exercise space and equipment. As these particular workplace environments affirmed value for elements of the factors biophilia, ergonomics and exercise, all three factors are considered valueable within the workplaces of these case studies. Furthermore, factors that were said to contribute to personal productivity in participating workplaces were found as well as sacrifices that participants stated they would be willing to make in order to implement their preferred work environment(s). In addition, this study recorded and calculated average miles walked by participants in each workplace as well as existing incentives and descriptions of ideal work environments. Implications of this research study involve interior design, industrial design and fashion design that can accommodate the desires of the four participating workplaces. Major design implications involve accommodating these particular workplaces to provide personnel with opportunities for holistic health in working environments. More specific implications of office related design involve providing access to natural environments, body-conscious equipment and spaces, as well as opportunities for exercise and social interaction. These elements of the factors biophilia, ergonomics and exercise were found to be said to contribute to cognitive, social and physical health.
ContributorsMcEwan, April (Author) / White, Philip (Thesis advisor) / Shraiky, James (Committee member) / Barry, Rebecca (Committee member) / Arizona State University (Publisher)
Created2011
Description
The goal of this research was to contribute to the understanding of how the physical design of Intensive Care Unit (ICU) environments may be improved to enhance nursing communication, and in turn, the quality and safety of patient outcomes. This study was guided by two research questions: (1) What are the major characteristics of nurse communication in a hybrid ICU nurse station design? (2) What are the factors in the built environment that enhance or hinder nurse communication in a hybrid ICU nurse station design? The research design was exploratory and qualitative. Observations were conducted in two ICUs with hybrid nurse station layouts. Participant observation was used to systematically observe and document nurse communication and the physical attributes of the ICU nurse work environment that affect communication. Literature, observations, and information regarding staffing and design about the selected ICUs were analyzed for the generation of concepts and the exploration of significant themes. Results show that nurse interactions with other staff members varied within the different zones of the ICU pod. A biaxial map illustrates four key types of core nurse communication interactions: At ease, On guard, In motion, and On the edge. The quadrants representing barriers to nurse communication are On guard and On the edge, and included interactions with other staff members in the pod. The quadrants representing facilitators to nurse communication are At ease and In motion. The hybrid nurse station layout supported nurse-nurse communication, but not communication interactions with other staff members present on the pod. The results provide a broad understanding of how nurse communication is affected by the environment in which nurses work, and allows for the emergence of design opportunities to enhance nurse communication.
ContributorsNewcomb, Emily Michelle Darling (Author) / Lamb, Gerri (Thesis advisor) / Stein, Morris (Thesis advisor) / Wolf, Peter (Committee member) / Arizona State University (Publisher)
Created2011
Description
A growing body of research shows that characteristics of the built environment in healthcare facilities impact patients' well-being. Research findings suggest that patients form judgments of perceived quality care based on environmental characteristics. Patient outcomes and ratings of quality of care are linked to the environments' ability to reduce patient stress as well as influence perceptions of quality of care. Historically, this research has been focused in the hospital environment. The United States healthcare system heavily relies on hospitals to treat (rather than prevent) illness, leading to a high per capita healthcare expenditure. Currently, this healthcare system is shifting to rely heavily on ambulatory care settings and primary care providers to detect, prevent, and manage expensive medical conditions. The highest rates of preventable disease and the lowest rates of primary care usage are found in the young adult population (ages 18 to 24). More than any other patient population, this segment rates their satisfaction with healthcare significantly low. For this population education, early detection, and monitoring will be key for a primary care focused model to have the greatest impact on care and long-term savings. Strong patient-physician connections ensure the success of a primary care focused model. The physical environment has the opportunity to provide a message consistent with a physician's practice values and goals. Environmental cues in the waiting area have the potential to relay these messages to the patient prior to physician contact. Through an understanding and optimization of these cues patient perception of quality of care may be increased, thus improving the patient-physician relationship. This study provides insight on how to optimize environmental impact on the healthcare experience. This descriptive exploratory study utilized a non-verbal self-report instrument to collect demographic information and measure participant's responses to two panoramic photos of primary care provider waiting areas. Respondents were asked to identify physical elements in the photos that contributed to their perceptions of the quality of care to be expected. The sample population consisted of 33, 18 to 24 year-olds leaving a total of 234 emotional markers and comments. Qualitative and quantitative revealed three key themes of appeal, comfort, and regard. Physical elements, in the photos, related to the themes include: General areas that were important to the respondents were the seating and reception areas, as well as the overall appearance of the waiting area. Key elements identified to be significant characteristics influencing perceptions of quality of care are presented in this study.
ContributorsBadura, Kerri (Author) / Lamb, Gerri (Thesis advisor) / Heywood, William (Committee member) / Wolf, Peter (Committee member) / Arizona State University (Publisher)
Created2012
Description
Health and healing in the United States is in a moment of deep and broad transformation. Underpinning this transformation is a shift in focus from practitioner- and system-centric perspectives to patient and family expectations and their accompanying localized narratives. Situated within this transformation are patients and families of all kinds. This shift's interpretation lies in the converging and diverging trails of biomedicine, a patient-centric perspective of consensus between practitioner and patient, and postmodern philosophy, a break from prevailing norms and systems. Lending context is the dynamic interplay between increasing ethnic/cultural diversity, acculturation/biculturalism, and medical pluralism. Diverse populations continue to navigate multiple health and healing paradigms, engage in the process of their integration, and use health and healing practices that run corollary to them. The way this experience is viewed, whether biomedically or philosophically, has implications for the future of healthcare. Over this fluid interpenetration, with its vivid nuance, loom widespread health disparities. The adverse effects of static, fragmented healthcare systems unable to identify and answer diverse populations' emergent needs are acutely felt by these individuals. Eradication of health disparities is born from insight into how these populations experience health and healing. The resulting strategy must be one that simultaneously addresses the complex intricacies of patient-centered care, permits emergence of more localized narratives, and eschews systems that are no longer effective. It is the movement of caregivers across multiple health and healing sources, managing care for loved ones, that provides this insight and in which this project is keenly interested. Uncovering the emergent patterns of caregivers' management of these sources reveals a rich and nuanced spectrum of realities. These realities are replete with opportunities to re-frame health and healing in ways that better reflect what these diverse populations of caregivers and care recipients need. Engaging female Mexican American caregivers, a population whose experience is well-suited to aid in this re-frame, this project begins to provide that insight. Informed by a parent framework of Complexity Science, and balanced between biomedical and postmodern perspectives, this constructivist grounded theory secondary analysis charts these caregivers' processes and offers provocative findings and recommendations for understanding their experiences.
ContributorsKrahe, Jennifer Anne Eve (Author) / Lamb, Gerri (Thesis advisor) / Evans, Bronwynne (Committee member) / Larkey, Linda (Committee member) / Arizona State University (Publisher)
Created2013
Description
"Too often, people in pain are stuck in limbo. With no diagnosis there is no prognosis. They feel that without knowing what is wrong, there is no way to make it right" (Lewandowski, 2006, p. ix). Research has shown that environmental factors, such as views of nature, positive distractions and natural light can reduce anxiety and pain (Ulrich, 1984). Patients with chronic, painful diseases are often worried, anxious and tired. Doctor's appointments for those with a chronic pain diagnosis can be devastating (Gilron, Peter, Watson, Cahill, & Moulin, 2006). The research question explored in this study is: Does the layout, seating and elements of positive distraction in the pain center waiting room relate to the patients experience of pain and distress? This study utilized a mixed-method approach. A purposive sample of 39 individuals participated in the study. The study employed the Positive and Negative Affect Schedule (PANAS), the Lewandowski Pain Scale (LPS) and a researcher developed Spatial Perception Instrument (SPI) rating the appearance and comfort of a pain center waiting room in a large metropolitan area. Results indicated that there were no significant correlations between pain, distress and the waiting room environment. It is intended that this study will provide a framework for future research in the area of chronic pain and distress in order to advance the understanding of research in the waiting area environment and the effect it may have on the patient.
ContributorsDraper, Heather (Author) / Bender, Diane (Thesis advisor) / Shraiky, James (Committee member) / Lamb, Gerri (Committee member) / Arizona State University (Publisher)
Created2012
Description
Healthcare is one of the most personal and complex services provided, and as such, designing healthcare environments is particularly challenging. In the last couple of decades, researchers have concentrated their efforts on exploring the elements of the hospital environment that affect patients' health and in finding ways to apply that knowledge in contemporary healthcare design. But despite the growing body of research, there is an element of utmost importance to healing environments that has not been studied very extensively: the patient experience. The interaction of patients with their environment shapes their personal experience, and inversely, focusing on designing experiences rather than services can inform the design of successful healing environments. This shift from designing services to designing experiences has deep implications in healthcare settings because of the stressful situations that patients have to go through; memorable experiences have a positive influence on a patient's emotional health because they help minimize stress and in healthcare environments this translates into improved outcomes. The concept of assembling experiences is not new, especially in the entertainment industry; it was, in fact, the underlying principle behind the creation of the first theme park more than fifty years ago: Disneyland. Today, Disney is an entertainment industry leader and their design concepts and practices have been perfected to achieve the Company's main purpose: to immerse Guests in a happy, unforgettable experience. This research study focuses on examining the principles used by Disney designers, or Imagineers, as they are called within the organization, to generate memorable experiences, and how those theories can be adopted and adapted by healthcare designers to create better healing environments. However, Disney's Imagineering is not the only approach considered in this research. A thorough analysis would not be complete without delving into the concept of experiential design as a design process and from an economical perspective, as well as without analyzing recent notions about the importance of authenticity in businesses and its implications on design. This study, therefore, suggests a new healing environment design model based on a comprehensive review of the literature related to three main design approaches: Disney Imagineering, experiential design and authenticity.
ContributorsDuenas Parra, Betsabe (Author) / Bernardi, Jose (Thesis advisor) / Stein, Morris (Committee member) / Shraiky, James (Committee member) / Arizona State University (Publisher)
Created2012
Description
ABSTRACT Nursing physical fatigue is a critical issue that may lead to degradation of care delivery and ultimately result in medical errors. This issue is equally relevant due to the looming shortage of nurses, which has been linked to the physical demands and potential occupational hazards intrinsic to the profession; as well as to the graying of the nursing workforce who experiences gradual loss of strength and agility that accompanies aging as time in the career advances. In a hospital Emergency Department, the level of nursing physical fatigue can potentially reach its threshold in light of challenging workloads, scope of job assignments and demanding schedules. While in other safety-sensitive industries such as aviation and nuclear plants, similar concerns have been the object of systematic research and addressed with consequent regulations, just recently, the healthcare sector has been engaged in further investigations. This study proposed to explore the linkage between Emergency Department design-layout and nursing physical fatigue. It was expected that further understanding on this relationship would support evidence-based design propositions linking nursing wellness, job satisfaction, and performance to a higher quality of care and improved patient safety levels. To this end, data collection was performed during four weeks in a community-based hospital. A convenience sample of twenty-four eligible nurses was invited to participate in this two-part study. The first section consisted of the completion of a self-administered questionnaire, which assessed nurses' perception of the impact of working conditions on nursing physical fatigue. The second section included the monitoring, through the use of accelerometers, of nurses' actual activity intensity levels during three consecutive shifts. Among other findings, data demonstrated that nurses perceive several attributes or components of the built environment as potential contributors to physical fatigue. In addition, various operational practices and organizational protocols were linked to physical fatigue. Contrary to nurses' perception of physical fatigue, their actual physical activity levels fell mostly between sedentary or light intensity ranges. This paradox offers the opportunity for design interventions that, in alignment with operational practices and organizational protocols will enhance nurses' performance and improve nurses' retention.
ContributorsShakman, Karen (Author) / Bender, Diane (Thesis advisor) / Stein, Morris (Committee member) / Lamb, Gerri (Committee member) / Arizona State University (Publisher)
Created2011
Description
Violence in schools occurs throughout America, prevalent to the point of daily happenstance. The epidemic of violence in our society is in sore need of healing efforts. Ending Bullying with Multiple Architectures focuses on the violence of bullying in young children and adolescents, in an effort to mitigate bullying at a critical age, before it transcends into their adult behavior. Bullying begins in elementary schools, a time when our minds are extremely impressionable and our behavioral habits take birth. Bullying may happen for a certain segment of a person's life, but the effects transcend a person's entire life. People who bully may follow a familial cycle of bullying and people who are bullied may become bullies and start a new cycle. With bullying and aggressive behavior increasing exponentially in schools, our society is growing up in a place where it is acceptable to react aggressively to stressful or undesirable situations. Today, violence in our society infiltrates every aspect of our lives, from road rage, to grocery store quarrels, to family ties breaking, to gun violence in school and public spaces. Unplanned acts of violence occur in "spur of the moments". Is our society so impatient, aggressive, antagonistic, individualistic, and isolated because we have been conditioned as human beings to behave this way? Did we miss our chance to work cordially as a community, peacefully and patiently, because we put progress and productivity in front of community and collaboration? How can architecture slow you down, keep you aware of your surroundings and facilitate collaboration and getting along? Why do we accept abrupt anger and violence, and how can architecture create, improve or encourage positive behavioral habits in our impressionable young minds? Ending Bullying with Multiple Architectures translates existing bullying strategies (social architecture) into physical architectural intervention, in an effort to mitigate bullying at the critical age when behavioral habits take birth. This project challenges efficiency based design in order to complement the human experience. By creating healthier spaces that foster wholeness, we can heal violence at this critical age, and thus hopefully reduce future societal violence as a whole.
ContributorsRaghani, Divya Nikita (Author) / Shraiky, James (Thesis director) / Hejduk, Renata (Committee member) / Civil, Environmental and Sustainable Engineering Programs (Contributor) / Barrett, The Honors College (Contributor) / The Design School (Contributor) / School of Social and Behavioral Sciences (Contributor)
Created2015-05
Description
Design focuses on the ability to change one's emotion, wellness, and an over all sense of self. Designers strive for a positive space that ensures ones safety while at the same time, making sure the environment is pleasing to the eye. Beyond the design aesthetics, animal assisted therapy is utilized in many scenarios/environments in order to receive the utmost positive outcome in patients and ultimately, creating a peaceful state of mind.
ContributorsTsai, Cindy Chen (Author) / Brandt, Beverly (Thesis director) / Shraiky, James (Committee member) / Steffes, Scott (Committee member) / Barrett, The Honors College (Contributor) / School of Sustainability (Contributor) / The Design School (Contributor)
Created2014-05
Description
Plagued by white walls, cold corridors, sterile layouts, and overall design inefficiency, traditional hospitals have created an ironic sense of fear in most people about visiting a place intended to help them heal. This thesis examines the healing qualities for humans in response to a resort-like atmosphere where they are provided with amenities such as a variety of entertainment, food, and recreation options as well as first-class customer service.
ContributorsThompson, Erica Ann (Author) / Brandt, Beverly (Thesis director) / Shraiky, James (Committee member) / Bernardi, Jose (Committee member) / Barrett, The Honors College (Contributor) / Department of Agribusiness (Contributor) / The Design School (Contributor)
Created2014-05