Introduction: There is a growing interest in the role of therapeutic landscape in healthcare settings to provide a better-quality environment and good influence on staff, visitors, and patients well-being. However, it is not yet well understood how this can happen in hospitals’ design. Hospital facilities are one of the most stress-inducing environments of all. For this reason, a specific research for this type of healthcare structure can be helpful. Objective: This work evaluates the correspondence between design and research, in order to provide a series of design guidelines for hospital therapeutic landscape design. Methodology: Firstly, a systematic literature review based on Scopus, PubMed and Cochrane Lybrary has been run in order to highlight the main relevant trends and datas about therapeutic landscape design in healthcare architecture. Second, research and analysis of the best practices. Finally, a series of design guidelines has been provided followed by a tool to easily communicate the design principles following therapeutic landscape design in hospital environment. Results: The review led to the analysis of 25 documents; it was significant to understand the major areas of application (paediatrics, maternity, oncology, inpatient, etc.) and forms of green (images, furniture, healing gardens, vegetable gardens, etc.). Results of the best practices analysis showed how different is the approach to therapeutic greenery design. Used green components are healing gardens, gardens, visual gardens, vegetable gardens and wilderness, in forms of terraces, roof gardens, courtyards and hanging gardens. But only few of the best practices followed a pre and post occupancy evaluation to define the project objectives and weaknesses. Conclusion: Finally, the paper provides four design themes: co-location, interior and exterior relationship, access to greenery in the inpatient ward and healing gardens design principles. These are intended to provide different design strategies at different scales, giving the right tools to integrate therapeutic greenery in the hospital design. In this way, the thesis proposes a different sensitivity towards the green element, no longer only as a performance component but as a beneficial element for all stakeholders. Laying the foundations to apply this conception specifically to the hospital environment and with the objective to deepen these guidelines respecting more specific users’ needs.
Introduzione: C’è un crescente interesse nel ruolo del paesaggio terapeutico nelle strutture sanitarie per fornire un ambiente di migliore qualità e una buona influenza sul benessere del personale, dei visitatori e dei pazienti. Tuttavia, non è ancora ben compreso come questo possa avvenire nel design degli ospedali. Le strutture ospedaliere sono uno degli ambienti più stressanti in assoluto. Per questo motivo, una ricerca specifica per questo tipo di struttura sanitaria può essere utile. Obiettivo: Questo lavoro valuta la corrispondenza tra design e ricerca, al fine di fornire una serie di linee guida per la progettazione del paesaggio terapeutico ospedaliero. Metodologia: In primo luogo, una revisione sistematica della letteratura basata su Scopus, PubMed e Cochrane Lybrary è stata eseguita al fine di comprendere quali sono le principali tendenze e dati sulla progettazione del paesaggio terapeutico nell’architettura sanitaria, poi uno studio dei migliori riferimenti evidenzia il divario tra ricerca e progettazione. Infine, viene fornita una serie di linee guida per la progettazione seguita da uno strumento per comunicare facilmente i principi di progettazione che seguono il design del paesaggio terapeutico in ambiente ospedaliero. Risultati: La revisione ha portato all’analisi di 25 documenti; è stato significativo comprendere le principali aree di applicazione (pediatria, maternità, oncologia, degenza, ecc.) e le forme di verde (immagini, mobili, giardini curativi, orti, ecc.). I risultati dell’analisi delle migliori pratiche hanno mostrato quanto sia diverso l’approccio alla progettazione del verde terapeutico. Le componenti verdi utilizzate sono healing gardens, giardini, visual gardens, orti e wilderness, sotto forma di terrazze, giardini pensili, cortili e giardini pensili. Ma solo pochi casi studio hanno seguito una valutazione pre e post occupazione per definire gli obiettivi e i punti deboli del progetto. Conclusione: Infine, il documento fornisce quattro temi di progettazione: coerenza localizzativa, rapporto interno ed esterno, accesso al verde nel reparto di degenza e principi di progettazione dei giardini curativi. Questi sono destinati a fornire diverse strategie di progettazione a diverse scale, dando gli strumenti giusti per integrare il verde terapeutico nel design dell’ospedale. In questo modo, la tesi propone una diversa sensibilità nei confronti dell’elemento verde, non più solo come componente prestazionale ma come elemento benefico per tutti gli stakeholder. Ponendo le basi per applicare questa concezione specificamente all’ambiente ospedaliero e con l’obiettivo di approfondire queste linee guida rispettando esigenze più specifiche degli utenti.
The challenge of therapeutic landscape design. The relationship between hospital and green environment
Del Pio, Matilde Accademia
2020/2021
Abstract
Introduction: There is a growing interest in the role of therapeutic landscape in healthcare settings to provide a better-quality environment and good influence on staff, visitors, and patients well-being. However, it is not yet well understood how this can happen in hospitals’ design. Hospital facilities are one of the most stress-inducing environments of all. For this reason, a specific research for this type of healthcare structure can be helpful. Objective: This work evaluates the correspondence between design and research, in order to provide a series of design guidelines for hospital therapeutic landscape design. Methodology: Firstly, a systematic literature review based on Scopus, PubMed and Cochrane Lybrary has been run in order to highlight the main relevant trends and datas about therapeutic landscape design in healthcare architecture. Second, research and analysis of the best practices. Finally, a series of design guidelines has been provided followed by a tool to easily communicate the design principles following therapeutic landscape design in hospital environment. Results: The review led to the analysis of 25 documents; it was significant to understand the major areas of application (paediatrics, maternity, oncology, inpatient, etc.) and forms of green (images, furniture, healing gardens, vegetable gardens, etc.). Results of the best practices analysis showed how different is the approach to therapeutic greenery design. Used green components are healing gardens, gardens, visual gardens, vegetable gardens and wilderness, in forms of terraces, roof gardens, courtyards and hanging gardens. But only few of the best practices followed a pre and post occupancy evaluation to define the project objectives and weaknesses. Conclusion: Finally, the paper provides four design themes: co-location, interior and exterior relationship, access to greenery in the inpatient ward and healing gardens design principles. These are intended to provide different design strategies at different scales, giving the right tools to integrate therapeutic greenery in the hospital design. In this way, the thesis proposes a different sensitivity towards the green element, no longer only as a performance component but as a beneficial element for all stakeholders. Laying the foundations to apply this conception specifically to the hospital environment and with the objective to deepen these guidelines respecting more specific users’ needs.| File | Dimensione | Formato | |
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https://hdl.handle.net/10589/176202