Building for people in hospitals

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BUILDING FOR
PEOPLE IN HOSPITALS
Workers and Consumers
* *
* European Foundation ta
for the Improvement of Living and Working Conditions *** BUILDING FOR
PEOPLE IN HOSPITALS
Workers and Consumers Cataloguing data can be found at the end of this publication
Luxembourg: Office for Official Publications of the European
Communities
ISBN: 92-826-0232-X
Catalogue number: SY-58-90-376-EN-C
© Copyright: THE EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND
WORKING CONDITIONS, 1990. For rights of translation or reproduction, application should be
made to the Director, European Foundation for the Improvement of Living and Working
Conditions, Loughlinstown House, Shankill, County Dublin. Ireland.
Printed in Ireland BUILDING FOR
PEOPLE IN HOSPITALS
Workers and Consumers
Edited by:
Rosalyn Moran,
EKOS — Architectural Services and Environmental Services
Robert Anderson,
European Foundation for the Improvement of
Living and Working Conditions
Pascal Paoli,
European Foundation for the Improvement of
Living and Working Conditions
European Foundation
for the Improvement of Living and Working Conditions
% Loughlinstown House, Shankill, Co. Dublin, Ireland.
Tel: (01) 826888 Telex: 30726 EURF El Fax: (01) 826456. CONTENTS
Foreword Vil
Introduction IX
Chapter 1: QUALITY OF THE HOSPITAL ENVIRONMENT
1.1 Health environment and healthy environment 5
(Rosalyn Moran)
1.2 Making space for consumer needs in health buildings 25
(Alexi Marmot)
1.3 Considerations in building designs for working 31
in hospitals
(Sofia Papassotiriou-Mazis)
Chapter 2: THE ROLE OF THE HOSPITAL 43
2.1 Prospects of the future for "Humanising the Hospital 47
Environment"
(Paul Stevens)
2.2 Social Inequalities and the quality of hospital provision 55
(John Ashton)
2.3 The Hospital as a health-promoting environment 69
(Jaume Costa)
Chapter 3: THE PHYSICAL ENVIRONMENT AND WORKING CONDITIONS 81
3.1 Hospital design and working conditions 85
(Anthony Carver)
3.2 Architecture and working conditions: Stress at work 93
(Dominique Sagehomme and Florence Laigle)
3.3 Designing an architecture and organisation for Health and 10
Safety in hospital
(Madeleine Estryn-Behar & others) vi
Chapter 4: IMPROVING DESIGN IN HOSPITAL 133
4.1 Ward development project7
(David Canter and Katherine King)
4.2 Post-occupancy evaluation of a general hospital 155
(Andreas Van Wagenberg)
4.3 Design guidelines for architects and users 171
(Herbert Van Hoogdalem)
4.4 Improving buildings through involving their users 189
(Ivor Ambrose)
Conclusion: REALISING THE HEALTH PROMOTION ROLE OF THE BUILT 207
ENVIRONMENT
(Rosalyn Moran)
227
Annexe 1: List of participants vu
FOREWORD
The European Foundation for the Improvement of Living and Working
Conditions has, since its inception, been concerned with the relations
between people and the environments in which they live and work. Its
programmes seek to identify and assess strategies to promote better
conditions, particularly through involvement of workers and users of
services.
The needs of patients and the preferences of workers, as well as the
demands of new technology, safety, public policy, work organisation and
limited resources - all these factors, and others, influence the design
and renovation of health service institutions. If we take the general
hospital found in all European countries as a case (quite complex
enough), then its size, circulation and functions will strongly affect
the working conditions of staff and the living conditions of consumers
(patients and families).
At the end of 1988, the Foundation organised a seminar to consider how
the physical environment influences the quality of the daily life of
these user-groups. Second, though, we wanted to know how buildings could
be made more conducive to the well-being of workers and consumers.
Although the focus is upon general hospitals, many issues were addressed
that apply strongly to improving other (health) service institutions:
general issues about the relationship between the physical (built) and
social environment were also illustrated throughout the seminar. In
making these proceedings available the Foundation hopes to contribute to
the strengthening orientation towards promoting healthy environments,
user participation, and solution by design rather than default.
The seminar brought together diverse people involved in policy making and
research: health service administrators; health service workers'
representatives; researchers and experts on users' problems; planners and
architects; national and international policy makers.
Clive Purkiss
Director,
European Foundation for the Improvement of
Living and Working Conditions