Architecture Commons^™

Community-Based Healthcare | Interlace Of Biophilic Design In Outpatient Facilities, Joshua Robinson

Bachelor of Architecture Theses - 5th Year

This thesis questions how architects can redesign typical healthcare typology in response to the medical and sociological needs of the community while integrating the measures of wellness and biophilic design. By redefining architectural programs within a wellness clinic, this can allow the facility to prioritize the communities needs through non-medical determinants. The research will look at both the social and medical needs of a community, along with the Seven Standards of Wellness as defined by the Well Building Standard and The Fourteen Patterns of Biophilic Design as defined by the Terrapin Bright Green, to develop a connection between the facility …

Feeling Green: The Benefits Of Green Space On Urbanites' Mental Health, Kathryn A. Hoagland

Liberal Arts and Engineering Studies

This investigation intends to determine the best methods for incorporating public green space into dense urban areas, for the betterment of residents' mental health. Data from studies showing differences in the prevalence of anxiety and depression in urban and rural areas are discussed alongside data from studies looking at the effect that certain types of green space might have on mental health. While there is no exact consensus on the extent to which nature has positive effects on mental health there is enough of a correlation to argue for the implementation of public green spaces in urban design, in order …

Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli

Walden Dissertations and Doctoral Studies

Cultural awareness is an ethical standard in the social work profession and, as the diversity in the United States continues to grow, it is a social work practice problem when cultural awareness is not implemented in mental health settings. The National Association of Social Workers revised the cultural awareness standards to include cultural humility and intersectionality as practice indicators. The purpose of this action research study was to examine how clinical social workers demonstrated cultural humility and intersectionality in mental health settings. Person-centered theory guided this study and a total of 17 clinical social workers in New Mexico participated in …

Accessible Design In Rural Health Care: Usability Profile Of Outpatient Health Care Facilities In Rural West Virginia., Jordan E. Miller

Graduate Theses, Dissertations, and Problem Reports

The Americans with Disabilities Act (ADA) became law in 1990. Since then, research has shown that people with disabilities continue to experience environmental, systematic, and structural barriers to health care. The purpose of this research is to explore the prevalence of barriers in rural West Virginia health facilities and the relationship between building characteristics (like age and purpose) and accessibility. The researcher evaluated ten rural outpatient member-sites of the West Virginia Practice-Based Research Network using a survey to understand building characteristics and a tool to measure essential features for a facility to be considered ‘usable’. Findings included a negative correlation …

Relationship Between Self-Determination And Employee Retention, Tiffany Edwards

Walden Dissertations and Doctoral Studies

Retention of registered nurses (RNs) is essential to the sustainability of quality health care services. More than 55% of hospitals in the United States have not translated retention initiatives into a formal retention strategy. The purpose of this study was to examine the relationship between training programs, new hire onboarding processes, frozen positions, and nurse retention. The self-determination theory was the theoretical framework for this study. Secondary data were collected from the 2016 Texas Hospital Nurse Staffing Survey. Data were analyzed using multiple linear regression. The results of the multiple linear regression were statistically significant, with F(3, 251) = .602, …

Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender

Student Theses 2015-Present

This paper aims to shed light on the dissonance caused by the superimposition of Dominant Human Systems on Natural Systems. I highlight the synthetic nature of Dominant Human Systems as egoic and linguistic phenomenon manufactured by a mere portion of the human population, which renders them inherently oppressive unto peoples and landscapes whose wisdom were barred from the design process. In pursuing a radical pragmatic approach to mending the simultaneous oppression and destruction of the human being and the earth, I highlight the necessity of minimizing entropic chaos caused by excess energy expenditure, an essential feature of systems that aim …

Interlace: Designing An Inclusionary Architecture For Alzheimer's Sufferers, Alexander Fashinasi

Bachelor of Architecture Theses - 5th Year

This thesis intends to address the increasing challenges the Alzheimer’s disease poses for our growing American population. The research begins by looking at the brain as a combination of components which make up the individual. Following this, the research compiles information on the Alzheimer’s disease and its symptoms, followed by an analysis of the built environments effects on the condition.

Through analysis of precedent cases and the combined Alzheimer’s research, I chose to propose an experimental community in which those with Alzheimer’s can live a life with greater autonomy while simultaneously slowing the progression of the disease. I place this …

The New Parallel: Urban And Agrarian Political, Environmental, And Architectural Landscapes Of The Demilitarized Zone, Robert Vincent Truka

Masters Theses

North and South Korea share the most heavily armed military border in the world. Technically both sides are still at war dating back to 1950. The 38th parallel, also known as The Demilitarized Zone (DMZ) is a 156-mile long by 2.5- mile wide border condition with over two million plus known landmines buried with-in its boundaries. The Juxtapositions of the financial, political, economical, and military modalities could not be more drastically different between North and South Korea. North Korea is a communist autocratic military dictatorship and has one of the worlds lowest Gross Domestic Products (GDP). South Korea is a …

A Simulated Walk In Nature: Testing Predictions From The Attention Restoration Theory, Corey Crossan

Electronic Thesis and Dissertation Repository

Attention Restoration Theory (ART) predicts that top-down processing during everyday activities can cause attentional fatigue and that bottom-up processing that occurs when people experience nature will be restorative (Kaplan, 1995). The present study examined this prediction by exposing participants to three different conditions using a repeated measures design: a control condition during which participants walked on a typical treadmill, a nature/restorative condition during which participants walked on the same treadmill, experiencing a simulated nature walk, and a perturbation condition that included the same simulated nature scene but also required top-down processing during the walk. The findings supported ART predictions. As …

The Impact Of Housing Insecurity On Community Health Outcomes: Exploring Collective Community Solutions And Housing Models In The Western Addition, Jacqueline V. Brown, Jacqueline Victoria Brown

Master's Projects and Capstones

In a city where housing is scarce and prices continue to rise, the lower income residents of the Western Addition are in panic. Historically, the Western Addition/Fillmore is ground zero for Urban Renewal. This community is still bouncing back from the negative effects of the out migration of Black residents, Japanese internment, and rapid gentrification. For twenty years, this part of the city was known as Harlem of the West due to its world-renowned Jazz and Blues composers, and is informally known as “Tha ‘Mo”. San Francisco has set the tone nationally for public, mixed income, and private housing that …

Living Space : Client - Based Design For Assisted Living, Michael K. Adams

Bachelor of Architecture Theses - 5th Year

Designing an assisted living facility with the client in mind. This project aims to create a space which encourages growth and progression for its residents by focusing on community, access to nature, sunlight, open spaces, increased living space, and flex spaces.

By working with the existing community and by emphasizing a program which focuses on the physical and mental needs of the residents, this building seeks to inspire and allow the residents to pursue their passions a manner that honors who they are and what they require.

Housing Adjustment Behaviors Of Korean Elderly Immigrants Residing In Affordable Housing: The Cultural Aspects Of Residential Experiences, Myounghee Jorn

Theses and Dissertations

The present study is an explorative study that employs mixed methods for examining the daily life patterns and housing adjustment behaviors of low-income elderly Korean immigrants residing in public housing in the Chicago metropolitan area. It particularly focuses on identifying the cultural practices of research participants and the influence of those cultural practices on using residential features, evaluating them, and developing coping responses to satisfy dwelling needs.

The study develops upon Canter’s theories of place (1977; 1991; 1997) and Weisman’s model of place (2001), and integrates Rapoport’s concepts of culture (1980; 2008) for exploring the residential experiences of elderly Korean …

Exploring The Costs And Values Of The Household Model In Long Term Care, Mark Alan Proffitt

Theses and Dissertations

As part of the culture change movement in long term care, nursing homes are transforming into person centered living settings that reject the previous medical emphasis that dominated the industry. The household model is one approach to achieve this goal by systemically altering the traditional nursing home’s organization, routines and physical setting with an emphasis on recreating familiar, domestic places for its residents. The household model is hallmarked by three key characteristics: 1) the creation of a smaller functional group of residents within the nursing home that is delineated by the environment (24 residents or less) with the 2) intent …

The [E]Motionless Body No Longer: Tracing The Historical Intersections Of Mental Illness And Movement In The American Asylum, Holly Adele Herzfeld

Senior Projects Spring 2017

Senior Project submitted to The Division of Multidisciplinary Studies of Bard College.

Impact Of Plans, Finance, And Zoning Policies On What Developers Choose To Build, Michele Ann Williams

Walden Dissertations and Doctoral Studies

While there is considerable academic research on the intersection of comprehensive plans, finance policies, zoning policies and how these factors influence real estate developers' choice of what land to develop and what buildings to construct on that land, little is understood about whether these three variables promote or hinder real estate developers' choice of whether to build communities that promote healthy living. Using urban planning theory as the foundation, the purpose of this correlational study was to determine how real estate developers' decisions are made to support healthy New Urbanism development in the United States. Secondary data from the Urban …

Effects Of Environmental Stressors And Design On Patient Outcomes In Icu Patients, Lauren Lea Mcnary, Jenea Ruttino, Kylie Thanasiu

Williams Honors College, Honors Research Projects

Over four million patients are admitted to the intensive care unit (ICU) every year. The ICU, along with many health care settings, is generally regarded as a stress inducing environment, which may contribute to negative patient outcomes. Yet, there has been little progress in developing environments that are optimal to patient healing and using evidence-based design for ICUs. Aspects of environment studied that can be manipulated to increase positive patient outcomes are aroma, light, noise, private rooms, windows, and layout of the room. The purpose of this systematic review is to answer the PICO question, in hospitalized critically ill adults, …

Creating Healthy Urban Environments: Commercial Landscaping, Preference And Public Health, Mary Leibe

University of New Orleans Theses and Dissertations

Landscape development[1] can provide many benefits, including the reduction of stormwater runoff and the creation of habitats for wildlife. It can also provide health benefits. Researchers, such as Roger Ulrich and Rita Berto have demonstrated that views of trees and other vegetation are associated with lower blood pressure and reduced recovery times in hospitals and that environments with more natural elements may lessen mental fatigue (R. Ulrich 1984) and (Berto 2005).

As rebuilding in New Orleans continues 11 years after Hurricane Katrina, landscape development has been limited or lacking, especially in the redevelopment of commercial properties. Two prominent reasons …

After The Paris Agreement: How India Can Use Climate Financing To Implement A Sustainable Clean Cookstove Program, Hannah Kornfeld

Master's Theses

The burning of biomass for cooking purposes without proper ventilation and filters poses a massive health and climate risk. Health implications from exposure to household air pollution from this type of fuel impacts women and children in many developing countries, who spend many hours a day cooking and gathering fuel. Climate implications from burning solid biomass results in increased carbon dioxide and black carbon emissions, which contribute to global climate change. This thesis aims to explore the issues associated with biomass cookstoves in terms of both health and climate, and seeks to understand how a new national clean cookstove program …

Can We Walk? Environmental Supports For Active Travel In India, Deepti Adlakha

Arts & Sciences Electronic Theses and Dissertations

Background: Rapid rates of increase of obesity, diabetes, and associated chronic and co-morbid non-communicable diseases (e.g., cardiovascular diseases and some cancers) are being documented in India, yet in-country evidence-based research of associated risk factors is lacking. Physical activity has been identified as a preventative factor to counter the risk from obesity-related non-communicable diseases. Built environment supports for physical activity represent promising strategies to curb the rise in non-communicable diseases. Mounting research evidence suggests that the built environment can facilitate or constrain physical activity. However, a majority of this research has been conducted in developed nations. Built environment correlates of physical …

Nest - Caring For The Caregiver, Ashley Whitehead

Theses and Dissertations

Today, more than ever, there exists an overlap between hospitality and healthcare industries; with the impact being felt in the way hospital interiors are designed. This influence impacts the patient’s experience but focuses very little on the experience of the caregiver. Caring for a sick child takes an emotional, mental, and physical toll on a family. It is especially challenging to care for a sick family member when away from the comfort and security of the family’s private home. This project explores that challenge through the interior design of a space that, for both patient and family, is restorative, healing, …

The Evolution And Influence Of Art In Scientific Illustration, Ahsiya Rebecca Zurita

Senior Projects Spring 2016

Senior Project submitted to The Division of Arts of Bard College.

Caution: Line-Of-Sight In Icu Designs, Diane C. Bartos

Doctor of Nursing Practice (DNP) Projects

It has been estimated that by the end of 2015, the U.S. will spend approximately $200 billion in new healthcare facilities construction. Infection prevention, patient and family satisfaction, and technologies influence contemporary designs of critical care units. All of these impacts have created larger patient care units, with a majority of single patient rooms. These larger spaces have created challenges for the clinicians to maintain the line-of-sight. The line-of-sight is one tool clinicians often use to maintain patient safety.

Since the seminal publication by the Institute of Medicine in 1999, patient safety concerns have escalated after revealing numerous deaths in …

Place Experience Of Nursing Home Courtyards: A Holistic Approach To Understanding Institutional Outdoor Environments, Chia Jung Shih

Theses and Dissertations

This dissertation research investigates place experience of three nursing home courtyards. Based on systemic place theories, each nursing home courtyard is conceptualized as place or a system consisting of three major subsystems: physical settings, people and rules of place uses. Place experience as the center of conceptualization is the result of interactions between them. Place experience is thus characterized by objective, subjective and consensual qualities of people-environment relationships. The research design follows the premises of pragmatic case study methodology; a mixed research method is employed that includes archival research of floor plans, photo documentation, a physical setting checklist and instrumented …

School Design To Promote Physical Activity, Jeri Brittin

Theses & Dissertations

Increasing children’s physical activity (PA) at school is a national focus to address childhood obesity. Research has demonstrated associations between school built environments and students’ PA, but has lacked a comprehensive synthesis of evidence. Chapter 1 presents new evidence-, theory-, and practice-informed school design guidelines, including evidence substantiality ratings, to promote PA in school communities. These guidelines delineate strategies for school designers, planners, and educators to create K-12 school environments conducive to PA. They also engage public health scientists in needed transdisciplinary perspectives.

There have been few longitudinal studies to verify causal relationships between the school built environment and PA. …

Barriers To Implementation Of A Health, Hygiene, & Sanitation Program: Chennai, India, Kelsey A. Steffen

Master's Theses

In India poor sanitation accounts for 1,600 daily deaths of children under the age of five (Dasra, 2012). The societal and environmental conditions in India and many other developing countries have continuously stood as barriers to facilitating changes in sanitation behavior. Efforts made to improve hygiene have continuously faced opposing forces including major gaps between the supply and demand of sanitation. This paper will focus on one pilot program conducted in Chennai, India over the summer of 2014. This program was designed to teach school children safe sanitation and hygienic habits by providing a guiding tool to teachers. The study …

Crisis 2030: Aging At Risk, Guadalupe Aguilera Corona

Theses and Dissertations

This thesis analyzes critical issues affecting the older adult population of the United States in the year 2030 and recommends policies needed to remedy them. In the first chapter, the thesis addresses the upcoming aging crisis of the baby boomer population, both in numbers and affordability. The second chapter further describes and analyzes the major problems affecting the baby boomer population. The third chapter examines how technology can provide a universal and friendly design for older adult users. Chapters four through seven illustrate four distinctive case studies of Baby Boomers living in the

year 2030. The case studies provide resolutions …

Visceral Space: Dissection And Michelangelo's Architecture, Chloe Costello

Architecture Undergraduate Honors Theses

This thesis focuses on the architectural work of Renaissance master Michelangelo Buonarroti, who, perhaps, is better known for his painting and sculpture than for his architecture. Nevertheless, his buildings are revered by architectural historians, such as James Ackerman, for their mimicry of bodily motion and emotion. Under the influence of Renaissance humanism, it was not uncommon for architects to validate their designs by reference to the human body, for example, basing the dimensions of a basilica on ideal bodily proportions. But, Michelangelo's approach in his earliest architectural designs, such as the Medici Chapel (1521-1524) and the Laurentian Library (1523-1525) in …

Evidence Based Design In Healthcare: An Applied Study On The Impacts Of Interior Design For Cerebral Palsy, Katie D. Phillips

Honors College Theses

Evidence Based Design (EBD) is an informed approach to design where designers base their decisions on quantitative and qualitative research. The design of the Universal Access Center for United Cerebral Palsy, discussed in this paper, encapsulates this approach to design. The five stages of EBD and how they were achieved within this project is defined. In the first phase, programming, current trends in healthcare as well as issues surrounding design for adults with Cerebral Palsy (CP) are discussed. In schematic design, initial issues of the project are resolved, and creative ideas are explored leading to the design development stage. In …

The Effects Of Sustainability As A Positive Attribute On Equine Therapy Design: An Interdisciplinary Study, Andria Sinclair

Williams Honors College, Honors Research Projects

Interdisciplinary studies have brought benefits to introducing new solutions to the traditional environment and traditional therapies. Sustainability in relation to design has been suggested in 2006, by the Center for Building Performance and Diagnostic (CBPD) at Carnegie Mellon University to incorporate daylight, solar, heat and ventilation of the natural environment combined with the innovations of current technologies (Whitmore, 2011). This paper will look at how sustainability plays a key role of benefits including those that are health associated with equine therapy design and its relationship to the patient, or end user. Interdisciplinary research in the therapeutic value of equine-human bonding …

Participation, Information, Values, And Community Interests Within Health Impact Assessments, Nicole Iroz-Elardo

Dissertations and Theses

Health impact assessment (HIA) has emerged in the U.S. as one promising process to increase social and environmental justice through addressing health equity issues within planning. HIA practice is guided by values such as democracy and equity and grounded in broad social determinants of health. The most readily applied definition of democracy is problematic because it implies an element of direct, participatory engagement with the public. This is at odds with HIA practice that largely relies on stakeholder engagement strategies.

This dissertation critically examines the engagement strategies of three transportation planning HIA cases to more fully understand how the HIA …