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Sökning: WFRF:(Miedema Elke 1985)

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1.
  • Roupé, Mattias, 1975, et al. (författare)
  • Exploring diffrent design spaces - VR as a tool during building design
  • 2019
  • Ingår i: Proceedings of the 19th International Conference on Construction Applications of Virtual Reality (CONVR2019) - Enabling digital technologies to sustain construction growth and efficiency. ; 19, s. 94-102
  • Konferensbidrag (refereegranskat)abstract
    • During the design process of a building different medias are often used to depict the design. Traditional media, especially 2D requires high spatial skill and cognitive demand on the designers. For inexperienced designers, this process can be demanding, be difficult and can cause potential biased design perceptions that are significantly different from the reality. However, studies have also shown that different media and representation facilitates different cognitive reasoning processes about the design. Immersive Virtual Reality (VR) is assumed to give another level of understanding and perception of design space from an egocentric perception than 2D plan drawings or bird-eye views, which have been argued to provide opportunities for better pattern and object recognition that is suitable when studying spatial organization in an allocentric reasoning process. This paper investigates, the different design medias and spatial space explorations further, by studying how students used the different representations and medias (e.g. sketches, 3d-models and VR) during their design process. By combining and using both of these two design space representations, (e.g. egocentric and allocentric) in the design process, it gives a possibility to achieve a more developed design outcome. The methods used in this study were observations and un-structured interviews during the design process and a follow up questionnaire at the end of the design project. The result show, by combining and using both VR and traditional design sketching tools that it is possible to support the two design space representations together and give the designer the possibilities to explore, understand, discuss and work with the design in a more elaborate way from both an egocentric and allocentric perspective. The paper also presents in what way VR can contribute to the Evidence Based Design (EBD) criteria and how the students used different design spaces representations for design and spatial reasoning about the healthcare design of the psychiatric facility they were designing.
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2.
  • Adelfio, Marco, 1980, et al. (författare)
  • London's King's Cross redevelopment: a compact, resource efficient and 'liveable' global city model for an era of climate emergency?
  • 2021
  • Ingår i: Urban Research and Practice. - : Informa UK Limited. - 1753-5069 .- 1753-5077. ; 14:2, s. 180-200
  • Tidskriftsartikel (refereegranskat)abstract
    • Cities have long been subject to urban containment policies against urban sprawl. Climate change concerns have recently added to the imperative to densify urban space. Urban compaction is often pursued through the creation of 'exemplar' urban developments that superficially implement 'best practice' ideas from elsewhere. In this paper, we abandon the notion of 'best practice' in favour of context-sensitive 'good practices'. Taking London's King's Cross redevelopment as a case study, this paper draws on qualitative methods to examine the contribution of context and path-dependency, as a product of local and non-local forces, to the emergence of King ' s Cross as 'good practice'.
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3.
  • Dumitrache, Oana, et al. (författare)
  • Active Care - Building Design for Habilitation Centers
  • 2020
  • Ingår i: IOP Conference Series: Earth and Environmental Science. - : IOP Publishing. - 1755-1307 .- 1755-1315. ; 588:3
  • Konferensbidrag (refereegranskat)abstract
    • This paper explores the building design of a Habilitation Center that promotes healthy lifestyles of people with diverse abilities. Habilitation care moves the focus of healthcare from a disease curing approach to lifelong health development. Studies show that the design of healthcare buildings can contribute to improving care and by extension, it is expected that building design can contribute to improving habilitation care. However, in practice, there is limited experience in designing habilitation facilities, particularly concerning emerging healthcare approaches such as health promotion. This paper describes the outcomes of a master thesis that was part of a pre-study for a habilitation center that focused on design strategies and solutions that stimulate physical activity for diverse users. The main research question was: In what way can building design promote active behavior for all types of building users? The study adopted a research by design approach focused on (1) understanding user needs, (2) developing design strategies, and (3) proposing a design solution. The results list several design strategies for habilitation buildings and propose how these can be implemented. These guidelines include strategies for physical movement such as indoor and outdoor exercise areas, climbing walls and access to nature. These results may support the development of the new habilitation center, while also introducing theoretical ideas and design guidelines regarding active design. The study can be used to inspire and discuss the design and development of habilitation centers specifically, and more generally healthcare buildings that adopt new care approaches such as health promotion.
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4.
  • Forooraghi, Melina, 1989, et al. (författare)
  • How Does Office Design Support Employees’ Health? A Case Study on the Relationships among Employees’ Perceptions of the Office Environment, Their Sense of Coherence and Office Design
  • 2021
  • Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 18:18
  • Tidskriftsartikel (refereegranskat)abstract
    • This study investigated the current design circumstances of an office as well as employees’ perceptions of the office environment in relation to their perceived health, drawing on sense of coherence theory (comprehensibility, manageability, and meaningfulness). Previous studies have related the physical office environment to employee health. However, most studies have focused on alleviating negative effects, while health-promoting potential, including employee sense of coherence, has been overlooked. This study adopted a mixed method case study approach, combining semi-structured interviews with employees, structured observations, and analysis of architectural drawings. The results indicated that employees’ perceptions did not always align with the ideas behind the architectural design and that employees understood the environment differently. The study also highlighted the interrelations (and contradictions) among the different components of sense of coherence. The findings imply that organizations may need to prioritize which components of coherence should be supported most by the office environment. It also suggests that case-specific design aspects should play a more central role in studying and conceptualizing healthy office design and that design solutions should be continuously modified during the use phase, while ensuring employees’ participation. The study concluded that an ‘ideal’ office environment should not be the goal. Instead, office design should provide an environment in which employees are able to cope with challenges in comprehensible, manageable and meaningful ways.
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5.
  • Forooraghi, Melina, 1989, et al. (författare)
  • Relationship between the design characteristics of activity-based flexible offices and users’ perceptions of privacy and social interactions
  • 2023
  • Ingår i: Building Research and Information. - : Informa UK Limited. - 1466-4321 .- 0961-3218. ; 51:5, s. 588-604
  • Tidskriftsartikel (refereegranskat)abstract
    • Activity-based flexible offices (AFOs) provide a variety of workspaces to meet the need for social interactions and privacy at work. This study investigates the relationship between the design characteristics of AFOs and users’ perceptions of visual and acoustic privacy and social interactions. This case study is based on post-occupancy evaluations in three AFO layouts at a public service organization in Sweden. A mixed-method approach is adopted that combines questionnaires and layout analysis. In general, the results showed that while aesthetics received the highest satisfaction scores, office functionality, task support, storage and visual and acoustic privacy received the lowest ratings. Key design characteristics for AFOs were operationalized, observed and exemplified: zone diversity, proportion, readability, spatial enclosure, sharing ratios and functionality of furniture and tools. These insights may contribute to better-informed decisions about the design characteristics that influence privacy and social interactions in AFOs.
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6.
  • Forooraghi, Melina, 1989, et al. (författare)
  • Scoping review of health in office design approaches
  • 2020
  • Ingår i: Journal of Corporate Real Estate. - 1463-001X .- 1479-1048. ; 22:2, s. 155-180
  • Forskningsöversikt (refereegranskat)abstract
    • Purpose: This paper aims to explore the literature on office design approaches (ODAs) in relation to employee health. The overall goal is to facilitate the practical use and theoretical development of design approaches to healthy offices. Design/methodology/approach: A scoping review of 7,432 papers collected from 4 electronic databases and 5 scientific journals resulted in the selection of 18 papers for content analysis. Findings: Various ODAs relating to building design features and health were identified. The findings highlight challenges for this emergent field, including a paucity of literature on ODAs, a lack of definitions of health and healthy offices, ambiguous design strategies and a lack of a holistic ODA. Originality/value: ODAs are potentially valuable resources but an under-considered topic for healthy office development. To the best of the authors’ knowledge, this study is the first scoping review to map and compare different design approaches in the context of office design and its main contribution is in encouraging researchers and practitioners to bring a salutogenic and holistic perspective to their design approaches.
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7.
  • Miedema, Elke, 1985, et al. (författare)
  • Conceptualizing health promotion in relation to outpatient healthcare building design: a Scoping review
  • 2019
  • Ingår i: HERD. - : SAGE Publications. - 2167-5112 .- 1937-5867. ; 12:1, s. 69-86
  • Forskningsöversikt (refereegranskat)abstract
    • Objective: This review explored different conceptualizations of health promotion in the context of, and in relation to, outpatient building design. Background: Today’s healthcare organizations are implementing holistic healthcare approaches such as health promotion, while simultaneously increasing their outpatient services. These health promotion approaches, focused on empowering people to take control of their health, are expected to have implications for the outpatient healthcare building design. Yet, there is limited knowledge on what these may be. A review of the literature on the current state of the art is thus needed to enable and support dialog on future healthcare building design. Method: A scoping review of 4506 papers, collected from 4 databases and 3 scientific journals in 2015, resulted in 15 papers relating health promotion to building design and outpatient healthcare. From the subsequent content analysis multiple common themes and subthemes emerged. Results: The review reveals diverse range of health promotion interpretations, three health promotion perspectives (health behavior, health equity and sense of coherence), associated design approaches, design objectives, health-related outcomes, building features and solutions. Conclusions: While diverse health promotion perspectives might merely represent variations in focus, these differences become problematic when relating to building design. To support further dialogs on development of health promotion in, and in relation to, the built environment, there is a need to strengthen the health promotion vocabulary. Further research is needed to compare different design approaches, and how these can be combined to minimize contradicting implications for building design.
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8.
  • Miedema, Elke, 1985 (författare)
  • Engaging stakeholders in Complex Design by using of Symbiosis in Development method.
  • 2015
  • Ingår i: Design 4 Health Conference, July 13-16, 2015 Sheffield UK..
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • The value of cross-disciplinary work and stakeholder involvement is recognized and implemented in healthcare related design processes of new environments. However, the process and results are often described as discontent (Stichler, 2008). Knowledge of the system has been described as a key factor for the success of a design project. A design process should therefore be a learning process together with stakeholders to generate knowledge of the system and design proposals. The changes needed in healthcare are complex to handle as they consist of care processes, delivery, supply processing and distribution, communication, management and the financial system. These complex systems are interrelated, and one change in one part affects the entire organizational systems' structure” (Stichler, 2011). The challenges in healthcare require new healthcare environments. Thus, the design process needs to be developed towards a collaborative design process in which the stakeholders are engaged, and not only involved. In addition, there is a need of more system knowledge as a base for decision-making in the process. This poster presents a methodology developed to deal with complexity and stakeholder engagement in design. By opening up challenges, and understanding complexity, the method attempts to address the root cause of a problem, rather than fighting the symptoms (Bosschaert, 2009). The method, Symbiosis in Development (SiD) consists of five cyclical steps; 1) setting goals, 2) mapping the system, 3) system understanding, 4) route mapping, and 5) evaluating the results. In each step different tools for stakeholder engagement can be used to facilitate cross- disciplinary work between the clients, users, and developers,stakeholders and thereby enabling multi-faceted sustainability innovations. On the poster the methodology and the appropriate tools are illustrated by the case of Zevenkamp, which is an residential care facility in Rotterdam. The result is a is a visual framework that provides designers a different perspective and approach to stakeholder engagement.
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9.
  • Miedema, Elke, 1985 (författare)
  • HEALTH PROMOTION AND HEALTHCARE ARCHITECTURE - Conceptualizations of Health Promotion in relation to Healthcare Building Design
  • 2017
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Background: Today's healthcare system is under development and reorienting and adapting to embrace a person centred and holistic perspective on health, including a focus on health promotion. This reorientation results in changes in the healthcare models, processes as well as it sets new requirements for healthcare building design. A vast majority of research has been devoted to the relation between inpatient healthcare building design and individual health, e.g. how our hospitals affects treatments and patient outcomes. Less attention has been paid to the relation between outpatient healthcare building design and public or population health and wellbeing, e.g. healthcare in the community to lessen the load on large hospitals. At the same time as the aforementioned development is happening there is a growing body of research emphasizing the importance of the built environment for public health. Objective: This licentiate thesis aim to explore conceptualizations of health promotion in the context of outpatient healthcare building design, the aim is to enable a broader platform to enable incorporation of several health promotion perspectives into future healthcare building design. The main research question is: How is health promotion conceptualized in the context of outpatient healthcare building design? In addition, several other questions emerged in the research process: What aspects of building design result in health-promoting building design? How is health-promoting building design conceptualized in the literature and in practice? What tools and outcomes are referred to when evaluating health-promoting building design? Methods: The research included two studies with an explorative approach: a scoping review and a content analysis of interviews. Results: The results present different conceptualizations of health promotion in the context of healthcare building design. In addition, the results provide an interpretation of health-promoting building design. The results also relate to health promotion strategies, perspectives on health-promoting building design and some aspects of building design that can contribute to, or prevent, health promotion. Discussion: The discussion emphasizes challenges related to developing health-promoting building design, such as vague and contradicting definitions and interpretations of core concepts as health promotion and itís interpretation in the built environment. In addition, the discussion highlights the challenges associated with evaluating health-promoting building design. Conclusions: Health promotion perspectives, have been shown to influence healthcare building design through altered implications for the built environment. As shown, healthcare building design thus seems to have the opportunity to promote the health and wellbeing of patients, staff, visitors and the community. However, the vocabulary used to address health promotion, the different perspectives and health-promotion is weak and inconsistent. The thesis therefore proposed definitions for health promotion and health-promoting building design, that might guide future research and discussions on health promotion vocabulary. Future research should focus on developing the health-promoting building design vocabulary, collecting examples of health-promoting building design, relating health promotion theory to existing architecture theory, and methods and outcomes to evaluate health-promotion building design.
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10.
  • Miedema, Elke, 1985, et al. (författare)
  • Health promotion and the built environment - views from Swedish healthcare organisations
  • 2019
  • Ingår i: ARCH19 - BUILDING for BETTER HEALTH Book of abstracts.
  • Konferensbidrag (refereegranskat)abstract
    • Objective– The study examined the role and integration of the built environment in health promotion as perceived and described by representatives of Swedish health promotive healthcare organisations (HPHs). Background– A majority of Swedish healthcare organisations haveimplemented health promotion strategies in their plans and actions [1]. These HPHs engage in an ongoing reorientation from a disease focus to a health focus,which includes a person-centred approachthatconsiders people as active participants controlling their own health and care [2]. Swedish HPHs are supported by the Swedish HPHnetwork in introducing health promotion. The HPH network aims are guided by health promotion standards [3-6], which indicate the importance of creating health-promoting environments [4, 7]. These aims are confirmed in a letter of intent and membership contract. The aims are also expected to have implications for the planning of healthcare buildings [8]. However, knowledge of the relationship between HPH strategies and the built environment is limited [9, 10]. Additionally, health promotion, when used by building designers, often seems to be reduced to a focus on the enhancement of health [11]. To continue developing health promotion and fulfilling the intentions of the letter of intent as a driver for HPHs, it is important to understand and actively include the built environment in analysis, planning and design [12, 13]. Research question– How do Swedish HPH representatives perceive and describe the relationship between HPHs and the built environment? Methods– An explorative study including both qualitative and quantitative data was carried out. First, data were collected through a survey with county representatives of Swedish HPHs (n=17). Then,qualitative datawere obtained from interviews with the Swedish HPH network committee members. The combined data wereanalysed through descriptive statistics and content analysis. Results– The resultsshowed varied and limited perspectives on the relationship between the built environment and health promotion and diverse HPH intentions related to health equity, health, empowerment, population health, and preventive measures. The results indicated that the documentation meant to support HPHs was not used or well known. Surprisingly, representatives who worked on healthcare building projects did not necessarily consider the built environment to be related to design strategies or characteristics or to their health promotion work within the framework of their HPHs. Conclusion– The results indicate the need to recognise the diverse dimensions and interpretations of health promotion to be able to integrate the built environment in HPHs.
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