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- Andersson, Morgan, 1965
(författare)
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Normative and relative aspects of the usability of common spaces in assisted living for older people
- 2015
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Ingår i: In Verma and Nenonen (eds.) ARCH 14, International Conference on research on health care architecture. Conference proceedings. - 1799-4853. - 9789526062013 ; Aalto University publication series:6/2015, s. 127-145
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Konferensbidrag (refereegranskat)abstract
- Relation to the complexity and usability of common spaces in assisted living facilities (ALFs). Background: ALFs for older people in Sweden contain both the residential and workplace perspectives. The common spaces retain physical and organizational features that are related to traditional institutional care environments. The use of common spaces in ALFs focuses heavily on communal activities, entailing a complex relation to the concept of home in a social context and of the home as a place. Approach: A mixed QUAL/QUAN approach was applied containing method and data trian-gulation. Participant observations, semi-structured interviews, questionnaires and statistical analyses were used. The project encompasses 14 ALFs in Sweden and includes residents, staff, relatives, planners and architects. Results: When the relative context of the building in use diverges from the normative context of planning and conceptualization, it affects the usability. Residential and workplace per-spectives entail different objectives for use, which also affects the usability. The results also show different objectives for use between dementia and somatic units. Although Swedish regulations include the common spaces as part of the housing unit, the different functions are used and perceived differently and to a varying degree. The spaces represent functions with varying proximity to the concept of home; placing the dining rooms closer and the kitchens further away. Higher degree of use on the dementia units places the common spaces closer to the concept of home here, compared to the somatic units.Discussion: The normative aspects of architecture represent a fixation in time and space as they are manifested in the design processes and, as a result, in the physical structures. Usability, contrarily, represents relational aspects as it is created in continuous negotiation between the users, residents and staff, and the physical environment; or in the interaction between human and non-human actors. The prerequisites for use are continuously changing in relation to the planning context. Common spaces must be understood from an extended concept of home that takes into consideration the context of the building in use.
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| 2. |
- Andersson, Jonas E, 1964-, et al.
(författare)
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Interior design and its impact on older people, assessing changes in a residen tialcare home
- 2014
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Ingår i: ARCH 14 Conference Proceedings. - Helsinki. - 9789526062013 ; , s. 199-223
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Konferensbidrag (refereegranskat)abstract
- This study presents results from a practice-initiated intervention of the interior setting in a residential care home, RCH, outside of Stockholm, Sweden. In the wake of the Swedish governmental initiative “Growing old, Living well” in 2012, the Administration for SocialWelfare and Health, ASW, at the City of Stockholm received partial funding for an intervention project, implemented as changes of the interior design of a RCH unit for 25 residents. This unit was situated on the ground floor in a four storey building; a refurbished hospital building from the 1950s. The project revolved around two situations that older residents regularly meet in a RCH setting; Firstly, the meal situation, which takes place in the dining room and the adjacent area for coffee or tea; secondly, the leisure situation, which involves distraction and socializing activities. The development of a set of essential environmental changes involved representatives of the municipal administration along with the ones of the private eldercare entrepreneur, experts in interior design and lighting, and smaller group of users, i.e. the residents and their relatives. However, the project started without a baseline assessment of existing conditions, hence, complicating a direct evaluation of the impact of interior changes. In consequence, this evaluation had to be realized as a multivariate analysis, which compared previous conditions with the changed interior setting. Triangulating research methods were used: interviews, observations, mini-questionnaires along with the Therapeutic Environment Screening Scale for Nursing homes instrument, TESS-NH. The TESS-NH assessments involved a group of 10 evaluators. The qualitative and quantitative assessments of the interior changes suggested a positive effect, and most users, residents, relatives or members of the staff, appreciated the new setting. Due to the lack of a baseline assessment, these experiences are difficult to correlate with particular changes in the interior setting. However, two factors appear as decisive for the successful outcome of the project: firstly, the development of a preliminary set of changes in the indoor design, conceived by spatial experts, and, secondly, the involvement of user representatives in the evaluation of the suggested ideas before implementation.
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| 3. |
- Gromark, Sten, et al.
(författare)
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SRE-AIDAH : Integrative ways of residing health and quality of residence
- 2015
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Ingår i: ARCH 14: International Conference on Research on Health Care Architecture - Conference Proceedings. - Helsinki. - 9789526062013
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Konferensbidrag (refereegranskat)abstract
- Healthcare architecture has grown rapidly in recent years. However, there are still many questions remaining. The commission, therefore, is to share the existing research knowledge and latest results and to carry out research projects focusing more specifically on the health care situation in a variety of contexts. The ARCH14 conference was the third conference in the series of ARCH conferences on Research on Health Care Architecture initiated by Chalmers University. It was realized in collaboration with the Nordic Research Network for Healthcare Architecture .It was a joint event between Aalto University, Finnish Institute of Occupational Health (FIOH) and National Institute of Health and Welfare (THL International).The conference gathered together more than 70 researchers and practitioners from across disciplines and countries to discuss the current themes.
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| 4. |
- Sandin, Gunnar, et al.
(författare)
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Patients making place. A photography-based intervention about appropriation of hospital spaces
- 2015. - 2015
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Ingår i: ARCH14 International Conference on Research on Health Care Architecture. - 9789526062013 ; 6, s. 25-42
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Konferensbidrag (refereegranskat)abstract
- Hospitalised patients are faced with a brute reorientation of their normal spatial needs andpreferences and forced to adjust spatially to a new environment. Patients start to re-arrangetheir own situation according to personal needs and the site-specific circumstances. It is are-arrangement that includes furniture, private objects and spatial positioning, but also theadjustment to the presence and needs of the staff and other patients. What types of spatialand aesthetical preferences and actions emerge in this alignment with the hospital cultureand how can preferences and everyday spatial production by patients be investigated? Here,a methodological approach is suggested where patients look upon their stay at the hospitalby discussing photos that they have produced themselves while hospitalised and answers toa set of questions they have written on image cards produced by the researchers in orderto stimulate discussion. The investigation was carried out in 2012 at Helsingborg Hospitalin Sweden. It shows that patients are primarily concerned with spatial ordering within thehospital environment and less with decorative aesthetic aspects. The study also shows thatthe understanding of patients’ daily occupation with shared spaces, negotiable spaces anddelegated spaces would gain from further investigation of spatial appropriation and its relationto the existential necessity of spatial vagueness. In relation to this, we suggest that architecturalconsultation and environmental research could take into account a more varied range ofviews of space within the hospital environment, apart from already established categories orfunctions. It could be done, we suggest, practically as well as theoretically, by acknowledgingcertain qualities of vagueness in the continual everyday production of hospital space. Byallowing meetings and negotiation between otherwise separate, contradictory or completelyunheard opinions, this may in the end have a positive effect on future architectural outcomes.
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