Indicators that interpret human factors in hospital architecture

Authors

DOI:

https://doi.org/10.11606/gtp.v19i1.209924

Keywords:

Healthcare buildings, humanization, well-being, natural lighting

Abstract

Supportive Design Theory (STD) and Evidence-Based Design (EBD) present components to reduce stress and promote well-being in hospital environments. This research sought to analyze indicators related to human factors in a hospital, through the investigation of STD and EBD. The purpose of hospital buildings justifies analyzing the approach to well-being indicators both in Ministry of Health publications and in building evaluation systems. The method included identifying and selecting the most relevant indicators; application of these in a case study; and proposals for filling recognized gaps in the assessment of indicators. 22 well-being indicators were identified. Of these, 5 were selected for analysis in the intensive care unit and in common areas of a hospital: individual control of artificial lighting; living, resting and pantry areas for employees; areas or gardens for coexistence; quality views and daylight availability. The case study fully met 40% (individual control of artificial lighting and quality views), partially met 40% (living, resting and pantry areas for employees and areas or gardens for coexistence), and did not meet 20% (daylight availability). It is believed that the main barriers to applying the well-being indicators are associated with the architectural design and the location of the establishments. The research showed the relevance of needs programs for hospital buildings, which go beyond the requirements of RDC50/2002.

Downloads

Download data is not yet available.

Author Biographies

  • Ludmila Cardoso Fagundes Mendes, Universidade Federal de Minas Gerais

    PhD student and Master in the Postgraduate Program in Built Environment and Sustainable Heritage at the Federal University of Minas Gerais (UFMG). Specialist in Technological Systems and Sustainability Applied to the Built Environment, from UFMG. Architect and Urban Planner graduated from the Federal University of Viçosa (UFV). She carries out research in the areas of natural lighting, artificial lighting, energy efficiency and architecture for health. Affiliated to ABDEH, Brazilian Association for the Development of Hospital Buildings.

  • Roberta Vieira Gonçalves de Souza, Universidade Federal de Minas Gerais

    CNPq Productivity in Technological Development Scholarship. Architect from UFMG, PhD in Civil Engineering from UFSC, with a sandwich doctorate from the Polytechnic University of Madrid. Associate Professor at the UFMG School of Architecture working on the Architecture and Urban Planning course and on the Postgraduate Program in Built Environment and Sustainable Heritage. Coordinator of the Environmental Comfort and Energy Efficiency Laboratory at EAUFMG. Coordinator of research projects funded by CNPq and FAPEMIG. Coordinator of the review of NBR 15.215 - "Natural Lighting" parts 1 to 4 with ABNT's CB002. Expert in the area of Public Lighting. Reviewer of international and national magazines (Energy and Buildings, Sustainable Cities and Society, Built Environment, PARC, GTP, RTS, among others) and ad hoc reviewer for development agencies (CAPES, CNPq, FAPESP, FACEPE among others). Member of the scientific associations ANTAC, Built Environment Technology Association (where she was vice-president, administrative director and coordinator of the Comfort GT) and CIE-Br, International Lighting Commission-Brazil branch. She works in the areas of natural lighting, energy efficiency in buildings, thermal performance, thermal comfort, building benchmarking and climate change. Consultant in sustainability and energy efficiency in buildings working in the areas of PBE Edifica Label, NBR15.575 and LEED. She has a short degree in Literature from UFMG.

References

ACOSTA, I; LESLIE, R. P; FIGUEIRÓ, M.G. Analysis of circadian stimulus allowed by daylighting in hospital rooms. Lighting Research and Technology, 2015. DOI: https://doi.org/10.1177/1477153515592948.

ANDRADE, C. C.; DEVLIN, A. S.; PEREIRA, C. R.; LIMA, M. L. Do the hospital rooms make a difference for patients’ stress? A multilevel analysis of the role of perceived control, positive distraction, and social support. Journal of Environmental Psychology, v. 53, p. 63-72, 2017. DOI: https://doi.org/10.1016/j.jenvp.2017.06.008Get rights and content.

ASSOCIAÇÃO BRASILEIRA DE NORMAS TÉCNICAS. Projeto de Revisão ABNT NBR 15.215: Iluminação natural, Parte 3: Procedimentos para avaliação da luz do dia em ambientes internos. ABNT/CB-002, 2022.

BAE, S.; ASOJO, A. O. Interior environments in long-term care units from the Theory of Supportive Design. Health Environments Research & Design Journal, p. 1-15, 2021. DOI: 10.1177/19375867211062847.

BITENCOURT, F. Conforto e desconforto na arquitetura para ambientes de saúde: o componente humano e os aspectos ambientais. In: BITENCOURT, F.; COSTEIRA, E. (org.). Arquitetura e engenharia hospitalar: planejamento, projetos e perspectivas. Rio de Janeiro: Rio Books, p. 73-100, 2014.

BITENCOURT, F.; VILAS-BOAS, D.; SILVA, E. Arquitetura para emergências: experiências, vivências e reflexões. In: BITENCOURT, F.; VILAS-BOAS, D.; SILVA, E. (org.) Arquitetura para emergências: experiências, vivências e reflexões. Rio de Janeiro: Rio Books, p. 11-19, 2021.

BOMMEL. W.V. Interior lighting: fundamentals, technology and application. Cham, Suíça: Spinger, 2019.

BRASIL. Ministério da Saúde. Resolução RDC nº 50, de 21 de fevereiro de 2002. Dispõe sobre o regulamento para o planejamento, elaboração, avaliação e aprovação de projetos físicos de Estabelecimentos Assistenciais de Saúde. Diário Oficial da União, Brasília, 2002.

BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Núcleo Técnico da Política Nacional de Humanização. Ambiência. Ministério da Saúde, Secretaria de Atenção à Saúde, Núcleo Técnico da Política Nacional de Humanização. 2. ed. Brasília: Editora do Ministério da Saúde, 2010.

CAMELO, G.H; CAIXETA, F.B.C.M; FABRÍCIO, M.M. Modelos de referência de projeto para edifícios de assistência à saúde: uma comparação entre documentos brasileiros (SOMASUS) e ingleses (HBN). Cadernos PROARQ, v. 29, 2017, p. 83-102.

CARVALHO, A.P.A. O edifício doente e o edifício saudável. Revista Sustinere, Rio de Janeiro, v. 5, n. 1, 2017, p. 135-152. DOI: https://doi.org/10.12957/sustinere.2017.29214.

CASTRO, M.F.; MATEUS, R.; BRAGANÇA, L. Estratégia para a incorporação de impactes ambientais, sociais e económicos específicos num método de avaliação da sustentabilidade de edifícios de saúde. Revista Hábitat Sustentable, v. 6, n.1, 2016, p.27-37. DOI: https://hdl.handle.net/1822/42406.

CAVALCANTE, F.L.N.F.; NEGREIROS, B.T.C.; MAIA, R.S.; MAIA, E.M.C. Depressão, ansiedade e estresse em profissionais da linha de frente da COVID-19. Revista Portuguesa de Enfermagem e Saúde Mental, Porto, n. 27, p. 1-15, 2022. DOI: https://doi.org/10.19131/rpesm.321.

DAVIS, R. G.; MC CUNN, L. J.; WILKERSON, A.; SAFRANEK, S. Nurses’ satisfaction with patient room lighting conditions: a study of nurses in four hospitals with difference in the environment of care. HERD: Health Environments Research Design Journal, v. 13, n. 3, p. 110-124, 2020. DOI: 10.1177/1937586719890940.

DEL NORD, R.; MARINO, D.; PERETTI, G. L’umanizzazione degli spazi di cura: una ricerca svolta per il Ministero della Salute italiano. TECHNE: Journal of Technology for Architecture & Environment, v. 9, 2015, p. 224-229. DOI: https://doi.org/10.13128/Techne-16127.

EUROPEAN COMMITTEE FOR STANDARDIZATION – CEN. En 17.037: Daylight in buildings. European Standards, 2018.

FUNDAÇÃO VANZOLINI. Referencial técnico de certificação edifícios do setor de serviços Processo AQUA: organizações de saúde. São Paulo: FCAV, 2011.

GBC BRASIL. Cerificação LEED. Disponível em: https://www.gbcbrasil.org.br/certificacao/certificacao-leed/. Acesso em jan. 2022.

ILLUMINATING ENGINEERING SOCIETY OF NORTH AMERICA – IESNA. LM-83-12: Approved Method: IES Spatial Daylight Autonomy (sDA) and Annual Sunlight Exposure (ASE). New York, 2012.

IWBI. INTERNATIONAL WELL BUILDING INSTITUTE. WELL v2: The next version of the WELL Building Standard. 2020

MEDEIROS, L. de. Arquitetura e privacidade em edifícios de atenção à saúde: considerações sobre pesquisa e projeto. Revista Projetar - Projeto e Percepção do Ambiente, v.4, n.2, p. 49-60, set. 2019. DOI: https://doi.org/10.21680/2448-296X.2019v4n2ID18133.

MENDES, L.C. F. Fatores humanos na arquitetura para a saúde: indicadores e percepções. 2023. 164f. Dissertação (Mestrado em Ambiente Construído e Patrimônio Sustentável) - Universidade Federal de Minas Gerais, Belo Horizonte, 2023.

NIGHTINGALE, F. Notes on hospitals. New York: Dover Publications, 2015.

SALGADO, M. Arquitetura e sustentabilidade: Os “selos verdes”. In: MARTINS, B. Arquitetura e urbanismo: planejando e edificando espaços. Ponta Grossa: Atena Editora, 2019, p. 107-118.

TISSOT, J. T.; VERGARA, L. G. L.; ELY, V. H. M. B. Definição de atributos ambientais essenciais para a humanização em quartos de internação. Ambiente Construído, Porto Alegre, v. 20, n. 3, p. 541-551, jul./set. 2020. DOI: https://doi.org/10.1590/s1678-86212020000300444.

USGBC. UNITED STATE GREEN BUILDING COUNCIL. LEED v4 Building design and construction. 2014.

USGBC. UNITED STATE GREEN BUILDING COUNCIL. LEED v4.1 Building design and construction. 2021.

ULRICH, R. S. Effects of interior design on wellness: Theory and recent scientific research. Journal of Health Care Interior Design, v. 3, 97-109, jan. 1991.

ULRICH, R. S. Effects of gardens on health outcomes: theory and research. In: MARCUS, C.C.; BARNES, M. (org.). Healing gardens. New York: John Wiley & Sons, p. 27-86, 1999.

ULRICH, R. S. Essay: Evidence-based health-care architecture. The Lancet, v. 368, p. 38-39, 2006. DOI: https://doi.org/10.1016/S0140-6736(06)69921-2.

ULRICH, R; QUAN, X; ZIMRING, C.; JOSEPH, A.; CHOUDHARY, R. The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity. Concord, CA: The Center for Health Design. 2004.

Downloads

Published

2024-06-13

Issue

Vol. 19 No. 1 (2024): Design & Health

Section

Papers

License

Copyright (c) 2024 Ludmila Cardoso Fagundes Mendes, Roberta V. G. de Souza

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright Notice

Authors who publish in this journal agree to the following terms:

  1. Authors retain the copyright and grant the journal the right of first publication, with the article simultaneously licensed under the Creative Commons Attribution License BY NC ND, which allows the sharing of article with acknowledgment of authorship and initial publication in this journal.

 

  1. Authors are authorized to take additional contracts separately, for non-exclusive distribution of version of the article published in this journal (e.g. publish in institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.

 

  1. Authors are allowed and encouraged to publish and distribute their research work online (e.g. in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase the impact and the citation of published article (See O Efeito do Acesso Livre).

Funding data

How to Cite

MENDES, Ludmila Cardoso Fagundes; SOUZA, Roberta Vieira Gonçalves de. Indicators that interpret human factors in hospital architecture. Gestão & Tecnologia de Projetos (Design Management and Technology), São Carlos, v. 19, n. 1, p. 125–147, 2024. DOI: 10.11606/gtp.v19i1.209924. Disponível em: https://revistas.usp.br/gestaodeprojetos/article/view/209924.. Acesso em: 29 jun. 2024.