Bridging therapeutic landscapes to architecture. International experience-based design strategies for healthcare infrastructures

Bridging therapeutic landscapes to architecture. International experience-based design strategies for healthcare infrastructures

Authors

  • Karla Johanna Cardoso Arevalo School of Architecture urban planning construction engineering (AUIC), Politecnico di Milano
  • Andrea Rebecchi Politecnico di Milano, Department of Architecture, Built environment and Construction engineering (DABC) https://orcid.org/0000-0002-0180-6458
  • Monica Botta Monica Botta Architects, Landscape Architect
  • Marco Gola Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano
  • Stefano Capolongo Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano

Keywords:

Therapeutic Landscape Design, Healing Gardens, Healthcare Facilities, Experience-based Design Strategies, Healing Architectures

Abstract

Background and aim: in Italy, many cases studies of therapeutic green spaces are built into healthcare infrastructures, but only some of these follow the principles of healing gardens. Scientific literature and international case studies offer many contributions of evidence relating to how therapeutic green spaces can support traditional treatments. The paper analyze the relationship between indoor and outdoor spaces and healing gardens’ features; the main research questions were: “Can we synthetize experience-based design strategies for therapeutic green spaces and healing gardens? How can we prioritize the most relevant ones for the healthcare infrastructures?” Methods: Research Method is divided into three different steps: 1st case studies’ selection; 2nd case studies’ analysis, and 3rd quali-quantitative comparative matrix. Results: ten case studies were identifiedfour of them have the therapeutic green space on the ground floor,despite of the other six having the healing garden on the rooftop.The best experience-based design strategies for the therapeutic green spaces or healing gardens development were identified from the previous comparison matrix, and divided into A.Safety, Security and Privacy; B.Accessibility; C.Physical and Emotional Comfort; D.Positive distraction; E.Engagement with Nature; F.Maintenance and Aesthetics; and G.Sustainability. Conclusions: The results obtained from the comparative matrix are qualitative and quantitative design elements in terms of type of element / space, percentage, perimeter, area, number, materiality, shape, color, among others. The quali-quantitative matrix is a useful and practical tool that allows the designer to have a base of design guidelines that can be later applied to the proposal of new therapeutic gardens.

References

Ulrich RS. Biophilia, biophobia and natural landscapes. In: Kellert SR, Wilson EO, editors. The biophilia hypothesis. Washington, DC: Island press; 1993.

Ulrich RS. Effects of interior design on wellness: Theory and recent scientific research. J Health Care Inter Des. 1991; 3(1): 97–109. PMID: 10123973

Costa P, Chiesi L. Approaches to Post-Occupancy Evaluation and Wellbeing in Designed Space. In: Capolongo S, Botta M, Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 57-68. doi:10.1007/978-3-031-09439-2_6.

Bolten B, Barbiero G. Biophilic Design: Nine Ways to Enhance Physical and Psychological Health and -Wellbeing in Our Built Environments. In: Capolongo S, Botta M, Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 13-20. doi: 10.1007/978-3-031-09439-2_2.

Brambilla A, Buffoli M, Capolongo S. Measuring hospital qualities. A preliminary investigation on health impact assessment possibilities for evaluating complex buildings. Acta Bio-Med. 2019; 90(9S): 54–63. doi: 10.23750/abm.v90i9-s.8713.

Cooper Marcus C, Sachs NA. Therapeutic Landscapes: An Evidence-Based Approach to Designing Healing Gardens and Restorative Outdoor Spaces. New York City: John Wiley & Sons; 2014.

Bass S, Gerlach-Spriggs N, Kaufman R. Restorative Gardens: the Healing Landscape. Yale: Yale Univ Press; 1998.

Kweon BS, Sullivan WC, Wiley A. Green common spaces and the social integration of inner-city older adults. Environ. Behavior. 1998; 30: 832-858. doi: 10.1177/001391659803000605

Thaneshwari KP, Sharma R, Sahare HA. Therapeutic gardens in healthcare: a review. Ann Biol. 2018; 34(2):162–166.

Sachs N. The healthcare Garden Evaluation Toolkit: A Standardized Method for Evaluation, Research, and Design of Gardens in Healthcare Facilities. Texas: Texas A&M University; 2017.

Cooper Marcus C, Barnes M. Healing gardens. Therapeutic benefits and design recommendations. New York City: John Wiley & Sons; 1999.

Jiang S. Therapeutic landscapes and healing gardens: A review of Chinese literature in relation to the studies in western countries. Front. Archit. Res. 2014; 3(2): 141-153. doi: 10.1016/j.foar.2013.12.002

Fjeld T. The effect of interior planting on health and discomfort among workers and school children. HortTechnology. 2020; 10: 46-52. doi: 10.21273/HORTTECH.10.1.46.

Kaplan R., Kaplan S. The Experience of Nature: a Psychological Perspective. Cambridge: Cambridge University Press, Cambridge; 1989.

Kaplan S. The restorative benefits of nature: Towards an integrative framework. J. Environ. Psychol. 1995, 15, 169-182. doi:10.1016/0272-4944(95)90001-2.

Kaplan R. Some psychological benefits of gardening. Environ Behav. 1973; 5(2):145–161.

Soga M, Gaston K, Yamaura Y. Gardening is beneficial for health: a meta-analysis. Prev Med Rep. 2016; 5: 92-99. doi:10.1016/j.pmedr.2016.11.007.

Brambilla A, Capolongo S. Healthy and sustainable hospital evaluation: a review of POE tools for hospital assessment in an evidence-based design framework. Buildings, 2019; 9(4):76. doi: 10.3390/buildings9040076.

Ulrich RS. Effects of gardens on health outcomes: Theory and research. In: Cooper Marcus C, Barnes M, editors. Healing gardens: Therapeutic benefits and design recommendations. New York City: John Wiley & Sons; 1999. pp. 27–85.

Ulrich RS, Zimring C, Zhu X, et Al. Are view of the research literature on evidence-based healthcare design. HERD. 2008; 1(3): 61–125. doi: 10.1177/193758670800100306.

Cooper Marcus C, Barnes M. Gardens in Healthcare Facilities: Uses, Therapeutic Benefits and Design Recommendations. The Center of Health Design. Available at: https://www.brikbase.org/sites/default/files/CHD_GardensinHCFacilityVisits.pdf [last access 29 August 2023]

Botta M. Design of Natural Places for Care: Strategies and Case Studies. In: Capolongo S, Botta M, Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 33-46. doi: 10.1007/978-3-031-09439-2_4.

Rebecchi A, Brambilla A, Botta M, Casino A, Basta S, -Capolongo S. Therapeutic Architecture. Assessment Tools and Design Strategies for Healing Gardens Implementation. In: Capolongo S, Botta M, Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 47-56. doi: 10.1007/978-3-031-09439-2_5.

Ulrich RS. Visual landscapes and psychological wellbeing. LandscRes. 1979; 4: 17–23. doi: 10.1080/01426397908705892.

Kahn PH, Friedman B, Gill B, et al. A plasma display window? The shifting baseline problem in a technologically mediated natural world. J. Environ. Psychol., 2007; 28(2): 192–199. doi: 10.1016/j.jenvp.2007.10.008.

Ulrich RS. View through a window may influence recovery from surgery. Science. 1984; 224(4647): 420–421. doi:10.1126/science.6143402.

Chermaz A. Growing the Seeds of Well-Being in the Garden. In: Capolongo S, Botta M, Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 21-32. doi: 10.1007/978-3-031-09439-2_3.

Relf PD. Gardens in healthcare: healing gardens, -therapeutic gardens, and horticultural therapy gardens. Acta Hortic. 2019; 1246: 35–40. doi: 10.17660/ActaHortic.2019.1246.6.

Blair D, Giesecke CC, Sherman S. A dietary, social, and economic evaluation of the Philadelphia urban gardening project. J. Nutr. Ed. 1991; 23:161-167. doi:10.1016/S0022-3182(12)81191-5.

Bernez L, Batt M, Yzoard M. Therapeutic gardens also offer a valuable setting for burnout prevention. Psychol Fr. 2018; 63(1): 73–93. doi: 10.1016/j.psfr.2017.02.001.

Souter-Brown G. Urban Health: Applying Therapeutic Landscape Design. Methods, Design Strategies and New Scientific Approaches. In: Capolongo S, Botta M, -Rebecchi A, editors. Therapeutic Landscape Design. Cham: PoliMI SpringerBriefs, 2023. pp. 1-12. doi:10.1007/978-3-031-09439-2_1.

Antonovsky A. The salutogenic model as a theory to guide health. Health Promot. Int. 1996; 11(1):11–18. doi: 10.1093/heapr/11.1.11.

Von Lindern E, Lymeus F, Harting T. The restorative environment: a complementary concept for salutogenesis studies. In: Mittelmark MB, Eriksson M, et Al., editors. The handbook of salutogenesis. Cham: Springer; 2016. pp.

-195. doi: 10.1007/978-3-319-04600-6_19.

Lima F. Landscape and urban design for health and wellbeing: using healing, sensory and therapeutic gardens. -Edinburgh: University of Edinburgh; 2016.

Carpman JR, Grant MA. Design that Cares: Planning Health Facilities for Patients and Visitors. Chicago: -American Hospital Publishing; 1993.

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Published

30-08-2023

How to Cite

1.
Cardoso Arevalo KJ, Rebecchi A, Botta M, Gola M, Capolongo S. Bridging therapeutic landscapes to architecture. International experience-based design strategies for healthcare infrastructures. Acta Biomed [Internet]. 2023 Aug. 30 [cited 2024 Jul. 17];94(S3):e2023213. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/14557