Healing environments

The healing process is divided into two main categories i.e. the physiological and the psychological categories. Hospital design in Kenya has
focussed on providing environments that are service efficient as opposed to physiological and psychological nourishment of patients, staff
and visitors. As such, patient comfort is discounted at the expense of efficiency of the hospital operations.
This study will therefore seek to outline the process of healing, the elements of healing environments and the environmental strategies that
can be employed in hospital design to support the healing process, thereby outlining how these strategies can be employed within hospital
design in warm and humid climate. Such precedence has been set by Cynthia McCullough in her book Evidence Based Design for Healthcare
Facilities which outlines the elements of a healing environment as Air quality, thermal comfort, noise control, privacy, light and views of
nature. Further study by Hawkes outlines the elements within design that can control these strategies as human comfort, site planning, unit
plan, structure and Materials and the nature of openings.
This study outlines the findings from three District Hospitals at the Kenyan Coast. These hospitals have been chosen purposively with
emphasis on Location(Mombasa), Climatic Zone (Warm and Humid Climate) and size of the hospitals (Level 4 District Hospitals, Ministry of
Health Levels of Care). The hospitals are the Pandya Memorial Hospital, Mombasa Hospital and MEWA Hospital. The factors investigated to
support healing process in hospitals are Natural Lighting and Artificial Lighting; Views and Gardens; Sound Quality and Noise Control and
Natural Ventilation Strategies.
The findings show that healing environments are spaces within a physical setting designed to be nurturing and therapeutic and, most
important, to reduce stress. They also reveal that natural ventilation, natural lighting, views and open spaces and noise/sound need to be
considered in the design of hospital environments. Natural ventilation assists in reducing transmission of airborne diseases and maintaining
indoor air comfort. Natural lighting, whilst vital to patient recovery, should be regulated in accordance with specific spaces within the
hospitals like approximately 500lux in medical wards for ambience and 350lux in surgical wards to facilitate transition from surgery.
Views and open spaces should be integrated within hospital environments to provide positive distractions for patients but also carefully
planned not to inconvenience staff efficiency and movement. They can also be well incorporated within the hospital to provide pleasant
sounds and inhibit noise within the hospital.
Furthermore, the findings reveal that design strategies in hospital design, although general in all settings, are specific to given climatic
environments.
In the case of warm humid climate building principles employed are open plan design of site planning and spaces, raising the building above
ground to allow for air movement, orientation of buildings to capture indirect wind and sun and use of locally available heavy materials to
cater for heat gain and noise reduct
 

Documentation : 
AttachmentSize
COMPLETE THESIS COMPILATION 2702014.pdf31.95 MB
001 INTRODUCTION_KILIFI COUNTY HOSPITAL.pdf6.51 MB
002 SITE ANALYSIS_CLIMATE_KILIFI COUNTY HOSPITAL.pdf400.17 KB
004 FOUR CHOSEN CASE STUDIES_KILIFI COUNTY HOSPITAL.pdf20.94 MB
006 INTRODUCTION RENDER_KILIFI COUNTY HOSPITAL.pdf31.61 MB
007 LOCATION PLAN AND SITE PLAN_KILIFI COUNTY HOSPITAL.pdf4.24 MB
008 GROUND FLOOR PLAN_KILIFI COUNTY HOSPITAL.pdf3.59 MB
010 DETAIL PLAN_KILIFI COUNTY HOSPITAL.pdf2.26 MB
011 DETAIL PLAN_KILIFI COUNTY HOSPITAL.pdf1.36 MB
012 ELEVATIONS_KILIFI COUNTY HOSPITAL.pdf5.85 MB
015 DETAILS_KILIFI COUNTY HOSPITAL.pdf1.28 MB
015 DETAILS_KILIFI COUNTY HOSPITAL.pdf1.28 MB
016 DETAILS_KILIFI COUNTY HOSPITAL.pdf1 MB
019 DETAILS_KILIFI COUNTY HOSPITAL.pdf634.52 KB

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