Kullanıcı Tercihlerine Göre Hastane Çevresi İyileştirme Tasarımı Önerisi; ADSM Kıbrıs Şehitleri Polikliniği, Denizli

Yıl 2018, Cilt: 20 Sayı: 3, 388 - 401, 15.12.2018

Ayşe Özdemir Mine Çelik Cengiz

Öz

Bu çalışmanın
amacı; hastane çevresi kullanıcılarının isteklerinin ve gereksinimlerinin
tespit edilmesi ve bu bakış açısının dikkate alınarak hastane çevresinin
iyileştirilmesine odaklanmaktadır. Çalışma yöntemi; üç aşamalı bir metodolojik
çerçevede yürütülmüştür. Birinci aşamada; örneklem alanı olarak belirlenen
hastane çevresinin alan tespit ve gözlem–fotoğraflama çalışmaları ile mevcut
durumu ortaya konulmuştur. İkinci aşamada, anket çalışması ile kullanıcıların
istek ve gereksinimleri belirlenerek hastane bahçesinin şekillenmesine yönelik
fikir ve düşünceleri değerlendirilmiştir. Üçüncü aşamada ise kullanıcı istek ve
görüşleri ile hastane bahçesi tasarım kriterlerinin bütünleştirilmesi temelinde
bahçenin yenilenmesine ve değiştirilmesine yönelik peyzaj tasarım önerisi
geliştirilmiştir. Çalışmanın sonunda, kullanıcıların fikirlerinin
değerlendirilmesi ve katılımcı bir yaklaşım ile daha yaşanabilir ve
uygulanabilir tasarımların gelişmesine katkı sağlanacağı ortaya konmuştur. Aynı
zamanda bu bulguların benzer uygulamalar ve yöntem tartışmalarına da katkı
sağlayacağı düşünülmektedir.

Anahtar Kelimeler

Hastane çevresi, kullanıcı tercihleri, peyzaj tasarımı, iyi olma hali, çevre iyileştirme

Improvement Design Suggestion for Hospital Environment by User Preferences; ADSM Kıbrıs Şehitleri Policlinic, Denizli

Öz

The aim of this study is to determine the needs and
requirements of users of the hospital environment and to improve the hospital
environment by taking in consideration in this point of view. The working
method consists of three steps. In the first phase; the current situation of
the hospital environment has been revealed with field determination and
observation-via photography studies. In the second stage, the opinions and
thoughts of the users regarding the shape of the hospital garden have been
evaluated by determining the needs and requirements of the users with the
questionnaire. In the third stage; users’ desires and opinions and hospital
garden design criteria were integrated and a landscape design proposal was
developed to renew and change the garden. At the end of the study, it was
revealed that the evaluation of users' ideas and participatory approach would
contribute to the development of more livable and feasible designs. Also, these
findings are thought to contribute to discussions of similar practices and
methods.

Anahtar Kelimeler

Hospital environment, user preferences, landscape design, well-being, environment improvement, environment improvement

Kaynakça

• Aksu ÖV, Demirel Ö (2012). Hastane bahçelerinde peyzaj tasarımları: Trabzon Kenti örneği. Kastamonu Üniversitesi Orman Fakültesi Dergisi, 12(2), 236-250.
• Anonymous (2004). Healing by design: healing gardens and therapeutic landscapes. Implications, 2(10), 1-4.
• Appleton J (1996).The experience of landscape. London: Wiley.
• Bowers DA (2003). Incorporating Restorative Experiential Qualities and Key Landscape Attributes to Enhance The Restorative Experience in Healing Gardens Within Health Care Settings. MSc Thesis. Washington State University, USA. Bulut Y, Göktuğ TH (2006). Sağlık bulma yönünde çevresel bir etken olarak iyileştirme bahçeleri. Gaziosmanpaşa Üniversitesi Ziraat Fakültesi Dergisi, 23 (2), 9-15.
• Cervinka R, Röderer K, Hämmerle I (2014). Evaluatıon of Hospıtal Gardens and Implıcatıons for Desıgn: Benefıts from Envıronmental Psychology for Archıtecture and Landscape Plannıng. Journal Of Architectural and Planning Research 31(1), 43-56
• Cole DN, Hall TE, 2010. Experiencing the Restorative Components of Wilderness Environments: Does Congestion Interfere and Does Length of Exposure Matter? Environment and Behavior 42(6):806-823.
• Cooper-Marcus C, Barnes M (1995). Gardens in Health-care Facilities: Uses, Therapeutic Benefits and Design Recommendations. The Center for Health Design, 1st ed. CA, USA.
• Cooper-Marcus C, Barnes M (1999). Healing Garden: Therapeutic Benefits and Design Recommendations. John Wiley & Sons, New York, USA.
• Cooper-Marcus C (2007). Healing gardens in hospitals. IDRP- Interdisciplinary Design and Research e-Journal, 1(1), 1–27. de Hollander AEM (2004). Assessing and Evaluating the Health Impact Of Environmental Exposures, PhD Thesis, Utrecht University, Holland, Netherlands.
• de Hollander AEM, Staatsen BAM (2003). Health, Environment and Quality of Life: An Epidemiological Perspective on Urban Development. Landscape and Urban Planning, 65, 53–62.
• Elings M (2006). People-plant interaction. The physiological, psychological and sociological effects of plants on people, farming for health-springer agriculture book. In Hassink J, van Dijk M, editors. Printed In The Netherlands Chapter 4: pp. 43-55.
• Friedli L (2011). Reasons to be Cheerful: The Count Your Assets Approach to Public Health. Perspectives Magazine of Scotland’s Democratic Left, 30, 29–32.
• Frumkin H (2001). Beyond toxicity human: health and the natural environment. American Journal of Preventative Medicine, 20, 234–240.
• Hartig T, Johansson G, Kylin C (2003). Residence in the social ecology of stress and restoration. Journal of Social Issues, 59(3), 611–636.
• Hartig T, Catalano R, Ong M (2007). Cold summer weather, constrained restoration, and the use of anti-depressants in Sweden. Journal of Environmental Psychology, 27, 107–116.
• Hartig T, Mang M, Evans GW (1991). Restorative effects of natural environment experiences. Environment and Behavior, 23, 3–26.
• Huismana ERCM, Moralesb E, Hoofa JV, Korta HSM (2012). Healing environment: A review of the impact of physical environmental factors on users. Building Environment, 58, 70–80.
• Ismail WAW, Said I (2015). Integrating the Community in Urban Design and Planning of Public Spaces: A review in Malaysian cities. Procedia – Social and Behavioral Sciences 168, 357–364.
• Kaplan S, Kaplan R (1989). The Experience of Nature: A Psychological Perspective. Cambridge University Press, New York, USA.
• Karakaya B, Kiper T (2011). Hastane Dış Mekan Tasarımlarının Edirne İli Örneğinde İrdelenmesi. Tekirdağ Ziraat Fakültesi Dergisi, 8 (2), 49-64.
• Maas J, Verheij RA, Vries S de, Spreeuwenberg P, Groenewegen PP, Schellevis FG (2009). Morbidity is related to a green living environment. Journal of Epidemiology Community Health, 63(12), 967-973.
• Matsuoka RH, Kaplan R (2008). People needs in the urban landscape: Analysis of landscape and urban planning contributions. Landscape and Urban Planning, 84, 7–19.
• Michalos AC, Zumbo BD, Hubley A (2000). Health and the Quality of Life. Social Indicators Research, 51, 245–286.
• Mourshed M, Zhao Y (2012). Healthcare providers’ perception of design factors related to physical environments in hospitals. Journal Environment Psychology, 32, 362–370.
• Naderi J, Shin W (2008). Humane design for hospital landscapes: A case study in landscape architecture of a healing garden for nurses. Health Environment Research and Design Journal, 2, 82–119.
• Nielsen TAS, Hansen KRB (2007). Do green areas affect health? Results from a Danish survey on the use of green areas and health indicators. Health & Place, 13(4), 839-850.
• Oğuz D, Çakcı I, Sevimli G, Özgür Ş (2010).Yaşlı bakım evlerinde dış mekân tasarımı. Yaşlı Sorunları Araştırma Dergisi, 1, 23-33.
• Parsons R, Hartig T (2000). Environmental psychophysiology. In Cacioppo JT, Tassinary LG, editors. Handbook of psychophysiology. 2nd ed. New York: Cambridge University Press, 815–846.
• Petros AK, Georgi JN (2011). Landscape Preference Evaluation for Hospital Environmental Design. Journal of Environmental Protection, 2, 639-647.
• Roszak T (1995). Where Psyche meets Gaia. In Roszak T, Gomes ME, Kanner AD, editors. Ecopsychology: Restoring the earth, healing the mind. 1st ed. San Francisco: Sierra Club Books, pp. 1–17.
• Shafer CS, Lee B, Turner S (2000). A tale of three greenway trails: User perceptions related to quality of life. Landscape and Urban Planning, 49, 163–178.
• Shahrad A (2012). What are the Design Principles of Healing Gardens for People who are suffering from Stress-Related Diseases? MSc Thesis, Swedish University of Agricultural Sciences, Alnarp, Sweden.
• Sherman SA, Varnı J W, Ulrıch RS, Malcarne VL (2005). Post-Occupancy Evaluation of Healing Gardens in a Pediatric Cancer Center. Landscape and Urban Planning 73, 167-183.
• Shukor SFA, Stigsdotter UK, Nilsson K (2012). A review of design of design concerns for outdoor areas at healthcare facilities. Journal of Therapeutic Horticulture XXII, 32–47.
• Sullivan WC, Frumkin H, Jackson R, Chang CY (2014). Gaia meets Asclepius: Creating healthy places. Landscape and Urban Planning. 127, 182–184.
• Tenngart Ivarsson C (2011). On the Use and Experience of a Health Garden. Exploring the Design of the Alnarp Rehabilitation Garden. PhD Thesis, Swedish University of Agricultural Sciences, Alnarp, Sweden.
• Ulrich RS (1981). Natural versus Urban Scenes: Some Psychophysiological Effects. Environment and Behavior, 13, 523-556.
• Ulrich RS (1984). View through a window may ınfluence recovery from surgery. Science, 224, 420-421.
• Ulrich RS (1986).Human Responses to Vegetation and Landscape. Landscape and Urban Planning, 13, 29-44.
• Ulrich RS (1991). Effects of interior design on wellness: Theory and recent scientific research. Journal of Healthcare Design, 3, 97-109.
• Ulrich RS (1992). How design impacts wellness. Healthcare Forum Journal, 20, 20-25.
• Ulrich RS (1999). Effects of gardens on health outcomes: theory and research. In: Cooper-Marcus C. and Barnes M, Healing Gardens: Therapeutic Benefits and Design Recommendations. Chapter 2. John Wiley and Sons Inc, New York, pp. 27–86.
• Ulrich RS, Simons RF (1989). Recovery from Stress During Exposure to Everyday Outdoor Environments. 17th Annual Conference of the Environmental Design Research Association, Washington D.C.
• Van den Berg AE, Koole SL, Van der Wulp NY (2003). Environmental preference and restoration: (How) are they related? Journal of Environmental Psychology, 23(2), 135-146.
• Varni JW, Katz ER (1997).Stress, social support and negative affectivity in children with newly diagnosed cancer: A prospective transactional analysis. Psycho-Oncology, 6 (4), 267-278.
• Velarde MD, Fry G, Tveit M (2007). Health Effects of Viewing Landscape-Landscape Types in Environmental Psychology. Urban Forestry and Urban Greening, 6, 199-212.
• Ward Thompson C, Roe J, Aspinall P, Mitchell R, Clow A, Miller D (2012). More green space is linked to less stress in deprived communities: Evidence from salivary cortisol patterns. Landscape and Urban Planning, 105, 221‐229.
• Ward Thompson C, Aspinall P, Roe J., Robertson L, Miller D (2016). Mitigating Stress and Supporting Health in Deprived Urban Communities: The Importance of Green Space and the Social Environment. International Journal of Environmental Research and Public Health, 13, 440-464.
• Whitehouse S, Varni JW, Seid M, Cooper-Marcus C, Ensberg MJ, Jacobs JR (2001). Evaluating a Children’s Hospital Garden Environment: Utilization and Consumer Satisfaction. Journal of Environmental Psychology, 21, 301-314.