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This document presents a research proposal that aims to study the linkage between window openings in patient rooms and patient recovery in hospitals. Specifically, it seeks to compare treatment histories of patients in rooms with limited window openings versus those with adequate window openings and varied outdoor scenery. The study hopes to determine if there is a correlation between window openings and length of patient recovery. A mixed-methods approach will be used, including literature reviews, interviews, surveys and case studies. The expected output is increased awareness of how physical space attributes like windows can impact health, to inform policies and design practices.
This document presents a research proposal that aims to study the linkage between window openings in patient rooms and patient recovery in hospitals. Specifically, it seeks to compare treatment histories of patients in rooms with limited window openings versus those with adequate window openings and varied outdoor scenery. The study hopes to determine if there is a correlation between window openings and length of patient recovery. A mixed-methods approach will be used, including literature reviews, interviews, surveys and case studies. The expected output is increased awareness of how physical space attributes like windows can impact health, to inform policies and design practices.
This document presents a research proposal that aims to study the linkage between window openings in patient rooms and patient recovery in hospitals. Specifically, it seeks to compare treatment histories of patients in rooms with limited window openings versus those with adequate window openings and varied outdoor scenery. The study hopes to determine if there is a correlation between window openings and length of patient recovery. A mixed-methods approach will be used, including literature reviews, interviews, surveys and case studies. The expected output is increased awareness of how physical space attributes like windows can impact health, to inform policies and design practices.
Healing Window: Linkage between Window Opening and Patient Recovery
A Research Proposal Presented to Dr. Romeo B. Santos
College of Architecture University of the Philippines Diliman, Queon City !n Partial "ulfillment of the Course Re#uirements for Arch $%& '!ntroduction to Architectural Research( By Alvin )*er +. Arlana ,cto*er $&, $%&& I. Title of Proposal Healing Window: Linkage between Window Opening and Patient Recovery II. Keywords to describe te s!b"ect st!dy: -indo- openings, out*ound scenery, access to daylight, treatment history, patient recovery III. Researc #!estion $ Proble% &tate%ent .here are recent studies in fields of healthcare, *ehavioural and architectural science that daylight, scenery and visual access through -indo- and other openings has positive impact in the occupant/s physical condition in *uildings. .hese studies imply that the connection *et-een the outdoor and the controlled condition of indoor environment can *e actively related to human health. !n the study of 0ilson '&12$(, the occurrence post3 operative delirium in !ntensive care units '!CU( are t-ice higher for !CU/s that do not possess -indo- openings compared to those !CU/s that has -indo- openings. 0ilson concluded that the presence of -indo- openings may *e desira*le in preventing sensory deprivation. Richard 4uller '&11$( and 5isa 6eschong '$%%$( conducted separate study a*out health, *ehaviour and academic performance of children in classroom. .he findings, students in classrooms -ith most -indo- areas or daylight -ere found to have higher scores on standardied test than those -ith least -indo- areas. Base on these studies, -indo- openings, daylight and out3*ound scenery has direct relation to human/s -ell *eing. 6o-ever, the importance of -indo- openings and out*ound scenery are either unconsciously ignored or given less preference in design of various *uilding typologies may*e of three primary reasons namely7 in order to ma8imie the use of *uilda*le footprint especially in ur*an areas, the physical conditions site and the character of immediate surroundings. 0indo- openings and out*ound sceneries are significant to healthcare facilities more importantly to its indoor environment and patient/s condition. .herefore, this architectural feature shall not *e ignored. .his study aims to find out the correlation of -indo- opening, out*ound scenery and hospitaliation time in patients/ recovery. .he study -ill *egin at the assumption that -indo- opening and the out*ound scenery affects the recovery of patient in hospital patient rooms. I'. Ob"ectives &. .o study a specific hospital in 9etro 9anila focusing on -indo- openings of patient rooms and the treatment history of patient $. .o ma:e a profile of patient3-indo- opening variations and character of treatment history of patient. ;. .o compare $ types of patient room -ith dissimilar features of -indo- openings vis <a vis the treatment history of patient a. Room -ith limited -indo- opening *. Room -ith li:ely ade#uate -indo- opening and variation of out*ound sceneries. =. .o determine -hether there is a lin:age *et-een patient room -indo- openings and patient recovery. '. I%portance$&ignificance of te &t!dy .he significance of this study is evident in design of healthcare facilities. .he study may esta*lish and clarify the correlation of physical space and patient recovery. !ts innovation in research methodology could *e important contri*ution to medical research. .he organie *ody of :no-ledge and materials -ould serve an important reference for technical, professional, medical practitioner and the academe and can open3up further studies related today. .his study -ill also validate results of other similar related researches. .he result -ill *e also significant contri*ution and its replica*ility could *e a good *asis for policy decisions in health sector. !f realied and adopted, a model or guide can *e constructed and help Philippines to stand out as leading provider of healthcare services. 'I. Review of Related Literat!re .he >ournal ( &yste%atic &t!dy of te Terape!tic I%pact of )ayligt (ssociated wit *linical Recovery *y ?oarder, Price and 9ourshed of 5ough*orough University compiled evidences from diverse research sources e8ploring the impact of daylight and patient/s health and recovery. .he study discussed the effects of light on human *ody starting from *iological and chemical reaction in the *ody, factors affecting mood and *ehaviour, and finally relating this to clinical outcomes in hospital setting. .he importance of light in the *ody is discussed in t-o categories7 light incident to the retina and light incident to the s:in. !t *riefly e8plains that light facilitates the production of t-o important neurotransmitter7 Serotonin and 9elatonin. Serotonin is a neurotransmitter that facilitates emotions including desire, *ody temperature, sleep, appetite and meta*olism through e8posure to daylight. ,n the other hand, a*sence of daylight increases melatonin associated -ith increased car*ohydrate cravings, depression, heightened sensitivity to pain, and trou*led sleep patterns. .he paper also cited the e8posure and consciousness to daylight pattern improves sleep and circadian rhythms. ,ptimising daylight in hospital interiors most li:ely reduce depression, agitation, an8iety, stress level, and length of stay of patients. !n the *oo: Healing +ardens: Terape!tic ,enefits and )esign *onsideration *y Clare Cooper39arcus and 9arni Barnes, they discussed ho- gardens helps in relieving stress, lessens physical symptoms of medical procedures and improves the overall sense of -ellness for *oth patients and hospital staff. .o create a successful therapeutic garden they have formulated design principles to loo: into. .he design principles discussed are variety of spaces, green materials, encourage e8ercise, positive distraction, minimie intrusion and am*iguity. @arieties of spaces mean giving the patient choice of get3a-ay from the sterilied environment of the hospital. +reen material connotes that plant materials should dominate the garden. 9a:ing gardens that -ould encourage -al:ing as a form of e8ercise and *uffering that -ould minimie ur*an noise, pollution, and intrusion. .hese are the principles that are *elieved to lo-er levels of depression and stress among patients. ,n the other hand, this study -ill loo: into ho- out*ound scenery affects patient recovery in the a*sence of gardens in ur*an environment. 'II. -.pected O!tp!t A clearer understanding of the relationship *et-een attri*utes of physical space and patient recovery -ill *e a significant contri*ution to studies dealing -ith patient length of stay. !t -ill !ncrease a-areness on the significance of the -indo- openings, the nature of out*ound scenery vie-ed from the hospital *ed and patient recovery. Policy ma:ers, hospital administrators, medical practitioners, design professionals, academics and among others, may find the study results and materials important for their respective fields of practice. Policy decisions and can open up other opportunities for further studies. Presentation in conferences, pu*lications and peer research >ournal are tangi*le outputs e8pected to this study 'III. /etodology Methods of Getting the Data: .he research -ill follo- a mi8ed3method approach, applying *oth #ualitative and #uantitative perspectives in carrying out the study. !t -ill apply a selected of techni#ues in getting the data. Aas applica*leB a. Revie- of related records and research *. Stratified Random Sampling c. 4ey Research Person !ntervie- '4RP!Cstructured individuals( d. Structured Survey e. Site inventoryCmapping f. "+D Cfocus group discussion Dpatients3relatives3doctor3nurses3health -or:er g. .ransect >ournal h. Conduct a case study Mechanics of Analysis !n order to achieve the o*>ectives of this study, the researcher -ill used primary and secondary data. )8tensive revie- of documents, studies and pu*lications -ill *e focus on the relevance and *earing on matters related to the study to-ards the formation of *ac:ground information. A systematic analysis and synthesis of this information can *ring a*out a clearer perspective of the theoretical, methodological and technical *ases of the research. An initial survey, listing, and categoriing of different hospitals in 9etro 9anila -ill *e done to identify the hospitals that passes the criteria for the study. Selection shall *e done through stratified random sampling. Structured intervie-s of -ill *e done through :ey resource persons on the *asis of their direct :no-ledge, involvement and familiarity -ith the su*>ect. Suggested :ey resource persons shall include hospital administrators, medical practitioners, health officialsE technical persons specialied in hospital planning and design, and among others. A #uestionnaire survey of randomly respondents specifically the patients shall *e conducted randomly to elicit response that includes perception, suggestions and complaints, among others. .he survey -ill purposely target getting information on the e8tent ho- -indo- openings relate to patient/s recovery. ,cular visits, inventory and mapping of rooms that -ill *e use for controlled study. Physical dimensions of -indo- openings, orientation, illumination level, and the out*ound scenery, among others shall *e noted. .he researcher shall e8amine the medical records of patients admitted on selected patient room. "ocus +roup Discussion shall *e conducted among selected sta:eholders to get first hand information on the e8tent ho- people #ualify of space and their perception. Using the same esta*lished procedure and methods, a similar case shall *e conducted from another hospital for comparative analysis. Analysis and Triangulation .he analysis -ill *e done through systematic means of comparing and triangulating the data and information gathered from diverse sources. Patterns, trends, and inclination from *oth #ualitative and #uantitative analysis -ill *e used to ma:e inferences and >udgement in getting evidence necessary for determining the lin: *et-een -indo- openings and patient recovery. References: Cooper39arcus, Claire and Barnes 9arni, +ardens7 .herapeutic Benefits and Design Consideration '&111( "arley, 4elly and @eitch, ?ennifer, '$%%&( A Room -ith a @ie-7 A revie- of the effects of -indo-s on -or: and -ell3*eing. 6eschong, 5isa '$%%$( Daylighting and 6uman Performance, ?ournal of AS6RA), ?oarder, A. et. al. , A Systematic Study of the .herapeutic !mpact of Daylight Associated -ith Clinical Recovery, 5ough*orough University, $%%1 4uller, Richard and 5indsten, Carl '&11$( 6ealth and Behavior of Children in Classroom -ith and -ithout 0indo-s, ?ournal of )nvironmental Psychology. 0ilson, 5.9. '&12$( !ntensive Care Delirium7 .he effect of outside deprivation in -indo-less unit, Archives of !nternal 9edicine