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1 !! Virtual!environment!(CAVE)!as!a!tool!for!end6 user!par8cipa8on!in!health!facility!design,!! a!case!study!!! 4th!EUROPEAN!CONFERENCE!ON!HEALTHCARE!ENGINEERING! Palais!des!Congrès!de!Paris!!30/05/2011!6!01/06/2011!!!

2 HospiCaseY!Project! !!To!use!virtual!environment!mul8professionally,!as!a!joint!design! forum!for!end!users!and!designers,!and!to!examine!various! pa8ent!and!opera8ng!processes!and!the!proper8es!of!spaces! within!a!virtual!environment.!!! To!support!user!par8cipa8on!and!to!develope!new!user6based! design!processes.!! To!create!!a!systema8c!feedback!system!for!the!evalua8on!of! the!success!of!construc8on!projects.!!!!! The!project!is!part!of!the!Spaces!and!Places! ! programme!of!the!finnish!funding!agency!for!technology!and! Innova8on.!

3 CAVE! Computer!Automated!Virtual!Environment!

4 Contents! Research!material! recorded!and!decoded!discussions! video!recordings! photographs! ques8onnaires! Research!methods! thema8c!contents!analysis! SPSS!sodware!(ques8onnaires)! Results! Possibili8es!to!use!

5 Visits!to!CAVE! A!pa8ent!room,!an!examina8on!room!and!a!part!of!an! emergency!center!(100!m²)!were!modelled!into!the!cave! Approximately!280!visitors! Board!of!the!Y6house,!designers,!planners,!engineers,! contractors,!accessible!building!commigee!and!end6users! from!the!health!center!and!specialized!health!care! Ques8onnaires!were!distributed!to!the!end6users,!187!of! them!was!returned!

6 !!!!!!Virtual!model!of!a!pa8ent!room! Research!material!from!CAVE! pa8ent!room!+!bathroom! group!interviews!10! findings!758!+!534! ques8onnaires!51!!

7 !!!!!!Virtual!model!of!an!examina8on!room! Research!material!from!CAVE! Examina8on!room! interviews!13! findings!1314! ques8onnaires!39!!

8 !!!!!!Virtual!model!of!an!emergency!centre,!!!appr.!100m²! Research!material!from!CAVE! interviews!17! findings!1992! ques8onnaires!65! Spaces: registration triage waiting areas corridors observation rooms

9 Thema8c!contents!analysis! findings!altogether!appr.!4600! primary!themes,!14! secondary!themes,!23!!25!

10 Primary!themes! layout! accessibility! furniture! accessories! materials! durability! ergonomics! hygiene safety lighting colours blinds / curtains aesthetics virtual environment!

11 Secondary themes 10. Need! 11. Dimensions! 12. Layout! Func8onality! Openability!of!windows! 7. Furniture! 8. Touchability! 9. Posi8oning! 10. Need! 11. Dimensions! 12. Layout! 13. Func8onality! 22. Acoustics 23. View 24. Durability, ease of maintenance 25. Materials Appeal Colours 21. Privacy 22. Acoustics 23. View 24. Durability, ease of maintenance 25. Materials 26. Appeal

12 PATIENT ROOMS, primary themes

13 Comments on patient room & bathroom furniture accessories layout functions accessibility assisting ergonomics colours, blinds / curtains

14 BATHROOM! layout! accessibility! furniture! accessibility!!!!!!!!!!!!!!!!!!!!!!!!!!!! ergonomics!!!!!!!!!!!!!!!!!!!!!!!!!!!! aesthetics!!!!!!!!!!!!!!!!!!!! 4!!!!!! hygiene!!!!!! 1!!!!!!!!!!!!!!!!!!!! practicality!!!!!!!!!!!!!!!!!!!!!!!!!!!! openability of windows!!!!!!!!!!!!!!!!!!!!!!!!!!!! furniture!!!!!!!!!!!!!!!!!!!!!!!!!!!! touchability!!!!!!!!!!!!!!!!!!!!!!!!!!!! positioning 31! 16! 1! 56!!!! 31!!!!!!!!!!!!!! need 7! 16!! 45! 5!! 6! 10!!!! 2!!!!!! dimensions 21! 4!! 2!!!! 2!!!!!!!!!!!!!! layout!!!!!!!!!!!!!!!!!!!!!!!!!!!! functionality 7! 1!! 20!!!!!! 5!!!!!!!!!!!! safety!!!!!! 1!!!!!!!!!!!!!!!!!!!! type 13! 6!! 108! 19!! 4! 13!!!! 15!!!!!! accessories!!!!!!!!!!!!!!!!!!!!!!!!!!!! lighting, daylight!!!!!!!!!!!!!!!!!!!!!!!!!!!! attractiveness!!!!!!!!!!!!!!!!!!!!!!!!!!!! colours!!!!!!!!!!!!!!!!!!!!!!!!!!!! privacy!!!!!! 1!!!!!!!!!!!!!!!!!!!! notes 10! 12! 1! 45! 24!! 2! 14!!!! 1!!!!!! Altogether! 89! 55! 2! 279!!!! 45! 42!!!! 22!!!!!0! accessories! materials! durability! ergonomics! hygiene! safety! ligh8ng! colours! blinds/curtains! aesthe8cs! virtual!space!

15 BATHROOM, primary themes

16 BATHROOM, layout accessibility ergonomics aesthetics hygiene practicality openability of furniture touchability positioning need dimensions layout functionality safety type accessories lighting attractivenes colours privacy notes

17 BATHROOM, accessories accessibility ergonomics aesthetics (art) hygiene practicality openability of furniture touchability positioning need dimensions layout functionality safety type accessories lighting attractiveness colours privacy notes

18 Comments on the examination room

19 EXAMINATION)ROOM,)primary))themes) 500! 450! 400! 350! 300! 250! 200! 150! 100! 50! 0!

20 Main entrance

21 Virtual model of the emergency centre (a part)

22 !Triage,!comments!in!CAVE! arrival!to!the!emergency!centre! pa8ent!/!staff!contact! working!in!triage!/!privacy! safety,!privacy,!accessibility,!guidance!

23 900! EMERGENCY)CENTRE,)primary)themes) 800! 700! 600! 500! 400! 300! 200! 100! 0! 02/02/12 Esityksen nimi / Tekijä 23

24 !Observa8on!rooms,!comments!in!CAVE! visual access partitions/vindows/doors privacy relatives guidance furnishing

25 Emergency observation room, comments in CAVE privacy, visual access, accessories, furniture, relatives

26 EMERGENCY!CENTRE,!virtual!environment! notes! materials! durability! privacy! colours! agrac8veness! ligh8ng,!daylight! accessories! type! safety! func8onality! layout! dimensions! need! posi8oning! touchability! furniture! openability!of!vindows! prac8cality! hygiene! aesthe8cs! ergonomics! accessibility! 0! 10! 20! 30! 40! 50! 60! 02/02/12 Esityksen nimi / Tekijä 26

27 In!examina8on!rooms!most!agen8on!was! paid!on!furniture,!accessories!and!then!third! layout! In!pa8ent!rooms!accessories!were!number! one,!then!furniture!and!layout! In!bathrooms!the!most!important!were! accessories!and!then!layout!and!accessibility! In!emergency!centre!most!discussions! focused!on!layout!and!ader!that!accessories! and!furniture!

28 !!Interac8on!staff!/!pa8ents!! Func8ons!in!the!examina8on!room,! interac8on!around!examina8on!table! Assis8ng!pa8ent!around!the!bed!and!in!the! bathroom! Monitoring!pa8ent!in!the!emergency! centre!and!controlling!visitors!in!the!unit! Func8ons!in!triage!and!registra8on!of! pa8ents,!control!of!arrival!area!

29 !!!!!!Useful!comments!on!various!issues! ease!of!cleaning!and!maintenance! accessibility!of!different!pa8ent! categories! complex!processes!such!as!the!care! of!emergency!pa8ents! special!considera8ons!such!as!signs.!

30 !!!!!!!!Ques8onnaires!(to!fulfil!the!interviews)! FIRST)IMPRESSION)/agrac8veness,!func8onality! SPACE)/!adequateness,form,!barrierfree!to!move!and!work! FURNITURE,)EQUIPMENT/!posi8oning,!func8onality,!number! ACCESSORIES/!func8onality,!posi8oning,!outlets,!gases! COLOURS,)LIGHTING/!agrac8veness,!sufficiency! FUNCTIONALITY)/!suitability,!ergonomics,!safety! COMFORTABLE!/!space,!furniture,!privacy,!working!peace,!view,! daylight! CAVE)/!prac8cality,!reality,!easy!to!comment,!teamwork!!

31 ) %! ) Experience)in)the)virtual)space,)CAVE) %) 80,0! 70,0! 60,0! 50,0! 40,0! 30,0! 20,0! 10,0!,0! totally!agree! nearly!agree! don't!know! quite!disagree! totally!disagree!

32 %! Agree)and)nearly)agree)comments)by)age) structure)groups)(%)) 20!6!35! 36!6!50! 51!6!65! 120,0! 100,0! 80,0! 60,0! 40,0! 20,0!,0!

33 !Tools!for!HospiCaseY!project! CAVE! management!tool!for!requirements!! web!based!post!occupancy!evalua8on! evidence!based!design!thinking! learning!organiza8on!

34 !CAVE!used!in!different!planning!phases! project!planning/alterna8ve!space!requirements,! complex!departmental!en88es! drad!phase!/!space!models,!size,!fit!to!func8ons! (repeated!spaces!)! later!phases/!focusing!details!! to!produce!vivid!alterna8ves!easily!! to!produce!alterna8ves!before!architectural! drawings! to!produce!interac8ve!and!changeble!models!

35 THANK YOU!

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