Cited by 3Healthcare Facilities Design and SustainabilityStroke Rehabilitation and RecoveryFacilities and Workplace Management

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The State of Stroke Rehabilitation Design in Australia: A Multi-Scalar Systematic Architecture Precedent Review

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Yang, Tianyi, White, Marcus, Lipson-Smith, Ruby, Latifi, Mehrnoush·2024·Buildings

Abstract

Objectives: This study explores stroke rehabilitation facility design in Australia, identifying the key design typologies at multiple scales and assessing them against the critical design criteria for stroke rehabilitation. Background: The physical environment plays a crucial role in stroke rehabilitation, affecting patient recovery and well-being. However, limited research examines how design can support therapeutic outcomes in these facilities. Method: From a systematic review of 257 Australian stroke rehabilitation facilities, 30 were selected for detailed design review, with an in-depth room-level analysis conducted for 10. Using the modified PRISMA framework and a typology analysis approach, this study integrates architectural precedent with clinical research methods. Results: Typologies were identified at the site, building, ward, and room levels. Acute hospital wards (53%) and ‘blocks’ (73%) were the most common site and building arrangements, respectively. At the ward level, ‘racetrack with courtyard’ layouts enhanced natural light, views, and access to landscaped areas. A room-level analysis revealed limited innovation, with most rooms adhering to standard designs, though some adaptations improved visual connectivity and personal control. Hybrid nurse stations and courtyards supported efficiency, social interaction, and therapeutic stimulation. Conclusions: This study highlights the user-centred design strategies tailored to stroke patients’ needs and the importance of evidence-based approaches prioritising well-being. Future research should incorporate 3D spatial analysis for actionable design recommendations.

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References 32 · Cited by 3

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  1. Lindsay, M.P., Norrving, B., Sacco, R.L., Brainin, M., Hacke, W., Martins, S., Pandian, J., and Feigin, V. (2019). World Stroke Organization (WSO): Global Stroke Fact. Sheet 2019, World Stroke Organization (WSO). Available online: https://www.world-stroke.org/assets/downloads/WSO_Fact-sheet_15.01.2020.pdf. · DOI
  2. Langhorne, 2011, Stroke Rehabilitation, Lancet, 377, 1693, 10.1016/S0140-6736(11)60325-5 · DOI · Paper page
  3. Phiri, M., and Chen, B. (2014). Sustainability and Evidence-Based Design in the Healthcare Estate, SpringerBrief in Applied Sciences and Technologies. · DOI
  4. Sackett, 1996, Evidence Based Medicine: What It Is and What It Isn’t, BMJ, 312, 71, 10.1136/bmj.312.7023.71 · DOI · Paper page
  5. Ulrich, R.S. (2008). Biophilic Theory and Research for Healthcare Design. Biophilic Design: The Theory, Science, and Practice of Bringing Buildings to Life, Wiley.
  6. Ulrich, 2010, A Conceptual Framework for the Domain of Evidence-Based Design, HERD, 4, 95, 10.1177/193758671000400107 · DOI · Paper page
  7. Reichert, 2020, Studying the Impact of Built Environments on Human Mental Health in Everyday Life: Methodological Developments, State-of-the-Art and Technological Frontiers, Curr. Opin. Psychol., 32, 158, 10.1016/j.copsyc.2019.08.026 · DOI
  8. Ulrich, 1984, View Through a Window May Influence Recovery from Surgery, Science, 224, 420, 10.1126/science.6143402 · DOI · Paper page
  9. McDonald, 2020, Florence Nightingale’s Influence on Hospital Design, Hospitalism, Hospital Diseases, and Hospital Architects, HERD, 13, 30, 10.1177/1937586720931058 · DOI
  10. Bernhardt, 2022, Why Hospital Design Matters: A Narrative Review of Built Environments Research Relevant to Stroke Care, Int. J. Stroke, 17, 370, 10.1177/17474930211042485 · DOI
  11. Pflaumer, 2021, Built Environments for Inpatient Stroke Rehabilitation Services and Care: A Systematic Literature Review, BMJ Open, 11, e050247, 10.1136/bmjopen-2021-050247 · DOI
  12. Zeeman, 2020, What’s in a Building? A Descriptive Survey of Adult Inpatient Rehabilitation Facility Buildings in Victoria, Australia, Arch. Rehabil. Res. Clin. Transl., 2, 100040
  13. Saa, 2023, Stroke Inpatient Rehabilitation Environments: Aligning Building Construction and Clinical Practice Guidelines Through Care Process Mapping, Stroke, 54, 2946, 10.1161/STROKEAHA.123.044216 · DOI
  14. Churilov, 2019, A Framework for Designing Inpatient Stroke Rehabilitation Facilities: A New Approach Using Interdisciplinary Value-Focused Thinking, HERD, 12, 142, 10.1177/1937586719831450 · DOI
  15. Ulrich, 2008, A Review of the Research Literature on Evidence-Based Healthcare Design, HERD, 1, 61, 10.1177/193758670800100306 · DOI
  16. Heylighen, 2018, The Physical Environment and Patients’ Activities and Care: A Comparative Case Study at Three Newly Built Stroke Units, J. Adv. Nurs., 74, 1919, 10.1111/jan.13690 · DOI
  17. Janssen, 2014, An Enriched Environment Increases Activity in Stroke Patients Undergoing Rehabilitation in a Mixed Rehabilitation Unit: A Pilot Non-Randomized Controlled Trial, Disabil. Rehabil., 36, 255, 10.3109/09638288.2013.788218 · DOI
  18. Kevdzija, 2022, “Everything Looks the Same”: Wayfinding Behaviour and Experiences of Stroke Inpatients in Rehabilitation Clinics, Int. J. Qual. Stud. Health Well -Being, 17, 2087273, 10.1080/17482631.2022.2087273 · DOI
  19. Seale, 2024, Nature-Based Design in Stroke Rehabilitation Environments: A Scoping Review, HERD, 17, 186, 10.1177/19375867241251832 · DOI · Paper page
  20. Edwards, B. (1993). Understanding Architecture Through Drawing, Taylor & Francis.
  21. Mclaughlan, 2020, Architecture as Change-Agent? Looking for Innovation in Contemporary Forensic Psychiatric Hospital Design, Med. Humanit., 47, e11, 10.1136/medhum-2020-011887 · DOI
  22. Yaseen, 2022, Precedent Study: An Approach to Learning about Design Challenges in Architectural Studio Pedagogy, Glob. Educ. Stud. Rev., VII, 395, 10.31703/gesr.2022(VII-I).38 · DOI
  23. Grover, 2018, The Typological Learning Framework: The Application of Structured Precedent Design Knowledge in the Architectural Design Studio, Int. J. Technol. Des. Educ., 28, 1019, 10.1007/s10798-017-9421-4 · DOI
  24. Fay, 2019, A Systematic Literature Review of Empirical Studies on Decentralized Nursing Stations, HERD, 12, 44, 10.1177/1937586718805222 · DOI
  25. Moher, 2009, Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement, Ann. Intern. Med., 151, 264, 10.7326/0003-4819-151-4-200908180-00135 · DOI · Paper page
  26. Pevsner, N. (1979). A History of Building Types, Princeton University Press.
  27. Adebayo, 2023, Typological Analysis of Hospital Wards Design, Int. J. Innov. Sci. Res. Technol., 8, 3060
  28. Lavin, S. (1992). Quatremere de Quincy, MIT Press.
  29. Kocaturk, 2022, The Nature of Innovation in Hospital Building Design: A Mixed Grounded Theory Study, Constr. Innov., 23, 792
  30. Grey, 2017, Towards a Building Typology and Terminology for Irish Hospitals, Ir. J. Med. Sci., 186, 1, 10.1007/s11845-016-1537-0 · DOI
  31. Zijlstra, 2022, Spatial Building Typology—Function Follows Form, Eur. J. Archit. Urban. Plan., 1, 1, 10.24018/ejarch.2022.1.5.13 · DOI
  32. Adams, A. (2008). Medicine by Design: The Architect and the Modern Hospital, 1893–1943, University of Minnesota Press. [NED-New ed.].
  33. Moslehian, 2022, Analysis of Factors Historically Affecting Innovation in Hospital Building Design, HERD, 15, 249, 10.1177/19375867221113874 · DOI
  34. James, W.P., and Tatton-Brown, W. (1986). Hospitals: Design and Development, Architectural Press.
  35. Halawa, 2020, Advancing Evidence-Based Healthcare Facility Design: A Systematic Literature Review, Health Care Manag. Sci., 23, 453, 10.1007/s10729-020-09506-4 · DOI
  36. Zborowsky, 2010, Centralized vs. Decentralized Nursing Stations: Effects on Nurses’ Functional Use of Space and Work Environment, HERD, 3, 19, 10.1177/193758671000300404 · DOI

Metadata

Authors
Yang, T., White, M., Lipson-Smith, R., & Latifi, M.
Affiliations
  • Swinburne University of Technology (AU)
  • The MARCS Institute of Brain, Behaviour and Development, Western Sydney University, Penrith, NSW 2750, Australia
Corresponding author
Yang, Tianyi
Venue
Buildings
Publisher
MDPI AG
Published
2024-12-13
Volume
14
Issue
12
Pages
3968
ISSN
2075-5309 (ISSN-L)
OpenAlex
W4405443968
Cited by
3
References
32
Citations by year
2026: 1 · 2025: 2
FWCI
3.07
Type
journal article
Language
en
Open access
Locations
  • Buildings (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • The Felton Bequest
  • Swinburne SUPRA Stipend
Topics
  • Physical Sciences › Engineering › Architecture › Healthcare Facilities Design and Sustainability
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Physical Sciences › Engineering › Architecture › Facilities and Workplace Management
Keywords
stroke rehabilitation, healthcare facility design, architectural precedents, design typology, hospital wards, user-centered design, patient well-being, courtyards, nurse station, therapeutic environment, Australia

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