Insights & Solutions

Wake Internal Medicine Consultants (WIMC) are a multi-specialty independent physicians group that shares this 48,000 Sq ft. facility which has pod-based clinics with semi-open centralized staff support areas to ensure easy wayfinding and provide a sense that patients can both feel seen, whilst staff maintain a level of privacy for focused work.

Patient check-in on each floor is centralized and connected by an open, wood-paneled stairwell that further aids wayfinding and encourages the use of the stairs for both staff and patients. Waiting areas are shared between practices in a large open environment full of natural light and visual interest provided by the biophilic tree motif integrated into the full-height exterior glazing.

Dayton Children’s 5-story specialty care center is built from families’ wish lists, fulfilling a commitment to the region to reinvent the path to health for today’s families and generations of children to come. The 150,000-square-foot building houses more than 30 pediatric specialties in a bright, welcoming, whimsical indoor and outdoor space.

The artwork collection in the Hale Family Building is centered on four guiding principles to: include, immerse, connect, and unite. It carefully considers every employee, patient, and family member regardless of age, ability, or background. Individual works provide positive distraction via impactful, purpose-driven design motifs, and create opportunities for connection via discovery and storytelling themes.

Yuan, H., Shen, X., (2023) Optimizing floor plans of accessible restrooms in elderly long-term care facilities: A path planning approach. Architectural Engineering and Design Management

In order to avoid excessively disabling an entire population of mobility aid users as well as decrease excessive dependency on caregivers, restroom design has to be optimized. The goal of this study was to explore how mobility path-planning simulation software can increase the convenience of restroom use for individuals who use wheelchairs and walkers. Researchers used a virtual path-planning method for generating floorplans and evaluating simulated patterns of movement between fixtures to identify the most convenient layout. The highest convenience score for a 2-fixture restroom layout resulted in the toilet at a 90-degree angle to the door and adjacent to the opposing wall; the sink’s optimal location was opposite the door.  In a 3-fixture arrangement, the sink remained opposite the door, and the toilet remained on the same wall as in the 2-fixture arrangement but was relocated adjacent to the wall with the door so the shower could occupy its previous location. Notably, a minimum room size for a 3-fixture layout required minimum dimensions of 2m x 2m (6.5’ x 6.5’). While not statistically significant, in all scores, the 45° side approach is the most effective for limiting both path length and turning angles making corner fixtures more convenient for movement.       

Nilvér, H., Berg, M., (2023) The birth companions' experience of the birthing room and how it influences the supportive role: A qualitative study. HERD: Health Environments Research & Design Journal   

When women in labor are accompanied and supported by non-professional companions, both mother and newborn benefit. This study explores the birthing experience from the companion’s perspective to highlight how the space influences their ability to provide support to their laboring partner. Birth companions in a variety of different roles (partners, doulas, family, and friends) provided feedback to researchers about their experiences. Most companions sought to create a supportive space in the unfamiliar birthing environment. They focused on not being in the way of professional caregivers, finding their role while often subordinating their own basic needs, and staying close to their loved one.  Recommendations for creating spaces to accommodate companion presence include storage for belongings, comfortable furniture, transitional entry into the birthing room, the ability to conceal medical equipment, and nourishment and toileting facilities for companions.