1. Creating Healthy Environments: Hospital lighting for staff performance, satisfaction and, well – being Background Based on the outcome of the first site visit and the literature review, stress is selected as a possible moderator, as it is a health issue that hospital staff usually has to deal with. Potential outcomes could be staff’s performance, satisfaction and well – being. The International Classification of Functioning, Disability and Health, known more commonly as ICF, is a classification of health and health-related domains [WHO, 2002]. By modifying the ICF framework for the health term “stress”, the following model has been developed and is investigated (see Figure 3). Efthymia Apodoulianaki, MSc,MRes Building performance Group Supervisor Prof. dr. Helianthe Kort Building Lighting Group Supervisors Prof. dr. ir. Evert van Loenen Dr. ir. Myriam Aries Aims Establish the relation between lighting conditions and staff’s performance, supported by a scientific basis and a systematic coding scheme Develop and validate a new theoretical framework and method for the lighting design of hospitals. Emphasis will be given on the impact of light on staff’s performance, health and satisfaction Propose recommendations regarding the lighting design of built environments in hospitals Improve healthcare outcomes by improving the built environment conditions in hospitals, not only for patients but in particular for hospital staff. Figure 1: Preliminary theoretical model (modified after Dijkstra, 2009) Figure 3: Stress model based on the ICF framework (2002) Figure 1 shows the preliminary model that is used for the research (modified after the proposed model of Dijkstra, 2009). A new theoretical framework will be developed based on the results of the literature review, site visits, and interviews with the experts and stakeholders. Future Steps With the completion of the orientation phase, the aim is to deliver the following working packages: Contextual inquiries in hospitals Concept Creation Laboratory Studies Field Studies Results analysis References: Dijkstra, K., 2009. Understanding healing environments: Effects of physical environmental stimuli on patients’ health and well-being. PhD theris Huisman, E. Et al., 2012. Healing environment: A review of the impact of physical environmental factors on users. Building and Environment, 58, 70-80. Peltier, J. and Dahl, A., 2009. The relationship between employee satisfaction and hospital patient experiences. WHO, 2002. The International Classification of Functioning, Disability and Health. Activities In 2015 the project started with its orientation phase which includes the following steps: Literature review Site visits (Meander Medical Center (Amersfoort) in 2015 and Jeroen Bosch Hospital (s’ – Hertogenbosch Hospital in 2016). Interviews – meetings with the experts/stakeholders Development of the theoretical framework During the period 21-24 July 2015, a site visit took place in the General Ward of the Meander Medical Centre in Amersfoort, which is designed with a focus to enable daylight access into the building (concept of healing environments. After participating in all three shifts, a preliminary outcome was that staff do not really interact with the lighting conditions and the term stress was reffered in several discussions. Figure 2: The Meander Medical Centre The traditional design of healthcare facilities does not emphasize on staff needs and performance, which may conflict with patients’ needs. Also, studies have revealed a correlation between staff and patients’ satisfaction (Peltier and Dahl, 2009). As a result, the working environment can be turned into an unfriendly place and the care provided to patients can be of lower quality. According to recent research findings, occupants’ health and wellbeing are affected by the building aspects (Huisman et al., 2012). Nevertheless, limited evidence was found by previous studies on the impact of lighting on people and their performance.