Caring for Caregivers

Five Workplace Amenities that Support Healthcare Workers

June 13, 2017

Healthcare Practice Leader, NBBJ

Editor’s Note: This post was coauthored by George Takoudes and Kelly Griffin.

Millions of dedicated clinicians and medical professionals work in hospitals and clinics around the world. Unfortunately some of these employees experience long hours, occupational injuries and stress due to the nature of their work. Not surprisingly, in a survey of the most stressful jobs, RNs, surgeons, social workers and emergency dispatchers all placed in the top 10.

As a result, many healthcare organizations are increasingly focused on designing amenities, policies and workplaces to better support their clinicians, health providers and administrators. Interestingly, healthcare facilities — academic medical centers in particular — are wrestling with similar issues as corporate workplaces. Both seek to increase productivity, collaboration and work-life balance, and an improved workplace environment can help facilitate these goals.

Here are a few of the unique needs clinicians and other medical professionals face and the ways new workplaces — and specifically workplace amenities — have the potential to help:

Variety. A day in the life of a medical professional is varied and filled with physical movement — from reviewing patients, sitting with colleagues and teaching, to hands-on work interrupted by ringing pagers. Amidst this controlled chaos, doctors and clinicians also need places to wrap up emails and consult with colleagues. In terms of physical space for medical professionals, it’s about balance: finding the right ratio of shared spaces to individual workspaces to support spaces. It can also be about smart spaces that support improved processes and workflows.

Privacy. Patient privacy rules require healthcare workplaces to keep information confidential and discussed verbally only in a secure environment. Yet clinicians, clinical faculty and medical professionals also need privacy to decompress and, sometimes, to grieve the loss of a patient. As in corporate workplaces, allocating a range of quiet workspaces — from private offices to individual workstations to phone spaces — is key. While traditionally healthcare facilities feature more private offices than most corporate workspaces, some academic medical centers are experimenting with an unusual office approach, with as little as 60% individual workspaces and as much as 40% shared spaces.

100273_N9_1024

Staff lounge at the University of Washington Medical Center Montlake Tower (Benjamin Benschneider/NBBJ)

Respite. Many clinicians and medical professionals, especially those in palliative care, have difficult jobs supporting sick patients and their families. The workplace must give them the space to think, grieve and recuperate, and thus help prevent physician burnout. Amenities that are now commonly found on corporate tech campuses providing visual and acoustic privacy — retreat spaces, yoga rooms, support lounges and soothing gardens — can help bring calmness to a clinician’s or medical professional’s day. In Seattle, the University of Washington Montlake Tower features a room for exercising and relaxing with views of Mount Rainier and the Montlake Cut. On the east coast, Brigham and Women’s Hospital has a dedicated garden for staff, while at Massachusetts General Hospital, the surgical floors have access to daylight, which helps energize surgical teams who may spend long hours in the OR.

Community. Team-based medicine requires opportunities for group communication, and just like corporate office workers, clinicians and medical staff also need places to build community and celebrate events like birthdays and the lives of patients who recover as well as those who pass away. These can include home-like areas for gathering, welcoming visitors and sharing meals, which often facilitate social support. Yet areas for engagement and community-building are not just limited to indoors — the health care and insurance provider Kaiser Permanente is hosting farmers’ markets across the U.S. outside of their health centers and clinics.

Collaboration. Finding creative, flexible ways to encourage knowledge-sharing and idea-generation is essential to improving patient care. In a healthcare setting, this can mean trading private offices for shared space. For clinicians, it’s about providing shared spaces large and small that help ease the workday transition from clinical to office to community space. Departmental organization matters, too: at the OhioHealth Riverside Methodist Hospital Neuroscience Center in Columbus, Ohio, neuroscience, heart and vascular clinicians work together in one building, fostering an interdisciplinary approach to improve neuroscience patients’ experiences. In Boston, the newest medical technology at Massachusetts General Hospital syncs to smartphones so clinicians and nurses can communicate more easily, quickly and quietly.

 

The most successful amenities are not just “nice-to-haves” but crucial elements that make life better, easier and more joyous. The benefits are many, for employers — workforce recruitment, engagement and satisfaction — and for employees — stress-relief, refuge, privacy and emotional support — alike. In a healthcare setting, the lives of patients, loved ones and colleagues depend on facilities that support both the functional and emotional needs of clinicians, medical professionals and caregivers.

Banner image courtesy of Benjamin Benschneider/NBBJ.

Share this:  envelope facebook twitter googleplus tumblr linkedin
Comment Follow nbbX

How Designers Can Help Lead the Conversation about Science

Reflections on the March for Science in Washington, DC

May 30, 2017

Partner, NBBJ

“Energizing” is the word I would use to describe the March for Science in Washington, DC, last month on Saturday, April 22. Along with the People’s Climate March a week later, and with ongoing drama over the Paris climate accord, it’s obvious that people are feeling the need to get out and speak up on the issues surrounding our planet.

At the march I attended, it was wonderful to see such a wide diversity of age, race, geography, religion and profession uniting around the significance of science.

In particular the unanimous support for the reality of climate change is a call to action to reverse this human-instigated circumstance which could make many species — including our own — extinct in the next century.

The “science” of designing, building and operating the physical environment contributes significantly to adding carbon to the atmosphere — the leading cause of climate change — so our role as architects should be pivotal in reversing this. Designers can shape the dialogue in three ways:

1. Get Involved
I spoke to dozens of people along the March for Science and most were scientists and academics: although it’s possible I missed a few individuals, nowhere did I see the American Institute of Architects (AIA) or U.S. Green Building Council (USGBC) participating. I would argue our profession is at least half science, and therefore our input is paramount. Climate change is certainly discussed in architecture circles; however, it would be great if more people trained in design and architecture were in the political realm. Policy is the root of change and getting in at the ground level is key.

2. Implement Best Practices
There are a number of things the design industry can do that are simply best practices taken seriously, yet even today, 13 years away from the deadline of the 2030 Challenge, we are not taking the basics to heart. Design begins with one’s relationship to the environment, so appropriate responses to climate and solar and wind orientation are the most fundamental. Simple energy modeling that allows us to make big or even incremental moves can save megawatts of energy over decades. There are many passive design opportunities, from building orientation, to enclosure design, to building materials, to sun shading and louvers that we can take advantage of more frequently. We have a really big tool chest to work from!

3. Innovate
Then there’s the real science and innovation side, from things like photovoltaics, to making lighter buildings with less material, to sustainable materials like timber. There is no reason why the surface area of buildings can’t also be generators of energy or surfaces for agriculture. Even things like modular construction can significantly help reduce waste, in addition to creating better safety on-site and increasing construction quality. A whole range of potential innovations can be put into practice by the design and construction industry.

This will require help from our partners — clients, engineers, contractors — but the design professions can play a leading role. As the holders of the design vision, we have the platform and the point of view to orchestrate the conversation, to describe the issues and challenges. Initiatives like the USGBC and the AIA’s 2030 Challenge are a great start, but we in our profession we need to ramp it up.

 

Tens of thousands of people marching down Constitution Avenue and at over 600 similar events around the world send a clear signal to our elected leaders to take this matter seriously — science is the foundation of our future health, prosperity, even our very lives!

Image courtesy of Pixabay.

Share this:  envelope facebook twitter googleplus tumblr linkedin
Comment Follow nbbX

From the Growth of Tech to Economic Uncertainty, Four Takeaways from ULI’s Spring Meeting

Look to Seattle and the Pacific Northwest for a Preview of the Changes Coming to Real Estate

May 18, 2017

Partner, NBBJ

Thousands of leaders in real estate converged on Seattle earlier this month for the annual Urban Land Institute (ULI) spring meeting. Clouds parted in the notoriously drizzly Pacific Northwest town to show off its finest hour as a city engaged in building one of the most “user-friendly” cities in the United States.

As the largest urban area in the Pacific Northwest and a tech cousin to San Francisco, this 700,000-person city — with a regional population of approximately 3.8 million people — enjoys tremendous growth in the technology sector, with companies like Amazon consuming massive amounts of real estate. To counter the growing pains of San Francisco, Seattle is trying to develop its urban core to take advantage of the city infrastructure and to diversify its community. Here are four key takeaways from the conversation about these issues at ULI, and a few provocations for the future.

1) Neighborhood as Catalyst
With a strong interest in the South Lake Union neighborhood, many events and tours at the ULI event showed the tremendous impact of revitalizing this once parking-lot-filled area of Seattle into a vibrant mixed-use neighborhood. Home to a variety of organizations, South Lake Union integrates working, living and playing in a medium-density format. The area is rich with architectural character — blending the past and present with the energy of youth and optimism fueled by the millennial ethos. While not perfect, South Lake Union presents a great case study on how public and private partnerships can come together to spur development — from parks and retail, to corporate headquarters and new forms of transportation.

2) A Strong, but Uncertain, Economy
Another topic of interest was defining where we are in the economic cycle. Entering the seventh year of sustained growth after the “great recession,” there are varied opinions on the topic. Terms like “extra innings” and “double-header” were used as a familiar analogy to describe the sentiment. Are we close to a walk-off home run with two outs and a 3-2 count? Or are we in the 3rd inning of the evening game of the double-header?

One statement made by Tom Hennessy from Equity International caught my attention and I think is a more accurate assessment. Tom described the current situation as “land priced to perfection.” Unpacking his statement, Tom says the costs to continue this cycle of economic vitality are at a premium with zero margin for error. This will likely tighten the market significantly. However, the United States is and should continue to be a safe haven for international capital, which is beginning to flow into cities where vacancy rates are declining.

3) The Trump Effect
What conversation doesn’t include some discussion about politics? The market enthusiasm for bank deregulation, corporate tax cuts and support for small and medium business has everyone optimistic. However, many also expressed concern about the lack of traction and inability to move policy forward in Washington. This gridlock will likely not bode well for the markets, which could overshadow aforementioned positivity.

4) A Time for Tech
Seattle, with its tremendous development boom and 60+ construction cranes, had many people asking, “How much gas is still in the tank?” On one hand, it seems all economies are cyclical, even Seattle’s. But on the other hand, the growth of the tech industry seems to create anomalies that aren’t just based on traditional metrics. During the ULI meeting, Amazon’s vice president of global real estate, John Schoettler, announced that the company will hire 100,000 employees over the next 18 months. While that number represents employees around the world, it still equates to over 5,000 people per month — the size of a small Eastern Washington town. These figures underscore the dramatic shift that is happening in this “second machine age” fueled by extraordinary advances in computing technology. Developers and cities would be wise to continue to invest in this industry for years to come.

Regardless of these trends and what else is to come, it’s safe to say that we are just at the tip of the iceberg of the unimaginable changes that will take place in society. Over the next 10 years, disruptions such as driverless cars, more mobile ways of living and working, artificial intelligence and extraordinary breakthroughs in bio-science will transform cities and human life in profound ways. My friends and colleagues at ULI are perfectly positioned to lead and drive this discussion. Economy, ROI and politics aside — the future is bright and will be looking for innovation at all levels. It’s going to be quite a journey, so buckle up and enjoy the ride!

Image courtesy of Kevin Scott/NBBJ.

Share this:  envelope facebook twitter googleplus tumblr linkedin
Comment Follow nbbX
Next Page »