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Research report submitted to the School of Architecture and Planning, University of the Witwatersrand, in the fulfilment of the requirement for the Masters of Architecture (Professional). / Thesis (M.Arch. (Professional))--University of the Witwatersrand, Faculty of Engineering and the Built Environment, 2016 / A clinic is a uniquely positioned function in a community. It can become the heart of an area, integrating a large range of functions with and for the public. Whether it be through interactions with business, police, artists or the community, all parties can benefit from the interactions. A redeveloping inner city area, especially one undergoing increasing levels of social uprooting, such as New Doornfontein, can benefit greatly from the community reinforcement and rebuilding that a healthcare facility can provide. With the negative impact of gentrification visible, and a drive towards potential social unsustainability in the area, a need for a centralised community driven scheme is apparent. The brief of the project called for a socially sustainable adaptive reuse healthcare-based scheme situated on a series of industrial sites in New Doornfontein. The area has been used by industry for 85 years, where currently businesses continue to operate. However, New Doornfontein has been undergoing a change, with existing industry becoming run down and abandoned, and the expansion of the new Maboneng phase taking over. Residential density is increasing, creating a demand for more social-based facilities such as healthcare and education. / EM2017

Thesis. 1979. M.Arch.--Massachusetts Institute of Technology. Dept. of Architecture. / MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH. / Bibliography: leaves 89-92. / M.Arch.

Thesis. 1979. M.Arch.--Massachusetts Institute of Technology. Dept. of Architecture. / MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH. / by William L. Kasdon. / M.Arch.

The use of Standards to reduce the complexity of Health Facilities Design has become an indispensable and integral part of the planning process. Unfortunately the structure of present Standards is inflexible, and while this structure may have been acceptable in the past, the standards it produces have become ineffective. Such Standards have been unable to adapt to the changing attitudes and needs of the planning participants who respond to the societal changes around them. It is our objective to develop a method which can build better Standards. In the first chapter we examine the structural problems of Standards and find that there is a fundamental difference between the positive purpose of Standards as used by hospitals and planners and the restrictive purposes of Standards used by government. We have used the terms Guidelines and Standards to denote these different contexts. Having established that a good Standard is one which is similar to a Guideline, we then explore an alternative structure developed at Berkeley, California, called a "Pattern" which we observe will satisfy the requirements for "good" Standards. Since Pattern formats are admirably suited to developing societally-responsive Guidelines and Standards we evolve a method to assemble these new Standards. This method is based upon the Delphi Technique. It uses the technique's inherent advantages to establish communication between two groups of experts (Planners and Medical) who then interact to explore problems and solutions in planning Newborn Nurseries and Neonatal Intensive Care Units. The methodology which is described in Chapter 2 uses the classical components of a Policy Delphi with three rounds of questionnaires sent to Medical Experts (Physicians and Nurses) in various parts of British Columbia and Alberta. It adds such variations as the including of input from the Planner Experts as one method for the feed back of information. This special Delphi design anticipates effects from independent variables and builds in compensatory steps. One of the steps included is a Mini-Survey of a larger group of potential participants, to evaluate the Patterns resulting from the Delphi Study. This larger group was sixteen hospitals in British Columbia and ten hospitals in Alberta. Chapter 3 describes the details in carrying out the three questioning rounds of this modified Delphi method, and its success in assisting the production of a series of Nursery Patterns which are usable as Guidelines. In the methodology is the inherent capability for retaining flexibility, and there are a series of process adjustments that occur. Evaluation of the method in Chapter 4 shows that despite weaknesses, both anticipated and unanticipated, the results provide an important starting point that helps create better, more usable Standards. Possible future developments are briefly mentioned in the hope that evaluation and change will occur as the planning environment changes about us. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

Thesis (M.Arch. (Professional))--University of the Witwatersrand, Faculty of Engineering and the Built Environment, 2016. / Indigenous medicine has existed in society for centuries. It is one of the few age old practices that has remained an innate part of our sociocultural environment. African indigenous healing is an important component of African culture and is significant in ensuring both well-being and health of the people. The World Health Organization statistics shows that at least 70% -80% of the population have used indigenous medicine in South Africa. Indigenous medicine often carries stigmas and negative perceptions. Countless misconceptions and misunderstandings are experienced by indigenous medicine and indigenous medicinal practitioners that have contributed to their isolation. The intention of this thesis is to explore the coexistence of different medical and health systems through a place of dialogue and education. The study focuses on creating an interface between conventional and local indigenous health systems. Through spaces of collaboration, well-being and knowledge, a connection can be established between the two systems which could essentially promote an interaction and understanding. Through an exploration of the primary theme of “the self and the other” and a secondary theme of holistic well-being. An intricate theoretical framework can be established within the thesis that contributes to both the design development and practicality of the proposal. By further studying literature that pertains to the themes and by interviewing people within both fields will allow for the profound understanding of both forms of medicine. The role of architecture as a social instigator for the de-stigmatization of indigenous medicine and holistic well-being will also be explored, with reference to perception as an awareness tool. The architectural response to the thesis is a collaborative facility at Chris Hani Baragwanath Hospital that will look at cooperation, education and research with indigenous practitioners, doctors and the public. The will create an opportunity to link the two medicinal systems together and encourage interaction and understanding between the two. It will further place importance on indigenous systems and knowledge that could potentially be used to treat patients universally. Indigenous medicine practitioners will also be housed within the facility to offer an alternative to the conventional system. Thus ideally creating a place where there is dialogue, transformation and appreciation for indigenous knowledge systems. / EM2017

Thesis. 1977. M.Arch.--Massachusetts Institute of Technology. Dept. of Architecture. / MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH. VIDEOCASSETTE IN ARCHIVES AND ROTCH VISUAL COLLECTIONS. / Contents of videocassette: Preparing for childbirth. / Bibliography : leaves 113-115. / M.Arch.

The trend towards patient-and family-centered care (PFCC) invites families of critically ill patients to participate more fully in the care and recovery of their loved ones through partnerships with the medical team and personalized care that respects the values, beliefs and experiences of the individual. In response to the growing needs of families, healthcare institutions are re-designing the way patient and family care is delivered in terms of policy, culture and the physical environment. Despite the many benefits that come with closer collaboration, nurses report that "challenging" families are a key source of workplace stress. This exploratory case study documents some of these challenges as perceived by staff nurses at Emory University Hospital's Neuro ICU while examining the role the built environment plays in shaping such perceptions. Through a series of ethnographic interviews and observational methodologies, the study identifies some of the challenges and benefits that come with balancing patient and family needs. Nurse strategies developed to reassert spatial and temporal control over work environments are also identified. The second phase of research compares communication patterns generated from two different ICUs to explore the link between unit design and the frequency and quality of nurse-family interactions. Findings suggest that space plays a role in moderating the degree of nurse exposure to the often unstructured and unpredictable aspects of family interactions. These encounters, set within a highly charged critical care setting, may contribute to these perceived challenges. Healthcare stands at an important moment of transition in which attitudes, behaviors and expectations are changing. Together these results reinforce the need for adequate tools, training and education to further support nurses in the transition to this new care culture.

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Chow Wai Ling Karen. / "Architecture Department, Chinese University of Hong Kong, Master of Architecture Programme 1997-98, design report." / program / INTRODUCTION --- p.1 / EXISTING STATE --- p.1 / SOCIAL BACKGROUND --- p.1 / CULTURAL BACKGROUND --- p.2 / USER PROFILE --- p.2 / CLIENT --- p.3 / MISSION --- p.3 / OBJECTIVE --- p.3 / FUNCTIONAL PROGRAM --- p.4 / ARCHITECTURAL PROGRAM --- p.4 / PROGRAM REQUIREMENT --- p.5 / SCHEDULE OF ACCOMODATION --- p.6 / BUBBLE DIAGRAM --- p.7 / SITE ANALYSIS --- p.8-10 / MENTAL HEALTH AND ARCHITECTURE --- p.11-12 / process / DESIGN PROCESS --- p.1 / IMAGES --- p.2 / ZONING --- p.3 / PSYCHOLOGICAL --- p.4 / RESPONSES TO SPACES / SKETCHES --- p.5-6 / NATURAL FEATURES --- p.7-10 / 1st review --- p.11 / 2nd review --- p.13 / 3rd review --- p.14 / 4th review --- p.16 / final review / concepts --- p.1 / diagrams --- p.2 / site plan --- p.3-4 / ground floor plans --- p.5-7 / 1st floor plan --- p.8-9 / details --- p.10 / index --- p.11 / site sketches --- p.12 / perspectives --- p.13-14 / photographs --- p.15 / lighting study of activity hall / photographs --- p.16 / spatial quality of rooms / sectional perspectives --- p.19 / model photographs --- p.21-22 / development calculation --- p.23-25