IIDA Perspective - Fall/Winter 2014 - 24

implications

of some
"deep-dive"

Still, the implications of some of Medina's "deep-dive"
presentations, as they're called at NBBJ, have already set the
firm's design teams thinking. One topic, having to do with
recent research on the effect of sound levels in hospitals, has
proved particularly intriguing. "As Dr. Medina has said, and as
we've corroborated with our own observational research with
clients, the number one dissatisfier of patients in a hospital is
noise," Dallam says. "We've watched as hospital stays have
been lengthened due to the debilitating effects of noise on
your ability to sleep, which then affects your ability to heal.
The importance of sleep and its impact on executive function-
the function of the brain relating to creativity and
productivity-is huge."

as

called
have already
set the firm
thinking.
topic,
recent
research
effect sound levels
hospitals,
proved
intriguing.
has
we've

As a result of these insights, NBBJ is now working with a client
on a controlled experiment on sound and noise in healthcare
settings, focused on metabolic responses in both conscious
and unconscious patients. "I can't reveal all of it," Dallam says,
"but it deals with the notion of comparing two traditional
strategies and one new strategy to reduce noise and stress
in a hospital."
Dallam says another research topic with potential
application to healthcare facility design is the evolutionary
human tendency toward threat assessment. "The human
evolved over hundreds of thousands of years by looking for
threats," he explains. "That's why points of refuge are so
important. If you're threatened, you look for refuge." This may
have particular significance for patients at Veterans Affairs
hospitals suffering from post-traumatic stress disorder.
"They're a hyper-vigilant population, so focused on threat
that it almost eliminates everything else. We've worked with
the V.A. on issues such as stairs, which normally are broken
up with landings and flights that turn back on themselves.
If I'm hypervigilant, I'm going to assume there's a threat as
I make that turn on the landing. That heightens my anxiety
and stress, and I may go into uncontrollable fight mode. So
we're looking at ways to design stairs that go straight down."

24



Table of Contents for the Digital Edition of IIDA Perspective - Fall/Winter 2014

Contents
Contributors
From IIDA
Behind the Issue
Viewpoints
Pop Goes the Marketplace
Beyond Programming
Startup Design
RFP: Decoded
The Power of Narrative
Inspiration
Colophon
Design Buzz
IIDA Perspective - Fall/Winter 2014 - Cover1
IIDA Perspective - Fall/Winter 2014 - Cover2
IIDA Perspective - Fall/Winter 2014 - 1
IIDA Perspective - Fall/Winter 2014 - 2
IIDA Perspective - Fall/Winter 2014 - Contents
IIDA Perspective - Fall/Winter 2014 - 4
IIDA Perspective - Fall/Winter 2014 - Contributors
IIDA Perspective - Fall/Winter 2014 - From IIDA
IIDA Perspective - Fall/Winter 2014 - 7
IIDA Perspective - Fall/Winter 2014 - Behind the Issue
IIDA Perspective - Fall/Winter 2014 - Viewpoints
IIDA Perspective - Fall/Winter 2014 - Pop Goes the Marketplace
IIDA Perspective - Fall/Winter 2014 - 11
IIDA Perspective - Fall/Winter 2014 - 12
IIDA Perspective - Fall/Winter 2014 - 13
IIDA Perspective - Fall/Winter 2014 - 14
IIDA Perspective - Fall/Winter 2014 - 15
IIDA Perspective - Fall/Winter 2014 - 16
IIDA Perspective - Fall/Winter 2014 - 17
IIDA Perspective - Fall/Winter 2014 - Beyond Programming
IIDA Perspective - Fall/Winter 2014 - 19
IIDA Perspective - Fall/Winter 2014 - 20
IIDA Perspective - Fall/Winter 2014 - 21
IIDA Perspective - Fall/Winter 2014 - 22
IIDA Perspective - Fall/Winter 2014 - 23
IIDA Perspective - Fall/Winter 2014 - 24
IIDA Perspective - Fall/Winter 2014 - 25
IIDA Perspective - Fall/Winter 2014 - 26
IIDA Perspective - Fall/Winter 2014 - 27
IIDA Perspective - Fall/Winter 2014 - Startup Design
IIDA Perspective - Fall/Winter 2014 - 29
IIDA Perspective - Fall/Winter 2014 - 30
IIDA Perspective - Fall/Winter 2014 - 31
IIDA Perspective - Fall/Winter 2014 - 32
IIDA Perspective - Fall/Winter 2014 - 33
IIDA Perspective - Fall/Winter 2014 - 34
IIDA Perspective - Fall/Winter 2014 - 35
IIDA Perspective - Fall/Winter 2014 - 36
IIDA Perspective - Fall/Winter 2014 - 37
IIDA Perspective - Fall/Winter 2014 - RFP: Decoded
IIDA Perspective - Fall/Winter 2014 - 39
IIDA Perspective - Fall/Winter 2014 - 40
IIDA Perspective - Fall/Winter 2014 - 41
IIDA Perspective - Fall/Winter 2014 - 42
IIDA Perspective - Fall/Winter 2014 - 43
IIDA Perspective - Fall/Winter 2014 - The Power of Narrative
IIDA Perspective - Fall/Winter 2014 - 45
IIDA Perspective - Fall/Winter 2014 - 46
IIDA Perspective - Fall/Winter 2014 - 47
IIDA Perspective - Fall/Winter 2014 - 48
IIDA Perspective - Fall/Winter 2014 - 49
IIDA Perspective - Fall/Winter 2014 - 50
IIDA Perspective - Fall/Winter 2014 - 51
IIDA Perspective - Fall/Winter 2014 - Inspiration
IIDA Perspective - Fall/Winter 2014 - Colophon
IIDA Perspective - Fall/Winter 2014 - 54
IIDA Perspective - Fall/Winter 2014 - 55
IIDA Perspective - Fall/Winter 2014 - Design Buzz
IIDA Perspective - Fall/Winter 2014 - Cover3
IIDA Perspective - Fall/Winter 2014 - Cover4
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