Research Effects of Newly Designed Hospital Buildings on Staff Perceptions: A Pre-Post Study to Validate Design Decisions

Objective: This study investigates effects of thenewly built nonpatient-relatedbuildingsof a large university medical center on staff perceptions and whether the design objectives were achieved. Background: The medical center is gradually renewing its hospital building area of 200,000m.2 This redevelopment is carefully planned and because lessons learned can guide design decisions of the next phase, themedical center is keen to evaluate the performance of the new buildings.Method:A pre- and post-study with a control group was conducted. Prior to themove to the newbuildings an occupancy evaluationwas carried out in the old setting (n 729) (pre-study). Post occupation of the new buildings another occupancy evaluation (post-study) was carried out in the new setting (intervention group) and again in some old settings (control group) (n 664). The occupancy evaluation consisted of an online survey that measured the perceived performance of dif-ferent aspectsof thebuilding. Longitudinalmultilevel analysiswasused tocompare theperformanceof theold buildings with the new buildings.Results: Significant improvements were found in indoor climate, perceived safety, working environment, well-being, facilities, sustainability, and overall satisfaction. Commitment to the employer, working atmosphere, orientation, work performance, and knowledge sharing did not improve. The results were interpreted by relating them to specific design choices.Conclusion:We showed that it is possible to measure the performance improvements of a complex intervention being a new building design and validate design decisions. A focused design process aiming for a safe, pleasant and sustainable building resulted in actual improvements in some of the related performance measures