Healing space doesn't 'feel' like a hospital
Monday, 25 March, 2019
Five years on from its opening, we revisit comprehensive cancer centre the Chris O’Brien Lifehouse, and its impact on patients.
Jovanka Zutic was diagnosed with cancer in early 2018, and since then she鈥檚 been in and out of hospital. When she walked into Chris O鈥橞rien Lifehouse for the first time, however, everything was suddenly different.
鈥淚t doesn鈥檛 feel like a hospital,鈥� Zutic said. 鈥淚t鈥檚 bright and airy, I have my own private room, and the nurses are always smiling. Even down to the noise 鈥� there鈥檚 no beeping or buzzing or trolley wheels going by 鈥� it鈥檚 not like a hospital at all.鈥�
鈥淣ot like a hospital at all鈥� 鈥� a phrase commonly heard when describing Chris O鈥橞rien Lifehouse, as well as several of its peers. The cancer centre is one of a new generation of healthcare facilities eschewing the typical utilitarian design for something much more human-focused. It鈥檚 not just a matter of 鈥榚asy on the eye鈥� 鈥� the evidence-based design approach is producing tangible results, from shorter hospital stays to reduced risk of infection and happier staff.
As Chris O鈥橞rien Lifehouse celebrates five years in operation, it鈥檚 too early to know the exact extent of the role that design has played on the wellbeing of patients and staff. Nevertheless, for Zutic and many others, the benefits are already apparent.
A blank slate
The idea for a dedicated cancer centre at Royal Prince Alfred 黑料吃瓜群网 in Sydney was born in the late 1990s, but it was cancer surgeon Professor Chris O鈥橞rien who championed a purpose-built, standalone facility.
Inspired by the comprehensive cancer centres of North America, Professor O鈥橞rien envisioned a hospital that combined diagnosis, treatment and research under one roof. When Professor O鈥橞rien was himself diagnosed with an aggressive brain tumour in 2006, the project took on a new urgency.
鈥淲e started with a blank slate, and it was really an invitation to model it exactly how we wanted,鈥� said Gail O鈥橞rien, wife of Chris O鈥橞rien and now Patient Advocate. The surgeon unfortunately didn鈥檛 live to see his dream realised 鈥� he died in 2009, just months before construction began.
鈥淎fter Chris passed away, I took a greater role in the project, and it was then that the building we see today really started taking shape,鈥� O鈥橞rien said. From an entrance initially planned along a busy roadway, the front door was moved to a side street. Narrow and quiet 鈥� 鈥渓ike the knave of a church鈥�, O鈥橞rien聽described 鈥� the entrance opens onto a light-filled central atrium, where music from a grand piano, available for anyone to play, echoes through to the floors above.
鈥淣atural light plays a fundamental role in the architectural concept of Lifehouse,鈥� said Ronald Hicks, Principal and National Director of Health at HDR, the firm behind the architectural design of the hospital.
鈥淭he quality of this light as an inspirational and reassuring element is evident throughout the building, particularly in the major public and circulation spaces like the central atrium. Incorporating extensive glazing in a clinical building does, however, require careful consideration.
鈥淭he perforated screens help filter natural light appearing in delicate patterns that change form and colour through the course of the day and bringing the interior spaces to life.鈥�
Today, more than 40,000 people pass through the hospital鈥檚 doors annually. For some, their visit will go no further than the day therapy units on the lower floors. For others, like Zutic and former Chris O鈥橞rien Lifehouse patient David Smiedt, their stay will last much longer.
At home in a hospital
鈥淲hen you walk into the building, it immediately strikes you that it鈥檚 different from those very old-school, dull and gloomy hospitals that I grew up with,鈥� said Smiedt, a comedian and writer who was diagnosed with cancer in 2017.
Indeed, dull and gloomy are increasingly things of the past when it comes to hospital design. Research has begun to understand the negative impact of factors such as boredom and social isolation on long-term recovery. Evidence-based design combats these issues by providing accessible and inviting spaces for patients to meet and socialise.
For Smiedt, the window in his private room provided a much-needed connection with the outside world, while the balcony provided a quiet space to sit between treatments. 鈥淛ust to feel a bit of sun on my skin was a really lovely break, and it helped me to feel less isolated,鈥� he said. A private room allows patients a sense of control over their space. Many hang embroidery or quilting projects created at Arterie, the hospital鈥檚 weekly arts engagement session.
鈥淵ou鈥檙e also encouraged to leave your room,鈥� Smiedt said. The comedian would spend time wandering the floors 鈥� 鈥渢here was a competition to see who could do the most laps鈥�, he said 鈥� or attending classes in the LivingRoom, where patients can take advantage of complementary therapies such as meditation and acupuncture. With no official visiting hours, visitors can come and go as they please. When friends or family came to visit, he would meet them downstairs in the communal cafe.
鈥淵ou could almost pretend that it was normal again and you were just having a coffee with mates. For me that was important, because there were times when you get sick of feeling like the patient,鈥� he said.
Now on the road to recovery, Smiedt counts himself lucky to be treated at Chris O鈥橞rien Lifehouse. For patient advocate Gail O鈥橞rien, stories like Smiedt鈥檚 are a success. 鈥淧atients often say to me, I鈥檇 rather not have cancer, but if I have to get it, this is the place to be,鈥� she said. 鈥淚t鈥檚 so gratifying to hear how the building affects not only our patients, but our staff and volunteers. It鈥檚 very much a healing space.鈥�
鈥淭he design of Chris O鈥橞rien Lifehouse is about more than providing an innovative clinical and research environment,鈥� said HDR鈥檚 Ronald Hicks. 鈥淚t is about creating a facility that focuses on the needs of all users 鈥� a patient-centred environment that is about dignity, respect and care for patients and carers. Equally, though, it needs to provide a working environment for all clinicians to deliver their best 鈥� we believe the created environment works at a series of levels of experience. It really strives to be about creating positive space.鈥�
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