A combination of quantitative and qualitative approaches was used to evaluate the effectiveness of LEED-certified healthcare settings from the perspectives of both staff and facility managers. This study surveyed 164 staff members in two healthcare settings in a case study to compare LEED and non-LEED-certified healthcare facilities and surveyed 146 staff in six LEED-certified healthcare settings for the main study. Telephone interviews with six facility managers were used to verify the survey results and further examine the facilities' performance and the effectiveness of the LEED strategies. An independent t-test was used to examine the difference between a LEED hospital and a non-LEED hospital in one healthcare system. Building performance was rated higher by staff in the LEED-certified hospital than in the non-LEED hospital. Multivariate analysis of variance (MANOVA) was conducted to compare staff ratings between the silver and gold LEED certification levels and between males and females, as well as to explore the possibility of interaction effects. Compared with the staff in silver-certified facilities, staff members in the gold-certified hospitals gave the buildings significantly higher ratings in most performance variables, including building overall, overall comfort and controllability. Males felt more comfortable than females with temperatures in healthcare facilities.
Levin H. Systematic evaluation and assessment of building environmental performance (SEABEP). In: Proceeding of second international conference on buildings and the environment, Paris, 9–12 June 1997, pp.3–10.
LeeYSKimSK. Indoor environmental quality in LEED-certified buildings in the U.S. J Asian Architect Build Eng2008; 7: 293–300.
7.
LeamanAThomasLVandenbergM. “Green” buildings: What Australian building users are saying. Ecolibrium2007; 6: 22–30.
8.
Jentsch MF, James PAB and Bahaj AS. A climatic envelope extension of an office building - perception and reality of the change in environmental conditions: In: Proceedings of CIBSE national conference, London, 21–22 May 2006, pp.21–22.
9.
Pyke C, Mcmahon S and Dietsche T. Green building & human experience-testing green building strategies with volunteered geographic information. Washington, DC: Report, Green Building Council, 2010.
10.
MendlerSOdellWLazarusM. The HOK guidebook to sustainable design, 2nd ed. Indianapolis, IN: Wiley, 2005.
11.
LeeYSGuerinDA. Indoor environmental quality differences between office types in LEED-certified buildings in the US. Build Environ2010; 45: 1104–1112.
CarrLT. The strengths and weaknesses of quantitative and qualitative research: What method for nursing?. J Adv Nurs1994; 20: 716–721.
15.
MasonJLinking qualitative and quantitative data analysis. In: BrymanABurgessRG (eds). Analyzing qualitative data, London: Routledge, 1994, pp. 89–110.
16.
RoseKEWebbC. Triangulation of data collection: practicalities and problems in a study of informal careers of terminally ill cancer patients. J Res Nurs1997; 2: 108–116.
17.
OlsenWKTriangulation in social research: Qualitative and quantitative methods can really be mixed. In: HolbornM (ed). Developments in sociology: an annual review, Ormskirk: Causeway Press, 2004.
18.
SimJSharpK. A critical appraisal of the role of triangulation in nursing research. Int J Nurs Stud1998; 35: 23–31.
MartensenAGronholdtLBendtsenL. Application of a model for the effectiveness of event marketing. J Advertis Res2007; 47(3): 283–301.
28.
Kats G, Alevantis L, Berman A, et al. The costs and financial benefits of green buildings. A Report to California's Sustainable Building Task Force, 2003, http://www.usgbc.org/Docs/News/News477.pdf (accessed 8 March, 2013).
FuerstFMcAllisterP. Eco-labeling in commercial office markets: Do LEED and energy star offices obtain multiple premiums?. Ecol Econom2011; 70: 1220–1230.
31.
SilinsN. LEED & the safety profession green has come of age. Profession Safe2009. 54(3): 46–49.
32.
MillerNSpiveyJFloranceA. Does green pay off?. J Real Estate Portfolio Manage2008; 14: 385–399.
33.
Birt B and Newsham GR. Post-occupancy evaluation of energy and indoor environment quality in green buildings: A review. In: The 3rd international conference on smart and sustainable built environments, Delft, the Netherlands, 2009, http://www.mcclungfoundation.org/Documents/PostOccupancyEvaluation.pdf (accessed 16 March 2013).
34.
LandaA. Sustainable building gains ground in CRE. Commercial Property Executive2010; 24(7): 19–21.
35.
ThomsburyTW. What is all of this talk about LEED® Certified buildings?. Business People2010; 23(6): 74.
36.
WelshH. ABCs of IAQ. School Plan Manage2008; 47(10): 8.
37.
LeeYS. Comparisons of indoor air quality and thermal comfort quality between certification levels of LEED-certified buildings in USA. Indoor Built Environ2011; 20(5): 564–576.
38.
Abdou OA, Ei-Kholy GM and Abdou AA. Correlation between indoor environmental quality and productivity in buildings. In: International Association for People-environment Studies conference proceedings on CD-Rom, 11–16 September 2006. Available at: http://iaps.scix.net/cgi-bin/works/Show?iaps_19_2006_732 (accessed 22 January 2014).
39.
KarjalainenS. Gender differences in thermal comfort and use of thermostats in everyday thermal environments. Build Environ2006; 42(4): 1594–1603.
40.
VittoriG. Greening of healthcare: Locations and design of facilities are essential to the mission of health. Modern Healthcare2011; Anniversary Issue: 42.
41.
HoughtonAVittoriGGuentherR. Demystifying first-cost green building premiums in healthcare. Health Environ Res Des2009; 2(4): 10–45.
