Objective: The goal of this study was to understand successes and weaknesses of a rooftop hospital garden used primarily for physical therapy.
Background: Literature on the healing benefits of nature and designed outdoor spaces in healthcare contexts continues to become more focused on specific patient populations. This study contributes to the knowledge of rooftop hospital gardens and gardens for physical rehabilitation.
Methods: A post-occupancy evaluation was conducted using interviews with a lead therapist and landscape architect, behavior mapping, a staff survey, and a patient questionnaire.
Results: The designer and administrative staff perceived high accessibility while patients and staff reported low accessibility. Patients reported high satisfaction with the garden while staff reported little time for garden use. Poor maintenance decisions resulted in decreased functional and aesthetic value.
Conclusions: Garden elements take on added layers of meaning and value to users seeking to escape the indoor environment, placing increased importance on evidence-based site design. Multiple perspectives must be considered in facility and garden master planning. Finally, designers and horticultural therapists must be retained in garden management to preserve and enhance garden functionality.
HamiltonD. (2009, January). Research informed design & outcomes for healthcare, in Evidence Based Hospital Design Forum. Washington, DC.
5.
KaplanR. (1973). Some psychological benefits of gardening. Environment & Behavior, 5(2), 145–161.
6.
KaplanR., & KaplanS. (1990). Restorative experience: The healing power of nearby nature. In HesterR. & FrancisM. (Eds.), The meanings of gardens: Idea, place, and action (pp. 238–243). Cambridge, MA: MIT Press.
7.
KaplanR., & KaplanS. (1996). The experience of nature: A psychological perspective (2nd ed.). New York, NY: Cambridge University Press.
8.
KellertS. R., & WilsonE. O. (Eds.). (1993). The biophilia hypothesis. Washington, DC: Island Press.
9.
LantzB. (2006). Therapeutic gardening with physical rehabilitation patients. Journal of Therapeutic Horticulture, 17(1), 34–38.
10.
LewisC. A. (1973). People-plant interaction: A new horticultural perspective. American Horticulturist, 52(2), 18–24.
11.
LewisC. A. (1979). Healing in the urban environment: A person/plant perspective. Journal of the American Planning Association, 45, 330–338.
12.
LewisC. A. (1990). Gardening as healing process. In HesterR. & FrancisM. (Eds.), The meanings of gardens: Idea, place, and action (pp. 244–251). Cambridge, MA: MIT Press.
13.
LewisC. A. (1995). Green nature, human nature. Urbana, IL: University of Illinois Press.
14.
LouvR. (2005). Last child in the woods: Saving our children from nature deficit disorder. Chapel Hill, NC: Algonquin Books.
MarcusC. (2008). For burn patients, a place to heal: A Portland, Oregon, burn center creates the first healing garden in the nation for burn patients. Landscape Architecture, 98(4), 78–89.
17.
MarcusC., & BarnesM. (1995). Gardens in health care facilities: Uses, therapeutic benefits, and design recommendations. New York, NY: Wiley.
18.
MarcusC., & FrancisC. (1998). People places: Design guidelines for urban open space. New York, NY: Van Nostrand Reinhold.
19.
NaderiJ., & ShinW. (2008). Humane design for hospital landscapes: A case study in landscape architecture of a healing garden for nurses. Health Environments Research & Design Journal, 2(1), 82–119.
20.
OrrB.MattsonR.ChambersN., & WichrowskiM. (2004). Factors affecting choice of horticultural therapy at the Rusk Institute of Rehabilitation Medicine. Journal of Therapeutic Horticulture, 15(1), 6–14.
21.
RelphD. (Ed.). (1992). The role of horticulture in human well-being and social development. Portland, OR: Timber Press.
22.
SloaneD. (1993). In search of a hospitable hospital. Dartmouth Medicine. Fall, 23–31.
23.
SpriggsN. G.KaufmanR. E., & WarnerS. B.Jr. (1998). Restorative gardens: The healing landscape. New Haven, CT: Yale University Press.
24.
TysonM. M. (1998). The healing landscape: Therapeutic outdoor environments. New York, NY: McGraw-Hill.
25.
UlrichR. S. (1984). View through a window may influence recovery from surgery. Science, 224, 420–421.
26.
UlrichR. A. (1992, September/October). How design impacts wellness. Healthcare Forum Journal, 20–25.
27.
UlrichR. S.SimonsR. F.LositoB. D.FioritoE.MilesM. A., & ZelsonM. (1991). Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11, 201–230.
28.
WarnerS. B.Jr. (1995). The human side: A brief history of healing gardens in health care settings. Journal of Health Care Design, 7, 213–219.
