The response to the online dialog between Dr. Upali Nanda and Dr. Bernard Ewigman has generated some of the most positive comments on this blog. I emailed Dr. Nanda to ask for any new publications that she might share with us. She sent me the text of an article from the May/June issue of Facilitycare Magazine. Since Evidence-based Design is such an important (and confusing) topic I will post the entire article:
While experienced art consultants have the ability to provide aesthetically pleasing artwork consisting of pretty, local pictures, the insight into whether this aesthetic is appropriate for healthcare populations is often missing. Given the evidence on the therapeutic effect of using appropriate art (discussed above), this could be a critical oversight. Yet another aspect of evidence that is relevant, in addition to the therapeutic benefit of art, relates to how presence and quality of art can effect patient/visitor perception of the quality of care at the hospital, act as a de-stressor for staff, have an impact on the branding of the hospital, serve as a point of focus and discussion for visitors, and of course, add to the overall appeal of the visual environment (these themes are emergent from a 2007 post-occupancy evaluation of the art program at MD Anderson Cancer Center, Houston). Artwork is often the most visible and noticeable aspect of the visual environment and this increases its potential impact on patients/ staff/ visitors, and in the final analysis, the economic bottom-line at the hospital.
There are well-researched guidelines in place today for appropriate healthcare art based on rigorous research findings, which can be implemented, creatively, by experienced art consultants. Ulrich and Gilpin’s chapter on Healing Arts, in Frampton’s Putting Patients First, is one of the most comprehensive resources and recommends the use of:
- Waterscapes (Calm or Non-turbulent Water),
- Landscapes (with visual depth or open foreground, trees with broad canopy, Savannah Landscapes, verdant Vegetation, or positive cultural artifacts),
- Flowers (familiar, healthy and fresh, in natural settings with open foreground), and
- Figurative Art (depicting emotionally positive faces, diverse and leisurely in nature).
While these guidelines are in place today, an evidence-based art consultant has the onus of creative but conscientious interpretation, in order to ensure that the most appropriate art for the facility is chosen while maintaining a standard of visual appeal that is befitting to the hospital. Furthermore, there is little known on art for special populations, or different ethnicities, and mere prescriptive adherence to guidelines cannot suffice. In the end, commitment to an Evidence-based Art program entails going the step beyond the implementation of existing guidelines, to improving and updating guidelines towards the maximum impact art can have on improving the healthcare environment.BY KATHY HATHORN AND UPALI NANDA Published in FacilityCare Magazine. Vol 12. Number 3. May/June 2007
Kathy Hathorn is the CEO of American Art Resources. Upali Nanda PhD is Vice President and Director of Research at American Art Resources. American Art Resources is the largest art consulting firm in the United States working exclusively with the healthcare industry. It is one of only two Art Consulting firm conducting original research on Evidence-based Design. The other firm is Aesthetics based in San Diego.