Evaluating Innovative Design Strategies in a Maternity Unit: A Post-Occupancy Evaluation Approach

Abstract

Objectives, Purpose, or Aim

This study evaluates the effectiveness of three innovative design strategies implemented in a hospital-based maternity unit 3 years post-occupancy. It aims to identify areas for improvement and demonstrate how a perception-based Post-Occupancy Evaluation (POE) can yield actionable insights in the absence of baseline data.

Background

As maternity units strive to balance clinical efficiency with family-centered care, few long-term evaluations of design performance have been conducted. This study addresses this gap by using a perception-based POE to assess design outcomes over time.

Methods

A convergent mixed-methods approach was employed, combining structured observations, ambient noise level measurements, focus group interviews, and an online staff survey. Participants were nursing staff, who have direct and ongoing engagement with the unit. Quantitative and qualitative data were analyzed separately and then integrated through triangulation to develop a comprehensive understanding of the facility's performance.

Results

Decentralized nursing stations improved staff responsiveness and patient proximity but reduced informal peer communication. Integrated Labor-Delivery-Recovery-Postpartum/Neonatal Intensive Care Unit rooms supported care continuity and family involvement, though some ergonomic challenges in staff workspaces were reported. Lighting design fostered a calming, residential atmosphere. Acoustic outcomes were mixed—overall noise levels decreased, but localized disturbances remained.

Conclusions

The maternity unit met key design goals in lighting, spatial efficiency, and family-centered care. Yet, improvements in communication, workspace ergonomics, and supply accessibility are needed. This study highlights the value of POE methods rooted in perception and triangulation to inform future evidence-based design improvements in healthcare environments.