elena tsiantou
P o r t f o l i o
University Projects
aritime Activities Center
udiovisual Activities Center
Competitions
ostani
p 7-14
p 15-18
p 21-24
re waiting areas in hospitlas perceived as therapeutic spaces?
Healthcare Architecture
odernization of Bayswater Medical Clinic
ealth- Architecture
p 35-38
p 27-30
p 31-34
University Projects
Maritime activities Center Diploma Thesis_Architectural Engineering (D.U.Th.)
Project Type:
Architectural and Urban Design
Project Team:
D.Anastasiou I.Kontiza E.Tsiantou
Location:
Port of Rafina, Athens, Greece
Year:
2015-2016
Tutor:
P.Exarchopoulos G.Papagiannopoulos G.Patrikios * Honourable Mention
Gradreview Architects https://www.gradreview.gr
8
I
D
E
A
The idea is the creation of a center of maritime activities (mainly sailing and rowing) and the construction of a marina alongside with the designing of an outdoor part of the existing harbor. The aim of such a center is to develop the youth spirit of the sea and the dissemination of sailing and maritime activities in general. The building is located in the existing fishing port, where the deficient buildings of the Rafinas nautical club are already in place. It is a small storage room for equipment and an event hall with a total area of 82 m2.
The choice of Rafina was due to the imminent development of the area and its privileged location in terms of accessibility. It has direct access via the Attica Road to all Attica and the airport. Finally it is connected by sea with many islands of the Aegean. 9
D e v e l o p i n g
1
Growing parallel to the rock.
2
t h e i d e a
Gentel seperation from the harbor.
Gradual heights.
development
of
Keep the existing path and connect it to the building via a bridge.
3
Separate the outdoor spaces through semi-outdoor spaces.
Optical contact from the rock and the path to the sea.
4
Free walk on all levels of the building, at different heights,in order to watch the events. 10
52 m2 52 m2 Equipment Market store
11
Doctor’s office
22m2
Hosting rooms for athlets
60m2
Rowing hall
230m2
WC
35m2
Info point/coaches office
75m2
Security guard
10m2
Multipurpose hall
162m2
Cafe
63m2
Prize hall
71m2
Workshop hall
164m2
Restaurant
155m2
Fitness center
84m2
Equipment warehouse
220m2
Changing rooms
50m2
Electromechanical installations
35m2
13
The rowing hall consists of the main paddock, independent changing rooms and a warehouse of equipment. It is used in the first practical lessons of beginners and when the weather is not suitable for practice outdoors.
The workshop hall is used for the construction of small racing sailing yachts and canoes. The loft is designed to serve for theoretical courses, having a visual connection to the ground floor of the room. It has access to both central square and backyard when more space for the lesson and equipment is required. 14
AUDIOVISUAL ACTIVITIES CENTer Design Project_Architectural Engineering (D.U.Th.)
15
Project Type:
Restoration and Architectural Design
Project Team:
D.Anastasiou M.Boulakidou T.Dalaki I.Kontiza O.Tzaferis E.Tsiantou
Location:
Port of Alexandroupoli, Greece
Year:
2014
Tutor:
N.Lianos
18
I
D
E
A
The proposal is an “Audiovisual Activities” center with interactive spaces and exhibitions that will bring together youthful and more general cultural activities based on the community. A place for exploration and experimentation that will contribute to the development of the area.
The main idea was to integrate a new structure inside the old one. The two buildings, old exterior and new interior (a small scaled cinema hall) do not touch each other, they have seperated structure systems. 17
wc 35,2 m2 recording studio 45,5 m2 radio station 19,7 m2 photo lab room 67,5 m2
cafe 93,5 m2
auditorium 89 m2 reception area 93,5 m2 exhibition area 120 m2 18
Competitions
Bostani Competition Project
Project Type:
Interior Design
Project Team:
D.Anastasiou, E.Tsiantou
Location:
No specific location
Year:
2018 * Proposal for the International Design Competition COOK8 https://cook8.gr/en/
21
I
D
E
A
Our idea was to create a space of socialization that promotes through the design both the feeling of a home and healthy eating with the use of organic products. The process of eating is for us a whole cycle, starting with the planting of the necessary vegetables and herbs, their care and development and finally their use (as fresh) in the preparation of meals.
Vegetable Garden 23
Consumption Area
Preparation Area
In order to serve this purpose, we created a‘‘BOSTANI’’ (vegetable garden) and placed many plants and herbs in the preparation and consumption area of the project, giving a general sense of greenery and natural scenery in the interior. In addition, the predominant material (wood) and the floor entirely made up of soil contribute to this feeling. Overall, the space resembles a different “greenhouse”.
24
Healthcare Architecture
aRE WAITING AREAS IN hospitals perceived as therapeutic spaces? Diploma Thesis_MSc Healthcare Facilities (U.C.L.)
Project Type:
Research Thesis
Project Team:
E. Tsiantou
Year:
2020
Tutor:
E.Chrysikou * Ann Noble Research Award architectsforhealth
28
Methodology
B AC KG R O U N D There is a growing body of research about the healthcare environment’s impact on wellbeing and specific design features of clinical spaces are recognized to have therapeutic value. The waiting area belongs to the non-clinical spaces of a hospital, is the first place of a healthcare facility that users visit and usually many negative feelings such as fear, threat and stress are developed during waiting.
After a thorough literature review around the aspects of wellness, evidence-based design and therapeutic design elements two methodologies were used to attain regulators’ and architects’ perspectives on waiting areas role in wellbeing. An analysis of UK’s, USA’s and Australia’s healthcare design guidelines was held to explore regulators opinion using as criteria the amount of detail used in the descriptions of waiting areas design.
Room layout of a proposed 20m2 waiting area (Australasian Health Facility Guidelines)
According to the evidence-based design theory, the built environment plays a significant role in occupants wellness. The purpose of this research was to understand how waiting areas in hospitals are perceived by regulators and architects. In particular, the therapeutic value of waiting areas is explored, as well as its interpretation through design attributes. Keywords: • waiting areas • therapeutic environment • evidence-based design 29
Mock-up of a waiting area (Health Building Note 00-01, p.35)
As a second method, to illustrate architect’s point of view, sixteen facilities, selected among all awarded hospital buildings of three different healthcare design awards, were reviewed over the scope of eight therapeutic features namely daylight, furniture, materials, natural elements, views, colours, artwork and positive distractions.
R E S U L T S
Building 12.3. Pediatric waiting room at New Stamford Hospital (EYP Inc., 2020)
Building 4. Reception and waiting area at University Medical Center New Orleans (NBBJ, 2020)
The guideline documents that were analyzed include a different level of instructions for the design of the waiting area. The UK document [Health Building Notes (HBN) 00-01 General design guidance for healthcare buildings (Department of Health, 2014)] is detailed having a dedicated chapter to waiting areas. The Australasian Health Facility Guidelines (AusHFG) (AHIA, 2016) is more focused on functional characteristics rather than features which contribute to the healing process and the USA’s Guidelines for design and construction of hospital and health care facilities (The AIA, 2001) has a limited description on waiting areas design. As for the awarded buildings in all of the waiting spaces an average of three out of the eight therapeutic features which were used for the evaluation were detected. Conclusions/ Implications The results suggested that even if regulators have the theoretical knowledge of healing environments, they do not effectively guide architects through instructions and principles during the waiting areas design process. However, most architects recognize the therapeutic value of waiting areas in hospitals and integrate evidence-based design principles into their projects.
30
Modernisation of the bayswater medical clinic Consultation Project_MSc Healthcare Facilities (U.C.L.)
Project Type:
Renovation and Interior Design
Project Team:
E.Tsiantou
Location:
Bayswater, London, UK
Year:
2020
Tutor:
E.Chrysikou
32
the clinic The clinic is located in the Bayswater area in West London.
Ground Floor Plan
The practice is registered as a partnership with the Care Quality Commission (CQC) to provide: • diagnostic and screening procedures • treatment of disease, disorder or injury • maternity and midwifery services • family planning • surgical procedures The practice population is the fourth most deprived decile in England, 39% of the patients are from black and minority ethnic groups. As for the age category the highest proportion is between 15 and 44 years old. 33
Basement Plan Treatment rooms
Training room
Conference room
Reception
Administration
Waiting area
Practice Manager
WC
D e v e l o p i n g t h e i d e a
One of the administration offices was converted into a training room where patients can be educated by the staff about health issues. Also, it can be used for presentations and training of both the staff and visitors as far as a consultation room.
The main needs of the clinic identified were: • a more family/children friendly environment as it is indicated by the age of patients • a calming atmosphere that promotes wellness • improved communication between patients and staff • increased health-related education to which many of the practice’s patient does not have easy access
Proposed Ground Floor Plan
In the waiting area a homelike and relaxing environment was created with the use of soft colours, comfortable furniture, art and natural elements. Also, in the basement level, a space for children in which parents can have visual contact enhanced the family friendly aspect of the clinic.
After the main needs of the clinic were identified, tried to fulfil them in the least intrusive way and under a limited budget. Treatment rooms, Wc and conference room function efficiently so the changes made in: Proposed Basement Plan • training room • reception area • waiting area
The reception area was coverted to an open space on both floors having a physical connection to the waiting area and a visual connection to patients to promote easier access and provide the feeling of safety to visitors. 34
HEALTH - ARCHITECTURE Research Thesis_Architectural Engineering (D.U.Th.)
Project Type:
Research Thesis
Project Team:
E. Tsiantou
Year:
2015-2016
Tutor:
E.Amerikanou P.Exarchopoulos G.Papagiannopoulos * Research Thesis short in english full text in greek
35
I
D
E
A
Is architecture related to health? Increasing number of scientific studies demonstrate the immediate and remarkable impact of the built environment of healthcare facilities on the wellbeing and safety of patients and visitors but also on the efficiency and effectiveness of the staff and generally on the quality and cost of the services provided.
What is the definition of health? According to the World Health Organisation, health is the achievement of best physical, mental and social well-being and not only the absence of distinct illness constantly in relation to the environment.
What do we define as healing architecture? By the term healing architecture we obviously do not refer to an architecture that is capable of healing, but we are looking for an architecture that will achieve a therapeutic contribution to the recovery process. A healing environment is the result of an enidence-based design that has shown measurable improvements in the physical and psychological levels of patients, staff, doctors and visitors.
37
Under which circumstances can an enironment be described as healing?
How architects contribute to creating healing environments?
The primary role of a healing environment is to help reduce patients’ stress levels and consequently to improve the outcome of their treatment or recovery process.
Architects have the most important role in designing the future healthcare facilities, while guaranteeing quality care in the hospital environment.
Factors that have to be taken into account in creating a healing environment: • Lighting • Air quality • Noise adjustment • Materials • Colors • Art works • View to nature
Since developments in medical and medical technology have changed so quickly the general context of hospitals and the operation of patients’ rooms, the guidelines should be continuously reviewed so that the developer and designer can confirm their validity.
What is evidence-based design? Evidence-Based Design or EBD is a field of study that emphasizes to the use of evidence that influences the design process. Makes decisions based on the best available research information from previous project evaluations. It provides data on what works and what does not fit the design of the building for its qualitative use, it brings experience to the planning process to support imagination, judgment and appreciation. Empirisism replaces philosophy.
38
