recommended Guidelines for Implementation of Evidence-based Design in Healthcare Construction: A Modified Delphi Study

recommended Guidelines for Implementation of Evidence-based Design in Healthcare Construction: A Modified Delphi Study

Author: 
Scott Christensen
Program of study: 
D.B.A.
Abstract: 
Implementation of verified research to improve the human environment is a process known as evidence-based design (EBD). Research on the topic of EBD has been ongoing at universities for the last 25 years. While the research on EBD has sparked debates and created substantive knowledge on the effects of EBD in healthcare construction, the practical question of how best to implement EBD in healthcare construction has been overlooked. Therefore, the purpose of the modified Delphi research study was to develop guidelines for implementation of best EBD practices in healthcare facility construction through consensus from a panel of healthcare, construction, engineering, and architecture professionals. The modified Delphi process for the qualitative study consisted of three rounds. The panelists selected to participate in the modified Delphi method collaborated in a process of online group consensus. Data was collected through an initial open-ended question in the first-round questionnaire for exploration of the specific problem identified in the study. The conceptual framework of the study included the theory of evidence-based practice, knowledge creation, and triple-loop learning to support the modified Delphi research. The study generated nine responses that established group consensus for guidelines for the implementation of EBD in healthcare construction and their significance to each project. The findings in three rounds of the study stand alone in current research as a means and methods approach for teams to use ranked guidelines to focus leadership in healthcare, design, and construction on the implementation of evidence from past projects to create innovative approaches to current projects.
Dedication: 
This study is dedicated to my wife, Jodi, who is my rock and my best friend. Her support and guidance throughout this process was invaluable and I could not have completed this tremendous journey without her by my side. Thank you for understanding the demands this effort had on our lives and for being uncomplaining throughout. I also dedicate this research to my children, Aimee, Ashley, and Colin. It is said the foundation for achievement is directed by our parents and I hope you all continue to aspire for greatness. I want you all to be proud of your father as I am eternally proud of all of you. Thank you to my entire family for believing in me and giving me the inspiration to succeed.
Acknowledgements: 
My doctoral journey has been a long and fulfilling expedition. I could not have accomplished my goals without the support and guidance of my doctoral mentor, Dr. Susan Mandel. Her support and words of wisdom when I needed them most helped greatly in achieving success! I would also like to thank my committee members, Dr. Jeanie Bachand and Dr. Lisa Reason for their patience and valuable feedback while I persevered in this endeavor. To Jodi, my loving wife and best friend, it is your counsel I sought to begin this journey and your guidance I continue to seek every day. You have been there through demanding times and supported the family when we all needed you the most. The best times are yet to come! To my children, Aimee, Ashley, and Colin. Watching the three of you develop into bright young adults has been and continues to be the biggest joy in my life. You have the world ahead of you and there are no boundaries to what you can achieve. Your support is inspiration and your love is the bedrock that guides me through life.