Designing Therapeutic Waiting Areas: A New Media Framework for Reducing Stress in Healthcare Environments
DOI:
https://doi.org/10.24191/idealogy.v10i2.888Abstract
Long waiting times in healthcare settings are correlated with increased patient anxiety and dissatisfaction. Prolonged wait time averaging is 40 minutes in primary care clinics. Despite improvements in healthcare design, the necessary furnishings to provide a relaxing and healing environment are still lacking in many waiting areas. This issue is addressed gap in this study through an exploration of the potential of interactive media, guided by Lev Manovich’s principles of new media, to transform waiting areas into spaces of relaxation and to enhance well-being and contribute to Sustainable Development Goal 3 (Good Health and Well-being). A novel framework is developed for the designing of interactive media installations that incorporate visual nature, natural sounds, and interactivity to enhance patient experiences and promote well-being by applying Lev Manovich’s new media principles of modularity, variability, automation, and transcoding to interactive media installations. A triangulated qualitative methodology is employed, wherein contextual relevance is explored through semi-structured interviews with healthcare professionals (n=3), professional experts in new media (n=5), and patients (n=30), supplemented by document analysis of existing waiting area designs. The findings emphasize the importance of integrating natural elements and interactivity into media designs to create personalized, engaging patient experiences. The transformative potential of interactive media is highlighted in reducing stress, improving patient satisfaction, and fostering therapeutic environments aligning with SDG 3’s objective of ensuring healthy lives and promoting well-being for all ages. Manovich’s principles are extended into healthcare design, bridging theory and practice, and a roadmap is offered for implementing innovative media designs in healthcare facilities. It is recommended that future research empirically test the framework, evaluate its long-term impacts, and explore scalability across diverse healthcare settings.
Keywords: Waiting Areas, Lev Manovich, Interactive Media, Nature-Inspired Visual, Reducing Stress
References
Andrade, C. C., & Devlin, A. S. (2015). Stress reduction in the hospital room: Applying Ulrich’s theory of supportive design. Journal of Environmental Psychology, 41, 125–134. https://doi.org/10.1016/j.jenvp.2014.12.001
Arneill, A. B., & Devlin, A. S. (2002). Perceived quality of care: The influence of the waiting room environment. Journal of Environmental Psychology, 22(4), 345–360. https://doi.org/10.1006/jevp.2002.0274
Azraii, A. B., Kamaruddin, K. N., & Ariffin, F. (2017). An assessment of patient waiting and consultation time in a primary healthcare clinic. Malaysian Family Physician, 12(1), 14–21. http://e-mfp.org/wp-content/uploads/2017/04/original-article-2.pdf
Biddiss, E., McPherson, A., Shea, G., & McKeever, P. (2013). The Design and Testing of Interactive Hospital Spaces to Meet the Needs of Waiting Children. Health Environments Research and Design Journal, 6(3), 49–68. https://doi.org/10.1177/193758671300600305
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Devlin, A. S., & Arneill, A. B. (2003). Health care environments and patient outcomes: A review of the literature. Environment and Behavior, 35(5), 665–694. https://doi.org/10.1177/0013916503255102
Kallio, H., Pietilä, A. M., Johnson, M., & Kangasniemi, M. (2016). Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. Journal of Advanced Nursing, 72(12), 2954–2965. https://doi.org/10.1111/jan.13031
Kaplan, R. (1993). The role of nature in the context of the workplace. Landscape and Urban Planning, 26(1–4), 193–201. https://doi.org/10.1016/0169-2046(93)90016-7
Kaplan, R., & Kaplan, S. (1989). The Experience of Nature: A Psychological Perspective. In Cambridge University Press (Issue 1). Cambridge University Press.
Kellert, S. R., Heerwagen, J. H., & Mador, M. L. (2008). Biophilic Design The Theory, Science and Practice of Bringing Buildings to Life. John Wiley & SOns, Inc., Hoboken, New Jersey.
Lev Manovich. (2001). The Language of New Media. In Book.
Lev Manovich. (2020). Cultural Analytics. In Cultural Analytics. https://doi.org/10.7551/mitpress/11214.001.0001
Nanda, U. (2010). Impact of Visual Art on Waiting Behavior in the Emergency Department. 1–88.
Palinkas, L. A., M.Horwitz, S., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health, 533–544. https://doi.org/10.1007/s10488-013-0528-y.
Qi, Y., Yan, Y., Lau, S. S., & Tao, Y. (2021). Evidence-Based Design for Waiting Space Environment of Pediatric Clinics—Three Hospitals in Shenzhen as Case Studies. International Journal of Environmental Research and Public Health, 18(22). https://doi.org/10.3390/ijerph182211804
Raja Eda Shabina;, Mohammad Kamal Sabran;, & Azraai, N. Z. (2024). Art and Nature: Enhancing Well-Being and Cognitive Recovery Healthcare Environments Through Immersive Nature-Inspired Interventions in Malaysia. INTERNATIONAL JOURNAL OF RESEARCH AND INNOVATION IN SOCIAL SCIENCE (IJRISS), VIII(IIIS), 5132–5513. https://doi.org/10.47772/IJRISS.2024.803382S
Raja Eda Shabina, Mohammad Kamal Sabran, & Nur Zaidi Azraai. (2024). Media Art in Healthcare Environments: Enhancing Student’s Well-being and Mental Health. International Journal of Art and Design, 8(1), 130–145. https://doi.org/10.24191/ijad.v8i1.1391
Thompson, D. A., Yarnold, P. R., Williams, D. R., & Adams, S. L. (1996). Effects of Actual Waiting Time, Perceived Waiting Time, Information Delivery, and Expressive Quality on Patient Satisfaction in the Emergency Department. Annals of Emergency Medicine, 28(6), 657–665. https://doi.org/10.1016/S0196-0644(96)70090-2
Ulrich, R. (2023). Ulrich, R.S. (2023) Stress reduction theory. January, 143–146.
Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S., Quan, X., & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. Herd, 1(3), 61–125. https://doi.org/10.1177/193758670800100306
United Nations in Malaysia, S. and B. D. (2025). United Nations Malaysia, Singapore and Brunei Darussalam. https://malaysia.un.org/en/sdgs
World Health Organization Regional Office for Western Pacific Region. (2025). Health promotion. World Health Organization. https://www.who.int/westernpacific
Xia Yingqiao;, Saifull Hasley Ramli;, & Zurina Zainudin. (2024). Enhancing Pediatric Patient Satisfaction through Art Installations in Waiting Areas: A Systematic Review. International Journal of Academic Research in Progressive Education and Development, 13(3), 2584–2591. https://doi.org/10.6007/ijarped/v13-i3/21986
Zhu, R., Yuan, L., Pan, Y., Wang, Y., Xiu, D., & Liu, W. (2024). Effects of natural sound exposure on health recovery: A systematic review and meta-analysis. Science of the Total Environment, 921(February), 171052. https://doi.org/10.1016/j.scitotenv.2024.171052
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