The project began with a call for help from the intensive care team:

“… I currently work in the neonatal intensive care unit at the Klinikum Links der Weser. Next summer we will move to a new building. The care of premature babies and their parents involves so much more than “just” intensive care. Unfortunately, we have no lobby whatsoever as far as the color scheme is concerned. White walls, LED spots, … a dreary experience. In terms of equipment, everything will be there, but what makes up our special care is totally lost. Patients and their parents often stay on our ward for months. As nursing staff, our hair stands on end…… This is no way to create an atmosphere of well-being. Can you give us a hand? Can you help us to create a good working atmosphere and enable the fruits to arrive well in this world?…” (19.11.2020)

Abstract

This study examines the influence of color design on the well-being and satisfaction of patients, relatives and staff using the practical example of the department of neonatology in the Clinic for Pediatrics and Adolescent Medicine in Central Hospital Bremen. In continuation of our previous studies, a new building was available for a study here for the first time. The color redesign of the neonatology ward in the new clinic building became necessary because the largely monochrome color design of the ward (white walls and ceilings, yellow floors throughout) met with vehement rejection from the medical, therapeutic and nursing staff, which was expressed both verbally and in writing. The color redesign was carried out in a participatory process according to an evidence-based methodology.

The assessment of well-being, quality of stay, emotional mood, orientation and motivation improved on average by 207% from 4.3 (negative) to 2.1 (positive).

Results of the study:

1. the color scheme is a significant factor for the well-being. (Overall result of the survey before the color change from 4.2 rather negative to 2.1 rather positive afterwards).
2. white walls do not have a neutral effect, but significantly counteract the well-being of patients, relatives and staff (overall result of the survey before the color change of 4.2 is significantly worse than the neutral result of 3).
3. The distribution of the answers proves that the effects of color and space can be objectively assessed, planned and used in the structural context of the utilization situation for the benefit of the user groups concerned. Deviations in the distribution of answers prove that the effects of color in space remain subjective within a range that is tolerable, as it does not significantly affect the success of the design (See chart).
4. the color design of the architecture has positive effects on the medical and nursing activities of the staff if it is needs-oriented and evidence-based. (From 3.8 rather negative to 2.3 rather positive)
5. the color design of the architecture promotes the well-being of patients if it is needs-oriented and evidence-based (from 3.8 rather negative to 2.3 rather positive)
6. architectural color design promotes parent well-being, trust, and confidence when it is needs-based and evidence-based (from 4.4 tending to negative to 1.5 tending to positive)
7. architectural color design promotes staff well-being and quality of stay when it is needs-based and evidence-based (from 4.4 tending to negative to 2.1 tending to positive)
8. the color design of the architecture promotes the staff’s feeling that the employer values their activity, if it is needs-oriented and evidence-based (from 4.2 rather negative to 2.4 rather positive)
9. the color design of the architecture promotes the identification of the staff with the place of work, if it is needs-oriented and evidence-based (from 4.2 rather negative to 2.3 rather positive)
10. the color design of the architecture has a positive effect on the emotional mood and motivation of the staff if it is needs-oriented and evidence-based (from 4.2 rather negative to 2.1 rather positive)
11. the color design of the architecture has a positive effect on orientation in the ward if it is needs-oriented and evidence-based (from 4.6 negative and 2.0 rather positive)
12. the color design of the architecture has a positive effect on the effectiveness of regeneration during breaks, if it is needs-oriented and evidence-based (from 4.6 rather negative to 2.5 rather positive)
13. the color design of the architecture has a positive effect on the attractiveness of the workplace for staff if it is needs-oriented and evidence-based (from 4.5 rather negative to 1.8 rather positive)

Cite: Buether, Axel. “Research Paper Color Health Hospital Bremen Neonatology.” Influence of color design on the functionality of new hospital buildings, in particular the well-being of patients, relatives and staff (2022): n. pag. Web. 18.10.2022 DOI: 10.13140/RG.2.2.22488.16645

Der Beitrag What influence do the colors of architecture have on our well-being, health and motivation? erschien zuerst auf Farbpsychologie.

Affilation:

Chair Visual Communication, University of Wuppertal, Faculty of Art & Design; Director of the German Colour Association; Chief Editor of Colour.education

Paper title:

Assessment of the psychological and medical effects of the environmental factors color and light on patients and staff in the department of intensive-care medicine

Brief paper description:

Project partners: HELIOS University Hospital Wuppertal – clinic of intensive-care medicine, Prof. Dr. Axel Buether, Visual Communication, University of Wuppertal Faculty of Design & Art / Dr. Gabriele Wöbker Head physician of the clinic in intensive-care medicine. Research questions: (1) What impact has the design of color and light in intensive care units on the well-being and health status of the patients? (2) What impact has the design of color and light in intensive care units on the motivation to work, the demeanour, and the well-being of the medical as well as the nursing staff? (3) What impact has the design of color and light in intensive care units on the consumption of medication? Summary of the Results: Significant improvements in the quality of stay and experience of patients and staff were observed and proven in all areas covered. The ill health status among ward personnel fell by 23.12 % within one year compared to both previous years. The severe skill shortage enhances this result with additional relevance. The consumption of medication could be reduced distinctly. At the benzodiazepines, no significant changes were observed. At the acute-neuroleptics (haloperidol, risperidone, chlorprothixene etc.), perspicuous changes occurred. In the reference period, the consumption decreased by an average of 30.1%. Particularly significant with the surveys of the patients was: – The medical and nursing staff were perceived distinctly calmer by the patients during their care (improvement by 35.7%); – The intensive care unit appeared distinctly nicer (improvement by 56.8%), more stimulating (improvement by 51.4%), more inviting (improvement by 50.0%), and warmer (improvement by 34.6%); – The atmosphere in the room took a significantly quieter effect to the patients (reduction of the noise level by 48.6%) and less hectic (improvement of the quiescent level by 40.6%). Particularly significant with the surveys of the staff was: – The staff satisfaction with the employer (improvement by 35.7%) and with their work (improvement by 35.1%) increased significantly; – The well-being was shown by the satisfaction with the condition of the workplace (improvement by 51.2%), the break room (improvement by 66.7%), the patient rooms (improvement by 48.8%) as well as the corridors and other work areas (improvement by 45.2%); – The color design had a particularly strong impact on the assessment of orientation (improvement by 42.9%), colorfulness (improvement by 58.7%), artificial light quality (improvement by 52.4%), daylight quality (improvement by 48.7%), and identity (improvement by 50.0%).

Website Organizer: THE INTERNATIONAL CONFERENCE OF THE COLOR SOCIETY OF RUSSIA

Der Beitrag Keynote Speaker – International Conference of the Color Society of Russia erschien zuerst auf Farbpsychologie.

Color and light are important factors influencing the wellbeing, health and recovery process of people. The ubiquitous dominance of white color in the health care sector is drawing to an end as completely different factors such as identity, safety and trust are getting more into the focus of interior design in medical practices, hospitals and care facilities today.

Der Beitrag Update-Course: Color design in public health care erschien zuerst auf Farbpsychologie.

Prof. Buether, there were times when the scientific study of colors occupied the great scholars: when Newton used lenses to break light down into individual colors and then reassemble it back to its initial colorlessness, this inspired Goethe to develop color theory – why is this still an important research topic today?

Axel Buether: This interplay between the natural sciences and the humanities is even older. It was Newton who framed the problem as one of physics and optics. Goethe approached it from a more psychological perspective. With his theory of color based on the senses and ethics, he laid the foundation for the psychology of color, which remains relevant to us today. And even today, color continues to engage all scientific fields, from chemistry, biology, and physics to philosophy and the psychology of perception. Goethe was certainly correct regarding the latter. Color is significant for all aspects of human existence. It makes the world tangible and accessible. We therefore explore it through the methods of empirical science, but also through introspective observation. A perennial problem to this day is the question of whether colors are secondary or primary properties of the environment.
Natural science tells us that matter and energy are primary properties of the environment—and colors are merely wavelengths that occur in the brain. What is important, however, is that color represents a central medium for understanding, perceiving, and creating. It thus has the same significance as language. Put another way, color is a visually symbolic language that has evolved culturally. This means that we no longer simply inhabit the world like animals and plants, but also shape our cultural space through visual sign systems. It is not tangible forms, but rather color codes recognizable from a great distance that provide orientation in urban space. Shapes of the same color merge before our eyes into indefinable masses. Objects only stand out against their background and convey meaning to us when they contrast in color: Are we looking at a building, an entrance? Is it a public or private building? What is initially just a color signal on the retina organizes itself into shapes and movements—into symbols that we perceive only through color. Color vision is therefore more important to us than touching, smelling, or tasting. Goethe was a pioneer in understanding the profound significance of color for our perception—the psychological aspect of his theory of colors is his legacy.

Today, more than 300 years after Newton’s prism experiments, which seemed like pure light torture to Goethe, we are less squeamish. We use modern scientific methods, e.g. neuroscientific methods. How and what are we actually researching today with these means?

Axel Buether: The systematic approach to color perception began with a specific understanding of light. Initially, there was the idea that we had an image of nature projected onto our retinas—that has been disproved. Our eyes have a very small center, the fovea centralis, which is shaped like a funnel. This is where the photoreceptor cells are concentrated, particularly all the color cones, of which there are three types—sensitive to the red, green, and blue components. And it is with these color cones—located solely in the center—that we see the world. Our eyes are constantly moving as we do so. And within just 2 degrees of this visual field, we can see clearly and in full color. In total, the field of vision spans 180 degrees—to achieve this, we can turn our neck 45 degrees. Consciously, we can perceive 60 degrees. We perceive the periphery unconsciously and intuitively. But if we want to see something there, we have to turn our head. In other words, we see only what interests us—and this is where colors become important. Just how important they are is demonstrated by one of the findings of recent research: Tracking data flows in the brain shows that processing color signals accounts for 60% of the brain’s activity.

What does this actually mean for colorblind people?

Axel Buether: People who are colorblind don’t see nothing; they simply see an image with less information. To put it in perspective: We have 6 million cones and 120 million rods in the retina. Some people still conclude from this that the rods are more important. They are light-sensitive—but they’re hardly important during the day; they only provide shades of gray at twilight and at night. During the day, we rely solely on the cones; the rods are barely active. Pure “black-and-white images” belong to the twilight and nighttime, whereas daytime images are composed of many millions of shades of color. We see white and gray when all three types of cones are equally stimulated, which is why we always perceive white and gray tones with a color tint during the day. The impression of black arises from the absence of light or the lack of activity in the retina of our eyes. Objects that completely absorb light appear black to us. Most shades of black are formed by strong brightness contrasts, especially in the shadowed areas of objects and spaces. The cones of a color-blind person cannot receive or process color signals. The colorless space loses a great deal of depth, resolution, and detail. When calculating the ratio of the wavelengths of red (long), green (medium), blue (short), an exponentially increased spatial resolution results, since each pixel in the image can be distinguished not only by brightness gradations but also by distinct colors. This allows far more information to be derived from the spectrum of sunlight or artificial light—that is color. Without color at all, we would have a harder time orienting ourselves; objects would be less distinguishable from one another—and the possibilities for visual communication, for conveying thoughts, emotions, and identity, would be significantly reduced. That is what color is for: recognizing orientation, identity, meanings, and emotions, and feeling at ease in the world.

So the role of color in interior design cannot be overestimated?

Axel Buether: Our entire vision with the help of the 6 million cones is based on a mixture of chromatic colors and shades of gray in hundreds of thousands of nuances. This does indeed have consequences for the design of our environment. Even the restriction to pure white often observed among architects does not avoid the confrontation with color. This is because there are many cold to warm shades of white that differ considerably from one another. In an experiment, we once distinguished between 60 different shades of white. Color quality is determined by the amount of color, and the gloss, depth, intensity and structure of the color also play a far greater role than previously assumed. There are always color nuances – and you have to deal with them when designing a room. This applies to all colors and light sources to be purchased. Wall color and lighting together have an effect on people’s heat balance and can cause a feeling of well-being or even a chill in the room. These differences can be up to 4 degrees Celsius. Warm colors and warm lighting can therefore easily contribute to savings on heating costs.

What else has been discovered recently thanks to neuroscientific research?

Axel Buether: It is important to realize that color is not just a visual medium, but has a direct and involuntary effect on the body. For example, it changes our metabolic processes and our hormones. This is already plausible from the observation that when it is cloudy in the morning, we don’t get going and lack motivation. This is why we should also plan daily walks in the darker months of the year. Even in winter, the light outside is several thousand times stronger than inside. We need sunlight for motivation, for our metabolism and for our appetite. Wherever we are active, wherever we eat and wherever interpersonal communication is involved, we should use direct sunlight or artificial light with a sun-like, i.e. full-color spectrum. Sunlight motivates our urge to act. Too little daylight, as well as artificial light with a reduced color spectrum, reduces our motivation, inhibits important bodily functions and activities, promotes negative moods or even depression. Color and light have an involuntary, automatic and unconscious effect on our physical state – we just have to create the conditions for it.

… especially in nursing homes?

Axel Buether: In care homes, we can ensure that we get much more out of our twilight years and live longer and healthier lives. When planning the nursing home, you should differentiate between color and lighting design according to the specific use of the room – the briefing in advance is very important here. Sport, eating, working and communicating need brightness. Retreat and coziness require different colored light. So it’s not enough to simply make everything “bright and friendly” – we also need cooler or darker zones.

Light and color are two sides of the same coin, so to speak, you write in your book “Farbe. Design principles, planning strategies, visual communication”. What is the relationship between the two – and what can this mean in practical terms for the designer?

Axel Buether: The light source – be it the sun or an artificial source – emits light that reaches us directly or as ambient light. Some of the radiation falls directly on our eyes – and there is radiation that falls from the source onto surfaces and is partly absorbed and partly reflected. Now the brain comes into play and the effect of so-called color constancy: A white balance is made – the color is calculated from the white of the light source. In this way, body color is created via the surfaces in the surroundings, and light color is created via the light falling directly on the eye. The colors are now created by converting part of them into heat – black does not absorb light. And in the case of chromatic colors, part of the spectrum is absorbed and green, red and blue are absorbed in a certain ratio and converted into heat. This is how plants turn green, for example: The short- and long-wave light is needed, the medium-wave light is not needed and is reflected, which makes plants appear green to us. So we see the spectrum of light energy, which the plant cannot utilize. If I now change the quality of the light, the quality of the body colors also changes automatically: All the colors in the room change. Warm white light sources shift the colors into the reddish range. With neon cold or energy-saving lights, the colors shift into the blue, cool range. Light and color must therefore always be seen together. They really are two sides of the same coin – or to put it another way: Color shines, and light colors.

Mr. Buether, let’s talk a little more about the significance of colors or certain color combinations for us personally. We obviously carry something like a color origin with us. So do we inherit color perception like bald heads and moles? And how does this color origin manifest itself – what does it change about the effect of colors?

Axel Buether: Everyone has a color home. The background to this is certainly genetic predisposition – however, the actual meaning of colors for us, whether colors make us feel good or unwell, has more to do with our personal experience. The colors of our childhood, the region we come from, the nature associated with it, for example. It makes a difference whether we come from a valley with long winters, for example, or whether we grew up in the city or by the sea. This results in certain needs, a certain leisure behavior. The associated lighting moods are also preferred later on. We call these personal needs color preferences. They are reflected in our clothing, our everyday objects, our living and working environments. If we are torn away from our traditional color home in old age, for example by moving from our private home to a retirement or nursing home, we feel alienated and uncomfortable, are more prone to depression and are less able to counter illnesses. The orientation of the color design to the color preferences of the target group, which includes the selection of all materials as well as the planning of lighting with natural and artificial light, is therefore a central task of architecture and interior design.

This speaks in favor of a regionally oriented design of care and senior citizen facilities …

Axel Buether: Yes. It makes a difference whether a nursing home is located in Hamburg or Munich. Here, too, it is important to check who is to use the rooms, where they come from and what their color home looks like. This is particularly important where senior citizens move into fully furnished rooms that cannot be easily adapted. Even if the residents come from different areas, it is important to take these connections into account. This does not mean remaining stuck in folklore. The task for progressive architecture here is to recognize the colour preferences and colour home of the target group and, on this basis, to design a contemporary environment in which old and sick people can feel comfortable. There need be no contradiction between color home and modernity, as many highly praised and often published buildings prove, in which the “creation of atmospheres” is the focus. Traditional materials such as wood, natural stone, textiles or mineral colors can be used in new ways. The use of new materials can be used to further develop traditional color languages. The home of color is the starting point – the contemporary approach to it is the challenge.

Link to the second part of the interview

 Link Magazine medAmbiente

[download id=”50″]

Der Beitrag Colors and health erschien zuerst auf Farbpsychologie.