簡易檢索 / 詳目顯示

研究生: 林宛宣
Wan-Hsuan Lin
論文名稱: 辦公療癒環境品質與工作績效關聯性之實證研究
An Empirical Study on the Relationship between Office Healing Environment Quality and Work Performance
指導教授: 阮怡凱
Yi-Kai Juan
口試委員: 阮怡凱
Yi-Kai Juan
彭雲宏
Yeng-Horng Perng
陳坤盛
Kuen-Suan Chen
蔡岡廷
Kang-Ting Tsai
劉玲娥
Ling-Er Liou
學位類別: 博士
Doctor
系所名稱: 設計學院 - 建築系
Department of Architecture
論文出版年: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 108
中文關鍵詞: 療癒環境模糊德爾菲法個人工作績效問卷任務績效情境績效反生產工作行為
外文關鍵詞: Healing Environment, Fuzzy Delphi Method, Individual Work Performance Questionnaire, Task Performance, Contextual Performance, Counterproductive Work Behavior
相關次數: 點閱:296下載:7
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報

2020年,新型冠狀病毒肺炎疫情突如其來地爆發,深刻影響全球健康安全與社會經濟發展。療癒環境(Healing Environment, HE)概念被證實對環境、生理和心理健康產生積極影響,醫學相關領域更視其為減壓與提升認知功能的有效手段。即便進入後疫情時代(post-pandemic era),人們對工作環境的不確定性仍持續影響著他們的表現。因此,保持環境品質並提升工作者體驗變得至關重要。然而,儘管HE已被證實對醫護人員工作績效有益,卻於一般辦公環境中較少被採用。本研究旨在建立針對一般辦公環境的HE設計原則,同時探討使用者工作績效及環境偏好。首先,運用模糊德爾菲法(Fuzzy Delphi method)基於三項設計構面(自然象徵性、建築及社交環境)以建構辦公HE評估指標及其權重。其次,透過已確定評估分數差異極大之兩種辦公環境,利用個人工作績效問卷 (Individual Work Performance Questionnaire)對兩種環境下工作者績效進行調查。最後,以60名大專校院在學學生進行測試,了解其對未來工作環境中不同療癒程度的偏好。研究結果顯示,較符合HE設計原則的辦公環境有更好的績效表現,特別是在於任務績效以及情境績效方面。反生產工作行為則是在工作者教育水平上顯示差異。此外,學生在求職時亦傾向較佳HE。從而證明HE被視為對社會經濟發展有貢獻,不僅有益健康,同時對工作者與企業組織產生效益。


The sudden onset of the COVID-19 pandemic in 2020 has profoundly affected global health security and socio-economic development. The concept of a healing environment (HE) has been proven to have a positive impact on environmental, physiological, and psychological health, with the medical field recognizing it as an effective means to reduce stress and enhance cognitive function. Even in the post-pandemic era, the uncertainty surrounding work environments continues to influence individual performance. Therefore, maintaining environmental quality and improving the employee experience have become crucial. However, despite the demonstrated benefits of HE in enhancing the performance of healthcare professionals, its application in general office environments remains limited. This study aims to establish HE design principles specifically tailored for general office environments and to explore user work performance and environmental preferences. Firstly, utilizing the fuzzy delphi method, we constructed office HE assessment criteria and their corresponding weights based on three design facets (natural/symbolic environments, built environments, and social environments). Subsequently, through an in-depth investigation using the individual work performance questionnaire, we assessed the performance of workers in two significantly different office environments. Finally, 60 university students participated in a test to understand their preferences for varying levels of healing in future work environments. The results demonstrate that office environments aligned with HE design principles exhibit superior performance, particularly in task performance and contextual performance. Differences in counterproductive work behavior were noted based on workers' educational levels. Additionally, university students showed a preference for environments with higher levels of HE in their job searches. These findings substantiate the notion that HE contributes not only to individual well-being but is also perceived as a valuable asset for socio-economic development, benefiting both workers and business organizations.

摘要 I Abstract II 誌謝 IV 目錄 V 圖目錄 VIII 表目錄 IX 第一章 緒論 1 1.1 研究背景 1 1.2 研究目的 3 1.3 研究架構 3 1.4 研究限制 5 1.4.1 研究方法限制 5 1.4.2 研究範圍限制 5 1.4.3 研究對象限制 6 第二章 療癒環境對工作績效影響 7 2.1 療癒環境相關理論與定義 7 2.1.1 療癒環境緣起 7 2.1.2 療癒環境理論 9 2.1.3 療癒環境現況 11 2.2 療癒環境於工作績效應用 12 2.3 療癒環境之特性 14 2.3.1 自然象徵性環境 15 2.3.2 建築環境 15 2.3.3 社交環境 17 第三章 療癒環境與績效評估方法 18 3.1 模糊德爾菲法(FDM) 18 3.2 個人工作績效問卷(IWPQ) 21 3.2.1 任務績效(TP) 22 3.2.2 情境績效(CP) 22 3.2.3 反生產工作行為(CWB) 23 3.3 深度訪談法 25 第四章 辦公療癒環境評估指標建構 27 4.1 辦公療癒環境因子 27 4.2 FDM專家問卷設計 32 4.3 實驗環境監測 44 4.3.1 實驗環境介紹 44 4.3.2 監測評分規則 46 第五章 資料分析與結果討論 52 5.1 描述性統計與信度檢測 52 5.1.1 原始數據分析 52 5.1.2 信度檢測結果 53 5.2 IWPQ實驗結果 57 5.3 個人工作績效與背景分析 58 5.4 療癒環境實證與總結 63 5.4.1 LH與HH環境比較 63 5.4.2 工作績效結果討論 66 5.4.3 醫學專家回饋驗證 67 第六章 結論與建議 70 6.1 研究結論 70 6.2 高度療癒辦公環境原則 71 6.3 後續建議 72 參考文獻 73 附錄一 辦公療癒環境指標FDM專家問卷 83 附錄二 案例A與案例B環境監測結果 90 附錄三 個人工作績效問卷 93 附錄四 醫學領域專家深度訪談清單 95

中文文獻
王順智、陳柏宗(2020)。醫院友善療癒空間設計原則之研究。內政部建築研究所協同研究報告。臺北市:內政部建築研究所。
金子凱(2022)。室內風水環境對於生理及心理反應之影響。國立臺灣科技大學建築系博士論文。
林依伶(2013)。療癒環境與使用者互動關係之探討-以臺大醫院兒童醫療大樓為例。國立臺北教育大學人文藝術學院藝術與造型設計學系碩士論文。
林學儒(2019)。高層集合住宅立面設計之成功關鍵因子。國立臺灣科技大學建築系碩士論文。
徐惠筠(2022)。療癒性環境理念落實於高齡社區之探討-以台北市大安區民輝里為例。國立臺北科技大學建築系建築與都市設計系碩士論文。
張純婉(2011)。醫療院所內益康花園的恢復性知覺與生心理效益之研究—以台中榮總為例。東海大學景觀學系碩士論文。
陳柏宗、林義濱(2018)。療癒性環境應用於高齡者居家室內空間之研究。內政部建築研究所委託研究報告。臺北市:內政部建築研究所。
曾慈慧(2003)。景觀環境與福祉及復癒關係之研究。國立臺灣大學園藝學研究所博士論文。
關華山(2017)。療癒性環境應用於高齡社會之評估研究。內政部建築研究所委託研究報告。臺北市:內政部建築研究所。

英文文獻
Abdelrahman, M., Coates, P., & Poppelreuter, T. (2023). Visible outside view as a facilitation tool to evaluate view quality and shading systems through building openings. Journal of Building Engineering, 80, 108049.
Akbari, P., Yazdanfar, S. A., Hosseini, S. B., & Norouzian-Maleki, S. (2021). Housing and mental health during outbreak of COVID-19. Journal of Building Engineering, 43, 102919.
Altimier, L. B. (2004). Healing environments: For patients and providers. Newborn and Infant Nursing Reviews, 4(2), 89-92.
Amleh, D., Halawani, A., & Haj Hussein, M. (2023). Simulation-Based Study for Healing environment in intensive care units: enhancing daylight and access to view, optimizing an ICU room in temperate climate, the case study of Palestine. Ain Shams Engineering Journal, 14(2), 101868.
Ananth, S. (2008). Building Healing Spaces. Explore: The Journal of Science and Healing, 4(6), 392-393.
Antonelli, M., Barbieri, G., & Donelli, D. (2022). Defining a new perspective in Environmental Health: the healing environment. International Journal of Biometeorology, 66, 1039-1044.
Appleton, J. (1975). The Experience of Landscape. Wiley.
Asim, F., Chani, P. S., Shree, V., & Rai, S. (2023). Restoring the mind: A neuropsychological investigation of university campus built environment aspects for student well-being. Building and Environment, 244, 110810.
Avolio, B. J., Waldman, D. A., & McDaniel, M. A. (1990). Age and Work Performance in Nonmanagerial Jobs: The Effects of Experience and Occupational Type. The Academy of Management Journal, 33(2), 407–422.
Awada, M., Becerik-Gerber, B., White, E., Hoque, S., O’Neill, Z., Pedrielli, G., Wen, J., & Wu, T. (2022). Occupant health in buildings: Impact of the COVID-19 pandemic on the opinions of building professionals and implications on research. Building and Environment, 207(A), 108440.
Barker, L. M., & Nussbaum, M. A. (2011). Fatigue, performance and the work environment: A survey of registered nurses. Journal of Advanced Nursing, 67(6), 1370-1382.
Bengtsson, A., & Grahn, P. (2014). Outdoor environments in healthcare settings: A quality evaluation tool for use in designing healthcare gardens. Urban Forestry and Urban Greening, 13(4), 878-891.
Biglin, J. (2020). Embodied and sensory experiences of therapeutic space: Refugee place-making within an urban allotment. Health and Place, 62, 102309.
Bullinger, M., Morfeld, M., vonMackensen, S., & Brasche, S. (1999). The Sick-Building-Syndrome - Do women suffer more? Das Sick-Building-Syndrom - Leiden Frauen mehr? Zentralblatt Für Hygiene Und Umweltmedizin, 202(2-4), 235-241.
Campbell, J. P. (1990). Modeling the performance prediction problem in industrial and organizational psychology. In M. D. Dunnette & L. M. Hough (Eds.), Handbook of industrial and organizational psychology, 2, 687-732. Consulting Psychologists Press.
Campbell, J. P., & Wiernik, B. M. (2015). The modeling and assessment of work performance. Annual Review of Organizational Psychology and Organizational Behavior, 2(1), 47-74.
Capolongo, S., & Settimo, G. (2017). Indoor air quality in healing environments: Impacts of physical, chemical, and biological environmental factors on users. Indoor Air Quality in Healthcare Facilities, 1-11.
Chisnall, G., Kumpunen, S., & Vindrola, C. (2023). Rapid qualitative research. International Encyclopedia of Education, 2023, 323-335.
Czarnota-Bojarska, J. (2015). Counterproductive work behavior and job satisfaction: A surprisingly rocky relationship. Journal of Management & Organization, 21(4), 460-470.
Dåderman, A. M., Ingelgård, A., & Koopmans, L. (2020). Cross-cultural adaptation, from Dutch to Swedish language, of the Individual Work Performance Questionnaire. Work, 65(1), 97-109.
Dalkey, N., & Helmer, O. (1963). An Experimental Application of the DELPHI Method to the Use of Experts. Management Science, 9(3), 351-515.
Daniels, S., Clemente, D. B. P., Desart, S., Saenen, N., Sleurs, H., Nawrot, T. S., Malina, R., & Plusquin, M. (2022). Introducing nature at the work floor: A nature-based intervention to reduce stress and improve cognitive performance. International Journal of Hygiene and Environmental Health, 240, 113884.
Dethlefsen, T., & Dahlke, R. (1997). The healing power of illness: the meaning of symptoms and how to interpret them. Element Books, Limited.
Ergan, S., Shi, Z., & Yu, X. (2018). Towards quantifying human experience in the built environment: A crowdsourcing based experiment to identify influential architectural design features. Journal of Building Engineering, 20, 51-59.
Fida, R., Paciello, M., Tramontano, C., Barbaranelli, C., & Farnese, M. L. (2015). “Yes, I Can”: the protective role of personal self-efficacy in hindering counterproductive work behavior under stressful conditions. Anxiety, Stress, & Coping, 28(5), 479-499.
Finlay, J., Franke, T., McKay, H., & Sims-Gould, J. (2015). Therapeutic landscapes and wellbeing in later life: Impacts of blue and green spaces for older adults. Health and Place, 34, 97-106.
Fottler, M. D., Ford, R. C., Roberts, V., & Ford, E. W. (2000). Creating a healing environment: The importance of the service setting in the new consumer-oriented healthcare system. Journal of Healthcare Management, 45(2), 91-106.
Gao, C., & Zhang, S. (2021). Inpatient perceptions of design characteristics related to ward environments’ restorative quality. Journal of Building Engineering, 41, 102410.
Gesler, W. M. (2003). Healing places. Rowman & Littlefield.
Gilbert, H. A. (2020). Florence Nightingale’s Environmental Theory and its influence on contemporary infection control. Collegian, 27(6), 626-633.
Gregory, D. D., Stichler, J. F., & Zborowsky, T. (2022). Adapting and Creating Healing Environments: Lessons Nurses Have Learned From the COVID-19 Pandemic. Nurse Leader, 20(2), 201-207.
Gunn, H. (2010). Patient-physician relationship: Creating an optimal healing environment. Alternative and Complementary Therapies for Cancer: Integrative Approaches and Discovery of Conventional Drugs, 497-510.
Gupta, U. G., & Clarke, R. E. (1996). Theory and applications of the Delphi technique: a bibliography (1975-1994). Technological Forecasting and Social Change, 53(2), 185-211.
Huelat, B. J. (2003). Healing environments: Design for the body, mind and spirit. Medezyn.
Huisman, E. R. C. M., Morales, E., vanHoof, J., & Kort, H. S. M. (2012). Healing environment: A review of the impact of physical environmental factors on users. Building and Environment, 58, 70-80.
Ishikawa, A., Amagasa, M., Shiga, T., Tomizawa, G., Tatsuta, R., & Mieno, H. (1993). The max-min Delphi method and fuzzy Delphi method via fuzzy integration. Fuzzy Sets and Systems, 55(3), 241-253.
Iyendo, T. O., & Alibaba, H. Z. (2014). Enhancing the hospital healing environment through art and day-lighting for user’s therapeutic process. International journal of arts and commerce, 3(9), 101-119.
Jia, Z., Nourian, P., Luscuere, P., & Wagenaar, C. (2023). Spatial decision support systems for hospital layout design: A review. Journal of Building Engineering, 67, 106042.
Jiang, S. (2014). Therapeutic landscapes and healing gardens: A review of Chinese literature in relation to the studies in western countries. Frontiers of Architectural Research, 3(2), 141-153.
Jonas, W. B., & Chez, R. A. (2004). Toward optimal healing environments in health care. Journal of Alternative & Complementary Medicine, 10(Supplement 1), S-1.
Joshi, S. (2008). The sick building syndrome. Indian Journal of Occupational and Environmental Medicine, 12(2), 61-64.
Juliantino, C., Nathania, M. P., Hendarti, R., Darmadi, H., & Suryawinata, B. A. (2023). The development of virtual healing environment in VR platform. Procedia Computer Science, 216, 310-318.
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.
Kalia, N., & Bhardwaj, B. (2019). Contextual and task performance: do demographic and organizational variables matter? Rajagiri Management Journal, 13(2), 30-42.
Kamali, N. J., & Abbas, M. Y. (2012). Healing Environment: Enhancing Nurses’ Performance through Proper Lighting Design. Procedia - Social and Behavioral Sciences, 35, 305-212.
Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective. Cambridge University Press.
Kaufmann, A., & Gupta, M. M. (1991). Introduction to fuzzy arithmetic. New York: Van Nostrand Reinhold Company.
Kim, K. H. (2006). A study on characteristics of healing environment in the late work of Frank Lloyd Wright. Journal of The Korea Institute of Healthcare Architecture, 12(1), 41-48.
Kim, Y., & Ployhart, R. E. (2014). The effects of staffing and training on firm productivity and profit growth before, during, and after the Great Recession. Journal of Applied Psychology, 99(3), 361–389.
Kleisiaris, C. F., Sfakianakis, C., & Papathanasiou, I.V. (2014). Health care practices in ancient Greece: The hippocratic ideal. Journal of Medical Ethics and History of Medicine, 7, 1-5.
Kohrt, B. A., Ottman, K., Panter-Brick, C., Konner, M., & Patel, V. (2020). Why we heal: The evolution of psychological healing and implications for global mental health. Clinical Psychology Review, 82, 101920.
Koopmans, L., Bernaards, C. M., Hildebrandt, V. H., Schaufeli, W. B., DeVet Henrica, C. W., & Van DerBeek, A. J. (2011). Conceptual frameworks of individual work performance: A systematic review. Journal of Occupational and Environmental Medicine, 53(8), 856-866.
Koopmans, L., Bernaards, C., Hildebrandt, V., VanBuuren, S., Van DerBeek, A. J., & deVet, H. C. w. (2013). Development of an individual work performance questionnaire. International Journal of Productivity and Performance Management, 62(1), 6-28.
Koopmans, L., Bernaards, C. M., Hildebrandt, V. H., vanBuuren, S., van derBeek, A. J., & deVet, H. C. W. (2014a). Improving the Individual Work Performance Questionnaire using Rasch analysis. Journal of Applied Measurement, 15(2), 160-175.
Koopmans, L., Bernaards, C. M., Hildebrandt, V. H., DeVet, H. C. W., &Van DerBeek, A. J. (2014b). Construct validity of the individual work performance questionnaire. Journal of Occupational and Environmental Medicine, 56(3), 331-337.
Licina, D., & Yildirim, S. (2021). Occupant satisfaction with indoor environmental quality, sick building syndrome (SBS) symptoms and self-reported productivity before and after relocation into WELL-certified office buildings. Building and Environment, 204, 108183.
Lincoln, V., & Johnson, M. (2009). Staff nurse perceptions of a healing environment. Holistic Nursing Practice, 23(3), 183-190.
Longhurst, R. (2003). Semi-structured interviews and focus groups. Key methods in geography, 3(2), 143-156.
Iyendo, T. O., & Alibaba, H. Z. (2014). Enhancing the hospital healing environment through art and day-lighting for user’s therapeutic process. International journal of arts and commerce, 3(9), 101-119.
Mahmood, F. J., & Tayib, A. Y. (2020). The Role of Patients’ Psychological Comfort in Optimizing Indoor Healing Environments: A Case Study of the Indoor Environments of Recently Built Hospitals in Sulaimani City, Kurdistan, Iraq. Health Environments Research and Design Journal, 13(2), 68-82.
Marcus, C. C., & Barnes, M. (1999). Healing gardens: therapeutic benefits and design recommendations. In John Wiley & Sons, Inc.
McGregor, J., & Gray, L. (2002). Stereotypes and older workers: The New Zealand experience. Social Policy Journal of New Zealand, 163-177.
Meng, L., Zhu, C., & Wen, K. H. (2020). Research on constructing a healing environment for the street spaces of a high-density city: Using street spaces in Macao’s old city area. International Journal of Environmental Research and Public Health, 17(13), 4767.
Murphy, K. R., & Cleveland, J. N. (1995). Understanding performance appraisal: Social, organizational, and goal-based perspectives. Sage Publications, Inc.
Murray, T. J., Pipino, L. L., & VanGigch, J. P. (1985). A pilot study of fuzzy set modification of delphi. Human Systems Management, 5(1), 76-80.
Ng, T. W., & Feldman, D. C. (2013). Does longer job tenure help or hinder job performance? Journal of Vocational Behavior, 83(3), 305-314.
Nightingale, F. (1992). Notes on nursing: What it is, and what it is not. Lippincott Williams & Wilkins.
Okoli, C., & Pawlowski, S. D. (2004). The Delphi method as a research tool: An example, design considerations and applications. Information and Management, 42(1), 15-29.
Palenzuela, P., Delgado, N., & Rodríguez, J. A. (2019). Exploring the relationship between contextual performance and burnout in healthcare professionals. Revista de Psicologia Del Trabajo y de Las Organizaciones, 35(2), 115-121.
Peng, H. (2012). Counterproductive work behavior among Chinese knowledge workers. International Journal of Selection and Assessment, 20(2), 119-138.
Perović, S. K., &Krklješ, M. (2017). Transdisciplinary approach to design of a total healing environment. Understanding Complex Systems, 71-86.
Peters, T., & Halleran, A. (2021). How our homes impact our health: using a COVID-19 informed approach to examine urban apartment housing. Archnet-IJAR: International journal of architectural research, 15(1), 10-27.
Rafeeq, D. A., & Mustafa, F. A. (2021). Evidence-based design: The role of inpatient typology in creating healing environment, hospitals in Erbil city as a case study. Ain Shams Engineering Journal, 12(1), 1073-1087.
Ramos-Villagrasa, P. J., Barrada, J. R., Fernández-del-Río, E., and Koopmans, L. (2019). Assessing Job Performance Using Brief Self-report Scales: The Case of the Individual Work Performance Questionnaire. Journal of Work and Organizational Psychology, 35(3), 195-205.
Razmara, M., Asadpour, H. and Taghipour, M. (2020). Healing Landscapes: Gender-Different Effects of Their Parameters (Case Study: ERAM Gardens and AZADI Parks, Shiraz, Iran). Nature: The National Journal of Architecture, 7(2), 183-191.
Sadovyy, M., Sánchez-Gómez, M., & Bresó, E. (2021). COVID-19: How the stress generated by the pandemic may affect work performance through the moderating role of emotional intelligence. Personality and Individual Differences, 180, 110986.
Sakallaris, B. R., MacAllister, L., Voss, M., Smith, K., & Jonas, W. B. (2015). Optimal healing environments. Global Advances In Health and Medicine, 4(3), 40-45.
Saleem, F., Malik, M. I., & Qureshi, S. S. (2021). Work Stress Hampering Employee Performance During COVID-19: Is Safety Culture Needed? Frontiers in Psychology, 12, 655839.
Sciulli, N., Goullet, D., & Snell, T. (2022). Working from Home with a View of Nature (and Sunlight) Benefits People's Well-Being. Ecopsychology, 15(1), 69-80. 
Ulrich, R. S. (1984). View through a window may influence recovery from surgery. Science, 224(4647), 420-421.
Ulrich, R. S., Simons, R. F., Losito, B. D., Fiorito, E., Miles, M. A., & Zelson, M. (1991). Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11(3), 201-230.
Uwajeh, P. C., Iyendo, T. O., & Polay, M. (2019). Therapeutic gardens as a design approach for optimising the healing environment of patients with Alzheimer’s disease and other dementias: A narrative review. Explore, (15)5, 352-362.
Vischer, J. C. (2008). Towards a user-centred theory of the built environment. Building Research and Information, 36(3), 231-240.
Williams, A. (2002). Changing geographies of care: Employing the concept of therapeutic landscapes as a framework in examining home space. Social Science and Medicine, 55(1), 141-154.
Wilson, C. (2014). Semi-structured interviews. Interview techniques for UX practitioners, 1, 23-41.
Yuan, F., Yao, R., Sadrizadeh, S., Li, B., Cao, G., Zhang, S., Zhou, S., Liu, H., Bogdan, A., Croitoru, C., Melikov, A., & Short, C. A. (2022). Thermal comfort in hospital buildings - A literature review. Journal of Building Engineering, 45, 103463.
Yunita, P. I., & Saputra, I. G. N. W. H. (2019). Millennial generation in accepting mutations: Impact on work stress and employee performance. International Journal of Social Sciences and Humanities, 3(1), 102-114.
Zacher, H., Heusner, S., Schmitz, M., Zwierzanska, M. M., & Frese, M. (2010). Focus on opportunities as a mediator of the relationships between age, job complexity, and work performance. Journal of Vocational Behavior, 76(3), 374-386.
Zadeh, L. A. (1965). Fuzzy sets. Information and control, 8(3), 338-353.
Zhang, Y., Tzortzopoulos, P., &Kagioglou, M. (2019). Healing built-environment effects on health outcomes: environment–occupant–health framework. Building Research and Information, 47(6), 747-766.

QR CODE