A Research on Spatial Privacy in Public Structures: Health and Office Buildings

Keywords: Privacy, Control, Spatial Arrangement, Behaviour Model


The concept of privacy that implies creating a boundary in regulating and controlling relationships, presents a different control mechanism on architectural structures. This study aims to question the visual, auditory, and olfactory privacy in terms of public buildings, architectural structures including office and health spaces that take place in human life occasionally. Within the scope of the study, the meaning of privacy in relation to space was questioned by using descriptive research and semiotics methods. Within studies associated with spatial privacy in office buildings, it has been inferred that personal privacy should be included in the design process in these spaces, considering efficiency and communication. Within researches on privacy in healthcare buildings, on the other hand, it has also been determined that the capacity to control the privacy of the patients in the emergency services, where they are first responded and in the units where outpatient or inpatient treatments are conducted, has been determined that the patients’ control on their self-privacy contributes the recovery process to great effect. As a result, it has been settled that spatial arrangements that can respond to the individual's privacy instinct make a significant benefaction in a wide range from work efficiency and performance to the recovery process. Therefore, the necessity of privacy, a means of organizing the relationship of the person with the environment, as an input in architectural designs is supported by the studies conducted in terms of the physical and mental health of the person.


Alalouch, R. C. (2009). Hospital Ward Design: Implications for Space and Privacy, Doctor of Philosophy in Architecture, Heriot-Watt University, School of the Built Environment, Edinburgh, United Kingdom.

Allen, T. J., Gerstberger, P. G. (1973). Field Experiment to Improve Communications in a Product Engineering Department: Nonterritorial Office. Human Factors, 15(5), p.487-498.

Altman, I. (1975). The Environment and Social Behavior: Privacy, Personal Space, Territory, and Crowding, Monterey, CA.: Brooks/Cole Publishing.

Archea, J. (1977). The Place of Architectural Factors in Behavioral Theories of Privacy, Journal of SocialIssues, 33(3), p.116-137.

ASID. (2005). Designing Better Work Places, American Society of Interior Designers, Washington, DC.

Asplin, B. R., Magid, D. J., Rhodes, K. V., Solberg, L. I., Lurie, N., Camarga, C. A. (2003). A Conceptual Model of Emergency Department Crowding, Ann Emerg Med., 42, p.173-180.

Atmaca, H. (2013). Patient Centered Approaches in Labor and Delivery Room Design in Hospitals: Case Study in Dokuz Eylül University Hospital, Master Thesis, The Graduate School of Social Sciences of İzmir University of Economics, İzmir.

Aydın, D. (2009). Hastane Mimarisi, İlkeler ve Ölçütler. Konya: TMMOB Mimarlar Odası Konya Şubesi Yayını.

Bahammam, A. (1987). Architectural Patterns of Privacy in Saudi Arabian Housing. Master of Architecture/Thesis, McGill University, Montreal.

Becker, F. D., Poe, D. B. (1980). The Effects of User-Generated Design Modifications in a General Hospital. Journal of Nonverbal Behavior, 4(4), p.195-218.

Becker, F. (1990). The Total Workplace: Facilities Management and the Elastic Organization. New York, NY: Van Nostrand Reinhold.

Becker, F., Steele, F. (1995). Workplace by Design: Mapping the High-Performance Workscape. San Francisco, CA: Jossey-Bass.

Beltran Aroca, C. M., Montero-Pérez-Barquero, M., Girela-López E. (2016). Confidentiality Breaches in Clinical Practice: What Happens in Hospitals? BMC Medical Ethics, 17, 52, p.1-12. DOI: 10.1186/s12910-016-0136-y

Binggeli, C., Greichen, P. (2011). Interior Graphic Standards, Hoboken, New Jersey: John Wiley & Sons.

Bobrow, M., Thomas, J. (1994). Hospitals’ Prosperity Should be by Design. Modern Healthcare, 24(47), p.54.

Bridger, R. S., Brasher, K. (2011). Cognitive Task Demands, Self-Control Demands and the Mental Well-Being of Office Workers. Ergonomics. 54(9), p.830-839.

Broady, M. (1966). Social Theory in Architectural Design, People and Buildings. 81, P.149-154.

Brookes, M. J., Kaplan, A. (1972). The Office Environment: Space Planning and Affective Behavior. Human Factors, 14(5), p.373-391.

Brolin, B. (1976). The Failure of Modern Architecture. New York: Van Nostrand Remhold.

Boughey, H. N. (1970). Blueprints for Behavior: The Intentions of Architects to Influence Social Action Through Design, Princeton University.

Burden, B. (1998). Privacy or Help, the Use of Curtain Positioning Strategies within the Maternity Ward Environment as a Means of Achieving and Maintaining Privacy, or as a Form of Signalling to Peers and Professionals in an Attempt to Seek Information or Support. Journal of Advanced Nursing, 27(1), p.15-23.

Calleja P, Forrest L. (2011). Improving patient privacy and confidentiality in one regional emergency department a quality project. Australas Emerg Nurs J., 14, p.251–256. DOI: 10.1016/j.aenj.2011.05.002.

Chaudhury, H., Mahmood, A., Valente, M. (2004). The Use of Single Patient Rooms versus Multiple Occupancy Rooms in Acute Care Environments, Coalition for Health Environments Research (CHER), Simon Fraser University.

Chermayeff, S., Alexander, C., (1963). Community and Privacy: Toward a New Architecture of Humanism, Garden City, NJ: Anchor Books, Doubleday.

Colomina, B., (2011). Mahremiyet ve Kamusallık, Kitle İletişim Aracı Olarak Modern Mimari, çev. A.U.Kılıç, Metis Yayınları, İstanbul.

Davidson, W. A. (1994). Banking on the Environment to Promote Human Well-Being. 25th Annual Conference of the Environmental Design Research Association, Oklahoma City, EDRA.

Devlin, A. S., Arneill, A. B. (2003). Health Care Environment and Patient Outcomes - A Review of the Literature. Environment and Behaviour, 35(5), p.665 - 694.

Ding, S. (2008). Users’ Privacy Preferences in Open Plan Offices, Emerald Facilities, 26(9/10), s.401-417.

Elsbach, K. D., Bechky, B. A. (2007). It’s More Than a Desk: Working Smarter through Leveraged Office Design. California Management Review, 49(2), p.80–101.

Elsbach, K. D., Pratt, M. G. (2007). The Physical Environment in Organizations. Academy of Management Annals, 1(1), p.181–224.

Evans, G., McCoy, J. (1998). When Buildings Don’t Work: the Role of Architecture in Human Health. The Journal of Environmental Psychology, 18, p.85-94.

Ghalib, A. F. (2018). Enhancing Inclusive Design in Emergency Department Waiting Areas: a mixed methods architectural study of five Toronto hospitals, Master Thesis, OCAD University, Toronto, Ontario, Canada.

Goodrich, R. (1982). Seven Office Evaluations: A review. Environment and Behavior, 14(3), p.353-378.

Gür, Ö. Ş. (1996). Mekân Örgütlenmesi. Trabzon: Gür Yayıncılık. ISBN: 975-94906-0-9.

Hakim, B. S. (1986). Arabic-Islamic Cities: Building and Planning Principles, KPI, London.

Hall, E. T. (1974). Handbook for Proxemic Research, Washington D.C. Society, for the Anthropology of Visual Communication.

Harris, P. B., McBride, G., Ross, C., Curtis, L. (2002). A Place to Heal: Environmental Sources of Satisfaction Among Hospital Patients. Journal of Applied Social Psychology, 32(6), p.1276-1299.

Hartigan, L., Cussen, L., Meaney, S., O’Donoghue, K. (2018). Patients’ Perception of Privacy And Confidentiality In The Emergency Department of a Busy Obstetric Unit, BMC Health Serv Res. 18, p.978.

Hedge, A. (1982). The Open-Plan Office: A Systematic Investigation of Employee Reactions to Their Work-Environment. Environment and Behavior, 14(5), p.519–542.

Hilton, B. A. (1985). Noise in Acute Patient Care Areas. Research in Nursing and Health, 8, p.283-291.

Inamizu, N. (2013). Positive Effect of Nonterritorial Office on Privacy: Allen’s Experiment Secret, Annals of Business Administrative Science 12, p.111–121.

Interior Architects. (2020). Designing a Visually Confidential (and Open) Workspace. https://interiorarchitects.com/designing-a-visually-confidential-and-open-workspace/ (15.09.2020)

Izumi, K. (1968). Architectural Considerations in the Design of Places and Facilities for the Care and Treatment of the Mentally Ill. Journal of Schizophrenia, 2(1), p.42–52.

Karro J., Dent A., Farish S. (2005). Patient Perceptions of Privacy Infringements in an Emergency Department, Emergency Medicine Australasia; 17, p.117-123.

Kim J., de Dear, R. (2013). Workspace Satisfaction: The Privacy-Communication Trade-off in Open-Plan Offices. Journal of Environmental Psychology, 36, p.18-26.

Kirk, S. (2002). Patient preferences for a single or shared room in a hospice." Nursing Times, 28(5), p. 39-41.

Knackstedt, M. V., Laura J. H. (1995). Interior Design and Beyond. New York: John Wiley & Sons.

Kurak Açıcı, F. (2013). Sınır Kavramı ve İç Mekân İlişkisi: Yaşama Mekânları Örneği, Doktora Tezi, Karadeniz Teknik Üniversitesi, Mimarlık Ana Bilim Dalı, Trabzon, syf: 25

Lang, J. (1987). Privacy, Territoriality and Personal Space-Proxemic Theoy, Creating Architectural Theory, the Role of the Behavioral Scienses in Environmental Design, New York, Leino-Kilpi H, Valimaki M, Dasen T & et al. Privacy: A Review of the Literature. Int. J. Nurs. 38, p.663-671.

Lavin, M. W., (1981). Boundaries in the Built Environment: Concepts and Examples, Man-Environments, 11, 5-6, 195-206.

Marberry, S. (2004). Designing Better Buildings: What Can Be Learned from Offices, Factories and Schools, American Society of Interior Designers, Washington, DC.

Morgan, D., Stewart, N. (1999). The Physical Environment of Special Care Units: Needs of Residents With Dementia from the Perspective of Staff and Family Caregivers. Qualitative Health Research, 9(1), p.105-119.

Mortada, H. (2011). Traditional Islamic Principles of Built Environment. New York: Routledge Curzon.

Nalkaya, S., (1980). The Personalization of a Housing Environment: a Study of Levittown, Pennsylvania, Universty of Pennsylvania.

Namazian, A., Mehdipour, A. (2013). Psychological Demands of the Built Environment, Privacy, Personal Space and Territory in Architecture, International Journal of Psychology and Behavioral Sciences, 3(4): 109-113

Navai, M., Veitch, J. A. (2003). Acoustic Satisfaction in Open-Plan Offices: Review and Recommendations, Institute for Research in Construction National Research Council Canada, Ottawa, ONT, K1A 0R6, Canada.

Nemecek, J., Grandjean, E. (1973). Noise in Landscaped Offices. Applied Ergonomics, 4(1), p.19-22.

NHS Estates (1994). Better by Design - Pursuit of Excellence in Health Care Building. UK, HMSO.

NHS Estates (1997). HBN4(1) - Inpatient accommodation options for choice. London, HMSO.

NHS Estates (2003). One Patient One Room – Theory & Practice: An evaluation of The Leeds, Nuffield Hospital, A study report By Dr Michael Phiri School of Architecture, University of Sheffield.

Olsen, J. C., Cutcliffe, B., O’brien, B. C. (2008). Emergency Department Design and Patient Perceptions of Privacy and Confidentiality. The Journal of Emergency Medicine, 35(3), p.317- 320.

Payne, L., (1999). Something to Shout About- Nurses Have to Consider the Needs of All Patients on a Noisy Ward, in Nursing Standard 13 (32), p.26.

Rapoport, A. (1977). Human Aspects of Urban Form: Towards a man—Environment Approach to Urban Form and Design. Oxford: Pergamon Press.

Richard, K., C., Bairnsfather, L. (1988). A Description of Night Sleep Patterns in the Critical Care Unit. Heart Lung, 17, p. 35- 42.

Tandoğan A. (2012). Hastane Yatan Hasta Katlarının İç Mekân Analizi, Adana Örneği, Yüksek Lisans Tezi, Çukurova Üniversitesi, İç Mimarlık Anabilim Dalı, Adana.

Tanyeli, U. (2012). İstanbul’da Mekân Mahremiyetinin İhlali ve Teşhiri: Gerilimli Bir Tarihçe ve 41 Fotoğraf. İstanbul: Ofset Yayıncılık.

Türk Dil Kurumu (TDK). (2020). http://www.tdk.gov.tr/ (12.09.2020).

Ulrich, R. (1984). View through a Window May Influence Recovery from Surgery. Science, 224, p.420-421.

Ulrich, R. S. (2003). Creating a Healing Environment with Evidence-Based Design. Paper presented at the American Institute of Architects Academy of Architecture for HealthVirtual seminar- Healing Environments. October 10.

Ulrich, R., Quan, X., Zimring, C., Joseph, A. and Choudhary, R. (2004). The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a- Lifetime Opportunity. Report to The Centre for Health Design for the Designing the 21st Century Hospital Project.

Sailer, U., Hassenzahl, M. (2000). Assessing Noise Annoyance: An Improvement-Oriented Approach. Ergonomics, 43(11), p.1920-1938.

Shawesh, A. M. (1996). Housing Design and Socio-Cultural Values in Libya: an Investigation of Traditional and Contemporary Housing, Newcastle University, UK.

Sundstrom, E., Burt, R. E., Kamp, D. (1980). Privacy at Work: Architectural Correlates of Job Satisfaction and Job Performance. Academy of Management Journal, 23(1), p.101–117.

Sundstrom, E., Herbert, R. K., Brown, D. W. (1982). Privacy and Communication in an Open-Plan Office: A case-study. Environment and Behavior, 14(3), p.379–392.

Sundstrom, E., Town, J. P., Rice, R. W., Osborn, D. P., Brill, M. (1994). Office Noise, Satisfaction, and Performance. Environment and Behavior, 26(2), p.195-222.

Sweeney, B. (2008). The Ecology of the Patient Experience: Physical Environments, Patient-Staff Interactions, Staff Behaviors, and Quality of Care , Master’s thesis, Cornell University, New York, USA.

Willis, M. (1964). Designing for Privacy, JSTOR, January, 17(98), p.47-51.

Yurttagül, G. (2019). Bir İşyerinde Açık Plan Ofiste Çalışanların Psikososyal Etkenlerle Karşılaşma ve Genel Sağlık Durumlarının Değerlendirilmesi, Yüksek Lisans Tezi, Hacettepe Üniversitesi, İş Sağlığı Programı, Ankara.

Zahn, G. L. (1991). Face-to-face Communication in an Office Setting: The Effects of Position, Proximity, and Exposure. Communication Research, 18(6), p.737–754.

Zelinsky, M. (1998). New Workplaces for New Workstyles. New York, NY: McGraw-Hill.