Vertical acoustics can be combined with great visual design.

Why Vertical Acoustics Matter in Healthcare

National standards in the HC-segment are lacking

In many countries national standards, regulations and guidelines are lacking in the healthcare segment. One could therefor say that in many cases building hospitals, elderly care homes and psychiatric wards is the ‘wild west’ regarding acoustics. We are lucky when new buildings are done – because if there is a standard – we can follow it and the demands are often communicated with reverberation time. The old buildings are on the other hand rarely suited for the purpose and the activity of today. Reverberation time is a good indicator of the acoustics of the room – but it is a challenge when it is the only descriptor.

A hospital has a complex task to solve and the ‘old thoughts’ about reverberation time and acoustic material on one surface only as the only way to evaluate the room are not enough.

But… what will it mean to the end users if we aim to evaluate other descriptors than reverberation time – by implementing the thought of ‘vertical acoustics’. What happens when we realize that acoustic material on one surface only is so last decade?


Research study in Denmark

At Hvidovre Hospital in Denmark a study took place few years ago. The research aimed to find out what consequences acoustic treatment would have on staff members – and the scope was to find out if vertical acoustics and then better values on C50/D50 would have any ‘extra’ effect on behavior and attitude. Three identical rooms for identical purpose (OR) were treated differently (no treatment, ceiling only, ceiling + wall treatment). The study was designed as a blind study.

The results showed a clear tendency. In the room with both an acoustic ceiling (Class A) and wall panels (Class A) the staff felt less stressed, tired and had the feeling that they made fewer mistakes (!). It was predicted that the room with no treatment at all would be the less preferred room, but the findings about the need for vertical acoustics were new and interesting.

We need more research to learn about what is important for both staff members and patients in healthcare facilities but this study really shows that evaluating more descriptors than reverberation time can be valuable. The numbers on reverberation time nearly didn’t change between the rooms with ceiling only and ceiling + wall panels, but D50 improved almost 25%! The subjective response from the staff in this case maybe explains more than the obvious objective room acoustic improvement. (Read an interview with staff members from another hospital here).


Sabine and the diffuse sound field

The well known Sabine equation is based on a theoretical condition impossible to obtain in reality – which is the diffuse sound field. The typical acoustic solution in healthcare facilities has the absorption material on one surface only (the ceiling) and the decay typically doesn’t follow a straight line according to the theory – but will be split in an early part correlating more or less to the theory and a late part with a longer reverberation time. Furthermore, the grazing soundfield will not be evaluated using the formula.  Reverberation time is commonly measured over a 20 or 30 dB range starting 5 dB below the initial level, and then extrapolated to the full 60 dB range. Starting 5 dB below can be problematic since this part of the decay contains a lot of information. It contains both direct sound and early reflections – that are crucial for the perception of sound AND speech clarity.

In other segments research about other acoustic descriptors are developing and the ISO3382-3 is a good example of how the understanding of activity based design should look like when we design offices. In the Scandinavian countries we also often see Speech Transmission Index and Clarity C50 and/or Definition (Deutlichkeit) D50 used in the evaluation of classrooms to secure optimum room acoustics for the activity.

When we look at activity based design – no matter what room type – reverberation time should not be the only descriptor.

Acoustic Standards 87 Healthcare Environments 147 Psychoacoustics 40 Research 173

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