Mevcut hastane binalarının yeşil dönüşümü için kritik başarı faktörlerinin bir araştırması

The fundamental principle of health care practice is 'first do no harm,' but ironically, the activities of healthcare itself consume critical pollution, and, consequently, indirect adverse effects on public health. Concerted efforts to enhance the sustainability performance of existing healthcare buildings could reduce impacts directly through waste and carbon footprint reduction, saving of energy, and indirectly through reducing pollution. Therefore, the first motivation is that existing healthcare buildings are large users of energy, and they contribute an opportunity and potential to mitigate these resources consumption for the sustainability performance of existing healthcare buildings. At this point, the green healthcare building can be identified as one that improves occupant well-being and assist the healing process while using natural resources. In the green buildings' research agenda, the relationship between buildings and health has drawn considerable attention over the last two decades. Thus, the second motivation for healthcare buildings is to incorporate construction, sustainable green design as well as operating practices. That action improves not only indoor environmental quality but also the health of patients, professionals, staff, and visitors. Several studies have shown that green healthcare buildings have various positive outcomes, such as reducing the recovery duration of patients, improving the health and well-being of patients, and improving the performance of staff. In the existing literature, there is much published about the going green of the healthcare buildings which will be newly constructed, but there is more limited literature available about the green retrofitting of existing healthcare buildings (GREHB). Hence, the objectives of this thesis are; i) to do comprehensive literature research to put the research in context ii) to identify, to categorize, and prioritize a set of critical success factors (CSFs) for prospering green retrofitting of existing healthcare building projects. iii) to develop a conceptual CSFs framework for GREHB In the context of this thesis, initial CSFs were identified according to a structured literature review and categorized systematically based on GREHB. A questionnaire survey was designed according to identified CSFs and applied to get thoughts about the CSFs for retrofitting of existing healthcare buildings from academics and professionals who have experience in green buildings. According to the results of the questionnaire survey, a conceptual CSFs framework for GREHB was finalized. Furthermore, the developed framework was presented to professionals and practitioners from the industry and its validity and reliability were validated by them. This set of CSFs can be used as potential inputs, which can be considered as a possible checklist for practitioners and stakeholders when conducting a green retrofitting of a healthcare project in the preparation phase. Therefore, this study will be beneficial for the implementation of green retrofitting of existing hospitals and any future research related to this subject.