Architecture, College of


Date of this Version


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A thesis presented to the faculty of the Graduate College at the University of Nebraska in partial fulfillment of requirements for the degree of Master of Science

Major: Architecture

Under the supervision of Professor Zac Porter

Lincoln, Nebraska, November 2023


Copyright 2023, Kelechi Akwazie


Several research studies and personal anecdotes show that home-based hospice care patients report better quality of life than their inpatient care counterparts – suggesting that the location of care/built environment is a critical component of hospice care. As a result, other research studies have attempted to provide evidence-based design recommendations for inpatient hospice facilities; however, several of these recommendations either conflict with each other or are vaguely prescribed – which may dull any attempts to implement them.

This literature review takes a unique approach to the provision of evidence-based design recommendations for inpatient hospice facilities by holistically assessing hospice care, its history, and its association with the built environment (home or inpatient), and critically evaluating existing evidence-based design solutions to understand the strengths and limitations of today’s inpatient hospice facilities. The design of one building type can inform the design of another building type, therefore, this study aims to uncover what lessons can be learned from existing literature to influence the future of inpatient hospice care.

Advisor: Zac Porter