Enhancing Wayfinding in Healthcare Facilities: A Comparative Study on the Impact of Universal Design Principles
DOI:
https://doi.org/10.63561/jber.v2i4.1041Keywords:
Universal design principles, wayfinding, healthcare environments, Navigation, Patient Experience, User Experience, Hospital DesignAbstract
The focus of this study is on the influence of universal design principles on wayfinding effectiveness in healthcare facilities with a focus on improving navigation success and reducing stress and anxiety among patients, visitors and staff. Three hospitals with varying levels of universal design principles were selected as case studies. A comprehensive checklist rooted on the principles of universal design was used to evaluate the presence and effectiveness of these principles in each hospital, assessing aspects such as signage, layout, and digital wayfinding tools. Additionally, in-depth interviews were conducted with hospital users, including patients, visitors, and staff, to gather information about their navigation experiences, challenges faced, and suggestions for improvement. The results showed that hospitals with more universal design principles had more effective wayfinding performance, with users reporting higher navigation success rates, fewer challenges, and greater overall satisfaction. The findings suggest that incorporating universal design principles into healthcare environments can improve wayfinding performance, reduce stress and anxiety, and enhance the overall patient experience. This research underscores the need to prioritize the principles of universal design in healthcare design and management, and provides recommendations for implementing these principles in practice.
References
Al-Sharaa (2019). User Centered Evaluation of Wayfinding in Outpatient Units of Public Hospitals in Malaysia: UMMC as a Case Study. Buildings. 12(2), 364
Arthur, P., & Passini, R. (1992). Wayfinding: People, signs, and architecture. McGraw-Hill.
Carpman, J. R., & Grant, M. A. (2016). Design that cares: Planning health facilities for patients and visitors. John Wiley & Sons.
Carpman, J. R., & Grant, M. A. (2019). Design that cares: Planning health facilities for patients and visitors. John Wiley & Sons
Carpman, J. R., & Grant, M. A. (2022). Wayfinding: A conceptual framework. Journal of Environmental Psychology, 79, 102773.
Connell, B. R., Jones, M., Mace, R., Mueller, J., Mullick, A., Ostroff, E., & Vanderheiden, G. (1997). The principles of universal design. North Carolina State University, Center for Universal Design.
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry & research design: Choosing among five approaches (4th Ed.). Sage Publications.
Darko, A., Chan, A. P., & Owusu-Manu, D. G. (2017). Wayfinding in healthcare facilities: A systematic review. Journal of Environmental Psychology, 52, 1-11.
Devis, D., Smith, J., & Johnson, K. (1997). Universal design principles. Routledge.
Evans, G., & McCoy, M. (2019). When buildings don’t work: The role of architecture in human health. Journal of Environmental Psychology, 18, 85-94.
Golledge, R. G. (1999). Wayfinding behavior: Cognitive mapping and other spatial processes. Johns Hopkins University Press.
Hidayetoglu, M. L., et al. (2022). Wayfinding in hospitals: A systematic review. Journal of Healthcare Engineering, 2022, 1-15.
Iwarsson, S., & Ståhl, A. (2013). Accessibility, usability, and universal design: Positioning and definition of concepts. Journal of Applied Gerontology, 22(2), 141-155.
Iwarsson, S., & Ståhl, A. (2020). Universal design: A review of the literature. International Journal of Environmental Research and Public Health, 17(12), 4426.
Kuipers, B. (2019). Modeling spatial knowledge. Cognitive Science, 2(2), 129-153.
Lynch, K. (1960). The image of the city. MIT Press.
Moffat, K., Devlin, A. S., & Williams, D. (2016). Wayfinding in healthcare facilities: A review of the literature. Health Environments Research & Design Journal, 9(2), 7-24.
Moffat, K., Devlin, A. S., & Williams, D. (2016). Wayfinding in healthcare facilities: A review of the literature. Health Environments Research & Design Journal, 9(2), 7-24.
Patel, A., Lee, J., & Kim, S. (2021). Universal design principles for a digital world. Journal of Design and Accessibility, 15(2), 123-138.
Peponis, J., Zimring, C., & Choi, Y. K. (2020). Finding the building in wayfinding. Environment and Behaviour, 22(5), 555-590.
Steinfeld, E., & Maisel, J. L. (2012). Universal design: Creating inclusive environments. John Wiley & Sons.
Story, M. F. (1998). Assessing the universal design of a product: A case study. Journal of Rehabilitation Research and Development, 35(2), 141-154.
Story, M. F. (1998). Maximizing usability: The principles of universal design. Assistive Technology, 10(1), 4-12. doi: 10.1080/10400435.1998.10131955
Ulrich, R. S., et al. (2022). Evidence-based healthcare design. HERD: Health Environments Research & Design Journal, 15(1), 10-25.
Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., & Choi, Y. S. (2008). A review of the research literature on evidence-based healthcare design. Health Environments Research & Design Journal, 1(3), 1-125.
Yin, R. K. (2018). Case Study Research and Applications: Design and Methods, (6th Ed.). Los Angeles: Sage Publications. https://swbplus.bsz-bw.de/bsz1009406280inh.htm.