Achieving a lean wayfinding system in complex hospital environments: Design and Through-life Management

Complex products, such as buildings and other infrastructure, should aim to provide value to the customer over all stages of the product life-cycle. This paper considers some of the challenges associated with maximising customer value when designing, producing, implementing and maintaining a wayfinding system for complex hospital environments. The hypothesis of this paper is that the tri-partite conception of knowledge flow provides a robust evaluative framework for the problems of wayfinding in complex hospital environments. The framework supplements the concepts of information and practice, conventionally applied in knowledge management, with a conception of physical objects and environments as knowledge carrying entities which are constituted, recognised and used in the course of social practice. From a lean perspective, the problems of wayfinding must be reduced or eliminated through adopting a lean knowledge management approach. A review of knowledge management, design, wayfinding and lean literature, together with ongoing participant action research at Salford Royal hospital, are reported in this paper. To ensure that wayfinding information remains immortal throughout the long life cycles of the building, a Through Life Management (TLM) approach is suggested. Thus TLM is viewed as an important consideration in lean construction

Human wayfinding and navigation in a large-scale environment : cognitive map development and wayfinding strategies

In a large scale environment humans rely on their mental representations —cognitive maps— to solve navigational problems. To approach the understanding of how humans acquire, process, and utilize information from the environment, three groups of participants in this study performed several experiments associated with finding their way in a previously unknown environment. Experimental tasks included route retracing, pointing to previously visited locations, and a questionnaire regarding wayfinding strategies and cognitive map development. Each of three groups of participants was in one of three unique conditions: 1. learning and retracing with navigational landmarks indicating right and left turns at decision points; 2. during route retracing only generic landmarks were present at decision points (landmarks indicating left and right were present during learning but replaced during retracing); and 3. no landmarks were present during route retracing (landmarks indicating left and right were present during learning but removed before retracing started). Results supported the hypothesis that during the initial stages of visiting an unknown environment we build metric knowledge together with non-metric knowledge associated with the broad categories of landmark and route knowledge. In addition, the environment plays an important role in wayfinding performance and that characteristics of the environment contribute differently to the development of our cognitive map. Last but not least, the strategies humans use to solve wayfinding problems in a novel environment are not based on an individual type of environmental knowledge; in fact, we switch between different types of environmental knowledge when necessary. Shifting between strategies appears to be from more familiar environmental knowledge to less familiar knowledge. In particular, participants from group 3 (no landmarks during the retracing period) were more likely to walk off-route during retracing but exhibited more accurate metric knowledge of the environment. Based on the results of this experiment, they combined route- and survey-based strategies in wayfinding and switched from the most familiar knowledge to a less familiar strategy

Visuospatial working memory facilitates indoor wayfinding and direction giving

The goal was to test the role of verbal and visuospatial working memory in wayfinding and direction giving in an indoor environment using a dual task paradigm. One hundred ninety-two participants were asked to find their way through one floor of a complex building and to provide directions for a fictitious recipient to find the way in one of three conditions: control (no secondary task), verbal dual task (word-nonword judgments as secondary task), or visuospatial dual task (clock hand judgments as secondary task). Wayfinding was slower in the visuospatial dual task condition than in the control condition, with the verbal condition intermediate. Directions were less accurate in the visuospatial dual task condition than in control and verbal conditions. Women provided more information in wayfinding directions than did men. Together, these findings indicate that visuospatial working memory plays an important role in wayfinding and direction giving in an indoor environment

Wayfinding in People with Alzheimer’s Disease: Perspective Taking and Architectural Cognition—A Vision Paper on Future Dementia Care Research Opportunities

Based on a targeted literature review, this vision paper emphasizes the importance of dementia-sensitive built space. The article specifically focuses on supporting spatial orientation and wayfinding for people living with dementia. First, we discuss types of wayfinding challenges, underlying processes, and consequences of spatial disorientation in the context of dementia of the Alzheimer’s type. Second, we focus on current efforts aimed at planning and evaluating dementia-sensitive built space, i.e., environmental design principles, interventions, evaluation tools, strategies, and planning processes. Third, we use our findings as a starting point for developing an interdisciplinary research vision aimed at encouraging further debates and research about: (1) the perspective of a person with dementia, specifically in the context of wayfinding and spatial orientation, and (2) how this perspective supplements planning and design processes of dementia-sensitive built space. We conclude that more closely considering the perspective of people with dementia supports the development of demographically sustainable future cities and care institutions

User preferences on route instruction types for mobile indoor route guidance

Adaptive mobile wayfinding systems are being developed to ease wayfinding in the indoor environment. They present wayfinding information to the user, which is adapted to the context. Wayfinding information can be communicated by using different types of route instructions, such as text, photos, videos, symbols or a combination thereof. The need for a different type of route instruction may vary at decision points, for example because of its complexity. Furthermore, these needs may be different for different user characteristics (e.g., age, gender, level of education). To determine this need for information, an online survey has been executed where participants rated 10 different route instruction types at several decision points in a case study building. Results show that the types with additional text were preferred over those without text. The photo instructions, combined with text, generally received the highest ratings, especially from first-time visitors. 3D simulations were appreciated at complex decision points and by younger people. When text (with symbols) is considered as a route instruction type, it is best used for the start or end instruction