PMID- 37847986 OWN - NLM STAT- MEDLINE DCOM- 20231113 LR - 20231113 IS - 1872-9126 (Electronic) IS - 0003-6870 (Linking) VI - 114 DP - 2024 Jan TI - Improving wayfinding in hospitals for people with diverse needs and abilities: An exploratory approach based on multi-criteria decision making. PG - 104149 LID - S0003-6870(23)00187-4 [pii] LID - 10.1016/j.apergo.2023.104149 [doi] AB - Hospital wayfinding systems that are based solely on signage do not provide adequate solutions for wayfinding needs, especially for users with impairments. Moreover, the interaction between user characteristics and the inner space of the building also determines wayfinding efficiency. The aims of this study, therefore, were to identify architectural features that affect spatial orientation and wayfinding behaviors; demonstrate the implementation of a multi-criteria decision-making (MCDM) approach for improving wayfinding in a diverse range of users; and produce a set of quantitative values (i.e., weights) for each selected architectural feature, based on the individual's preferences. Doing so could enable the formulating of practical design guidelines for hospital buildings, tailored to the needs and abilities of the users, to minimize disorientation and confusion - as demonstrated in this paper through a case study. The MCDM approach was chosen as it is based on observations whereby wayfinding resembles a continuous decision-making process, throughout which, users continuously select those architectural features that they perceive as having the greatest wayfinding value. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Morag, Ido AU - Morag I AD - Shenkar College of Engineering and Design, School of Industrial Engineering and Management, Ramat Gan, 52526, Israel. Electronic address: Ido-ilit@013.net.il. FAU - Sonmez, Volkan AU - Sonmez V AD - Hacettepe University, Department of Industrial Engineering, Ankara, 06800, Turkey. Electronic address: volkansz@hacettepe.edu.tr. FAU - Van Puyvelde, Astrid AU - Van Puyvelde A AD - Katholieke Universiteit Leuven, Centre for Industrial Management/Traffic & Infrastructure/Dept. of Mechanical Engineering, Celestijnenlaan 300A, Hevelee, 3001, Leuven, Belgium. Electronic address: astrid.vanpuyvelde@kuleuven.be. FAU - Pintelon, Liliane AU - Pintelon L AD - Katholieke Universiteit Leuven, Centre for Industrial Management/Traffic & Infrastructure/Dept. of Mechanical Engineering, Celestijnenlaan 300A, Hevelee, 3001, Leuven, Belgium. Electronic address: liliane.pintelon@kuleuven.be. LA - eng PT - Journal Article DEP - 20231015 PL - England TA - Appl Ergon JT - Applied ergonomics JID - 0261412 SB - IM MH - Humans MH - *Hospitals MH - *Orientation, Spatial MH - Confusion MH - Decision Making OTO - NOTNLM OT - Architectural features that affect spatial orientation and wayfinding behaviors OT - Inclusive wayfinding systems OT - Minimizing disorientation and confusion OT - Multi-criteria decision-making OT - People with diverse needs and abilities OT - Wayfinding in hospitals COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/18 00:43 MHDA- 2023/11/13 06:42 CRDT- 2023/10/17 18:02 PHST- 2023/04/17 00:00 [received] PHST- 2023/09/13 00:00 [revised] PHST- 2023/10/04 00:00 [accepted] PHST- 2023/11/13 06:42 [medline] PHST- 2023/10/18 00:43 [pubmed] PHST- 2023/10/17 18:02 [entrez] AID - S0003-6870(23)00187-4 [pii] AID - 10.1016/j.apergo.2023.104149 [doi] PST - ppublish SO - Appl Ergon. 2024 Jan;114:104149. doi: 10.1016/j.apergo.2023.104149. Epub 2023 Oct 15.