The Characteristic Elements of Wayfinding Aids for Hospitals: Challenges and Barriers in Wayfinding

Nik Atilla Atasha Shamsuddin, Sharkawi Che Din, Masran Saruwono, Norizan Sajar


Hospitals have a complex environment setting which may cause confusion amongst visitors and the tendency of them getting lost is possibly high. This article aims to highlight the wayfinding aids used by visitors in hospitals. However, there are barriers and challenges that may affect the success of wayfinding experience amongst hospital visitors. Three targeted factors, namely poor and unfriendly signage; inconsistent utilisation of the numbering system; and difficulty in navigating the hospital premise have been identified to be improved. Therefore, by incorporating these factors with a constant stimuli method with fixed images in an indoor public hospital environment, this may improve visitors’ experiences when navigating in a hospital.


Graphic Design, Healthcare Environment, Hospital, Signage, Wayfinding aids

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Anagnostopoulos, G. G., Deriaz, M., Gaspoz, J.-M., Konstantas, D., & Guessous, I. (2017). Navigational needs and requirements of hospital staff: Geneva University Hospitals case study. In 2017 International Conference on Indoor Positioning and Indoor Navigation, IPIN 2017 (Vol. 2017–Janua, pp. 1–8).

Basri, A. Q., & Sulaiman, R. (2013). Ergonomics Study Of Public Hospital Signage. Advanced Engineering Forum, 10, 263–271.

Bosch, S. J., & Gharaveis, A. (2017). Flying solo: A review of the literature on wayfinding for older adults experiencing visual or cognitive decline. Applied Ergonomics, 58, 327–333.

Chang, H. H. (2013). Wayfinding Strategies and Tourist Anxiety in Unfamiliar Destinations. Tourism Geographies, 15(3), 529–550.

Cornell, E. H., Sorenson, A., & Mio, T. (2003). Human sense of direction and wayfinding. Annals of the Association of American Geographers, 93(2), 399–415.

Farr, A. C., Kleinschmidt, T., Yarlagadda, P., & Mengersen, K. (2012). Wayfinding: A simple concept, a complex process. Transport Reviews, 32(6), 715–743.

Hornbæk, K., & Frøkjær, E. (1999). Do Thematic Maps Improve Information Retrieval? 13 International Conference on HumanComputer Interaction, 1–10. Retrieved from

Hughes, N., Pinchin, J., Brown, M., & Shaw, D. (2015). Navigating in large hospitals. 2015 International Conference on Indoor Positioning and Indoor Navigation, IPIN 2015.

Hurst, P., & Clough, P. (2013). Will we be lost without paper maps in the digital age? Journal of Information Science, 39(1), 48–60.

Leonard, A. L., Verster, A., & Coetzee, M. (2014). Developing family-friendly signage in a South African paediatric healthcare setting. Curationis, 37(2), 1–7.

Liben, L. S., Myers, L. J., & Christensen, A. E. (2010). Identifying locations and directions on field and representational mapping tasks: Predictors of success. Spatial Cognition and Computation, 10(2–3), 105–134.

Maqbool, T., Raju, S., & In, E. (2016). Importance of patient-centred signage and navigation guide in an orthopaedic and plastics clinic. BMJ Quality Improvement Reports, 5(1), u209473.w3887.

Mishler, A. D., & Neider, M. B. (2017). Improving Wayfinding for Older Users with Selective Attention Deficits. Ergonomics in Design, 25(1), 11–16.

Rousek, J. B., & Hallbeck, M. S. (2011a). Improving and analysing signage within a healthcare setting. Applied Ergonomics, 42(6), 771–784.

Rousek, J. B., & Hallbeck, M. S. (2011b). The use of simulated visual impairment to identify hospital design elements that contribute to wayfinding difficulties. International Journal of Industrial Ergonomics, 41(5), 447–458.

Sivaji, A., Radjo, H. K., Amin, M.-F., & Hashim, M. A. H. A. (2015). Design of a hospital interactive wayfinding system: Designing for Malaysian users. Critical Socio-Technical Issues Surrounding Mobile Computing.

Vilar, E., Rebelo, F., & Noriega, P. (2018). Comparing three stimulus presentation types in a virtual reality experiment to human wayfinding behavior during emergency situation10.1007/978-3-319-60582-1_4 Retrieved from

Wakabayashi, Y. (2007). Necessary Conditions for Cartographic, (Montello 2002), 137–147.


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