A Design Framework of Medical Wayfinding Signs for the Elderly: Based on the Situational Cognitive Commonness

Int J Environ Res Public Health. 2022 Oct 25;19(21):13885. doi: 10.3390/ijerph192113885.

Abstract

Older people in China have a poor understanding of hospital signage. To address this problem, in this study, we combined the theories of situated cognition and cognitive commonness in order to introduce the three main factors that affect the generation of situational cognitive commonness: composition of the situation, familiarity, and concreteness. We used these theories to construct a methodological framework for the design of geriatric hospital wayfinding signs that were based on situational cognitive commonness. The design of nine healthcare signs for Chinese national standards were used as examples in the study. First, users who were familiar with medical scenarios were asked to draw concrete cognitive conception graphics for the purposes of individual wayfinding targets from both physical and social situations. Next, we coded and grouped the generated graphics based on their situational features in order to extract groups of representative common graphics. Finally, we reorganized the common graphics and developed concrete designs, which were tested by the judgment test. The wayfinding signs designed according to the methodological framework of this study effectively improved the understanding of hospital signage among older Chinese people. This study took geriatric hospital wayfinding signs as the examples to provide a feasible theoretical basis and research reference for symbol design.

Keywords: cognitive commonness; design framework; elderly; geriatric hospital; medical signs; situation theory; wayfinding sign.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • China
  • Cognition
  • Health Facilities
  • Hospitals
  • Humans
  • Location Directories and Signs*

Grants and funding

This research was funded by the Philosophy and Social Science Planning Fund Project of Zhejiang Province, grant number: 21NDJC038YB; additionally, the Zhejiang Provincial Natural Science Foundation of China also provided funding, grant number: LQ18E050008.