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Why we get lost in hospitals

Podcast

Why we get lost in hospitals

Podcast

Why we get lost in hospitals

Why we get lost in hospitals

Why we get lost in hospitals

Victoria Goldenberg, Bournemouth University

Hospital environments are some of the most important, and challenging, places we navigate. When people arrive they are often anxious, stressed or distracted. Even the simplest journey can suddenly feel overwhelming.

This episode of the Wayfinding Xchange Podcast features Victoria (Vita) Goldenberg, a PhD researcher at Bournemouth University whose work explores how people navigate hospital environments.

Host Alison Richings and Vita discuss what eye-tracking and ethnographic research reveal about the realities of hospital wayfinding, how stress and human behaviour shape navigation, and what the NHS can learn from the psychology of navigation.

Listen to the full episode and read the summary below.

Wayfinding is emotional

Unlike many public environments, hospitals often come with an emotional load. Stress, uncertainty and time pressure influence how people interpret information and make decisions, often before they even enter the building.

Vita explains that people are navigating healthcare from an already heightened emotional state, which fundamentally changes behaviour.

More information is not always better

One finding that came through clearly in the research is that information overload can actively work against successful navigation.

Patients and visitors rarely ignore information entirely. Instead, they often attempt to absorb everything from signs, posters and temporary messages. This then leads to skim reading, assumptions and wrong turns.

In hospital environments, clarity matters more than quantity.

We do not navigate the way we think we do

Using eye-tracking technology, Vita uncovered something particularly revealing: that people often behaved differently to how they believed they behaved.

Participants who claimed to ignore signage were frequently shown to be looking directly at it. Others became confused when they were trying to "behave correctly" during research tasks.

This goes to show that designing effective wayfinding means having a deep understanding of real user behaviour, not idealised behaviour.

Hospital wayfinding is never finished

Hospitals are constantly evolving. Departments move. Clinics relocate. Entrances change. Buildings expand.

This means wayfinding systems require ownership. There needs to be continuous testing, updating and maintenance to ensure their longevity. Vita explains that wayfinding should be treated less like a one-off project, and more like "a garden that keeps growing and needs trimming and weeding."

The future of hospital wayfinding

The episode also explores the role that digital tools could play in healthcare navigation, from dynamically updated signage systems to augmented reality and personalised navigation support.

One of the most important takeaways is a simple one:

Better wayfinding does not just mean better signs. It means designing systems around how people actually behave.

Listen to the episode on Spotify

Listen to the episode on Apple

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