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Purpose: The aim of this article is to provide a narrative overview of theories that are available in the published literature on wayfinding in interior environments. Background: Wayfinding is an issue in healthcare facilities, and it has been documented that wayfinding problems have negative impacts on patients, visitors, caregivers’ time, and the organization’s bottom line. This issue can be more challenging for people with illness, low vision, cognitive disorders, and limited physical mobility. Wayfinding is a complex phenomenon depending on a variety of cognitive processes and behaviors. Methods: This article is a part of a broader literature review that searched for empirical studies on interior wayfinding. Four databases were systematically searched—PsychINFO, JSTOR, ProQuest, and EBSCO. A total of 81 articles satisfied all inclusion criteria for the broader study. Each article included in the broader study was reviewed to identify theory or theories, if any, that a study was founded on. Results: After an in-depth review of the theories, the authors proposed four categories of theories relating to human wayfinding. The four classes and the specific theories in those are articulated in this article, including major changes during their evolution. The four classes of theories explain four facets of wayfinding: (1) theories of perception, (2) theories of spatial knowledge development, (3) theories of mental representation of spatial knowledge, and (4) theories of spatial cognition. Conclusion: Since wayfinding is essentially a cognitive/problem-solving phenomenon, understanding the theoretical underpinnings of wayfinding may result in more meaningful and impactful design decisions.

Due to the slightly elevated levels of Ni and Cr ions in the scalp hair of patients treated with fixed orthodontic appliances and considering the cytotoxic and allergic effects of these ions, changing the ingredients in fixed orthodontic appliances is suggested for the future.

Wayfinding is an issue in complex facilities-including hospitals, airports, and office buildings-and wayfinding difficulties are associated with negative psychological and physiological consequences. In addition, since finding one's way in a building is a prerequisite for successfully using that building, wayfinding has attracted the attention of scholars and decision makers. The goal of this article is to review and synthesize the published literature on wayfinding in interior environments. A systematic search was conducted of four databases: PsychINFO, JSTOR, ProQuest, and EBSCO. A hand search was also conducted. From the initial harvest of 804 records, a total of 84 records met the inclusion criteria for full review. After several rounds of review, four broad domains were identified: (1) wayfinding cognition, (2) wayfinding behavior, (3) individual and group differences, and (4) environmental factors. These domains are used as a framework to organize the findings, and the review shows that the sub-domains most thoroughly addressed in the literature are spatial memories, floor plan configuration, landmarks, signs, and maps. This review can deepen the field's understanding of factors that contribute to interior wayfinding and can serve as a resource for decision makers and designers.

Objectives:The aims of this study were to identify and evaluate scientific evidence examining the impact of the built environment on patient falls in hospital rooms.Methods: An integrative review (IR) with a systematic literature search was performed using the patient, intervention, comparison, outcome framework. We searched CINAHL, PsychINFO, PubMED, and Web of Science databases. The search included peer-reviewed studies from 1990 to 2017 written in English. An additional hand search was also conducted. Selected articles were reviewed and rated based on a hierarchical categorization, comprising six evidence levels, developed by the American Association of Critical-Care Nurses and adapted for evidence-based design systematic literature reviews.Results: After a multitiered process, 30 articles met the selection criteria.Thematic areas were created based on the examined elements of the physical environment including patient room configuration and available space, bathroom configuration, bathtub and shower, door, bed height and bed rail, flooring, floor mats, patient chair, lighting, toilet, handrail, grab bars, intravenous pole, sink, ceiling lift, and wheelchair and walking aids. Findings of studies on each element are discussed in detail.Conclusions: Some environmental elements have not been examined in past relational or causal studies, and the level of evidence for the examined attributes is not high enough to gain robust confidence in healthcare design decision-making. Because of the low level of evidence for several environmental elements, conclusions must be taken with caution. More studies using quantitative, relational, or causal designs are recommended to develop actionable interventions on patient falls in hospital rooms.