Author: Jane Bringolf

Hospitals with healing design

Entrance to the emergency section of a hospital. Hospitals with healing design.An article in The Conversation draws our attention to the need to have separate waiting rooms, specifically designed for indigenous patients. This is because they often leave emergency rooms without receiving treatment. But does that mean non-indigenous patients feel comfortable in waiting rooms? Probably not – we all feel uncomfortable and anxious in hospitals. We need hospitals with healing design.

The title of the article is, Making space: how designing hospitals for Indigenous people might benefit everyone. The article explains design features to improve hospital design. The research is by Timothy O’Rourke and Daphne Nash from University of Queensland. 

Although the article doesn’t mention universal design specifically, cross cultural awareness to create inclusive spaces and places is synonymous with universal design. There are links to other resources in the article. 

Hospital design and dementia 

Floor plan of a hospital setting showing different spaces.The Dementia Enabling Environment Virtual Information Centre has a section on the design of hospitals. This interactive web tool shows a layout of a typical section of a hospital. Clicking on each room takes you to another page which is illustrated with Before and After features. A slide bar takes you between the Before and After illustrations. Design ideas for the staff station, bed area, patient or family lounge and reception area show how a few tweaks can make the place more dementia friendly. For a more in-depth guide see the guide from Ireland on using a universal design approach.

Patients at the centre of hospital design.

A large reception area with soft seating in the new hospital.
Image courtesy Halkin Mason in FastCompany article

No-one wants to go to hospital, either as a patient or a visitor. This is especially the case in hospital wards where children are very unwell. Putting families and patients at the centre of hospital design makes for a more welcoming place. 

An article in FastCompany tells how a design committee made up of families of patients acted as an advisory group. Parents whose babies and children experienced long-term hospital stays were consulted. Useful information emerged such as the distance to bathrooms and the lack of privacy for dying children.

The feedback was instrumental in guiding the final design. For example, the devastating experience of watching child die in an open ICU bay led to having only private rooms. Doctors’ experiences with over-stimulated children guided colour and lighting choices. Natural light and access to outdoor spaces were also essential. 

The end result was not perfect, but the participatory design process made the hospital a better place. Clinical staff also informed the design process and made them think about the way they deliver care. 

The article is titled, See inside a hospital designed by patients, and has several highlight the design ideas. 

A related article is the presentation by Stefano Scalzo at UD2021 Conference. 

 

Inclusive credit card design

Image showing the three different notch shapes on the Mastercard inclusive credit card design.The new card design by Mastercard has taken account of people who are blind. It is a classic example of a small design change making a huge difference. And it’s all achieved by cutting a shape on the edge of the card. There are three types of card: credit, debit and prepaid. So there are three different notches. The inclusive credit card design is called the Touch Card. 

      • Credit cards have a round notch
      • Debit cards have a broad square notch
      • Prepaid cards have a triangle notch

The design has received the approval of The Royal National Institute of Blind Persons in the UK.

Mastercard is also embedding its signature melody at checkout counters. The sound confirms the transaction has gone through – especially handy for people with vision impairment.

Mastercard also introduced the True Name card designed to support transgender and non-binary communities. 

See more on the BusinessWire website.  

 

Dementia Friendly Assessment Tool

Front cover of the Dementia Friendly Assessment Tool. It has lime green with text and a man bending down to pet a wallaby.The Dementia Friendly Community Environmental Assessment Tool provides a relatively simple checklist. It takes in many of the regular aspects of accessibility overlaid with design thought for people with dementia. A good place to start your thinking.

The more recent online resource from Dementia Training Australia expands on the 2015 edition and goes into more detail. Sections can be downloaded separately. There are three parts in the handbook:

    • 1 ‘Key Design Principles’ contains a description of key design principles.
    • 2 ‘The Dementia Friendly Community – Environmental Assessment Tool introduces the tool and provides directions for its use.
    • 3 ‘Using the Spreadsheet’ contains a guide to scoring and showing the results graphically.  

This assessment tool is No. 5 in a set of 7 resources within the Environmental Design Resources Handbook.

There is also a free app to guide you through an assessment on the strengths and weaknesses of buildings for people with dementia. The website has more resources covering both community living and residential care.  

The Moments Café

Café counter scene with a person ordering at the counter. The story of the Moments Café.
The Moments Café

With financial support from the local council and a crowdfunding campaign they raised sufficient funds to get the Moments Cafe up and running. Moments Café is a Social Enterprise based in the heart of Plymouth City Centre. The offer a safe environment for people to meet, eat and socialise and all of the profits go towards Memory Matters.

 

Inclusive customer to customer experiences in tourism

Roman Colosseum heritage site. Customer to customer experiences in inclusive tourism. Visits to heritage sites are more than history and the site itself. It’s also about the interactions you have with others. Most inclusive tourism research has focused on the relationship between the operator and customer. But what about the relationship between visitors with and without disability? Shared settings for visitors create value for all customers and therefore the business. So how can operators facilitate inclusive customer to customer experiences?

Chiscano and Darcy used a heritage site for a qualitative study on customer to customer interactions. The aim of the research was to find out how people with and without disability share an experience. They also wanted to know how the interactions created value for the customers. Their paper is very academic with lots of theory and methods. It uses the language of “value outcome” and “social practices”.

Interactions were observed and participants reported on their interactions throughout the experience. The article reports in detail their findings of interactions that include and exclude. The concluding section has a table of quotes by participants which includes participant feedback on how they felt.

The article concludes with advice for heritage and cultural site managers. Operators can facilitate positive outcomes for visitors with and without disability by changing some of their processes. Providing support tools for people with different disability types before the activity is very helpful. People with disability enjoy their experience more if they can share it with other visitors with or without disability.

Everyone wins with inclusion

Bottom line; operators can benefit from customer to customer interactions and shared resources to create value for the business.

Simon Darcy wrote a post on Linked In: “Tourism is as much about the interactions you have with others as it is about the sites you are seeing and quite often people with disability have segregated experiences because of the lack of innovative service development that incorporates co-design and universal design principles within all service and product development.”

The title of the article is, C2C co-creation of inclusive tourism experiences for customers with disability in a shared heritage context experience.

Sensory gardens: inclusive or segregated?

Bright purple lavendar in a sensory garden.Sensory gardens are usually associated with people who are blind or partially sighted. But this strategy is not inclusive – everyone should be able to enjoy the experience. Gardens that are fragrant, colourful, create sounds, are nice to touch, and good to taste are for everyone. Together with accessible amenities, sensory gardens can be inclusive rather than segregated.

COVID has raised the importance of trees and gardens for the health and wellbeing of city-dwellers. A study in Poland assessed sensory gardens in the context of urban forests. Trees in urban settings: street trees home garden trees, and trees in parks make an urban forest. The aim of the study was to show that sensory gardens are just one element of urban forests that everyone can enjoy.

The study assessed fifteen gardens and one sensory path. The sense of smell was given priority, but other amenities were lacking in these gardens. The authors concluded that a universal design approach would make these gardens more inclusive. 

The title of the article is, Recreation and Therapy in Urban Forests—The Potential Use of Sensory Garden Solutions.

Find out the basics of a sensory garden from Houz website – Please Touch and More: 5 Elements of a Sensory Garden. 

 

Accessible tourism organisations

A woman in a yellow jacket is being assisted onto the tour bus by two men up a ramp.Should we call it ‘inclusive tourism’ or ‘accessible tourism?’ Well that depends. If it is a destination or activity specifically designed for people with disability then it’s accessible. If it is a mainstream service AND it is fully accessible for everyone then it’s inclusive. There is a place for both. However, inclusive in this context is not to be confused with “all inclusive” products and services where the price includes everything. 

Specialist organisations

Here is a list of some accessible tourism organisations that are specifically for people with disability. 

Accessible Accommodation is a find and book website with good visual and video information about the properties. You can subscribe to their newsletter.

Getaboutable is a social enterprise focused on travel and leisure for people with disabilities. It offers a platform to promote inclusive tourism and travel businesses around the world. 

Have Wheelchair Will Travel is a website where a family shares their travel experiences to help others.  They also share day-to-day tips and other activities in between. They produce a magazine titled, Travel Without Limits. 

Distinctive Options Travel (DO Travel) has a focus on disability specific holidays, stays and tours. This is an extension of their NDIS services. They have group tours. 

Travability provides accessible travel information.The Destinations section of the website has plenty to offer travellers. There is also a news and resource section for the traveller and the tourism sector.  

iSCREAM Travel provides tailored travel adventures from booking the holiday, hiring equipment, and connecting with care assistance. They say “you shouldn’t have to travel with the kitchen sink”. 

Push Adventures is based in South Australia and offers services to the tourism sector to improve their accessibility. The blog page has information on various destinations for travellers. They have a showcase of 101 Awesome Accessible Adventures in Australia.

Go Wheel the World is an international travel organisation that will find and book holiday experiences.

The Access Agency has a travel blog, Freewheel Weekends with stories and a directory of places and venues in Melbourne. 

In New Zealand

Grab Your Wheels Let’s Travel is a blog site for travellers. It has a list of activities and accommodation. The site has a good example of how to describe a wheelchair accessible hotel and room. 

Making Trax is an adventure tourism site for travellers and operators. 

Ability Adventures is a specialist travel company providing tailored itineraries.

More on travel and tourism

There are many research papers and business guides on travel and tourism on this website. The emphasis of the research is on the missed business opportunities for operators. The guides are devised to help operators improve their accessibility. 

Lake Macquarie Cabins

A view of the cabin showing the ramped entry and the accessible parking space.

The pictures on the Council website show the cabins. This is also a good example of how information should be presented for wheelchair users to know just what is, and what is not, included. Saying something is “fully accessible” is of little use – it might only have a ramp and nothing else.

It should be noted that these are bespoke designs specifically for wheelchair users. However, there is no reason why non-wheelchair users can’t use them. 

A view of the deck with a barbeque and outdoor seating. The deck overlooks the Lake.

 

Cinema, user experience, and public space

Front cover of the publication showing a long gradual flight of steps in a street with a travellator running beside it. Cinema experience, public space.Three papers from the International Journal of Architecture and Planning address universal design. Once you scroll through the usual context-setting paragraphs on the principles of universal design, the research itself has something to offer. The articles are on cinema experiences, user experience and public space 

Disability and Otherization: Readings on Cinema in The Light of UD Principles. The study explains the relationship between architecture and disability in cinema, and how it is portrayed. Using 6 well-known films that include othering, the researchers apply the 7 principles of universal design to analyse how disability is portrayed. Interesting way of dissecting societal attitudes and how such films might impact on social attitudes perhaps reinforcing prejudices.

User-Involved Universal Design Experience in the Space, Product and Service Development Process, concludes that universal design is about multiple users regardless of the design discipline. The aim was to encourage students to design beyond specialised “disability products” and to integrate a wide spectrum of users.

Public Space and Accessibility examines pedestrian ways including ramps. Specific dimensions make this a guide largely for wheelchair access. Car parking and bus stops are also covered. The article reports on a workshop they ran on universal design. It ends with the note that other disabilities including cognitive diversity now need to be considered. Perhaps of most interest to access consultants to compare with Australian standards.  

Accessibility of public space

A pedestrian zone in a city street. Accessibility of public space.Infrastructure built before disability activists gained legal recognition of their human rights is often inaccessible. Newer buildings have basic access according to the standards imposed by governments. However, standards are no guarantee for full access for everyone. Consequently, urban researchers continue to write in the hope of effecting change for the accessibility of public space. 

A chapter in the book, Future of the City, is yet another offering about universal design and how accessibility is for everyone. This one includes a chart with solutions for typical barriers. These solutions are prescriptive with dimensions and measurements. The chart covers paths of travel, vertical travel, spatial elements and fittings, and transportation infrastructure.

Photographs and good examples illustrate the points made. The information is useful for councils and capital works staff. It fits neatly with the Age Friendly Checklist for Councils.

The title of the open access chapter is Accessibility of pubic space. Although there are some language differences in disability terms, the article is easy to read and makes some clear points. For example,

“For many people leading an independent life may be fully conditional on the accessibility of public spaces. Through accessible places, such people have a chance to participate in the social and economic life of the country or local society.”

“It is estimated that up to 30% of society have permanent or temporary limitations in mobility or perception. Many of these people do not have the status of a disabled person. Therefore, it can be said that accessibility concerns all of us.”

The chapter concludes with a comment about the gradual change in the accessibility of public buildings. However, there is more work to do. 

Universal design as critical design

Four pictures of workshop outcomes explained in the article. Universal design as critical designWhat if architecture, interior design, engineering and product design students spend a week together to investigate the design of the built environment by making it impossible to use? By deliberately creating designs that are impossible or difficult to use, students learned about universal design. This method is known as ‘critical design’.

A week of critical design workshops provoked reflection, awareness, empathy and action among the next generation of designers involved in the built environment. The paper provides details of the workshops and the processes, and the outcomes for the students and their designs. The picture above shows four of the designs discussed in the article.

The students felt the workshop was a great learning experience. Although the workshop method needs some perfecting, it shows that students approach universal design in a more thoughtful way. 

The designs were exhibited for others to experience the difficulties people with different disabilities experience with a design. Critical design is a real challenge to design problem solving. 

The title of the paper is, Empathy Enabled by Critical Design – A New Tool in the Universal Design Toolbox. The article is published in the proceedings of the UDHEIT 2018 conference held in Dublin, Ireland.

Editor’s note: I liked the narrow doorway with a sticky floor that made entry difficult.

Gender diversity: not code for ‘women’

A colourful graphic of five women with male and female symbols over them.
Picture Courtesy Teenvogue

The term ‘diversity’ is often used in workplaces as code for people from different cultural backgrounds. But it is more than this. Likewise, gender diversity is not code for women.

Kiri Crossland’s short piece on Linked In is about gender equity in transport. She writes that focusing on the inequities between women and men serves to reinforce the gender binary. As more people become comfortable about declaring their non-binary identity, they will become more visible. Consequently, this is not an issue to ignore and we need to stop using the binary style thinking.

Crossland gives an example of how some women can feel safer on public transport with uniformed officers present. However, trans people are often the subject of negative experiences with police.  Consequently, making women feel safe is not the answer for everyone. Transport equity needs four things.

Transport equity

      1. Collect data: what kind of trips do gender non-conforming people make? How do they differ? Why?
      2. Challenge your assumptions and that of colleagues: engage with people with have a different lived experiences.
      3. Hire a gender diverse workforce: having people with lived experience to hand keeps keeps the thinking on track
      4. Support interest groups for gender equity: Crossland says she is keen to work with other queer people in the transport sector.

Crossland says, “I’m sick of reading statistics about gender and cycling uptake which only measure women cyclists. I’m sick of attending webinars about gender diversity in transport which reduce trans, non-binary and gender non-conforming people to a single line at the beginning of the webinar when they mention “other identities”.

The title of the article is, “Gender diversity”​ shouldn’t be code for “women”.  ​

Everyone who thinks they belong to the “us” (not left out ) group has a responsibility to understand they have privilege and do something with it.

The Teenvogue.com website has some simple tips on How to use gender neutral words.

Editor’s comment: When we talk of diversity we shouldn’t think of ‘left out groups’. That’s an ‘us including them’ approach. (Who is us anyway?) We should think ‘humanity’ in all its forms, colours, beliefs, sizes, ages, genders, wealth, geography, politics, and capabilities. Almost all people belong to multiple ‘left out groups’ at any one time.