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Adapting the Egress Enabler for Caregiver-Assisted Evacuation in Paediatric Wards.

Labhiri, Hibat Allah LU (2026) In LUTVDG/TVBB VBRM05 20261
Division of Fire Safety Engineering
Abstract
In paediatric hospital wards, parents or caregivers who are physically capable are already present with their child when a fire emergency occurs. Yet existing approaches to hospital evacuation have either overlooked their potential role or treated them as additional occupants for staff to manage. If these caregivers could evacuate independently with their child, staff could direct their efforts toward patients who genuinely require their assistance. But whether they can do so depends not only on their ability but on what the ward environment demands of them, and this interaction has never been examined.

This thesis addresses this gap by reframing caregiver-assisted evacuation as a person–environment fit problem. It adapts the Egress... (More)
In paediatric hospital wards, parents or caregivers who are physically capable are already present with their child when a fire emergency occurs. Yet existing approaches to hospital evacuation have either overlooked their potential role or treated them as additional occupants for staff to manage. If these caregivers could evacuate independently with their child, staff could direct their efforts toward patients who genuinely require their assistance. But whether they can do so depends not only on their ability but on what the ward environment demands of them, and this interaction has never been examined.

This thesis addresses this gap by reframing caregiver-assisted evacuation as a person–environment fit problem. It adapts the Egress Enabler, an egressibility-based tool originally developed to assess self-evacuation for individuals with functional limitations, to a new type of occupant: the caregiver–child unit, whose constraints are not stable individual functional limitations but situational ones that arise from assisting a dependent child through the built environment. Through a conceptual analysis, five functional limitations of the caregiver–child unit and five environmental barrier areas were identified and translated into a qualitative assessment tool: a 24-item checklist, producing a two-dimensional barrier profile that reflects where barriers concentrate and which limitations are least supported by the environment. When applied illustratively to a paediatric ward, the framework produced outputs that were consistent with difficulties recognised by staff.

By making it possible to identify where the ward environment fails to support caregiver-assisted movement, this work takes a first step toward turning an overlooked presence into a recognised evacuation resource. (Less)
Please use this url to cite or link to this publication:
author
Labhiri, Hibat Allah LU
supervisor
organization
course
VBRM05 20261
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Egressibility, caregiver-assisted evacuation, paediatric ward, person–environment fit, Egress Enabler, situational functional limitations, qualitative assessment tool.
publication/series
LUTVDG/TVBB
report number
5766
other publication id
LUTVDG/TVBB—5766--SE
language
English
id
9230062
date added to LUP
2026-06-02 14:02:38
date last changed
2026-06-02 14:02:38
@misc{9230062,
  abstract     = {{In paediatric hospital wards, parents or caregivers who are physically capable are already present with their child when a fire emergency occurs. Yet existing approaches to hospital evacuation have either overlooked their potential role or treated them as additional occupants for staff to manage. If these caregivers could evacuate independently with their child, staff could direct their efforts toward patients who genuinely require their assistance. But whether they can do so depends not only on their ability but on what the ward environment demands of them, and this interaction has never been examined.

This thesis addresses this gap by reframing caregiver-assisted evacuation as a person–environment fit problem. It adapts the Egress Enabler, an egressibility-based tool originally developed to assess self-evacuation for individuals with functional limitations, to a new type of occupant: the caregiver–child unit, whose constraints are not stable individual functional limitations but situational ones that arise from assisting a dependent child through the built environment. Through a conceptual analysis, five functional limitations of the caregiver–child unit and five environmental barrier areas were identified and translated into a qualitative assessment tool: a 24-item checklist, producing a two-dimensional barrier profile that reflects where barriers concentrate and which limitations are least supported by the environment. When applied illustratively to a paediatric ward, the framework produced outputs that were consistent with difficulties recognised by staff. 

By making it possible to identify where the ward environment fails to support caregiver-assisted movement, this work takes a first step toward turning an overlooked presence into a recognised evacuation resource.}},
  author       = {{Labhiri, Hibat Allah}},
  language     = {{eng}},
  note         = {{Student Paper}},
  series       = {{LUTVDG/TVBB}},
  title        = {{Adapting the Egress Enabler for Caregiver-Assisted Evacuation in Paediatric Wards.}},
  year         = {{2026}},
}