A Pilot Implementation and Usability Evaluation of a Database-Supported VR/BIM-Based Communication and Simulation System for Healthcare Design
Main Article Content
Abstract
This study presents the development and pilot implementation of a Database-Supported VR/BIM-Based Communication and Simulation (DVBCS) system designed to enhance design comprehension, stakeholder engagement, and decision-making in the early planning stages of a disaster hospital in Jordan. The system integrates database-structured BIM models, a real-time visualisation environment built with Unreal Engine, and a semi-immersive VR projection setup to provide interactive walkthroughs and workflow simulations. A pilot usability evaluation was conducted with 10 participants, including five healthcare professionals and 5 members of the architectural and engineering team. Data were collected through structured questionnaires, observations, and guided discussions during the VR sessions. Results indicate that the DVBCS system improved users' understanding of spatial configurations, facilitated clearer communication, and supported more efficient identification of design issues compared with traditional design communication methods. Participants reported high satisfaction with the system's visual clarity, interactivity, and usefulness for collaborative review. However, the study also identified limitations related to hardware costs, required training, and the small sample size. As a pilot study, these findings are preliminary but demonstrate the potential of VR/BIM-supported approaches to strengthen communication and reduce design errors in healthcare planning. Future research should include larger samples and controlled comparisons to validate the system's effectiveness further.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal of Studies in Science and Engineering is licensed under a Creative Commons Attribution License 4.0 (CC BY-4.0).
References
S. H. Alhmoud and C. Cagnan, "Adapting Hospital Interior Architecture Process to Technological Advancement in the Management of Pandemic Cases in Jordan," Buildings, vol. 13, no. 10, p. 2602, 2023, doi: https://doi.org/10.3390/buildings13102602.
T. Cerovsek, "A review and outlook for a 'Building Information Model' (BIM): A multi-standpoint framework for technological development," Advanced Engineering Informatics, vol. 25, no. 2, pp. 224-244, 2011, doi: https://doi.org/10.1016/j.aei.2010.06.003.
A. Mohammadpour, C. J. Anumba, and J. I. Messner, "Retrofitting of Healthcare Facilities: Case Study Approach," Journal of Architectural Engineering, vol. 23, no. 3, p. 05017003, 2017, doi: https://doi.org/10.1061/(ASCE)AE.1943-5568.0000248.
J. Lucas, T. Bulbul, W. Thabet, and C. J. Anumba, "Case Analysis to Identify Information Links between Facility Management and Healthcare Delivery Information in a Hospital Setting," Journal of Architectural Engineering, vol. 19, no. 2, pp. 134-145, 2013, doi: https://doi.org/10.1061/(ASCE)AE.1943-5568.0000111.
Y. Cui, D. Liang, and L. Song, "Simplified Method for Evaluating the Impact of a Transportation Network on Posthurricane Access to Healthcare Facilities," Journal of Performance of Constructed Facilities, vol. 30, no. 1, p. 04014182, 2016, doi: https://doi.org/10.1061/(ASCE)CF.1943-5509.0000657.
N. Somboonwit and N. Sahachaisaeree, "Healthcare Building: Modelling the Impacts of Local Factors for Building Energy Performance Improvement in Thailand," Procedia - Social and Behavioral Sciences, vol. 50, pp. 549-562, 2012, doi: https://doi.org/10.1016/j.sbspro.2012.08.058.
K. Kensek, "BIM Guidelines Inform Facilities Management Databases: A Case Study over Time," Buildings, vol. 5, no. 3, pp. 899-916, 2015, doi: https://doi.org/10.3390/buildings5030899.
R. C. Okada, A. E. Simons, and A. Sattineni, "Owner-Requested Changes in the Design and Construction of Government Healthcare Facilities," Procedia Engineering, vol. 196, pp. 592-606, 2017, doi: https://doi.org/10.1016/j.proeng.2017.08.047.
S. H. Alhmoud, "Sustainable Design: Building-Integrated Photovoltaic on Residential House Envelopes," Journal of Studies in Science and Engineering, vol. 5, no. 1, pp. 228-251, 2025, doi: https://doi.org/10.53898/josse2025522.
S. Agostinelli, F. Cumo, R. Marzo, and F. Muzi, "Digital Construction Strategy for Project Management Optimization in a Building Renovation Site: Machine Learning and Big Data Analysis," in Trends on Construction in the Digital Era, vol. 306, A. Gomes Correia, M. Azenha, P. J. S. Cruz, P. Novais, and P. Pereira Eds., (Lecture Notes in Civil Engineering. Cham, Switzerland: Springer, 2023, pp. 20-35. https://doi.org/10.1007/978-3-031-20241-4_2
F. Muzi, R. Marzo, and F. Nardi, "Digital Information Management in the Built Environment: Data-Driven Approaches for Building Process Optimization," in Technological Imagination in the Green and Digital Transition, E. Arbizzani and et al. Eds., (The Urban Book Series. Cham, Switzerland: Springer, 2023, pp. 123-132. https://doi.org/10.1007/978-3-031-29515-7_12
O. F. M. AL-Ghaswyneh, O. Jawabreh, R. e. Masa'deh, and E. A. D. Al Fahmawee, "Ethical Challenges and Organizational Implications of AI in Digital Marketing in the Hospitality Sector," in Generative AI in Creative Industries, A. Al-Marzouqi, S. A. Salloum, K. Shaalan, T. Gaber, and R. e. Masa'deh Eds., (Studies in Computational Intelligence. Cham, Switzerland: Springer Nature Switzerland, 2025, pp. 147-168. https://doi.org/10.1007/978-3-031-89175-5_10
J. Choi, F. Leite, and D. P. de Oliveira, "BIM-Based Benchmarking for Healthcare Construction Projects," Automation in Construction, vol. 119, p. 103347, 2020, doi: https://doi.org/10.1016/j.autcon.2020.103347.
O. Jawabreh, R. e. Masa'deh, and E. A. D. Al Fahmawee, "Architectural Innovation and Smart Technology for Sustainable Tourism in Jordan: Review and Future Directions," in Generative AI in Creative Industries, A. Al-Marzouqi, S. A. Salloum, K. Shaalan, T. Gaber, and R. e. Masa'deh Eds., (Studies in Computational Intelligence. Cham, Switzerland: Springer Nature Switzerland, 2025, pp. 651-665. https://doi.org/10.1007/978-3-031-89175-5_41
E. M. Saleh and O. A. S. Salem, "A Model-Driven Engineering Transition-Based GUI Testing Technique," in 2015 International Conference on Computational Science and Computational Intelligence (CSCI), Las Vegas, NV, USA, 2015. https://doi.org/10.1109/CSCI.2015.109
P. J. Hareide, S. Bjorberg, M. Store-Valen, A. Haddadi, and J. Lohne, "Strategies for Optimization of Value in Hospital Buildings," Procedia - Social and Behavioral Sciences, vol. 226, pp. 423-430, 2016, doi: https://doi.org/10.1016/j.sbspro.2016.06.207.
A. Ferrante et al., "A European Project for Safer and Energy Efficient Buildings: Pro-GET-onE (Proactive Synergy of Integrated Efficient Technologies on Buildings' Envelopes)," Sustainability, vol. 10, no. 3, p. 812, 2018, doi: https://doi.org/10.3390/su10030812.
M. Farid Mohajer and A. Aksamija, "Integration of Building Energy Modeling (BEM) and Building Information Modeling (BIM): Workflows and Case Study," Building Technology Educator's Society, vol. 2019, no. 1, 2019, doi: https://doi.org/10.7275/bn9j-e183.
S. H. Alhmoud, C. Cagnan, and E. F. Arcan, "Improving Interior Environmental Quality Using Sustainable Design in Jordanian Hospital Bedrooms," European Journal of Sustainable Development, vol. 9, no. 3, pp. 443-456, 2020, doi: https://doi.org/10.14207/ejsd.2020.v9n3p443.
R. Ibrahim and F. Pour Rahimian, "Comparison of CAD and Manual Sketching Tools for Teaching Architectural Design," Automation in Construction, vol. 19, no. 8, pp. 978-987, 2010, doi: https://doi.org/10.1016/j.autcon.2010.09.003.
R. Bille, S. P. Smith, K. Maund, and G. Brewer, "Extending Building Information Models into Game Engines," in Proceedings of the 2014 Conference on Interactive Entertainment, Newcastle, Australia, 2014. https://doi.org/10.1145/2677758.2677764
J. Du, Y. Shi, C. Mei, J. Quarles, and W. Yan, "Communication by Interaction: A Multiplayer VR Environment for Building Walkthroughs," in Construction Research Congress 2016: Old and New Construction Technologies Converge in Historic San Juan, San Juan, Puerto Rico, 2016. https://doi.org/10.1061/9780784479827.227
S. H. Alhmoud, "Sustainability of Development and Application of Nanomaterials in Healthcare within Hospital Settings," SSRG International Journal of Civil Engineering, vol. 11, no. 6, pp. 79-97, 2024, doi: https://doi.org/10.14445/23488352/IJCE-V11I6P110.
A. Motamedi, Z. Wang, N. Yabuki, T. Fukuda, and T. Michikawa, "Signage Visibility Analysis and Optimization System Using BIM-Enabled Virtual Reality (VR) Environments," Advanced Engineering Informatics, vol. 32, pp. 248-262, 2017, doi: https://doi.org/10.1016/j.aei.2017.03.005.
P. V. Rekapalli and J. C. Martinez, "Gaming Perspective Based Visual Interactive Simulation for Validation of Simulated Construction Operations," in Computing in Civil Engineering 2007, Pittsburgh, PA, USA, 2007. https://doi.org/10.1061/40937(261)53
K. Alsaqer and S. H. Alhmoud, "Impact of Virtual Reality Training on Nurses' Preparedness and Self-Efficacy in Emergencies and Disasters: A Quasi-Experimental Study," International Emergency Nursing, vol. 82, p. 101662, 2025, doi: https://doi.org/10.1016/j.ienj.2025.101662.
N. Watkins, M. Kobelja, E. Peavey, S. Thomas, and J. Lyon, "An Evaluation of Operating Room Safety and Efficiency: Pilot Utilization of a Structured Focus Group Format and Three-Dimensional Video Mock-Up to Inform Design Decision Making," HERD: Health Environments Research & Design Journal, vol. 5, no. 1, pp. 6-22, 2011, doi: https://doi.org/10.1177/193758671100500102.
Health Quality Council of Alberta, "Healthcare Facility Mock-Up Evaluation Guidelines: Using Simulation to Optimize Return on Investment for Quality and Patient Safety," Health Quality Council of Alberta, Calgary, AB, Canada, 2020. [Online]. Available: https://hqa.ca
S. Kalantari and J. R. J. Neo, "Virtual Environments for Design Research: Lessons Learned from Use of Fully Immersive Virtual Reality in Interior Design Research," Journal of Interior Design, vol. 45, no. 3, pp. 27-42, 2020, doi: https://doi.org/10.1111/joid.12171.
K. E. Laver, S. George, S. Thomas, J. E. Deutsch, and M. Crotty, "Virtual Reality for Stroke Rehabilitation," Cochrane Database of Systematic Reviews, no. 9, p. CD008349, 2011, doi: https://doi.org/10.1002/14651858.CD008349.pub2.
A. Khan, Y. Z. Imam, M. Muneer, S. Al Jerdi, and S. K. Gill, "Virtual Reality in Stroke Recovery: A Meta-Review of Systematic Reviews," Bioelectronic Medicine, vol. 10, no. 1, p. 23, 2024, doi: https://doi.org/10.1186/s42234-024-00150-9.
K. Gurusamy, R. Aggarwal, L. Palanivelu, and B. R. Davidson, "Systematic Review of Randomized Controlled Trials on the Effectiveness of Virtual Reality Training for Laparoscopic Surgery," British Journal of Surgery, vol. 95, no. 9, pp. 1088-1097, 2008, doi: https://doi.org/10.1002/bjs.6344.
J. Shultz and R. Jha, "Using Virtual Reality (VR) Mock-Ups for Evidence-Based Healthcare Facility Design Decisions," International Journal of Environmental Research and Public Health, vol. 18, no. 21, p. 11250, 2021, doi: https://doi.org/10.3390/ijerph182111250.
L. Verner, D. Oleynikov, S. Holtmann, H. Haider, and L. Zhukov, "Measurements of the Level of Surgical Expertise Using Flight Path Analysis from da Vinci Robotic Surgical System," Studies in Health Technology and Informatics, vol. 94, pp. 373-378, 2003, doi: https://doi.org/10.3233/978-1-60750-938-7-373.
P. S. Dunston, L. L. Arns, J. D. McGlothlin, G. C. Lasker, and A. G. Kushner, "An Immersive Virtual Reality Mock-Up for Design Review of Hospital Patient Rooms," in Collaborative Design in Virtual Environments, vol. 48, X. Wang and J. J. H. Tsai Eds., (Intelligent Systems, Control and Automation: Science and Engineering. Dordrecht, Netherlands: Springer, 2011, pp. 167-176. https://doi.org/10.1007/978-94-007-0605-7_15
D. Wingler, A. Joseph, S. Bayramzadeh, and A. Robb, "Using Virtual Reality to Compare Design Alternatives Using Subjective and Objective Evaluation Methods," HERD: Health Environments Research & Design Journal, vol. 13, no. 1, pp. 129-144, 2020, doi: https://doi.org/10.1177/1937586719851266.
E. K. Peavey, J. Zoss, and N. Watkins, "Simulation and Mock-Up Research Methods to Enhance Design Decision Making," HERD: Health Environments Research & Design Journal, vol. 5, no. 3, pp. 133-144, 2012, doi: https://doi.org/10.1177/193758671200500313.
S. Bayramzadeh, A. Joseph, D. Allison, J. Shultz, and J. H. Abernathy, "Using an Integrative Mock-Up Simulation Approach for Evidence-Based Evaluation of Operating Room Design Prototypes," Applied Ergonomics, vol. 70, pp. 288-299, 2018, doi: https://doi.org/10.1016/j.apergo.2018.03.011.
A. W. Kirkpatrick et al., "The Evolution of a Purpose Designed Hybrid Trauma Operating Room from the Trauma Service Perspective: The RAPTOR (Resuscitation with Angiography Percutaneous Treatments and Operative Resuscitations)," Injury, vol. 45, no. 9, pp. 1413-1421, 2014, doi: https://doi.org/10.1016/j.injury.2014.01.021.
S. Biesbroek, J. Shultz, A. Kirkpatrick, and J. Kortbeek, "Human Factors Evaluation of an Interventional Trauma Operating Room Mock-Up," in Proceedings of the 2012 Symposium on Human Factors and Ergonomics in Health Care, Baltimore, MD, USA, 2012, doi: https://doi.org/10.1518/HCS-2012.945289401.012
S. Murad, A. Qusef, and M. Muhanna, "CHR vs. Human-Computer Interaction Design for Emerging Technologies: Two Case Studies," Advances in Human-Computer Interaction, vol. 2023, p. 8710638, 2023, doi: https://doi.org/10.1155/2023/8710638.
W. Maqableh, F. Y. Alzyoud, and J. Zraqou, "The Use of Facial Expressions in Measuring Students' Interaction with Distance Learning Environments During the COVID-19 Crisis," Visual Informatics, vol. 7, no. 1, pp. 1-17, 2023, doi: https://doi.org/10.1016/j.visinf.2022.10.001.
A. Qusef, S. Murad, N. Alsalhi, and E. Shudayfat, "Post-Refactoring Recovery of Unit Tests: An Automated Approach," International Journal of Interactive Mobile Technologies, vol. 17, no. 8, pp. 39-58, 2023, doi: https://doi.org/10.3991/ijim.v17i08.38785.