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Psychol Mark. 2020;37:408–417.wileyonlinelibrary.com/journal/mar408
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© 2019 Wiley Periodicals, Inc.
DOI: 10.1002/mar.21307
RESEARCH ARTICLE
The effect of signage and emotions on satisfaction with the
servicescape: An empirical investigation in a healthcare
service setting
Vania Vigolo
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Angelo Bonfanti
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Rezarta Sallaku
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Jackie Douglas
2
1
Department of Business Administration,
University of Verona, Verona, Italy
2
Faculty of Business and Law, Liverpool
Business School, Liverpool John Moores
University, Liverpool, UK
Correspondence
Vania Vigolo, Department of Business
Administration, University of Verona,
Via Cantarane, 24, 37129 Verona, Italy.
Email: vania.vigolo@univr.it
Abstract
Marketing and environmental psychology studies have long emphasized the
importance of signage in large and dispersive service settings but have focused little
on utilitarian service contexts. Previous studies have also analyzed the role of
emotions in customer satisfaction with the servicescape, particularly in hedonic
service environments such as malls, hotels, and restaurants, but a limited research has
been conducted on the role of emotions in utilitarian service settings such as
healthcare services. This study draws from the environmental psychology and service
marketing literature to investigate the effects of signage and emotions on satisfaction
with the servicescape in the hospital setting. In addition, it explores the moderating
effect of emotions on the relationship between signage and satisfaction with the
servicescape. The findings show that signage has a positive and significant effect on
satisfaction with the servicescape. Negative emotions have a significant negative
effect on satisfaction, while positive emotions have no significant effect. Differently
from what was expected, emotions do not moderate the relationship between signage
and satisfaction. Managerial implications are provided for service managers who wish
to design a utilitarian service setting to effectively increase user satisfaction with the
servicescape.
KEYWORDS
emotions, hospitals, satisfaction, service environment, service experience, servicescape, signage
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INTRODUCTION
Becoming lost in a large and dispersive environment can be
frustrating for customers (Newman, 2007), particularly in the
context of healthcare service facilities such as hospitals. In these
settings, visitors are often distressed or anxious, and difficulty in
finding intended destinations can heighten these negative emotions.
The servicescape—the physical surroundings in which the service
delivery occurs (Bitner, 1992; Ezeh & Harris, 2007)—comprises all
controllable physical elements that influence employees’and
customers’actions, including ambient conditions (temperature, air
quality, noise, music, scent, color, and lighting), space and function
(layout, equipment and furnishings), and signage. The implementation
of these physical elements varies according to the type of service
organization.
Numerous studies have investigated the effects of servicescape
elements, including color, light, music, and scent, in terms
of customer satisfaction and behavior (e.g., Bilgili, Ozkul, & Koc,
2018; Biswas, Lund, & Szocs, 2019; Denizci Guillet, Kozak, &
Kucukusta, 2019; Hynes & Manson, 2016; Lin, 2009). Fewer
studies have addressed the role of signage on satisfaction with
the servicescape. The use of signs, both as symbols and indicators
of direction, can prevent customers from becoming lost
This paper was presented at the 2019 INEKA Annual Conference in Verona, Italy.