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Year : 2020  |  Volume : 7  |  Issue : 3  |  Page : 216-217

Healing environment: A look at the value of color and light in pediatric hospital wards

1 Department of Fundamental Nursing, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2 Pediatric Infectious Diseases Research Center, Department of Pediatric Surgery, Mazandaran University of Medical Sciences, Sari, Iran
3 School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran

Date of Submission25-Dec-2019
Date of Acceptance16-Apr-2020
Date of Web Publication23-Jul-2020

Correspondence Address:
Dr. Leila Jouybari
Nursing Research Center, Golestan University of Medical Sciences, Gorgan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JNMS.JNMS_60_19

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How to cite this article:
Araghian Mojarad F, Mousavi SA, Sanagoo A, Jouybari L. Healing environment: A look at the value of color and light in pediatric hospital wards. J Nurs Midwifery Sci 2020;7:216-7

How to cite this URL:
Araghian Mojarad F, Mousavi SA, Sanagoo A, Jouybari L. Healing environment: A look at the value of color and light in pediatric hospital wards. J Nurs Midwifery Sci [serial online] 2020 [cited 2022 Aug 12];7:216-7. Available from: https://www.jnmsjournal.org/text.asp?2020/7/3/216/290545


Since the authors have years of experience working in pediatric hospitals, and because a lack of attention to environment of pediatric wards is seen in some hospitals, we aimed to draw the readers' attention to the importance of designing a caring-healing environment.

When a child is hospitalized having the right to choose their favorite food, activities, games, toys, and other amenities in an appropriate environment are important issues that, if properly planned, will help the hospital make it a pleasant and lovely place. It will certainly play an important role in expediting the treatment of patients and strengthening their mood.[1]

Staying in hospital can be frightening; however, studies show that home-based hospital environments can reduce patient pain and anxiety.[2] Unfortunately, in the pediatric wards, medical approach is more highlighted than developmentally one, that is, a reason less can be found in the children's wards a playing room. A look at the past few decades shows that the hospital environment was not kind to the child and the family. The parents were not allowed to attend the ward and could only visit the child at visiting hours, while now parents are allowed to stay with children in hospital.

The most attention paid to children's hospitals in recent years in our country has been painting and cartoon images on the walls, while hospital architecture has a profound effect on the mind and body of the child.[3] In designing the pediatric ward, nurses' and physicians' clothing and equipment must take into account the psychosocial and physical needs of children based on Piaget's developmental stages that would be more important, especially for young children who have magical thoughts about the events that happen during hospitalization.

Physical environment status of care units influences the clinical psychosocial outcomes of the child and his/her family. “I want to feel at home” is an optimal environment with daylight, fresh air, comfort, and lovely atmosphere.[4] Natural lighting had positive impact on ill child and healing process.[5] The results of a systematic review showed that having single room; quiet artworks, naturalistic and home-made, oriental windows, plants; acoustic ceiling tiles; a window to nature can facilitate recovery of patients.[6] Large aquariums can be used in hallways and waiting rooms. Equipment such as imaging devices and stethoscope can be painted or prepared as cartoon characters. Playrooms with appropriate facilities should be available in hospitals. Wonderful corridors, chess table, and hopscotch drawing should be used in the waiting rooms and courtyards. Boards and colored lines should be also visually appealing.

The guideline is strongly needed for architects and designers to create caring and healing spaces for children and their families in stressful hospitalization situations, and pediatric nurses can be the starting point. Finally, it is recommended to conduct a study to investigate the attitude of parents of inpatient children on the impact of physical atmosphere on the treatment process.

Conflicts of interest

There are no conflicts of interest.

Authors' contribution

All authors had enough contribution in conceptualization and writing the manuscript.

Financial support and sponsorship


  References Top

Keyvanara M, Roholamin L. Comparison of physical space of pediatric wards in Isfahan Hospitals with standards. Health Inf Manage 2007;4:123-32.  Back to cited text no. 1
Kligler B, Homel P, Harrison LB, Sackett E, Levenson H, Kenney J, et al. Impact of the urban Zen initiative on patients' experience of admission to an inpatient oncology floor: A mixed-methods analysis. J Altern Complement Med 2011;17:729-34.  Back to cited text no. 2
Artemis K, Fani V. Innovative Materials in Children's Hospital Design; 2014.  Back to cited text no. 3
Abbas MY, Ghazali R. Physical environment: The major determinant towards the creation of a healing environment? Procedia Soc Behav Sci 2011;30:1951-8.  Back to cited text no. 4
Ghazali R, Abbas MY. Assessment of healing environment in paediatric wards. Procedia Soc Behav Sci 2012;38:149-59.  Back to cited text no. 5
Linebaugh KB. A Systematic Literature Review on Healing Environments in the Inpatient Health Care Setting [doctoral dissertation]. College of Nursing, The University of Arizona; 2013: 350.  Back to cited text no. 6

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