CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Australian Health Review   
Australian Health Review
  Journal of the Australian Healthcare & Hospitals Association
blank image Search
blank image blank image
blank image
  Advanced Search

Journal Home
About the Journal
Editorial Board
For Advertisers
Online Early
Current Issue
Just Accepted
All Issues
Sample Issue
For Authors
General Information
Instructions to Authors
Submit Article
Open Access
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
Call for Reviewers
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates

blue arrow e-Alerts
blank image
Subscribe to our Email Alert or RSS feeds for the latest journal papers.

red arrow Connect with AHR
blank image
facebook   TwitterIcon

red arrow Connect with CP
blank image
facebook twitter youtube


Article << Previous     |     Next >>   Contents Vol 36(3)

Incorporating educative environments into the holistic care of paediatric patients

Susan E Wilks A , Julie B Green B C D E F and Tsharni R Zazryn C D G

A Faculty of Architecture, Building and Planning, The University of Melbourne, Melbourne, VIC 3010, Australia. Email: sueew@unimelb.edu.au
B Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne VIC, 3002, Australia. Email: JGreen@parentingrc.org.au
C The Royal Children’s Hospital Education Institute, 159 Flemington Road, North Melbourne, VIC 3051, Australia.
D Murdoch Childrens Research Institute, Royal Children’s Hospital, Flemington Road, Parkville, VIC 3052, Australia.
E Department of Paediatrics, The University of Melbourne, Melbourne, VIC 3010, Australia.
F Melbourne Graduate School of Education, The University of Melbourne, Melbourne, VIC 3010, Australia.
G Corresponding author. Email: Tsharni.Zazryn@rch.org.au

Australian Health Review 36(3) 264-268 http://dx.doi.org/10.1071/AH11078
Submitted: 25 August 2011  Accepted: 12 February 2012   Published: 6 August 2012

PDF (162 KB) $25
 Export Citation

Hospital settings can, and should, create educative spaces and learning opportunities as part of their holistic care for young patients. The purpose of this paper is to examine the evidence for creating high quality, child-centred learning environments within paediatric settings. We explore the impact of physical spaces on learning; the literature on developmental stages of learning for children and young people as it relates to learning environments; and the literature on learning in out-of-school settings, particularly as this applies to children who are separated from their daily communities. As all paediatric settings can create opportunities for the ongoing educational development of their patients, this paper presents a way forward for this approach to holistic care.

What is known about the topic? Children and young people with health conditions are at a distinct disadvantage, both in terms of their health and their education.

What does this paper add? This paper presents a way forward for paediatric settings to provide an environment that includes opportunities for educational development for their patients, as part of a more holistic model of service provision.

What are the implications for practitioners? Practitioners need to understand the role and potential of hospital spaces for learning, and value the contribution a hospital can make to young patients’ ongoing learning.


[1]  Nisselle A, Green J, Scrimshaw C. Transforming children’s health spaces into learning places. Health Educ 2011; 111: 103–16.
CrossRef |

[2]  The Royal Children’s Hospital Melbourne. RCH Strategic Plan 2010–13. Parkville, Australia: The Royal Children’s Hospital; 2010. Available at http://www.rch.org.au/emplibrary/strategic_plan/Strategic_Plan_A4.pdf [verified 19 August 2011].

[3]  Children’s Hospitals Australasia and the Association for the Well-being of Children in Healthcare. Charter of children’s and young people’s rights in healthcare services in Australia. A consensus statement by CHA and AWCH. Australia: Ronald McDonald House Charities; 2010.

[4]  Shiu S. Issues in the education of students with chronic illness. Int J Disabil Dev Educ 2001; 48: 269–81.
CrossRef |

[5]  Thomas J, Vigurs C, Oliver K, Suarez B, Newman M, Dickson K, et al. Effective early interventions for youth at risk of future poor outcomes: a rapid evidence assessment. London: Institute of Education, University of London; 2008.

[6]  Needham B, Crosnoe C, Muller R. Academic failure in secondary school: the inter-related role of health problems and educational context. Soc Probl 2004; 51: 569–86.
CrossRef | PubMed |

[7]  Lightfoot J, Wright S, Sloper P. Supporting pupils in mainstream school with an illness or disability: young people’s views. Child Care Health Dev 1999; 25: 267–84.
CrossRef | CAS | PubMed |

[8]  Conley D, Bennett N. Is biology destiny? Birthweight and life chances. Am Sociol Rev 2000; 65: 458–67.
CrossRef |

[9]  Haas S, Fosse N. Health and the educational attainment of adolescents: evidence from the NLSY97. J Health Soc Behav 2008; 49: 178–92.
CrossRef | PubMed |

[10]  Bronfenbrenner U. The ecology of human development: experiments by nature and design. Cambridge: Harvard University Press; 1979.

[11]  Taylor A. Linking architecture and education: sustainable design of learning environments. Albuquerque: University of New Mexico; 2009.

[12]  Fisher K. The impact of school infrastructure on student outcomes and behaviour.: Department of Education, Employment and Workplace Relations; Available at http://www.dest.gov.au/sectors/school_education/publications_resources/schooling_issues_digest/schooling_issues_digest_building [verified 27 July 2011].

[13]  Schneider M. Do school facilities affect academic outcomes? Washington DC: National Clearinghouse for Education Facilities; 2002.

[14]  Smart Green Schools. The unofficial report. Smart green schools ARC linkage grant. Melbourne: The University of Melbourne; 2010.

[15]  Moore GT, Lackney JA. Educational facilities for the twenty-first century: research analysis and design patterns. Milwaukee: University of Wisconsin-Milwaukee; 1994.

[16]  Centre for Educational Research and Innovation. What is a learning environment? Further reflections for the Innovative Learning Environments (ILE) Project. International Seminar and Meeting of Participating Systems; 2007.

[17]  Tyack D, Tobin W. The “grammar” of schooling: why has it been so hard to change? Am Educ Res J 1994; 31: 453–79.

[18]  Weiss A. Creating the ubiquitous classroom: integrating physical and virtual learning spaces. The International Journal of Learning 2007; 14: 77–84.

[19]  Niselle A, Hanns S, Green J, Jones A. Accessing flexible learning opportunities: children and young people’s use of laptops in a paediatric hospital. Technol, Pedagogy Educ 2012; 21: 3–20.
CrossRef |

[20]  Kalantzis M, Cope B. Learning by design. Melbourne: Victoria Schools Innovation Commission; 2005.

[21]  Davis V. Wiki collaboration across the curriculum.: K12 Online Conference; 2006. Available at http://k12onlineconference.org/?p=38 [verified 19 August 2011].

[22]  Department of Education and Early Childhood Development. What is the Ultranet? Melbourne: DEECD; 2011. Available at http://www.education.vic.gov.au/about/directions/ultranet/default.htm [verified 27 July 2011].

[23]  Fisher K. Workshop document. Pedagogy and space: aligning learning and learning environments. Australia: Woods Bagot, no date.

[24]  Piaget J, Part I. Cognitive development in children: Piaget development and learning. J Res Sci Teach 1964; 2: 176–86.
CrossRef |

[25]  Kohlberg L. Essays on moral development. 1st ed. New York: Harper & Row; 1981.

[26]  Back E. Privacy in hospital. J Adv Nurs 1998; 27: 940–5.
CrossRef | CAS | PubMed |

[27]  Lord GD, May M. Planning for museums on campus. Plann High Educ 1995; 24: 13–8.

[28]  Finefrock J. The new college bookstore. Plann High Educ 1993; 21: 1–6.

[29]  OWP/P Architects. VS Furniture, Bruce Mau Design. The third teacher: a collaborative project. New York, USA: Abrams; 2010.

[30]  Gilbert D. Designing learning spaces content management system. Cambridge: Harvard University; 2008.

[31]  Lave J, Wenger E. Situated learning: legitimate peripheral participation. Cambridge, UK: Cambridge University Press; 1991.

[32]  Wilks S. A charter for children’s learning at The Royal Children’s Hospital: literature review. Parkville, Australia: The Royal Children’s Hospital Education Institute; 2010.

[33]  The Royal Children’s Hospital Education Institute. Learning spaces. Parkville: The Royal Children’s Hospital; 2011. Available at http://www.rch.org.au/education/research.cfm?doc_id=14251 [verified 9 August 2011].

Subscriber Login


Legal & Privacy | Contact Us | Help


© CSIRO 1996-2014