Hi, and welcome to my blog! I'm Susan E. Mazer -- a knowledge expert and thought leader on how the environment of care impacts the patient experience. Topics I write about include safety, satisfaction, hospital noise, nursing, care at the bedside, and much more.
September 18, 2025
Environmental compassion starts with a simple promise: notice everything that affects a person’s senses, then design it to help them heal. It means being intentional about sound, light, visuals, temperature, touchpoints, and timing. When we keep this promise, the hospital stops feeling like an obstacle course and starts behaving like a partner in care.
What gets in the way? Noise, clutter, and interruptions top the list. Hospital sound levels regularly overshoot guideline thresholds that protect sleep, which is essential to healing. And “quietness” and “cleanliness” aren’t just niceties, they’re measured in HCAHPS and tied into value-based purchasing, because patients feel them and outcomes follow. The stakes are clinical and also human.
Sensory well-being also belongs to families and staff. Visitors need spaces to breathe, and clinicians need rooms that let the nervous system downshift with soft light, low noise, clean air, comfortable seating, and privacy. Hospitals that create true respite spaces using biophilic cues (views of nature, natural materials, multisensory calm) report meaningful stress reduction and better morale. Those gains help teams be more present at the bedside.
1. Start with sound. Protect quiet hours and cluster care at night. Tackle alarm fatigue with policy and practice (prioritize critical alarms, tailor defaults, educate teams) per The Joint Commission’s clinical alarm safety goal. Add physical fixes like higher-performance acoustic ceiling tiles, soft-close hardware, less overhead paging, and sound masking where appropriate. Offer every patient a simple sleep kit (earplugs + eye mask).
2. Then address light. Give rooms circadian-friendly lighting that is brighter by day, and dimmer/warmer at night, to support sleep and mood.
3. Lower the visual and cognitive load: keep rooms orderly, store equipment “off-stage,” and improve wayfinding so families aren’t stressed before they reach the bedside.
4. Add positive inputs, not just fewer negatives. Nature and music used as environmental design, not just as entertainment, are powerful regulators for sensory well-being. Classical evidence shows nature imagery can speed recovery, and current research finds music therapy reduces anxiety across clinical settings. This is where C.A.R.E. Programming shines.
C.A.R.E. is a 24-hour therapeutic program that pairs immersive nature imagery with soothing instrumental music, with distinct daytime/nighttime programming that supports circadian rhythms and helps counter hospital noise. At night, a “midnight starfield” helps set the body up for sleep, C.A.R.E. with White Noise offers long, steady options (white/pink/brown) to mask intrusions. Because C.A.R.E. is available on patient TVs and via C.A.R.E. Connect, patients, families, and staff can access it at bedside, in waiting areas, or on their own pre-admission and post-discharge, extending the healing environment beyond the room. Today, it’s used in 1,000+ facilities, which speaks to both feasibility and impact.
Environmental compassion is healthcare design at the human scale. Minute by minute, sense by sense. Remove the frictions, add the restoratives, and you change how people feel and heal in your hospital.