Comparative Analysis of Landscape Elements in a Restorative Hospice in Southwest Nigeria

Abstract

The global recognition of the therapeutic role of nature in healthcare design has continued to grow.
Yet, many hospices, particularly in Nigeria still lack restorative landscape features that can
enhance the quality of end-of-life care. While restorative environments have been widely discussed
in hospital and general healthcare contexts, limited attention has been given to their integration
within hospice settings. This study employed a qualitative case study approach to examine two
hospices in Southwest Nigeria, focusing specifically on the presence, absence, and adequacy of
landscape elements within their outdoor environments. Findings show that key restorative
components such as gardens, courtyards, shaded sitting areas, walkways, and water features are
largely missing or insufficiently incorporated, limiting the potential for these spaces to function as
supportive hospice environments. By documenting the current state of landscape integration in the
selected facilities, the study highlights the need for intentional and context-responsive landscape
planning as part of hospice architectural design. The research contributes empirical evidence on
existing gaps and provides a basis for future efforts aimed at improving outdoor environments in
Nigerian hospices through more deliberate incorporation of restorative landscape elements.