Introduction: Many Adults remember their hospital admission during childhood. Hospitalization could be terrifying for children. In the other hand, it could be a positive experience, if they get well prepared for hospitalization by nursing plans. First hours of hospitalization are the most important. Therefore, orienting the child to hospitalization process and copying with fears could increase child’s self esteem. It would furthermore help the child to adjust with potentially stressful situation in future. The purpose of this study was to identify nursing performances regarding hospital admission of children aged 3-6 years.

  Methods: Using descriptive- analytic study method, 20 nurses who have worked in pediatric wards for at least one year, were selected through census sampling. The data were collected through an observational checklist. Nurses’ performance was assessed randomly three times a day during morning and evening shifts when the most hospitalization takes place. To know whether nurses’ performance was influenced by availability of facilities, another checklist was used to assess physical environment, facilities and equipments of hospital, three times within different days. All statistics were computed by the SPSS software (version 15).

  Results: The results revealed that 95 percent of nurses had weak performance at admission time (461 scores of 960). Physical environment and equipments of pediatric wards were found appropriate. No significant correlations were found between nursing performance and physical environment or equipments (P=0.21). There was no significant correlations between demographic of participants and nursing performance as well (P>0.05).

  Conclusion: The study found that physical environment, facilities and equipments of pediatric wards in educational hospitals of Hamadan city is appropriate, eve though nurses’ performance weren’t good enough in admitting children. It meant physical environment, facilities and equipments didn’t had any impact on nursing performance. Therefore, training nurses regarding children admission and how to use the available resources to promote their performance is needed.