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Background:  Green hospital promotes public health by continually reducing their environmental impact and ultimately eliminating its contribution to the burden of disease.  Aim:  To design and validate protocol for Greening Hospitals in Egyptian hospitals.  Method:  It is a quasi-experimental study. The study subjects consisted of managers (112) and (45) jury groups. It was conducted in two private internationally accredited hospitals. Three tools were used for collecting data (Managers' knowledge about green hospital questionnaire, Green Hospital Checklist, and opinionnaire).  Results:  (91.07%) of managers had unsatisfactory knowledge about the green hospital before awareness sessions. While, post-awareness sessions (86.6%) had satisfactory knowledge levels. (51.785%) of managers perceived practice of green health poor. All managers accepted suggested steps of greening hospital protocol. Regarding, validation of the designed greening hospital protocol as reported by a panel of experts, all agreed upon the designed protocol.  Conclusion:  Managers lacked knowledge about the green hospital before awareness sessions. Compared to post-awareness sessions they had a satisfactory knowledge level. Managers perceived the practice of green health as poor. Finally, a protocol for greening hospitals was designed and validated.

Emergence of Greening Hospitals is a future challenge for nurse managers: Designing and validating protocol