Purpose: The paper comprises an evaluation of the inclusion of art-related education within a health promotion course for student nurses, which ran for four cohorts from 2001 to 2005, and a description of a project to introduce art into a clinical skills laboratory as part of the course. Design/methodology/approach: The art-related aspects of the course were evaluated by analysing qualitative comments from a questionnaire completed by a total of 83 students from the four cohorts. In addition, lecturers were invited to write their reflections. Only the 2003-2004 cohort worked on the clinical skills laboratory art project in which students acted as a focus group, and later carried out interviews with patients. Findings: The art-related education was positively evaluated by most students, and appeared to have increased their awareness of health care environments. For some, it had promoted emotional awareness, empathy for patients and had been a therapeutic and enjoyable experience. A specification for art work to be introduced to the university's clinical skills laboratory was produced. Originality/value: Using the arts in pre-registration nurse education is relatively new in the UK, and this work provides an example of its potential to encourage empathy among student nurses for the experience of patients in health care settings. The paper provides an example of how art work could be introduced into health care settings. (Contains 3 figures.)