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Meng L, Wen KH, Xi N, Zheng T. Supporting Aging-in-Place: Drivers and Desired Outcomes of a Healing Environment for Older Adults in Block Spaces of High-Density Cities. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2024:19375867241271438. [PMID: 39205441 DOI: 10.1177/19375867241271438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
Aim: The objective of this study was to develop a comprehensive multidimensional framework by identifying the key drivers and components associated with the health of older people in healing environments, and to apply this framework in high-density city block spaces, creating opportunities for aging in place. Background: Effective theoretical and practical research frameworks are necessary to determine how to best support older adults in high-density city areas as they face aging-related challenges. Methods: The methodological approach involved bibliometric analysis (SciMAT) and systematic literature review of approximately 4446 articles related to rehabilitation settings and older adults. The review focused on literature that developed concepts and research frameworks and provided an empirical foundation. Results: The review identified four types of drivers for a healing environment for older individuals in high-density city blocks (HEOI-HCBs): self-environment, interpersonal, physical, and informational environments. These drivers were linked to eight desirable outcomes: initiative acquisition, shared vision, trust, empathy, integrity, systematicity, networking, and perceived usefulness. Conclusion: The drivers and outcomes formed the HEOI-HCBs framework, each representing a distinct dimension of the HEOI-HCBs concept. This study and the resulting framework facilitate the application and understanding of healing environments.
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Affiliation(s)
- Lingchao Meng
- Faculty of Humanities and Arts, Macau University of Science and Technology, Taipa, Macao SAR
| | - Kuo-Hsun Wen
- School of Design, Fujian University of Technology, Fujian, China
| | - Nannan Xi
- Faculty of Management and Business, Tampere University, Tampere, Finland
| | - Tao Zheng
- Suzhou Sustainable Cities Lab, Suzhou, China
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2
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Bloemer NL, Biro FM. Cultivating Therapeutic Presence: A Pilot Project. J Holist Nurs 2024:8980101241273364. [PMID: 39119658 DOI: 10.1177/08980101241273364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2024]
Abstract
Purpose: Cultivating therapeutic presence is a pilot project for addressing perceived stress in a group of holistic healthcare workers. Design and Methods: The project incorporated mindfulness-based interventions, self-care techniques, and the establishment of supportive relationships. It was presented during the COVID pandemic to integrative health care workers at a children's hospital. Findings: There was an overall improvement in perceived stress scores across the series, with an effect size estimated by Cohen's d = .963, consistent with a large effect. Participants reported persistent effects on a survey administered five months after completion of the project, which included feeling more confident, using the techniques, and more effectively caring for themselves. Conclusions: This project integrated mindfulness-based interventions with self-care techniques, as well as strengthening support networks. Upon completion, perceived stress decreased, a finding that persisted for several months.
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Affiliation(s)
- Nancy L Bloemer
- Division of Child Life and Integrative Care, Cincinnati Children's Hospital Medical Center, OH, USA
| | - Frank M Biro
- Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, OH, USA
- University of Cincinnati College of Medicine, OH, USA
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Jeong S, Knackstedt A, Linebarger JS, Carter BS. Moral Distress and Pediatric Palliative Care. CHILDREN (BASEL, SWITZERLAND) 2024; 11:751. [PMID: 39062203 PMCID: PMC11274977 DOI: 10.3390/children11070751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 05/31/2024] [Accepted: 06/14/2024] [Indexed: 07/28/2024]
Abstract
Moral distress is a complex phenomenon whereby a person feels tension, constraint, or conflict with an action or circumstance because it goes against their individual or the perceived collective (e.g., community, organizational, or professional association's) moral stance. In pediatric healthcare settings, managing and mitigating feelings of moral distress can be particularly difficult to navigate through because of the intricate dynamics between the pediatric patient, parent and/or legal guardians, and clinicians. The proactive integration of an experienced pediatric palliative care (PPC) team can be an appropriate step toward reducing clinicians feeling overwhelmed by various case-specific and team management issues that contribute to the development of moral distress among healthcare professionals. Based on our experiences in a free-standing, quaternary pediatric hospital, the involvement of PPC can help reframe the approach to challenging situations, enhance communication, and provide guidance to the care team, patients, and families. Moreover, PPC teams can benefit other multidisciplinary team members through education on respecting the plurality of values of diverse families and patients and consideration of ethical implications during morally challenging situations.
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Affiliation(s)
- Sunny Jeong
- Bioethics Center, Children’s Mercy-Kansas City, Kansas City, MO 64108, USA; (S.J.); (A.K.)
| | - Angela Knackstedt
- Bioethics Center, Children’s Mercy-Kansas City, Kansas City, MO 64108, USA; (S.J.); (A.K.)
- Department of Nursing, Office of Equity and Diversity, Children’s Mercy-Kansas City, Kansas City, MO 64108, USA
| | - Jennifer S. Linebarger
- Division of Pediatric Palliative Care, Department of Pediatrics, Children’s Mercy-Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA;
| | - Brian S. Carter
- Bioethics Center, Children’s Mercy-Kansas City, Kansas City, MO 64108, USA; (S.J.); (A.K.)
- Departments of Pediatrics and Medical Humanities & Bioethics, University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA
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Baker J, Kendal S, Bojke C, Louch G, Halligan D, Shafiq S, Sturley C, Walker L, Brown M, Berzins K, Brierley-Jones L, O'Hara JK, Blackwell K, Wormald G, Canvin K, Vincent C. A service-user digital intervention to collect real-time safety information on acute, adult mental health wards: the WardSonar mixed-methods study. HEALTH AND SOCIAL CARE DELIVERY RESEARCH 2024; 12:1-182. [PMID: 38794956 DOI: 10.3310/udbq8402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2024]
Abstract
Background Acute inpatient mental health services report high levels of safety incidents. The application of patient safety theory has been sparse, particularly concerning interventions that proactively seek patient perspectives. Objective(s) Develop and evaluate a theoretically based, digital monitoring tool to collect real-time information from patients on acute adult mental health wards about their perceptions of ward safety. Design Theory-informed mixed-methods study. A prototype digital monitoring tool was developed from a co-design approach, implemented in hospital settings, and subjected to qualitative and quantitative evaluation. Setting and methods Phase 1: scoping review of the literature on patient involvement in safety interventions in acute mental health care; evidence scan of digital technology in mental health contexts; qualitative interviews with mental health patients and staff about perspectives on ward safety. This, alongside stakeholder engagement with advisory groups, service users and health professionals, informed the development processes. Most data collection was virtual. Phase 1 resulted in the technical development of a theoretically based digital monitoring tool that collected patient feedback for proactive safety monitoring. Phase 2: implementation of the tool in six adult acute mental health wards across two UK NHS trusts; evaluation via focused ethnography and qualitative interviews. Statistical analysis of WardSonar data and routine ward data involving construction of an hour-by-hour data set per ward, permitting detailed analysis of the use of the WardSonar tool. Participants A total of 8 patients and 13 mental health professionals participated in Phase 1 interviews; 33 staff and 34 patients participated in Phase 2 interviews. Interventions Patients could use a web application (the WardSonar tool) to record real-time perceptions of ward safety. Staff could access aggregated, anonymous data to inform timely interventions. Results Coronavirus disease 2019 restrictions greatly impacted the study. Stakeholder engagement permeated the project. Phase 1 delivered a theory-based, collaboratively designed digital tool for proactive patient safety monitoring. Phase 2 showed that the tool was user friendly and broadly acceptable to patients and staff. The aggregated safety data were infrequently used by staff. Feasibility depended on engaged staff and embedding use of the tool in ward routines. There is strong evidence that an incident leads to increased probability of further incidents within the next 4 hours. This puts a measure on the extent to which social/behavioural contagion persists. There is weak evidence to suggest that an incident leads to a greater use of the WardSonar tool in the following hour, but none to suggest that ward atmosphere predicts future incidents. Therefore, how often patients use the tool seems to send a stronger signal about potential incidents than patients' real-time reports about ward atmosphere. Limitations Implementation was limited to two NHS trusts. Coronavirus disease 2019 impacted design processes including stakeholder engagement; implementation; and evaluation of the monitoring tool in routine clinical practice. Higher uptake could enhance validity of the results. Conclusions WardSonar has the potential to provide a valuable route for patients to communicate safety concerns. The WardSonar monitoring tool has a strong patient perspective and uses proactive real-time safety monitoring rather than traditional retrospective data review. Future work The WardSonar tool can be refined and tested further in a post Coronavirus disease 2019 context. Study registration This study is registered as ISRCTN14470430. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR128070) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 14. See the NIHR Funding and Awards website for further award information.
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Affiliation(s)
- John Baker
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Sarah Kendal
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Chris Bojke
- Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
| | - Gemma Louch
- Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK
| | - Daisy Halligan
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Saba Shafiq
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Lauren Walker
- Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, UK
| | - Mark Brown
- Leeds Institute for Data Analytics, University of Leeds, Leeds, UK
| | - Kathryn Berzins
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Jane K O'Hara
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | | | - Gemma Wormald
- Department of Health Sciences, University of York, York, UK
| | - Krysia Canvin
- School of Healthcare, Baines Wing, University of Leeds, Leeds, UK
| | - Charles Vincent
- Social Spider CIC, The Mill (Community Centre), London, UK
- Thrive by Design, Leeds, UK
- University of Oxford Medical Sciences Division, Oxford, UK
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Kim CM, van der Heide EM, van Rompay TJL, Ludden GDS. Reimagine the ICU: Healthcare Professionals' Perspectives on How Environments (Can) Promote Patient Well-Being. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2024; 17:97-114. [PMID: 38293825 PMCID: PMC11080390 DOI: 10.1177/19375867231219029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
OBJECTIVE This study aims (1) to understand the needs and challenges of the current intensive care unit (ICU) environments in supporting patient well-being from the perspective of healthcare professionals (HCPs) and (2) to explore the new potential of ICU environments enabled by technology. BACKGROUND Evidence-based design has yielded how the design of environments can advocate for patient well-being, and digital technology offers new possibilities for indoor environments. However, the role of technology in facilitating ICU patient well-being has been unexplored. METHOD This study was conducted in two phases. First, a mixed-method study was conducted with ICU HCPs from four Dutch hospitals. The study investigated the current environmental support for care activities, as well as the factors that positively and negatively contribute to patient experience. Next, a co-creation session was held involving HCPs and health technology experts to explore opportunities for technology to support ICU patient well-being. RESULTS The mixed-method study revealed nine negative and eight positive patient experience factors. HCPs perceived patient emotional care as most challenging due to the ICU workload and a lack of environmental support in fulfilling patient emotional needs. The co-creation session yielded nine technology-enabled solutions to address identified challenges. Finally, drawing from insights from both studies, four strategies were introduced that guide toward creating technology to provide holistic and personalized care for patients. CONCLUSION Patient experience factors are intertwined, necessitating a multifactorial approach to support patient well-being. Viewing the ICU environment as a holistic unit, our findings provide guidance on creating healing environments using technology.
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Affiliation(s)
- Chan Mi Kim
- Department of Design, Production, and Management, Faculty of Engineering Technology, University of Twente, Enschede, the Netherlands
| | | | - Thomas J. L. van Rompay
- Department of Communication Science, Faculty of Behavioral, Management, and Social Sciences, University of Twente, Enschede, the Netherlands
| | - Geke D. S. Ludden
- Department of Design, Production, and Management, Faculty of Engineering Technology, University of Twente, Enschede, the Netherlands
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Marcinow M, Cadel L, Birze A, Sandercock J, Baek J, Wodchis W, Guilcher SJT, Kuluski K. "I think we did the best that we could in the space:" A qualitative study exploring individuals' experiences with three unconventional environments for patients with a delayed hospital discharge. PLoS One 2024; 19:e0297542. [PMID: 38412176 PMCID: PMC10898730 DOI: 10.1371/journal.pone.0297542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 01/08/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Given growing hospital capacity pressures, persistent delayed discharges, and ongoing efforts to improve patient flow, the use of unconventional environments (newly created or repurposed areas for patient care) is becoming increasingly common. Despite this, little is known about individuals' experiences in providing or receiving care in these environments. OBJECTIVES The objectives of this study were to: (1) describe the characteristics of three unconventional environments used to care for patients experiencing a delayed discharge, and (2) explore individuals' experiences with the three unconventional environments. METHODS This was a multi-method qualitative study of three unconventional environments in Ontario, Canada. Data were collected through semi-structured interviews and observations. Participants included patients, caregivers, healthcare providers, and clinical managers who had experience with delayed discharges. In-person observations of two environments were conducted. Interviews were transcribed and notes from the observations were recorded. Data were coded and analyzed thematically. RESULTS Twenty-nine individuals participated. Three themes were identified for unconventional environments: (1) implications on the physical safety of patients; (2) implications on staffing models and continuity of care; and, (3) implications on team interactions and patient care. Participants discussed how the physical set-up of some unconventional spaces was not conducive to patient needs, especially those with cognitive impairment. Limited space made it difficult to maintain privacy and develop social relationships. However, the close proximity of team members allowed for more focused collaborations regarding patient care and contributed to staff fulfilment. A smaller, consistent care team and access to onsite physicians seemed to foster improved continuity of care. CONCLUSIONS There is potential to learn from multi-stakeholder perspectives in unconventional environments to improve experiences and optimize patient care. Key considerations include keeping hallways and patient rooms clear, having communal spaces for activities and socialization, co-locating team members to improve interactions and access to resources, and ensuring a consistent care team.
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Affiliation(s)
- Michelle Marcinow
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
| | - Lauren Cadel
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
| | - Arija Birze
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
| | - Jane Sandercock
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
- Faculty of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - Junhee Baek
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
| | - Walter Wodchis
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario Canada
| | - Sara J T Guilcher
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario Canada
| | - Kerry Kuluski
- Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario Canada
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Antonelli M, Barbieri G, Donelli D. Defining a new perspective in Environmental Health: the healing environment. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2022; 66:1039-1044. [PMID: 35122112 DOI: 10.1007/s00484-022-02251-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 11/16/2021] [Accepted: 01/28/2022] [Indexed: 06/14/2023]
Abstract
With pollution-related health problems on the rise, the focus of modern Environmental Health (EH) has mostly been placed on toxicology and exposure science. Despite the importance of toxicological aspects, the environment should be studied not only to identify pollution-related hazards, but also to investigate potentially therapeutic and health-enhancing effects of its elements. Generally speaking, it is possible to benefit from a natural environment with a full-immersion experience or with a single-element interaction. Recently, scientific evidence is accumulating on the beneficial effects of natural settings for well-being promotion and psycho-physical health, especially for stress reduction and prevention of stress-related conditions. In light of these considerations, the paradigm of EH can change: the environment we live in should be considered not only as a precious resource to be protected against pollution (thus preventing the consequent health hazards), but, in a proactive vision, also as a potential source of elements capable of actively maintaining and promoting health and well-being.
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Affiliation(s)
- Michele Antonelli
- Department of Public Health, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy.
| | - Grazia Barbieri
- Archilinea S.R.L. Engineering and Architecture, Sassuolo, Modena, Italy
| | - Davide Donelli
- Cardiology Unit, University Hospital of Parma, Parma, Italy
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Simonsen T, Sturge J, Duff C. Healing Architecture in Healthcare: A Scoping Review. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2022; 15:315-328. [PMID: 35016562 DOI: 10.1177/19375867211072513] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The purpose of this scoping review is to identify evidence on how characteristics of healing architecture in clinical contexts impact clinical practice and patient experiences. Based on these insights, we advance a more practice-based approach to the study of how healing architectures work. BACKGROUND The notion of "healing architecture" has recently emerged in discussions of the spatial organization of healthcare settings, particularly in the Nordic countries. This scoping review summarizes findings from seven articles which specifically describe how patients and staff experience characteristics of healing architecture. METHODS This scoping review was conducted using the framework developed by Arksey and O'Malley. We referred to the decision tool developed by Pollock et al. to confirm that this approach was the most appropriate evidence synthesis type to identify characteristics related to healing architecture and practice. To ensure the rigor of this review, we referred to the methodological guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. RESULTS There are two main findings of the review. First, there is no common or operative definition of healing architecture used in the selected articles. Secondly, there is limited knowledge of how healing architecture shapes clinical and patient outcomes. CONCLUSIONS We conclude that further research is needed into how healing architectures make a difference in everyday clinical practices, both to better inform the development of evidence-based designs in the future and to further elaborate criteria to guide postoccupancy evaluations of purpose-built sites.
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Affiliation(s)
- Thorben Simonsen
- Department of Business IT, IT University Copenhagen, Copenhagen S, Denmark
| | - Jodi Sturge
- Population Research Centre, Faculty of Spatial Sciences, University of Groningen Adema Architecten, Dokkum, the Netherlands
| | - Cameron Duff
- College of Business and Law, Royal Melbourne Institute of Technology, Melbourne, Australia
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9
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Livne-Tarandach R, Steckler E, Leigh J, Wheeler-Smith S. Cultivating Organizations as Healing Spaces: A Typology for Responding to Suffering and Advancing Social Justice. HUMANISTIC MANAGEMENT JOURNAL 2021. [PMCID: PMC8664364 DOI: 10.1007/s41463-021-00112-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Reut Livne-Tarandach
- O’Malley School of Business, Manhattan College, 4513 Manhattan College Parkway, Riverdale, NY 10471 USA
| | - Erica Steckler
- Manning School of Business, University of Massachusetts Lowell, University Crossing, Suite 420, 220 Pawtucket St., Lowell, MA 01854-2874 USA
| | - Jennifer Leigh
- School of Business and Leadership, Nazareth College, 4245 East Ave, Rochester, NY 14618 USA
| | - Sara Wheeler-Smith
- O’Malley School of Business, Manhattan College, 4513 Manhattan College Parkway, Riverdale, NY 10471 USA
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Al-Bqour N, Rababeh S, Al-Rabady R. The Psychological Supportive Design Features in Hospitals: Case of a Public Jordanian Hospital in Amman. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 15:173-188. [PMID: 34313157 DOI: 10.1177/19375867211029560] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study is to develop a practical framework that combines the psychological supportive design features in hospitals' healing environments, also, to examine the implementation of these features in a Jordanian public hospital. BACKGROUND Positive psychological feelings are the hidden powerful treatment in hospitals. Although that Jordan represents a third-world country, it is counted as one of the most sought-after healthcare locations in the Middle East for its distinguished healthcare serveries (Private Hospitals Association, 2019). Nevertheless, the architectural and interior design of the healthcare facilities in Jordan usually ignores the inpatients' psychological needs. Also, there is an absence of practicing a set of psychological supportive design features to guide the hospitals' design in Jordan. METHOD Design features are obtained from the main theories in the field of supportive healing environments. A large Jordanian public hospital was selected to be assessed in terms of these features within the developed practical framework. This study adopts a mixed methodology; data are collected using different methods, mainly literature review, site inventory, and inpatients' questionnaire. RESULTS The studied hospital remains moderately considerable in terms of the psychologically supportive design features. However, the nature connectivity aspect is not satisfactorily considered in the studied hospital design. CONCLUSION This study suggests a responsive design that fosters interaction and integration with surrounding nature in order to increase levels of connectivity with nature. The studied design features in this study could work as guiding principles for Jordanian hospitals' designers.
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Affiliation(s)
- Nadine Al-Bqour
- Department of Architecture, 108597Hashemite University, Az-Zarqa, Jordan
| | - Shaher Rababeh
- Department of Architecture, 108597Hashemite University, Az-Zarqa, Jordan
| | - Rama Al-Rabady
- Department of Architecture, 108597Hashemite University, Az-Zarqa, Jordan
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11
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Gürcan M, Atay Turan S. Examining the expectations of healing care environment of hospitalized children with cancer based on Watson's theory of human caring. J Adv Nurs 2021; 77:3472-3482. [PMID: 34142737 DOI: 10.1111/jan.14934] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 05/12/2021] [Accepted: 05/28/2021] [Indexed: 11/30/2022]
Abstract
AIM To describe the expectations of children with cancer about the healing care environment during hospitalization based on Watson's Theory of Human Caring. DESIGN A descriptive qualitative research design was used in this study. METHODS Data were collected between December 2019 and February 2020 from purposively selected children with cancer in a paediatric haematology and oncology clinic at a university hospital in Turkey. Twelve participants (7 females and 5 males) aged 10-17 were recruited to carry out individual semi-structured interviews. All interviews were recorded via a digital audio recorder and transcribed verbatim. The content analysis method was used to analyse the data. FINDINGS As a result of the analysis, three main themes with related sub-themes were identified that revealed the expectations of children with cancer: 'healing care behaviors', 'creating the physical environment of the hospital' and 'support from the social environment'. CONCLUSION Watson's Theory of Human Caring may be a useful and applicable guide for drawing a conceptual framework of the expectations of children with cancer regarding a healing care environment. The study revealed these children's need for humanistic, compassionate, honest and problem-focused care. In addition, participants wished for improvements in the physical environment. They also stated that they feel lonely and need social support from their family, peers and society. IMPACT This study presents a comprehensive picture of the expectations regarding a healing care environment (caring behaviours and physical and social aspects) of hospitalized children with cancer undergoing treatment. The qualitative findings generated by our study have the potential to facilitate these children's healthy adjustment to the hospital environment and procedures during hospitalization. Knowledge acquired through this study may be used to shape nursing care, enhance the healing care environment, and ensure that hospital design and setting are acceptable to and appropriate for paediatric patients.
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Affiliation(s)
- Meltem Gürcan
- Faculty of Nursing, Akdeniz University, Antalya, Turkey
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12
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Smits M, Eddahchouri Y, Meurs P, Nijenhuis SM, van Goor H. Do Simulated Hospital Admissions Reflect Reality? A Qualitative Study of Volunteer Well-Being During a 24-Hr Simulated Hospitalization. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 14:130-146. [PMID: 34105390 PMCID: PMC8597193 DOI: 10.1177/19375867211020682] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study aims to delineate if and how healthy volunteers admitted to simulated care can aid in understanding real well-being experiences of in-hospital surgical patients. BACKGROUND Scientific research is necessary to understand the mediating effect of healthcare design on patient outcomes. Studies with patients are, however, difficult to conduct as they require substantial funding, time, and research capacity, and recovering patients are often not willing or able to participate. If studies conducted with volunteers provide similar findings, such studies might serve as fruitful alternatives for future research. METHOD A multimethod study was conducted between July 2017 and December 2017 with 17 volunteers who underwent a 24-hr simulated inpatient postsurgical care protocol. Data on value experiences, norms, and design requirements for an optimal healing environment were collected via diaries and semi-structured value-oriented interviews, focused on the values of spatial comfort, privacy, autonomy, sensory comfort, safety and security, and social comfort. Volunteers' outcomes were compared to prior literature on similar patients' outcomes. RESULTS Volunteers seem to experience their healing environment similarly to patients with regard to the values of spatial comfort, privacy, autonomy, sensory comfort, and social comfort related to contact with personnel and relatives. Less valuable insights were gained on the values of safety and security, and social comfort related to interaction with other patients, most probably due to the study design and because the participants did not truly experience a diseased bodily state. CONCLUSION Simulated hospital admissions with volunteers provide a satisfactory alternative for studying real patient outcomes.
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Affiliation(s)
- Merlijn Smits
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Yassin Eddahchouri
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Pleun Meurs
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Sharon M Nijenhuis
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Harry van Goor
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
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13
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Singleterry LR, Caulfield SL. Holistic Approaches to Support Sleep in the Intensive Care Unit Patient. Crit Care Nurs Clin North Am 2021; 33:131-144. [PMID: 34023081 DOI: 10.1016/j.cnc.2021.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Sleep disruption in intensive care unit patients has internal, interpersonal, behavioral, and environmental factors to consider when developing sleep promotion protocols. Holistic approaches are integrative practices that go beyond modifying environmental factors. This article presents 3 holistic approaches that are cost-effective, easy to use, and independent nursing actions that are integrative in nature. Aromatherapy, guided imagery, and mindfulness show promising effects in the literature to improve comfort, anxiety and stress, which are thought to improve sleep.
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Affiliation(s)
- Lisa R Singleterry
- Bronson School of Nursing, Western Michigan University, 1903 W. Michigan Avenue, Kalamazoo, MI 49008, USA.
| | - Susan L Caulfield
- School of Interdisciplinary Health Programs, Western Michigan University, 1903 W. Michigan Avenue, Kalamazoo, MI 49008, USA
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Rasweswe MM, Mogale RS, Musie MR, Rikhotso RS. Re-defining holistic healing: From transdisciplinary perspectives in South Africa. Eur J Integr Med 2021. [DOI: 10.1016/j.eujim.2021.101300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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15
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Bauer GF, Roy M, Bakibinga P, Contu P, Downe S, Eriksson M, Espnes GA, Jensen BB, Juvinya Canal D, Lindström B, Mana A, Mittelmark MB, Morgan AR, Pelikan JM, Saboga-Nunes L, Sagy S, Shorey S, Vaandrager L, Vinje HF. Future directions for the concept of salutogenesis: a position article. Health Promot Int 2020; 35:187-195. [PMID: 31219568 DOI: 10.1093/heapro/daz057] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass, San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC) that helps to mobilize resources to cope with stressors and manage tension successfully (determining one's movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensional SOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about the origin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in the international Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer, New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. To strengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal) of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis. During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky's original contribution and then present suggestions for future development. These ideas will help guide GWG-Sal's work to strengthen salutogenesis as a theory base for health promotion.
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Affiliation(s)
- G F Bauer
- Center of Salutogenesis, Institute of Epidemiology, Biostatistics, Prevention, University of Zurich, Hirschengraben 84, 8001 Zurich, Switzerland
| | - M Roy
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec J1H 5N4, Canada
| | - P Bakibinga
- Health Challenges and Systems Research Program, African Population & Health Research Center, PO Box 10787-00100, Nairobi, Kenya
| | - P Contu
- Department of Medical Sciences and Public health, University of Cagliari, Via Università 40, Cagliari, Sardegna, Italy
| | - S Downe
- School of Community Health and Midwifery, University of Central Lancashire, Fylde Rd, Preston PR1 2HE, UK
| | - M Eriksson
- Center of Salutogenesis, University West, 461 86 Trollhättan, Sweden
| | - G A Espnes
- Center for Health Promotion Research, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway
| | - B B Jensen
- Health Promotion, Steno Diabetes Center Copenhagen, Vej 6 2820 Gentofte, Denmark
| | - D Juvinya Canal
- Faculty of Nursing, University of Girona, 17004 Girona, Spain
| | - B Lindström
- Center for Health Promotion Research, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway
| | - A Mana
- Peres Academic Center, Israel Martin Springer Center of Conflict Studies, Ben-Gurion University, PO Box 653 Beer-Sheva, Israel
| | - M B Mittelmark
- Department of Health Promotion and Development, University of Bergen, Christiesgt. 13, 5020 Bergen, Norway
| | - A R Morgan
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK
| | - J M Pelikan
- Institute of Sociology, University of Vienna, A-1090 Wien, Rooseveltplatz 2, Vienna, Austria
| | - L Saboga-Nunes
- Institute of Sociology, University of Education Freiburg, Kunzenweg 21, 79117 Freiburg, Germany
| | - S Sagy
- Peres Academic Center, Israel Martin Springer Center of Conflict Studies, Ben-Gurion University, PO Box 653 Beer-Sheva, Israel
| | - S Shorey
- Alice Lee Center for Nursing Studies, Yong Lo Lin School of Medicine, 10 Medical Drive, Singapore 117597
| | - L Vaandrager
- Department of Social Sciences, Health and Society, Wageningen University, Droevendaalsesteeg 4, 6708 PB Wageningen, The Netherlands
| | - H F Vinje
- Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, University College of Southeast Norway, PO Box 235 3603 Kongsberg, Vestfold, Norway
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Meng L, Zhu C, Wen KH. Research on Constructing a Healing Environment for the Street Spaces of a High-Density City: Using Street Spaces in Macao's Old City Area. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17134767. [PMID: 32630722 PMCID: PMC7369807 DOI: 10.3390/ijerph17134767] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 06/28/2020] [Accepted: 06/30/2020] [Indexed: 11/16/2022]
Abstract
It is commonly recognized that street spaces in high-density cities are able to cause negative impacts in terms of residents’ physical and mental health. This research intends to investigate and analyze how residents use street spaces in a high-density city in order to construct a healing environment for these street spaces. The research was conducted in Macao’s old town by using spatial syntax methods to define the research areas, and implemented on-site observations that evaluated the age of the residents in the space and the conditions of their usage of the space. The study collected data through expert grading and employed the Analytic Hierarchy Process to calculate the weight of each indicator in order to attain accurate and objective research outcomes. The evaluation results indicate that the current Macao street spaces are poor healing environments. By analyzing the effective factors for constructing a healing environment in these street spaces, so that residents can get more space for healing when they use it, the paper aims to provide a model example for those who are involved with city governance, planning and design.
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Affiliation(s)
- Lingchao Meng
- Faculty of Humanities and Arts, Macau University of Science and Technology, Avenida Wai Long, Taipa 999078, Macao;
| | - Chun Zhu
- Faculty of Humanities and Arts, Macau University of Science and Technology, Avenida Wai Long, Taipa 999078, Macao;
- Correspondence: (C.Z.); (K.-H.W.); Tel.: +853-28880091 (C.Z.); +853-85996771 (K.-H.W.)
| | - Kuo-Hsun Wen
- School of Arts, Macau Polytechnic Institute, Taipa 999078, Macao
- Correspondence: (C.Z.); (K.-H.W.); Tel.: +853-28880091 (C.Z.); +853-85996771 (K.-H.W.)
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17
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Queen NJ, Hassan QN, Cao L. Improvements to Healthspan Through Environmental Enrichment and Lifestyle Interventions: Where Are We Now? Front Neurosci 2020; 14:605. [PMID: 32655354 PMCID: PMC7325954 DOI: 10.3389/fnins.2020.00605] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 05/18/2020] [Indexed: 12/11/2022] Open
Abstract
Environmental enrichment (EE) is an experimental paradigm that is used to explore how a complex, stimulating environment can impact overall health. In laboratory animal experiments, EE housing conditions typically include larger-than-standard cages, abundant bedding, running wheels, mazes, toys, and shelters which are rearranged regularly to further increase stimulation. EE has been shown to improve multiple aspects of health, including but not limited to metabolism, learning and cognition, anxiety and depression, and immunocompetence. Recent advances in lifespan have led some researchers to consider aging as a risk factor for disease. As such, there is a pressing need to understand the processes by which healthspan can be increased. The natural and predictable changes during aging can be reversed or decreased through EE and its underlying mechanisms. Here, we review the use of EE in laboratory animals to understand mechanisms involved in aging, and comment on relative areas of strength and weakness in the current literature. We additionally address current efforts toward applying EE-like lifestyle interventions to human health to extend healthspan. Although increasing lifespan is a clear goal of medical research, improving the quality of this added time also deserves significant attention. Despite hurdles in translating experimental results toward clinical application, we argue there is great potential in using features of EE toward improving human healthy life expectancy or healthspan, especially in the context of increased global longevity.
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Affiliation(s)
- Nicholas J. Queen
- Department of Cancer Biology and Genetics, College of Medicine, The Ohio State University, Columbus, OH, United States
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
| | - Quais N. Hassan
- Department of Cancer Biology and Genetics, College of Medicine, The Ohio State University, Columbus, OH, United States
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
- Medical Scientist Training Program, College of Medicine, The Ohio State University, Columbus, OH, United States
| | - Lei Cao
- Department of Cancer Biology and Genetics, College of Medicine, The Ohio State University, Columbus, OH, United States
- The Ohio State University Comprehensive Cancer Center, Columbus, OH, United States
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Colomer-Pérez N, Chover-Sierra E, Gea-Caballero V, Paredes-Carbonell JJ. Health Assets, Vocation and Zest for Healthcare work. A Salutogenic Approach to Active Coping among Certified Nursing Assistant Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103586. [PMID: 32443778 PMCID: PMC7277762 DOI: 10.3390/ijerph17103586] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/15/2020] [Accepted: 05/18/2020] [Indexed: 12/19/2022]
Abstract
People's health assets (HA) mapping process and design dynamization strategies for it are paramount issues for health promotion. These strategies improve the health heritage of individuals and communities as both the salutogenic model of health (SMH) and health assets model (HAM) defend. Connecting and mobilizing HA and strengthens the 'sense of coherence' (SOC) are both related to enhancing stress active and effective coping strategies. This study aims to describe the HA present in a population of certified nursing assistant students (n = 921) in Spain and then to explore their relationships with the SOC, the motivation to choose healthcare studies and their academic performance. A great variety of HA were identified and mapped. Findings showed that individuals with greater motivation towards self-care and 'caring for others' as internal HA, possessed higher SOC levels and a strong vocation for healthcare work. Differences in HA were identified according to gender, age and employment situation. Consistent connections between the care-relation factor and vocational factor with interpersonal and extrapersonal HA were reported. Evidence and results substantiated the salutogenic and asset-based approach as a proper strategy to strengthen SOC, dynamize their HA map, reinforce the sense of calling and enable Certified Nurse Assistant (CNA) students to buffer against caregiving-related stress and thrive in their profession.
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Affiliation(s)
- Natura Colomer-Pérez
- Department of Nursing, University of Valencia, 46010 Valencia, Spain;
- Development and Advising in Traffic Safety (DATS) Research Group, INTRAS (Instituto de Investigación en Tráfico y Seguridad Vial), 46022 Valencia, Spain
- Correspondence:
| | - Elena Chover-Sierra
- Department of Nursing, University of Valencia, 46010 Valencia, Spain;
- Consorcio Hospital General Universitario de Valencia, Medicina Interna, 46014 Valencia, Spain
| | - Vicente Gea-Caballero
- Escuela de Enfermería La Fe, Centro adscrito Universitat de València, 46026 València, Spain;
- Grupo de Investigación GREIACC, Instituto de Investigación Sanitaria IIS La Fe, 46026 València, Spain
| | - Joan J. Paredes-Carbonell
- Centre de Salut Pública d’Alzira, Conselleria de Sanitat Universal i Salut Pública, Alzira, 46600 València, Spain;
- Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), 46035 València, Spain
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Atinga RA. Beyond wages: Why dual practice physicians discriminate care quality towards private patients in Ghana. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2020. [DOI: 10.1080/20479700.2020.1756102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Roger A. Atinga
- Department of Public Administration and Health Services Management, University of Ghana Business School, Accra, Ghana
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20
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Hesselink G, Smits M, Doedens M, Nijenhuis SMT, van Bavel D, van Goor H, van de Belt TH. Environmental Needs, Barriers, and Facilitators for Optimal Healing in the Postoperative Process: A Qualitative Study of Patients' Lived Experiences and Perceptions. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2020; 13:125-139. [PMID: 32133876 PMCID: PMC7364789 DOI: 10.1177/1937586719900885] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
OBJECTIVES Gaining an understanding of postoperative patients' environmental needs, barriers, and facilitators for optimal healing. BACKGROUND An optimal hospital environment (the "healing environment") can enhance patients' postoperative recovery and shorten length of stay. However, insights lack into patients' lived environmental needs for optimal healing after surgery and how these needs are being met. METHOD A qualitative study was conducted between August 2016 and August 2017 with 21 patients who underwent elective major abdominal surgery in a Dutch university hospital. Data were collected through context-mapping exercises and interviews to capture patients' lived experiences and explore the meaning of these experiences. Data were systematically analyzed according to the principles of thematic content analysis. RESULTS Three themes were identified. First, participants want a sense of control over their treatment, ambient features, privacy, nutrition, and help requests. Participants described the need for positive distractions: personalizing the room, connecting with the external environment, and the ability to undertake activities. Finally, participants expressed the importance of functional, practical, and emotional support from professionals, peers, and relatives. According to participants, the hospital environment often does not meet their healing needs while being hospitalized. CONCLUSION The hospital environment often does not meet patients' needs. Needs fulfillment can be improved by practical adjustments to the physical and interpersonal environment and considering patient's individual preferences and changing needs during recovery. Patient narratives, pictures, and drawings are valuable sources for hospital managers in their efforts to design evidence-based environments that anticipate to patient-specific needs for achieving early recovery.
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Affiliation(s)
- Gijs Hesselink
- Radboud Institute for Health Sciences, IQ Health Care, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Merlijn Smits
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Mariël Doedens
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Sharon M T Nijenhuis
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Denise van Bavel
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Harry van Goor
- Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Tom H van de Belt
- Radboud Institute for Health Sciences, Radboud REshape Innovation Center, Radboud University Medical Center, Nijmegen, the Netherlands
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21
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Grey T, Fleming R, Goodenough BJ, Xidous D, Möhler R, O'Neill D. Hospital design for older people with cognitive impairment including dementia and delirium: supporting inpatients and accompanying persons. Hippokratia 2019. [DOI: 10.1002/14651858.cd013482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Thomas Grey
- Trinity College Dublin; TrinityHaus, School of Engineering; 16 Westland Row Dublin Leinster Ireland DO2 YY50
| | - Richard Fleming
- University of Wollongong; Dementia Training Australia; Rm. 114, ITAMS Building, Innovation Campus Wollongong NSW Australia 2522
| | - Belinda J Goodenough
- University of Wollongong; Dementia Training Australia; Rm. 114, ITAMS Building, Innovation Campus Wollongong NSW Australia 2522
| | - Dimitra Xidous
- Trinity College Dublin; TrinityHaus, School of Engineering; 16 Westland Row Dublin Leinster Ireland DO2 YY50
| | - Ralph Möhler
- School of Public Health, Bielefeld University; Department of Health Services Research and Nursing Science; Universitätsstrasse 25 Bielefeld Germany 33615
| | - Desmond O'Neill
- Trinity College; Centre for Ageing, Neuroscience and the Humanities; Trinity Centre for Health Sciences, Tallaght Hospital Dublin Ireland 24
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22
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Uwajeh PC, Iyendo TO, Polay M. Therapeutic gardens as a design approach for optimising the healing environment of patients with Alzheimer's disease and other dementias: A narrative review. Explore (NY) 2019; 15:352-362. [PMID: 31230998 DOI: 10.1016/j.explore.2019.05.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 05/02/2019] [Accepted: 05/23/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE The first half of this paper documents the role of nature in healthcare environments and its impact on wellness, with a particular focus on gardens. The second half presents a scientific evaluation of the role of gardens as a therapeutic intervention to optimise the clinical outcomes in patients with Alzheimer's disease (AD) and dementia, including a review of the innovative application of technologies alongside nature to promote cognitive rehabilitation in this particular patient population. METHODS Using search engines such as the Institute for Scientific Information (ISI) Web of Science, PubMed, ProQuest Central, MEDLINE, Scopus and Google Scholar, a relevant literature search on the positive health implications of therapeutic gardens (TG) on AD and dementia patients in the healthcare milieu was conducted. RESULTS The health implications of TG for AD and dementia patients span physical, social, psychological and cognitive effects. Virtual reality (VR) technologies that display natural environments also offer positive cognitive outcomes for AD and dementia patients. CONCLUSION TG should be used to improve the health and wellbeing of AD and dementia patients, and its application should be extended to other patient populations to promote quicker recovery. Future directions in the design of TG, with a focus on patients with AD and other dementias, is also discussed.
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Affiliation(s)
- Patrick Chukwuemeke Uwajeh
- Department of Architecture, Eastern Mediterranean University, Faculty of Architecture, Mersin 10, Gazimağusa, North Cyprus, Turkey
| | | | - Mukaddes Polay
- Department of Architecture, Eastern Mediterranean University, Faculty of Architecture, Mersin 10, Gazimağusa, North Cyprus, Turkey
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24
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MacAllister L, Bellanti D, Sakallaris BR. Exploring Inpatients' Experiences of Healing and Healing Spaces: A Mixed Methods Study. J Patient Exp 2017; 3:119-130. [PMID: 28725848 PMCID: PMC5513653 DOI: 10.1177/2374373516676182] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
In order to understand a patient’s healing experience it is essential to understand the elements that they, the patient, believes contributed to their healing. Previous research has focused on symptom reducers or contributors through environment such as stress. A person’s experience of healing happens over time not instantaneous. Therefore, in this study, the interviews with patients happened after forty-eight hours of hospitalization. This mixed methods study describes the experiences of seventeen inpatients from two healthcare systems using a phenomenological approach combined with evidence based design evaluation methods to document the setting. The qualitative data was analyzed first for reoccurring themes then further explored and defined through quantitative environmental observations. The seventeen patients defined healing as “getting better/well.” Seventy three statements were recorded about contributors and detractors to healing in the physical environment. Three primary themes emerged from the data as positive influencers of a healing experience: being cared for, being comfortable and experiencing something familiar or like home. These results demonstrate that patients perceive their inpatient healing experience through a supported environment.
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DuBose J, MacAllister L, Hadi K, Sakallaris B. Exploring the Concept of Healing Spaces. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2016. [DOI: 10.1177/1937586716680567] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Evidence-based design (EBD) research has demonstrated the power of environmental design to support improved patient, family, and staff outcomes and to minimize or avoid harm in healthcare settings. While healthcare has primarily focused on fixing the body, there is a growing recognition that our healthcare system could do more by promoting overall wellness, and this requires expanding the focus to healing. This article explores how we can extend what we know from EBD about health impacts of spatial design to the more elusive goal of healing. By breaking the concept of healing into antecedent components (emotional, psychological, social, behavioral, and functional), this review of the literature presents the existing evidence to identify how healthcare spaces can foster healing. The environmental variables found to directly affect or facilitate one or more dimension of healing were organized into six groups of variables—homelike environment, access to views and nature, light, noise control, barrier-free environment, and room layout. While there is limited scientific research confirming design solutions for creating healing spaces, the literature search revealed relationships that provide a basis for a draft definition. Healing spaces evoke a sense of cohesion of the mind, body, and spirit. They support healing intention and foster healing relationships.
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Affiliation(s)
| | | | - Khatereh Hadi
- Georgia Institute of Technology, Atlanta, GA, USA
- HDR, Inc., Omaha, NE, USA
| | - Bonnie Sakallaris
- The Samueli Institute, Alexandria, VA, USA
- Thought Leadership and Innovation Foundation, Washington DC, USA
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Sakallaris BR, MacAllister L, Smith K, Mulvihill DL. The Business Case for Optimal Healing Environments. Glob Adv Health Med 2016; 5:94-102. [PMID: 26937319 PMCID: PMC4756787 DOI: 10.7453/gahmj.2015.097] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
| | - Lorissa MacAllister
- Samueli Institute, Alexandria, VA (Dr MacAllister); Enviah, Grand Rapids, Michigan (Dr MacAllister), United States
| | - Katherine Smith
- Samueli Institute, Alexandria, VA (Dr Smith); Smith Health and Wellness Inc, Arlington, Virginia (Ms Smith), United States
| | - Deanna L Mulvihill
- Thought Leadership and Innovation Foundation, Leesburg, Virginia (Dr Mulvihill), United States
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27
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Firth K, Smith K, Sakallaris BR, Bellanti DM, Crawford C, Avant KC. Healing, a Concept Analysis. Glob Adv Health Med 2015; 4:44-50. [PMID: 26665022 PMCID: PMC4653605 DOI: 10.7453/gahmj.2015.056] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Kimberly Firth
- National Institute on Aging, Bethesda, Maryland (Dr Firth), United States
| | - Katherine Smith
- Samueli Institute, Alexandria, Virginia (Ms Smith), United States
| | | | - Dawn M Bellanti
- Samueli Institute, Alexandria, Virginia (Ms Bellanti), United States
| | - Cindy Crawford
- Samueli Institute, Alexandria, Virginia (Ms Crawford), United States
| | - Kay C Avant
- University of Texas Health Science Center, San Antonio, Texas (Dr Avant), United States
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