scholarly journals Strategies Christian Nurses Use to Create a Healing Environment

Religions ◽  
2018 ◽  
Vol 9 (11) ◽  
pp. 352
Author(s):  
Jane Pfeiffer
Keyword(s):  
Grounded Theory ◽  
Well Being ◽  
Path Model ◽  
Healing Environment ◽  
Core Category ◽  
Environment Domain ◽  
Data Saturation ◽  
Healing Environments ◽  
Patient Partnership ◽  
Christian Nurses

From Nightingale forward, nursing has understood that interaction of person, nurse, and environment facilitates optimal outcomes. Yet, there remains a need for research on the paradigm concept of environment and creation of a healing environment. This classical, grounded theory study aimed to identify (1) strategies Christian nurses used to create a healing environment and enhance well-being, (2) outcomes they perceived resulting from these strategies, and (3) factors they regarded as either enhancing or inhibiting the creation of the healing environments. A criterion-based, purposive sample of Christian nurses (N = 15) was interviewed between June 2013 and January 2014 until data saturation was reached. Data were analyzed using constant comparative methods in consultation with a grounded theory expert. “Charting the healing path,” the core category, consists of four phases: helping patients get better, fostering the healing environment, charting a healing path, and observing outcomes. The “charting the healing path” model informs development of the environment domain of nursing knowledge. Knowing the patient, the juncture of nurse and patient points of view, and the resultant nurse–patient partnership promote best potential outcomes to be realized incrementally during, and after, hospitalization.

‘A change in the men’s everyday lives’ – a grounded theory study

2016 ◽  
Vol 6 (3) ◽  
pp. 185-190
Author(s):  
Ann Karin Helgesen
Keyword(s):  
Grounded Theory ◽  
Nursing Home ◽  
Well Being ◽  
Self Determination ◽  
Design Data ◽  
Basic Principles ◽  
The Core ◽  
Everyday Lives ◽  
Core Category ◽  
Data Collection And Analysis

BackgroundResearch to date indicates that most nursing homes offer various kinds of activities for their residents, but that these are seldom tailored to each individual person. In respect of activities, it is reasonable to assume that male residents are at particular risk of not receiving person-centred care as they inhabit a largely ‘female domain’, where the majority of personnel and often also of residents are female. Few studies to date have focused on activities for men in nursing homes.AimThe aim of this study was to explore male residents’ experiences of an activity programme in a nursing home in Norway.DesignThe study had an explorative Grounded Theory (GT) design. Data were collected by means of interviews with nine residents. All of the men were offered an activity at least once a week as part of a project over the preceding year.According to the basic principles of grounded theory sampling, data collection and analysis are carried out simultaneously using constant comparison.Findings The core category showed that there was ‘a change in the men’s everyday lives’ after the special activity programme – for men only –  was offered. Their own influence on the content of the conversations and on the activity itself was described as limited. This was not important for them, as the most essential issues were ‘being together’ and ‘getting away’. Conditions relating to the men themselves, the place where the activities were held and the nursing personnel had an impact on how important the activity programme was for them.ConclusionsA more person-centred approach in future activity programmes will enhance the residents’ integrity and well-being, and allow them a degree of self-determination even while resident in a nursing home.       

Stroke Patients’ Experiences in an Adaptive Healing Room in a Stroke Rehabilitation Unit

2019 ◽  
Vol 13 (2) ◽  
pp. 170-185
Author(s):  
Ifah Arbel ◽  
Bing Ye ◽  
Alex Mihailidis
Keyword(s):  
Stroke Rehabilitation ◽  
Well Being ◽  
Stroke Recovery ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Rehabilitation Unit ◽  
Healing Environment ◽  
Healthcare Settings ◽  
Patient Feedback ◽  
Healing Environments

Objectives: This study evaluated the user experiences (UX) of stroke patients residing in the adaptive healing room (AHR) and compared them to the UX of patients residing in standard private rooms (SPRs). Background: Healing environments in healthcare settings can promote patients’ healing processes, outcomes, and psychological well-being. The AHR was designed as a healing environment for stroke patients and has been previously evaluated in laboratory settings. This study was the first to evaluate it in its intended context—a stroke rehabilitation unit. Methods: The UX of 10 patients residing in the AHR and 15 patients residing in SPRs were collected via structured interviews with a set of open-ended questions and analyzed using quantitative and qualitative methods. Results: The AHR design features (orientation screen, skylight, and nature view) were rated positively by most patients. The skylight emerged as the least favorable. Responses to open-ended questions revealed that UX may be further improved if patients have more control over some of the settings (e.g., light intensity and nature views), and if the system allowed for more stimulation for patients at later stages of their recovery. Additionally, the results suggest that patients in the AHR have better UX than patients in the SPRs. Conclusion: The AHR has the potential to improve UX in the stroke rehabilitation unit. Patient feedback can be used to refine the AHR before carrying out clinical trials to assess the effect of the AHR on patient outcomes (e.g., sleep, mood, and length of stay) and stroke recovery.

The Experience of Acupuncture Care from the Perspective of People with Chronic Low Back Pain: A Grounded Theory Study

2014 ◽  
Vol 32 (4) ◽  
pp. 333-339 ◽  
Author(s):  
N J Stomski ◽  
S F Mackintosh ◽  
M Stanley
Keyword(s):  
Decision Making ◽  
Low Back Pain ◽  
Grounded Theory ◽  
Back Pain ◽  
Shared Decision Making ◽  
Chronic Low Back Pain ◽  
Well Being ◽  
Low Back ◽  
Shared Decision ◽  
Core Category

Objectives To explore the experience of acupuncture care from the perspective of people with chronic low back pain. Methods A grounded theory, qualitative study using indepth interviews was undertaken with 11 people who had received acupuncture care for chronic low back pain. Interviews were audio-recorded and transcribed verbatim. Initial, focused and theoretical coding were used to identify a core category and several other categories. Results The core category, Reclaiming Control, was related to the sense of well-being experienced by most of the participants as a result of undergoing acupuncture care. The other categories were Gaining Sanctuary, Gaining Trust and Working Together. These categories reflected the processes of participants entering an aesthetically appealing, calm and relaxing space; developing confidence in the acupuncturists’ ability to care for them; and negotiating strategies and sharing decision-making with acupuncturists about their care. Conclusions Clinicians using acupuncture as a management strategy for low back pain may elicit an immediate sense of calmness in patients with subsequent well-being benefits. A sense of calmness may also be enhanced through providing a relaxing physical environment. The transactional and interpersonal processes of establishing trust and rapport, and shared decision-making are important for clients. Shared decision-making can be improved by clinicians carefully considering the explanation of issues and plans to a particular patient, especially by developing an understanding of each patient's worldview and using language that the suits each individual's healthcare orientation. Our findings should be interpreted cautiously as the results may be generalisable only to private practice in affluent countries, and whether the findings are representative beyond this setting remains unclear.

scholarly journals Reconciling relationships with physical activity: a qualitative study of women’s postnatal physical activity decision-making

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Jane Liva ◽  
Wendy Anne Hall ◽  
John Oliffe
Keyword(s):  
Physical Activity ◽  
Decision Making ◽  
Grounded Theory ◽  
Qualitative Study ◽  
Well Being ◽  
Physical Activities ◽  
Individual Interview ◽  
The Core ◽  
Core Category ◽  
Decision Making Processes

Abstract Background Challenges with engaging in postnatal physical activity can negatively affect the health of women and their families. This study investigated women’s physical activity decision-making processes and strategies to support their physical activity as part of a healthy postpartum transition. Methods Thirty healthy women with infants aged 2.5–12 months completed 3-day activity diaries and an individual interview. Using Glaser and Charmaz’s grounded theory methodology, the core category, reconciling relationships with physical activity, was constructed, which explained women’s processes of postnatal physical activity decision-making. Results Through reconciling relationships with physical activity, women discerned the types of physical activity they were comfortable pursuing at various points in the postpartum transition. Based on the meaning physical activity held for participants and their views about risks, supports, and resources, women gauged their capacity and the workability of their physical activity desires. Most women were uncertain of their capacity (physical, emotional) to return to physical activity and viewed the achievement of several or all of their desired physical activities as unworkable. Only a small group of women fully pursued the desirable physical activities they viewed as important for their well-being. Women adjusted the strategies they used to achieve physical activity when their expectations of capacity and workability did not align with their experiences. Some women lacked access to resources or supportive messaging about postpartum physical activity and downgraded their physical activity pursuit after negative personal physical or childcare experiences. Conclusions Women can benefit from discussions about physiological birth recovery and navigating community and peer resources to support physical activity access and the safe return to physical activity following birth.

Co-creating the Psychological “White Picket Fence”: Three Gay Couples’ Relationship Reconfiguration

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Prevan Moodley ◽  
Francois Rabie
Keyword(s):  
Grounded Theory ◽  
South African ◽  
Gay Couples ◽  
Core Category ◽  
Picket Fence ◽  
Open Relationship ◽  
The Individual ◽  
The Relationship ◽  
Porous Boundaries

Many gay couples engage in nonmonogamous relationships. Ideas about nonmonogamy have historically been theorised as individual pathology and indicating relational distress. Unlike mixed-sex couples, boundaries for gay couples are often not determined by sexual exclusivity. These relationships are built along a continuum of open and closed, and sexual exclusivity agreements are not restricted to binaries, thus requiring innovation and re-evaluation. Three white South African gay couples were each jointly interviewed about their open relationship, specifically about how this is negotiated. In contrast to research that uses the individual to investigate this topic, this study recruited dyads. The couples recalled the initial endorsement of heteronormative romantic constructions, after which they shifted to psychological restructuring. The dyad, domesticated through the stock image of a white picket fence, moved to a renewed arrangement, protected by “rules” and imperatives. Abbreviated grounded theory strategies led to a core category, “co-creating porous boundaries”, and two themes. First, the couple jointly made heteronormative ideals porous and, second, they reconfigured the relationship through dyadic protection. The overall relationship ideology associated with the white picket fence remained intact despite the micro-innovations through which the original heteronormative patterning was reconfigured.

Understanding Effects of Tourism on Residents: A Contingent Subjective Well-Being Approach

2021 ◽  
pp. 004728752098891
Author(s):  
Kreg Lindberg ◽  
Ian E. Munanura ◽  
Chad Kooistra ◽  
Mark D. Needham ◽  
Ladan Ghahramani
Keyword(s):  
General Population ◽  
Population Growth ◽  
Population Survey ◽  
Well Being ◽  
County Level ◽  
Subjective Well Being ◽  
General Population Survey ◽  
Environment Domain ◽  
Perceived Impacts ◽  
Practical Implications

Research regarding tourism’s effect on the subjective well-being (SWB) of destination residents has provided important insight, but it generally has relied on indirect analyses and diverse measures. This study used livability theory and a novel contingent SWB method in which respondents directly reported anticipated SWB effects. This method is exploratory, but it provides greater confidence in causal relationships. Results from a general population survey in Oregon (USA) suggested the method functioned as intended. County-level population growth and visitor intensity predicted perceived current impacts of tourism. In turn, perceived impacts predicted change in SWB contingent on a vignette reflecting a 20% increase in tourists. Across all individuals and counties, average SWB changes were negative for the environment domain and positive for other domains. Practical implications are discussed, with the most positive SWB effects from tourism development expected to occur in counties with low visitor intensity, especially those with low population growth.

scholarly journals The Influence of Connectedness to Nature on Psychological Well-Being: Evidence from the Randomized Controlled Trial Play&Grow

Challenges ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 12
Author(s):  
Tanja Sobko ◽  
Gavin T. L. Brown
Keyword(s):  
Randomized Controlled Trial ◽  
Young Children ◽  
Psychological Health ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Well Being ◽  
Path Model ◽  
Psychological Well Being ◽  
Connectedness To Nature ◽  
Randomized Controlled

Urbanized children today have fewer opportunities to interact with nature which may lead to a greater risk of mental health problems. The objective of this randomized controlled trial was to investigate which particular changes in connectedness to nature (CN) would improve psychological well-being (PW) in young children. Six hundred and thirty-nine preschoolers (52.0% boys, age 34.9 ± 9.5 months) participated in Play&Grow, an early environmental education intervention. Children’s CN and PW were evaluated by parents before and after the program with validated measures; the CNI-PPC (four factors) and the SDQ, Strength and Difficulties questionnaire (five factors), respectively. The effectiveness of the intervention on the primary outcomes (CN, PW) as well as the relationship between them was analyzed in a repeated measures path model with intervention status as a causal predictor. Specific CN factors consistently increased ProSocial behavior and reduced Hyperactivity and Emotional problems. In summary, this study showed that the previously reported impact shifted from the total CN score to the specific CN factors. The Play&Grow intervention positively increased children’s CN and improved some aspects of psychological well-being in children which is a preliminary evidence of developmental benefits of connecting young children with nature. Our results indicate promising direction of action for the improvement of families’ psychological health.

Work from home: Indonesian employees' mental well-being and productivity during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Auditya Purwandini Sutarto ◽  
Shanti Wardaningsih ◽  
Wika Harisa Putri
Keyword(s):  
Psychological Health ◽  
Structural Equation ◽  
Work Performance ◽  
Well Being ◽  
Path Model ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Content Type ◽  
Mental Well Being

PurposeThe purpose of this study is to explore to what extent employees' mental well-being affects their productivity while working from home (WFH) during the COVID-19 crisis and whether mental well-being and productivity differ across some socio-demographic factors.Design/methodology/approachA cross-sectional study with online questionnaires was designed with 472 valid responses in Indonesia. Depression, Anxiety and Stress Scale (DASS-21) and Individual Work Performance Questionnaire (IWPQ) were administered. Non-parametric tests and structural equation modeling were employed to analyze the data.FindingsThe prevalence of depression was 18.4%, anxiety 46.4% and stress 13.1%, with relatively good productivity. Gender, age, education level, job experiences, marital status, number of children and nature of the organization were associated with the employees' psychological health but not with their productivity, while the workspace availability influenced both outcomes. The study path model showed the negative correlation between WFH employees' psychological well-being and productivity.Research limitations/implicationsThis study may contribute to the implication of current mandatory WFH on mental well-being and productivity. Further studies need to address the representativeness and generalizability issues as well as incorporating potential stressors.Practical implicationsOrganizations may adopt WFH as a future working arrangement and identify the individual and occupational characteristics that provide the most impacts on productivity. It is also necessary for them to develop proper strategies to mitigate the psychological risks and overcome the WFH challenges.Originality/valueThere is still a lack of studies investigating the relationship between simultaneous effects of WFH on psychological well-being and productivity, and how they affect some socio-demographic variables in the context of COVID-19.

scholarly journals Behavioural Changes in Dementia and their Impact on Professional Caregivers: A Grounded Theory Approach

Dementia ◽  
2017 ◽  
Vol 18 (4) ◽  
pp. 1479-1491 ◽  
Author(s):  
Katie Appleton ◽  
Antonina Pereira
Keyword(s):  
Grounded Theory ◽  
Behavioural Change ◽  
Everyday Practice ◽  
Theory Approach ◽  
Behavioural Symptoms ◽  
Core Category ◽  
Professional Caregiver ◽  
Professional Care ◽  
The Impact ◽  
Grounded Theory Approach

Aim The present study aimed to explore the impact that changes in behavioural symptoms of people living with dementia have on professional caregiver and resident relationships. Method A total of 21 interviews were carried out with professional caregivers of people living with dementia. A grounded theory approach was used to investigate everyday experiences of provision of professional care in dementia settings, focussing specifically on the effect of behavioural change on such relationships. Results A core category emerged from this analysis: ‘Developing behaviour in dementia impacts relationships on a personal and professional level’. Discussion Professionals have recognized as part of their everyday practice an eventual deterioration in relationships between themselves as professional caregivers and the residents, but also between the residents and their family members and among residents themselves. Importantly, understanding patients’ behaviour and behavioural change was identified as a crucial factor to achieve and sustain good relationships between professionals and residents suffering with dementia.

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