scholarly journals Applying Salutogenesis in Healthcare Settings

2022 ◽  
pp. 389-395
Author(s):  
Jürgen M. Pelikan

AbstractThe chapters of Part VI demonstrate for different services of health or disease care that applying the salutogenic orientation, the salutogenic model and the concept, and instrument of the sense of coherence (SOC) has the potential to improve the health-promoting quality of structures, processes, and outcomes of these services for enhancing health gain and well-being of different stakeholders. There already exists impressive research-based evidence for this, but also quite a potential for further more systematic and complex research.

2020 ◽  
Vol 9 ◽  
pp. 216495612095927
Author(s):  
Adam I Perlman ◽  
Abd Moain Abu Dabrh

The past six decades have been marked by leaps and bounds in medical advances, while concurrently clinical outcomes and the quality of life continued to lag or decline. There is a need for more comprehensive approaches to delivering healthcare to patients that address illness and wellness within and outside healthcare settings. Mounting evidence shows that making sustainable changes in healthcare requires approaching patients’/individuals’ care as a continuum—within and outside healthcare settings—while addressing their capacity (ie ability) and workload (ie demands) and incorporating their values and preferences. Health and Wellness Coaching (HWC) has been proposed as a solution to create partnerships to empower individuals to take ownership, leadership, and accountability of their well-being, using nondirective, empathic, and mindful conversations that employ motivational-interviewing and evidence-based approaches. Insufficient clarity exists among healthcare professionals in understanding the definition, roles, and types of HWC. This primer summarizes HWC concepts and history and compares HWC types and its potential role in promoting, supporting, and improving the well-being, clinical outcomes, and quality of life of the pertinent stakeholders. This primer also highlights current and potential areas of application of HWC within different subpopulations and healthcare-related settings.


Author(s):  
Hanna Weimann ◽  
Jonas Björk ◽  
Carita Håkansson

The amount and quality of greenness in the local outdoor environment has repeatedly been linked to human well-being. Different types of green areas are likely required in order to meet the various needs of people throughout the course of their lives and with regard to individual social and economic living conditions. The aim of the present study was to increase the understanding of different pathways between green environments, well-being and health. We conducted 16 interviews to explore perceptions and experiences among adults residing in a semi-urban to urban area and derived categories and subcategories from the data using content analysis. We identified six categories; promoting activities, supporting social contacts, stimulating sensory impressions, providing a retreat, offering ways to influence and creating a sense of coherence, and we recognized that the availability to, and contrasts between and maintenance of the environment were experienced as prerequisites for health-promoting properties of the green local environment. The results illustrate a rich variety in potential pathways through which the green local environment may promote well-being. The study highlights the need to plan the local environment from multiple perspectives, as well as carefully considering prerequisites of various kinds in order for the green environment to support health across the life-course.


2022 ◽  
pp. 569-579
Author(s):  
Jacek Hochwälder

AbstractIn this chapter, the author discusses theoretical issues, including the dimensionality of the sense of coherence (SOC) scale, questioning whether the three components of comprehensibility, manageability and meaningfulness can be measured separately or not; a plea for longitudinal data to study SOC as the causal variable; whether SOC can be strengthened and thus function as an outcome variable or not; the concept of domain-specific SOC; the concept of a boundary in the measurement of SOC; the dichotomization and trichotomization of SOC to investigate more thoroughly if a weak SOC or a strong SOC is crucial for health and well-being; the importance of relating SOC to salutogenic outcome measures such as perceived wellness or a healthy lifestyle; and additional issues such as the collective SOC, measuring other central constructs in the salutogenic model and the importance of literature reviews and meta-studies. Excellent recommendations are given for ways forward.


2012 ◽  
Vol 11 (3) ◽  
pp. 31-38 ◽  
Author(s):  
Marieke Van Puymbroeck, PhD, CTRS ◽  
Alan W. Ewert, PhD ◽  
Yuan Luo, PhD

Veterans returning from Operations Enduring Freedom, Iraqi Freedom, and New Dawn may experience threats to their mental health and well-being as a result of their military service. The sense of coherence is a concept that is health promoting, and when high, can be protective against negative health consequences of stress. There are few studies that have determined interventions that may enhance the sense of coherence. Therefore, the purpose of this study was to determine the influence of the Outward Bound Veterans Program (OBVP) on the sense of coherence for US veterans. This study examined 246 veterans who attended the OBVP. The OBVP is a program that uses problem-solving tasks and challenges in a land or water-based outdoor setting that become increasingly difficult. The OBVP relies on teamwork and a series of physical and cognitive challenges. After attending the OBVP, there was a significant increase in the sense of coherence for veterans, and this change persisted 1 year following the completion of the program.To our knowledge, this is the first intervention that has demonstrated increased sense of coherence following an intervention and 1 year later. Recreational therapists should consider the sense of coherence as an important variable when working with veterans.


2022 ◽  
pp. 185-199
Author(s):  
Maria Koelen ◽  
Monica Eriksson

AbstractIn this chapter, the authors consider the meanings of the concepts of healthy ageing, ageing well, salutogenic ageing and reciprocity between the sense of coherence (SOC) and ageing processes. They discuss how the community can provide resources to strengthen older adults’ SOC, perceived well-being and quality of life. Quoting ‘It’s not how old we are; it’s how we are old’, the authors illuminate critical differences in understanding healthy ageing by professionals, researchers and older people themselves.


BUILDER ◽  
2021 ◽  
Vol 284 (3) ◽  
pp. 12-14
Author(s):  
Artur Kwaśniewski

The article presents the research issues related to the origins of healthy architecture – methodological assumptions, scope of the study, objectives, and main theses. The subject of study is the issue of human health, hygiene, and psychophysical well-being from the perspective of theory of pre-modern architecture, as well as the philosophical and medical basis of solutions proposed by architects and hygienists in the modern period (16th-19th centuries). The research is based on a critical analysis of source texts – such as architectural treatises, manuals of hygiene, and written statements concerning the rules of designing and using buildings. The author identifies the most relevant contexts, including the ancient and medieval traditions in architecture and medicine, the philosophy, culture, and customs of social elites, the level of knowledge about architecture, engineering, natural sciences, and medicine, building and urban code, and public health regulations. The article briefly discusses the evolution of views on health and disease prevention and the transformation of elements of the "health-promoting" architectural program of buildings.


2011 ◽  
Vol 26 (S2) ◽  
pp. 560-560 ◽  
Author(s):  
B. Neuner ◽  
M. Busch ◽  
J. Wellmann ◽  
U. Nowak-Göttl ◽  
H.-W. Hense

ObjectiveSense of coherence (SOC) is a resource for health and quality of life (QoL) in adults. Aim of this investigation was to evaluate the association of SOC and QoL in adolescents with congenital heart defects (CHD).MethodObservational study among 770 adolescents aged 14 – 17 years from a national CHD register. SOC was measured at baseline with the SOC-L9 questionnaire. At baseline and at 12-months follow-up, QoL was measured with the KINDL-R questionnaire, evaluating overall well-being and six subscales. The association of SOC with QoL was evaluated in multi-level linear models separately for overall well-being and KINDL-R subscales. Initial models comprised SOC as only fixed effect while the final models were adjusted for age, gender, medical and socioeconomic status and behavioral factors.ResultsOverall well-being, self-esteem and school-related well-being was significantly higher at follow-up compared with baseline. SOC at baseline (median 50 [range: 16 – 63] points) was positively associated with overall well-being and all KINDL-R subscales. There were significant negative interactions between SOC at baseline and time to follow-up for overall well-being and all KINDL-R subscales except psychological well-being. But even in fully adjusted models associations of SOC at baseline with overall well-being and all KINDL-R subscales at follow-up remained significant.ConclusionSOC is an independent predictor of QoL in adolescents with CHD. Except for psychological well-being, this effect attenuates over one year but remains positive inoverall QoL and sub-dimensions. Further studies should evaluate whether interventions aimed to increase SOC in children with CHD improve QoL.


2019 ◽  
Vol 26 (4) ◽  
pp. 265-275 ◽  
Author(s):  
Michael Teut ◽  
Florian Besch ◽  
Claudia M. Witt ◽  
Barbara Stöckigt

Background: The aims of this pilot study were to observe perceived outcomes of spiritual healing in Germany. Patients and Methods: In this prospective case study, we performed qualitative interviews with clients and healers about perceived outcomes of spiritual healing treatments. A directed qualitative content analysis was used. In addition, we applied questionnaires (WHOQOL-BREF, General Self-Efficacy Scale, Sense of Coherence 13, SpREUK-15, intensity of complaints on visual analogue scale) at baseline and after week 1, month 2 and month 6 which were analysed descriptively. Results: Seven healers and 7 clients participated, 42 interviews were analysed. In the interviews, the clients described positive body sensations, greater relaxation and well-being as short-term effects of healing treatments. Perceived longer-term effects were related to making significant life changes, creating new meanings, activating resources and improving social relationships. Patients in pain described a reduction of pain intensity. In the questionnaires, the clients reported improvements in quality of life and self-efficacy, to a smaller extent improvements of intensity of complaints and sense of coherence. Conclusion: The results from this pilot study could be useful to choose outcomes of future prospective studies with a larger sample: qualitative assessments combined with global and broad quantitative outcomes such as quality of life, self-efficacy and intensity of complaints could be applied.


2022 ◽  
pp. 277-281
Author(s):  
Georg F. Bauer

AbstractSettings are defined by the World Health Organization (1998) as “the place or social context in which people engage in daily activities in which environmental, organizational, and personal factors interact to affect health and well-being.” Such settings range from small-scale home/family to (international) organizations and large cities and thus differ in size, in their degree of formalized organization and their relationships to society.The chapters in Part V review how salutogenesis has been applied to health promotion research and practice in a broad range of settings: organizations in general, schools, higher education, workplace, military settings, neighborhood/communities, cities, and restorative environments. The following synthesis demonstrates that applying salutogenesis to various settings and linking salutogenesis with other models established in these settings has the great potential to generate ideas on how to advance the general salutogenic model.


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