Mutual Vulnerability: Creating Healing Environments That Nurture Wholeness and Well-Being

2018 ◽  
Author(s):  
Beth M. King ◽  
Charlotte D. Barry
Keyword(s):  
Well Being ◽  
Healing Environments

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.

scholarly journals Day lighting in Healing Spaces

2019 ◽  
pp. 78-89
Author(s):  
Serene Mary J
Keyword(s):  
Night Shift ◽  
Well Being ◽  
Lighting Design ◽  
The Body ◽  
Climatic Zones ◽  
Healthcare Settings ◽  
Safe Work ◽  
Visual Tasks ◽  
Healing Environments ◽  
And Performance

The intent of this research is to explore how architecture can enlighten healing or provide spaces where healing can take place. The healing environments, make wellness centres less stressful and promote faster healing for patients and improve well-being for their families, as well as creating a pleasant, comfortable and safe work environment. Light impacts human health and performance by enabling performance of visual tasks, controlling the body’s circadian system, affecting mood and perception, and by enabling critical chemical reactions in the body. Natural light should be incorporated into lighting design in healthcare settings, not only because it is beneficial to patients and staff, but also because it is light delivered to people at no cost and in a form that most people prefer. Study involves comparing healthcare settings in warm and humid climatic zones and how day lighting plays an important role in healing. Appropriate day lighting thus impacts outcomes in healthcare settings by reducing depression among patients, decreasing length of stay in hospitals, improving sleep and circadian rhythm, lessening agitation among patients, easing pain, and improving adjustment to night-shift work among staff. The appropriate positioning and optimisation of windows/ openings in the workplace and access to daylight have been linked with increased satisfaction with the surrounding environment.

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.

The Relationship Between Hearing Loss Self-Management and Hearing Aid Benefit and Satisfaction

2019 ◽  
Vol 28 (2) ◽  
pp. 274-284 ◽  
Author(s):  
Elizabeth Convery ◽  
Gitte Keidser ◽  
Louise Hickson ◽  
Carly Meyer
Keyword(s):  
Decision Making ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Clinical Decision Making ◽  
Hearing Aid ◽  
Well Being ◽  
Self Report ◽  
Self Management ◽  
Hearing Aid Benefit ◽  
The Relationship

Purpose Hearing loss self-management refers to the knowledge and skills people use to manage the effects of hearing loss on all aspects of their daily lives. The purpose of this study was to investigate the relationship between self-reported hearing loss self-management and hearing aid benefit and satisfaction. Method Thirty-seven adults with hearing loss, all of whom were current users of bilateral hearing aids, participated in this observational study. The participants completed self-report inventories probing their hearing loss self-management and hearing aid benefit and satisfaction. Correlation analysis was used to investigate the relationship between individual domains of hearing loss self-management and hearing aid benefit and satisfaction. Results Participants who reported better self-management of the effects of their hearing loss on their emotional well-being and social participation were more likely to report less aided listening difficulty in noisy and reverberant environments and greater satisfaction with the effect of their hearing aids on their self-image. Participants who reported better self-management in the areas of adhering to treatment, participating in shared decision making, accessing services and resources, attending appointments, and monitoring for changes in their hearing and functional status were more likely to report greater satisfaction with the sound quality and performance of their hearing aids. Conclusion Study findings highlight the potential for using information about a patient's hearing loss self-management in different domains as part of clinical decision making and management planning.

Inclusion of Transgender Voice and Communication Training in a University Clinic

2017 ◽  
Vol 2 (10) ◽  
pp. 109-115 ◽  
Author(s):  
Jennifer Oates ◽  
Georgia Dacakis
Keyword(s):  
Training Program ◽  
Clinical Education ◽  
Well Being ◽  
Evidence Base ◽  
Communication Training ◽  
Speech Language Pathology ◽  
Transgender People ◽  
Language Pathology ◽  
Effectiveness Of Training ◽  
Negative Impacts

Because of the increasing number of transgender people requesting speech-language pathology services, because having gender-incongruent voice and communication has major negative impacts on an individual's social participation and well-being, and because voice and communication training is supported by an improving evidence-base, it is becoming more common for universities to include transgender-specific theoretical and clinical components in their speech-language pathology programs. This paper describes the theoretical and clinical education provided to speech-language pathology students at La Trobe University in Australia, with a particular focus on the voice and communication training program offered by the La Trobe Communication Clinic. Further research is required to determine the outcomes of the clinic's training program in terms of student confidence and competence as well as the effectiveness of training for transgender clients.

Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding

2010 ◽  
Vol 19 (3) ◽  
pp. 68-74 ◽  
Author(s):  
Catherine S. Shaker
Keyword(s):  
Intensive Care Unit ◽  
Dynamic Systems ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Dynamic Systems Theory ◽  
Feeding Problems ◽  
Care Giving ◽  
Extremely Preterm ◽  
Extremely Preterm Infants

Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile population related to the emergence of safe and successful feeding and swallowing. Focusing on the infant as a co-regulatory partner and embracing a framework of an infant-driven, versus volume-driven, feeding approach are highlighted as best supporting the preterm infant's developmental strivings and long-term well-being.

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