Research On Therapeutic Environment Theory

Since the beginning of nursing as a profession, Nightingale made us look at the environment as an integral part of the healing process. Many theorists after her expanded upon this aspect, none so adamantly as Martha E. Rogers. Rogers elaborates on the holistic approach with her conceptual model/theory. Rogers’ science of unitary human beings is an indispensable research tool that relates to all South University Framework Pillars. Its historical significance only validates its invaluable quality. Rogers’ ideas are still functional today through the Commission of Collegiate Nursing Education professional core competencies, care plans, clinical application, current individualized healthcare, and healthcare of populations.

Physical Body is centered primarily on the physical facet of health such as drugs and surgery. The mind of consciousness is likened with functioning. Bio-psycho-social is centered more on consciousness. Physical Body focuses predominantly on the human as a Physical Body and what can be done to fix it physically. Bio-psycho-social states that the mind is unlimited and boundless. In Bio-psycho-social the understanding came about that a person’s mental health can affect their physical health as well as the health of other people around them (Dossey).

Single patient’s rooms promote privacy, prevent infection and endorse good rest and sleep. Advanced technology expedites test results, and facilitates physicians to see results from physician’s office which in turn help them to make critical decision if needed. The rooms also equipped with entertainment system so that patient could listen to music, education sessions and comedy channels (Eberst, 2008). The Mendocino Coast district hospital, the first healing hospital recommends that to gratify benchmarks of healing hospital each departments in the hospital should employs simple informative tools for patients and visitors that create health awareness and inspire healthy living. For instance testing departments provided with training program to reduce stress surgery division offer guided imagery CD to start healing process before surgery. The hospital took a positive role in improving health of the community ("Mendocino Coast District Hospital," 2009).

In this model, environmental control is the belief or disbelief that there is an ability to control nature. Depending on how the patient views environmental control, health care could have little value and ultimately be refused. There is also the aspect that there is a greater power in control of the universe and patients may need time and space to worship or meditate in prayer. As the nurse we must provide as much aid as we can while staying within our professional boundaries (Davidhizar, Giger, pg. 107).

In contrast, a physical healing environment is carefully constructed and organized. Employees are trained caregivers who are knowledgeable in interacting with patients and families so as to help them cope with their concerns or grief. The environment, by its design, is a strong means of establishing a spiritual relationship through an engagement of all five senses. By choosing colors appropriately, for example, desired effects in human behavior are promoted and psychological systems established - the color green indicates healing, nurturing and conditional love, a symbol of growth (Stefanidakis, 2001). This is because color has the ability to induce emotional responses such as irritability, cheerfulness, or peacefulness. Further, by creating the interior of the hospital in a manner that resembles, even slightly, a church or a temple, providing religious artifacts, say rosary beads, spirituality can be promoted. A patient’s sense of control over their environment must be kindled (e.g., lighting and temperature) so that stress relief may occur.

Isolation has rarely been viewed as a positive thing. When people think of someone or something that is isolated, words like “lonely” and “outcast” may come to mind. Even in corrective facilities, such as prisons or asylums, isolation (or solitary confinement) is deemed as a punishment. A study was conducted in a hospital to determine possible psychological and/or physical problems isolation may cause for patients and Abad, Fearday, and Safdar found that, “The majority showed a negative impact on patient mental well-being and behaviour, including higher scores for depression, anxiety and anger

There are different factors that help towards providing a positive care environment for example; organizational environment, therapeutic environment, community environment and physical environment. Although they are separate they all somehow relate to one another and come together to provides a range of circumstances and knowledge that should provide support and work in a beneficial way for any service user.

Environment – It is critical factor to health. Environment plays a very large and remarkable role in maintaining health and promoting recovery from illness. The environment consists of internal and external influences. Maintain clean quite peaceful environment and physical and social factors are the main responsibilities of the nurses. Person can modify their environmental factor to

A traditional hospital focuses more on getting patients in and out as fast as possible to increase revenue and make money. Traditional hospitals can be very large and crowded, anyone who applies and has the right degree can get a job if their interviewer likes them. This makes it very difficult to create a healing environment Healing means incorporating emotional support to the patient and ensuring that the patient is comfortable. A well prepared patient surrounded by love can from an illness better than a patient offered only medical help. A traditional hospital is set up to provide medical help, they have a lot of advanced equipment and all the new medications but that is not what a healing hospital is about. A traditional hospital is set up to try and cure a patient, Healing is not the same as curing, which is about fixing problems, eradicating disease, and decreasing symptoms. People can be healed even if they are not cured. For example, those with a chronic disease can learn to be at peace despite their condition a person may be cured but not healed. Healing environments are designed to

The first component speaks of a healing environment. This is an environment that is restful to the patient and the patient‘s family. There are no overhead paging, no sweepers going down the hall at night, promotion of a calming stress free environment for staff and patients to connect with their internal spirituality. The implementation of something as simple as a relaxation garden or massage treatment can go far in helping a patient rejuvenate so that they can move forward.

When considering this the color of the environment plays a big part of the healing environment. The use of chromotherapy, color healing, is essential when considering a healing environment. Green is considered the universal color for healing (Stefanidakis, 2001). Using colors appropriately in the hospital environment can encourage emotional responses to enhance healing. If the incorrect colors are utilized the patient may present with symptoms of irritability instead of peacefulness or cheerfulness which could inhibit healing. Furthermore, the hospitals interior plays a major role in the healing process. Spirituality will be promoted if the interior reflects the hint of a religious atmosphere such as exercising specific religious artifacts spirituality will be promoted. Hospitals can also incorporate unrestricted visiting, decorative fountains, fireplaces, skylights and healing gardens to help provide a relaxing environment which decreases stress for their customer population.

5. How is the physical environment similar to/different from a conventional health care setting in carrying out healings with the Lukumi patient?

One of the main goals of healthcare facilities is to provide the patients with a “healing environment”. The goal of the healing environment is to remove the patient from all the toxic and hazards to give them time to heal. Three concepts that help creating a stable environment will be explain in this paper. These concepts are the seen environment, the unseen environment, and the storied environment.

There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.

In this unhealthy hospital case there weren’t many strengths to be seen from reading the case because lot of negative sides of the hospital were mentioned. Renovating the building and fixing all the leakages that are occurring so it actually looks like aesthetic place so the patient’s can actually feel more comfortable with a better looking place for their treatment. By keeping in mind of the long