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Title:
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Characteristics of a healing environment as described by expert nurses who practice within the conceptual framework of Rogers’ Science of Unitary Human Beings: A qualitative study\r\n |
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Author:
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Phyllis B. Kritek, RN, PhD, FAAN |
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Description:
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The purpose of this study was to identify and describe characteristics of a healing environment from a nursing perspective . This qualitative study was conducted using an interpretive descriptive method consistent with a naturalistic inquiry model . A purposeful sample of 9 expert nurses who practice within the conceptual framework of Rogers’ Science of Unitary Human Beings was selected . Data were collected in phone interviews . Fourteen themes were inferred from the subject interviews , and were organized into three categories correspondent to three of the research questions ; manifestations of healing , relationships and conditions characteristic of a healing environment , and nursing practices and processes identified as facilitative of healing . The investigator integrated the thematic findings from subject responses with conceptions inferred from the interviews as a whole to formulate an interpretive narrative description of seven characteristics of a healing environment : 1 ) the client defines focus and nature of his /her healing experience ; 2 ) relational experiences are recognized and treated as central energetic influence in creating a healing environment ; 3 ) nurses and nursing’s unique professional role are understood , valued , and supported as a dimension of the health care organization’s culture ; 4 ) the nurse is recognized within the health care setting as the professional with the potential for the greatest impact in creating a healing environment ; 5 ) nursing practice is theory based with a professional focus on designing client centered care that facilitates healing ; 6 ) the organizational culture supports balancing individualization of healing experiences with standardization of best curative practices ; 7 ) a healing philosophy is embedded in the professional culture and organizational core values . Conclusions were : a ) confirmed congruence between themes and SUHB core concepts ; b ) relationship is the most powerful influence on healing process ; c ) nursing’s role is central to creating a healing environment ; d ) theory based practice is essential to professional level care ; and e ) individualizing and partnering are as critical to healing as best practices and clinical standardization are to curing . The investigator recommended specific questions to research , education and practice leaders to address nursing’s capacity to create healing environment and existing deterrents to reaching this potential . |
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URI:
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http : / /hdl .handle .net /2152 .3 /183
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Date:
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2012-03-01 |