There is an increasing interest in the possible healing factors connected to the presence of
nature elements in health institutions.
OBJECTIVE:
The aim of the present study is to get a deeper understanding of how residents in a
residential rehabilitation center experience the views through windows and the indoor plants,
and whether and how the view and the plants can impact their recovery process.
METHODS:
In-depth individual and group interviews were conducted among 16 residents at a
rehabilitation center in Norway.
RESULTS:
The participants said that the indoor plants and the view of nature were pleasant to look at
and elicited feelings of relaxation and positive emotions which contributed to opportunities
for reflection and contemplation. They expressed a feeling of connectedness to nature: a
feeling of wholeness and spirituality elicited by the nature elements. They also expressed
that the presence of nature elements contributed to a sense of being taken care of.
CONCLUSIONS:
The nature elements, such as a view of nature or indoor plants, seem to enhance
opportunities for reflection, feelings of meaningfulness and sense of being taken care of
which may strengthen their feeling of well-being and make them more resilient to the stressors
in life.
AndersonML, GoodmanJ,
SchlossbergNKCounseling Adults in transition. Linking Schlossberg’s
theory with practice in adiverse world. 4 ed. New
York: Springer publishing company;
2012.
2.
HelsedirektoratetGjennomgang av rehabiliteringstilbudet i private rehabiliteringsinstitusjoner –
deloppgave A. 2011.
3.
HOD. Forskrift om habilitering og rehabilitering.
Helserettsavd.: HOD (Helse- og omsorgsdepartementet); 2011.
4.
PearlinLI, SchoolerC.
Structure of coping. Journal of Health and Social
Behavior1978;19(1):2–21.
5.
AntonovskyA.
Unraveling the mystery of health: How people manage stress and stay
well. San
Francisco:Jossey-Bass;
1987.
6.
HuismanE, MoralesE,
van
HoofJ, KortHSM. Healing
environment: A review of the impact of physical environmental factors on
users. Building and Environment2012;58:70–80.
7.
van den
BergAE. Health impact of
healing environments: A review of evidence for benefits of nature, daylight, fresh air, and
quiet in healthcare settings.
Groeningen:The Architecture of
Hospitals; 2005.
8.
WHOInternational Classification of Functioning, Disability and
Health. Geneva:World Health
Organisation;2013.
9.
DayAMB, TheurerJA,
DykstraAD, DoylePC.
Nature and the natural environment as health facilitators: The need to
reconceptualize the ICF environmental factors. Disability and
Rehabilitation2012;34(26):2281–290.
10.
WilsonWO.
Biophilia. The human bond with other speciesLondon, England:Harvard University
Press; 1984.
11.
UnruhAM, VersnelJ,
KerrN.
Spirituality unplugged: A review of commonalities and contentions, and a
resolution. Canadian Journal of Occupational Therapy2002;69(1):5–19.
12.
IrvineKN, WarberSL.Greening
healthcare: Practicing as if the natural environment really mattered (Reprinted from Creating
a sustainable future: Living in harmony with the Earth, Alternative Therapies in Health and
Medicine.
2002;8(5):76–83.
13.
AndersonML.
Spirituality and coping with transitions.
Rochester, MI:Oakland
University; 2005.
14.
KaplanR, KaplanS.
The experience of nature: A psychological perspective.
New York:Cambridge University
Press; 1989.
15.
HerzogTR, BlackAM,
FountaineKA, KnottsDJ.
Reflection and attentional recovery as distinctive benefits of restorative
environments. J Environ Psychol1997;17(2):165–170.
16.
UlrichRS. Effects
of gardens on health outcomes. Theory and research. In: Cooper-Marcus
C, Barnes M, editors. Healing gardens Therapeutic benefits and design
recommendations. New York:John
Wiley; 1999, pp.
27–86.
17.
BringslimarkT, HartigT,
PatilGG. The
psychological benefits of indoor plants: A critical review of the experimental
literature. Journal of Environmental Psychology2009;29(4):422–433.
18.
KaplanR.
Employees’ reactions to nearby nature at their workplace: The wild and the
tame. Landscape and Urban Planning2007;82(1-2):17–24.
19.
EvensenKH, RaanaasRK,
HagerhallCM, JohanssonA,
PatilGG.
Restorative elements at the computer workstation: A comparison of live plants
and inanimate objects with and without window view. Environment and
Behavior2013;47(3):288–303.
20.
ThomsenJD, Sonderstrup-AndersenHKH,
MullerR.
People-plant Relationships in an Office Workplace: Perceived Benefits for the
Workplace and Employees. Hortscience2011;46(5):744–752.
21.
AnnerstedtM, WahrborgP.Nature-assisted
therapy: Systematic review of controlled and observational studies.
Scandinavian Journal of Public Health2011;39(4):371–388.
22.
UnruhAM, SmithN,
ScammellC.The
occupation of gardening in life-threatening illness: A qualitative pilot
project. Canadian Journal of Occupational Therapy2000;67(1):70–77.
23.
NakauM, ImanishiJ,
ImanishiJ, WatanabeS,
ImanishiA, BabaT,
HiraiK, ItoT,
ChibaW, MorimotoY.
Spiritual care of cancer patients by integrated medicine in urban green space:
A pilot study. Explore-the Journal of Science and Healing2013;9(2):87–90.
24.
CimprichB, RonisDL.
An environmental intervention to restore attention in women with newly
diagnosed breast cancer. Cancer Nursing2003;26(4):284–292.
25.
GonzalezMT, HartigT,
PatilGG, MartinsenEW,
KirkevoldM.
Therapeutic horticulture in clinical depression: A prospective
study. Research and theory for nuring practice: An International
Journal2009;23(4).
26.
WichrowskiM, WhitesonJ,
HaasF, MolaA,
ReyMJ. Effects of
horticultural therapy on mood and heart rate in patients participating in an inpatient
cardiopulmonary rehabilitation program. Journal of Cardiopulmonary
Rehabilitation2005;25(5):270–274.
27.
VerraML, AngstF,
BeckT, LehmannS,
BrioschiR, SchneiterR,
AeschlimannA.
Horticultural therapy for patients with chronic musculoskeletal pain: Results
of a pilot study. Alternative Therapies in Health &
Medicine2012;18(2):44–50.
28.
ErikssonT, KarlstromE,
JonssonH, ThamK.
An exploratory study of the rehabilitation process of people with
stress-related disorders. Scandinavian Journal of Occupational
Therapy2010;17(1):29–39.
29.
UlrichRS, ZimringC,
ZhuXM, DuBoseJ,
SeoHB, ChoiYS,
QuanXB, JosephA.
A review of the research literature on evidence-based healthcare
design. Herd-Health Environments Research & Design
Journal2008;1(3):61–125.
30.
UlrichRS. View
through a window may influence recovery from surgery. Science1984;224:420–421.
31.
RaanaasRK, PatilGG,
HartigT. Health
benefits of a view of nature through the window: A quasi-experimental study of patients in a
residential rehabilitation center. Clinical Rehabilitation2012;26(1):21–32.
32.
TangJW, BrownRD.
The effect of viewing a landscape on physiological health of elderly
women. Journal of Housing for the Elderly2005;19(3):187–202.
33.
RaanaasRK, PatilGG,
HartigT. Effects
of an indoor foliage plant intervention on patient well-being during a residential
rehabilitation program. Hortscience2010;45(3):1–6.
34.
ParkSH, MattsonRH.
Ornamental Indoor Plants in Hospital Rooms Enhanced Health Outcomes of Patients
Recovering from Surgery. Journal of Alternative and Complementary
Medicine2009;15(9):975–80.
35.
BeukeboomCJ, LangeveldD,
Tanja-DijkstraK.
Stress-Reducing Effects of Real and Artificial Nature in a Hospital Waiting
Room. Journal of Alternative and Complementary Medicine2012;18(4):329–333.
36.
SaffariniaM, TavakkoliS,
AliporA. Effects
of Environmental Design Inspired by nature on Psychological and Physiological Responses of
Clients in Medical Spaces. International Journal of Environmental
Research2012;6(3):689–694.
37.
OuelletteP, KaplanR,
KaplanS. The
monastery as a restorative environment. Journal of Environmental
Psychology2005;25(2):175–188.
38.
AndradeCC, LimaML,
PereiraCR, FornaraF,
BonaiutoM.
Inpatients’ and outpatients’ satisfaction: The mediating role of perceived
quality of physical and social environment. Health &
Place2013;21:122–132.
39.
KenigerLE, GastonKJ,
IrvineKN, FullerRA.
What are the Benefits of Interacting with Nature? International Journal of
Environmental Research and Public Health.
2013;10(3):913–935.
40.
GiorgiAP.
Phenomenology and psychological research.
Pittsburgh:Duquesne University
Press; 1985.
41.
KvaleS, BrinkmannS.
Interviews. Learning the craft of qualitative research
interviewing Los Angeles,
CA:Sage;
2009.
42.
Malterud
KK. Fokusgrupper som
forskningsmetode for medisin og helsefag. OsloUniversitetsforlaget; 2012.
43.
Bjerke M, Ramfjord H. Gode råd er grønne. Et
allergivennlig grønt miljø inne og ute. Norges astma og allergikerforbund, Sør-Trønderlag
Fylkeslag. Norge:Norsk forum for bedre innemiljø for barn 2005.
44.
GiorgiAP, GiorgiBM.
The descriptive phenomenological research method. In:
CaminPM, , RhodesJE,
,
YardleyL, editors. Qualitative
research in psychology Expanding perspectives in methodology and design.
Washington DC:American Psychological
Association; 2003.
45.
DonovanGH, ButryDT,
MichaelYL, PrestemonJP,
LiebholdAM, GatziolisD,
MaoMY. The
Relationship Between Trees and Human Health Evidence from the Spread of the Emerald Ash
Borer. American Journal of Preventive Medicine2013;44(2):139–145.
46.
AydinO, ErkekolF,
MisirligilZ, DemirelY,
MunganD. Allergic
sensitisation to ornamental plants in patients with allergic rhinitis and
asthma. Allergy2011;66:165.
47.
NyrudAQ, BringslimarkT. Is
interior wood use psychologically beneficial? A review of psychological responses toward
wood. Wood and Fiber Science2010;42(2):202–218.
48.
EvensenKH, RaanaasRK,
PatilGG. Potential
health benefits of nature-based interventions in the work environment during
winter. A case studyPosibles beneficios sobre la salud de la
introduccion de elementos naturales en el ambiente de trabajo durante elinvierno. Un estudio
de caso. Psyecology: Revista Bilingüe de Psicología Ambiental –Bilingual Journal of
Environmental Psychology2013;4(1):67–88.
49.
BjørnstadS, PatilGG,
RaanaasRK. Nature
contact and organizational support during office working hours: benefits relating to stress
reduction, subjective health complaints, and sick leave. Work-A
Journal of Prevention Assessment & Rehabilitation2016.
50.
KellertSR, HeerwagenJH,
MadorML,
editorsBiophilic design: The theory, science, and practice of bringing
buildings to life. Hoboken,
NJ:Wiley; 2008.
51.
MullersdorfM, IvarssonAB.
Use of Creative Activities in Occupational Therapy Practice in
Sweden. Occupational Therapy International2012;19(3):127–134.
