Operationalization of One Health Burnout Prevention and Recovery: Participatory Action Research-Design of Nature-Based Health Promotion Interventions for Employees

Sterckx, Ann; Broeck, Kris Van den; Remmen, Roy; Dekeirel, Kathleen; Hermans, Hildegard; Hesters, Carmen; Daeseleire, Tine; Broes, Viki; Barton, Jo; Gladwell, Valerie; Dandy, S.; Connors, Michéal; Lammel, Annamaria; Keune, Hans

doi:10.3389/fpubh.2021.720761

Cited by 7 publications

(5 citation statements)

References 63 publications

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“…Our study resulted in an overview of several identified quality criteria to be considered when designing and implementing NBI in healthcare facilities ( Figure 2 ) and led us to a preliminary NBI-quality criteria framework ( Figure 3 ). The use of quality criteria supports the development of equitable, safe and adaptive protocols during implementation, as observed in studies proposing NBIs in an organizational setting ( 54 ).…”

Section: Discussionmentioning

confidence: 72%

Quality criteria of nature-based interventions in healthcare facilities: a scoping review

Sterckx,

Delbaere,

De Blust

et al. 2024

Front. Public Health

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IntroductionImplementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in healthcare, identification of quality criteria is necessary to support desired outcomes related to biodiversity, human health and intervention processes. This study is part of a larger research project in collaboration with the Flemish Agency of Nature and Forest in Belgium.MethodsA scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, in PubMed, Medline, Web of Science and Scopus. A step-by-step tabular screening process was conducted to identify relevant studies and reviews of nature-based interventions, published in English between January 2005 and April 2023. A qualitative content analysis was conducted and the results were then presented to the project steering group and a panel of stakeholders for refinement.ResultsAfter filtering on the eligibility criteria, and with focus on healthcare facilities, 14 articles were included in this study. A preliminary nature-based interventions quality framework with a set of quality indicators has been developed.DiscussionWhen designing integrated nature-based interventions, a needs analysis of users and the outdoor environment should be conducted. Next, the integration of a One Health and biodiversity perspective and the application of a complex intervention framework, could support the quality of the design and implementation of nature-based interventions in healthcare facilities and facilitate their assessment. In future work, more rigorous research into the design and implementation of integrated nature-based interventions is needed to test and refine the quality criteria in practice.

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Section: Discussionmentioning

confidence: 72%

Quality criteria of nature-based interventions in healthcare facilities: a scoping review

Sterckx,

Delbaere,

De Blust

et al. 2024

Front. Public Health

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“…This collaboration takes into account the importance of creating a common language and terminology and understanding, while including patients’ perspectives. These efforts aim to bridge the gaps between the different stakeholders involved ( 4 , 52 ). Furthermore, our study shows that systematic monitoring and evaluation of the intervention process and iNBI impacts on biodiversity and health remains challenging.…”

Section: Discussionmentioning

confidence: 99%

Fine-tuning the practical relevance of a quality framework for integrated nature-based interventions in healthcare facilities. A qualitative interview study

Sterckx,

Delbaere,

De Blust

et al. 2024

Front. Public Health

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IntroductionIntegrated nature-based interventions in healthcare facilities are gaining importance as promising health and biodiversity promotion strategies. This type of interventions combines the restoration of biodiversity in the vicinity of the healthcare facility with guiding patients in that natural environment for health outcomes. However, quality appraisal of these interventions is still poorly developed. Based on a recent scoping review, the authors developed a preliminary quality framework in support of healthcare facilities designing, implementing and evaluating integrated nature-based interventions. This present study aims to fine-tune the practical relevance of the quality framework within the emerging practice.MethodsA qualitative interview study was conducted in seven healthcare facilities in Belgium. Using a combination of snowball and purposive sampling, 22 professionals, involved in the integrated nature-based intervention in their facility, participated in the study. The semi-structured interviews were transcribed and imported into NVivo. A deductive and inductive thematic analysis was used to explore the practical relevance of the quality framework. A stakeholders’ assembly review and a member checking of the findings were also part of the study.FindingsTwenty-two interviews with nature management coordinators, healthcare professionals, and healthcare managers were conducted by three principal investigators in seven healthcare facilities implementing integrated nature-based interventions. The contextualization and complexity of integrated nature-based interventions in the participating healthcare facilities demonstrated the need for an evidence-based quality framework describing nature-based interventions. The study led to nine quality criteria, confirming the eight quality criteria derived from a previous scoping review, and the identification of a new quality criterion ‘Capacity building, leverage and continuity’. These quality criteria have been refined. Finally, a proposal for a quality framework was developed and operationalized in a checklist. Deployment of the quality framework should be embedded in a continuous cyclical, adaptive process of monitoring and adjusting based on evaluations at each phase of an integrated nature-based intervention.DiscussionBridging the domains of healthcare and nature management in the context of an integrated nature-based intervention in a healthcare facility requires a transdisciplinary approach. Scientific frameworks such as “complex interventions,” Planetary Health and One Health can support the co-design, implementation and evaluation of integrated nature-based interventions within a cyclical, adaptive process. In addition, the importance of the quality of the interactions with nature could gain from more sophisticated attention. Finally, the implications for healthcare facilities, policymakers and education are discussed, as well as the strengths and limitations of the study.

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“…In this scenario, the recent study by Sterckx et al [ 70 ] has proposed a One Health-based protocol for the holistic management of burnout syndrome. Interestingly, the authors emphasized the strict relationship between mind, body, and emotions within the individuals, integrating the patient in a broader context, including both social and environmental factors.…”

Section: One Health Approachmentioning

confidence: 99%

Environmental Factors in the Rehabilitation Framework: Role of the One Health Approach to Improve the Complex Management of Disability

Lippi

Sire

Folli

et al. 2022

IJERPH

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Environment factors play a crucial implication in human health, with strong evidence suggesting that several biological, chemical, physical and social factors could be possible targets to implement effective strategies for human health promotion. On the other hand, a large gap of knowledge still exists about the implications of environmental factors in terms of functional impairment and disability, while the integration of an environmental-based approach in the therapeutic care of patients affected by disabilities remains still challenging. In this scenario, the One Health approach has been recently introduced in clinical care and aims to optimize health outcomes by recognizing the interconnection between people and the environment. Concurrently, the “Rehabilitation 2030 Initiative” proposed in 2017 by the WHO emphasized the need to integrate environmental-based strategies to promote rehabilitation across different health systems and different nations. However, no previous study underlined the potential implications of the One Health approach in the rehabilitation setting, nor the role of a comprehensive rehabilitation approach focused on environmental factors. Therefore, the aim of this narrative review was to present a comprehensive overview of the data currently available assessing the close relationship between rehabilitation and the environment to provide a different perspective on the comprehensive care of patients affected by disability.

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Operationalization of One Health Burnout Prevention and Recovery: Participatory Action Research-Design of Nature-Based Health Promotion Interventions for Employees

Cited by 7 publications

References 63 publications

Quality criteria of nature-based interventions in healthcare facilities: a scoping review

Quality criteria of nature-based interventions in healthcare facilities: a scoping review

Fine-tuning the practical relevance of a quality framework for integrated nature-based interventions in healthcare facilities. A qualitative interview study

Environmental Factors in the Rehabilitation Framework: Role of the One Health Approach to Improve the Complex Management of Disability

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