PDF(Pubmed)
Abstract：
UNASSIGNED: Integrated 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.
UNASSIGNED: A 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.
UNASSIGNED: Twenty-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.
UNASSIGNED: Bridging 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.
UNASSIGNED: A 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.
UNASSIGNED: Twenty-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.
UNASSIGNED: Bridging 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.
摘要：
■医疗保健设施中基于自然的综合干预措施作为有前途的健康和生物多样性促进策略越来越重要。这种类型的干预措施将医疗机构附近生物多样性的恢复与在自然环境中指导患者获得健康结果相结合。然而,对这些干预措施的质量评估仍然不完善。根据最近的范围审查，作者开发了一个初步的质量框架，以支持医疗设施设计，实施和评估基于自然的综合干预措施。本研究旨在微调新兴实践中质量框架的实际相关性。
■在比利时的七个医疗机构进行了定性访谈研究。使用滚雪球和目的性采样的组合，22名专业人士,参与他们设施中基于自然的综合干预，参与研究。半结构化访谈被转录并导入NVivo。使用演绎和归纳主题分析来探索质量框架的实践相关性。利益相关者的大会审查和成员对调查结果的检查也是研究的一部分。
■与自然管理协调员的22次访谈，医疗保健专业人员,和医疗保健管理人员由3名主要研究者在7个医疗机构实施基于自然的综合干预措施.参与的医疗机构中基于自然的综合干预措施的情境化和复杂性表明，需要基于证据的质量框架来描述基于自然的干预措施。这项研究得出了九项质量标准，确认从先前的范围审查得出的八项质量标准，并确定新的质量标准“能力建设”，杠杆作用和连续性。这些质量标准已经完善。最后,制定了质量框架提案，并在清单中实施。质量框架的部署应嵌入在一个连续的周期中，在基于自然的综合干预的每个阶段，基于评估的自适应监测和调整过程。
■在医疗机构中基于自然的综合干预措施的背景下，桥接医疗保健和自然管理领域需要跨学科方法。科学框架，如“复杂的干预措施，“行星健康和一个健康可以支持共同设计，在周期性范围内实施和评估基于自然的综合干预措施，适应过程。此外,与自然相互作用的质量的重要性可以从更复杂的关注中获得。最后,对医疗机构的影响，政策制定者和教育进行了讨论，以及研究的优点和局限性。
■在比利时的七个医疗机构进行了定性访谈研究。使用滚雪球和目的性采样的组合，22名专业人士,参与他们设施中基于自然的综合干预，参与研究。半结构化访谈被转录并导入NVivo。使用演绎和归纳主题分析来探索质量框架的实践相关性。利益相关者的大会审查和成员对调查结果的检查也是研究的一部分。
■与自然管理协调员的22次访谈，医疗保健专业人员,和医疗保健管理人员由3名主要研究者在7个医疗机构实施基于自然的综合干预措施.参与的医疗机构中基于自然的综合干预措施的情境化和复杂性表明，需要基于证据的质量框架来描述基于自然的干预措施。这项研究得出了九项质量标准，确认从先前的范围审查得出的八项质量标准，并确定新的质量标准“能力建设”，杠杆作用和连续性。这些质量标准已经完善。最后,制定了质量框架提案，并在清单中实施。质量框架的部署应嵌入在一个连续的周期中，在基于自然的综合干预的每个阶段，基于评估的自适应监测和调整过程。
■在医疗机构中基于自然的综合干预措施的背景下，桥接医疗保健和自然管理领域需要跨学科方法。科学框架，如“复杂的干预措施，“行星健康和一个健康可以支持共同设计，在周期性范围内实施和评估基于自然的综合干预措施，适应过程。此外,与自然相互作用的质量的重要性可以从更复杂的关注中获得。最后,对医疗机构的影响，政策制定者和教育进行了讨论，以及研究的优点和局限性。
