Nature-based rehabilitation on the countryside : experiences and perceptions of the nursing staff

Syftet med studien var att beskriva vårdpersonalens erfarenheter och upplevelser med att arbeta med naturunderstödd rehabilitering på landsbygd (NUR) i Region Skåne. 14 semistrukturerade intervjuer gjordes med vårdpersonal på enheter kopplade till interventionen. Materialet bearbetades med tematisk analys. Fem tema urskildes: Förstå regelverket kring NUR, Behov av ökad individanpassning, Brister i information och kunskap, Tidskrävande i en redan pressad situation och Värdefullt steg i rehabiliteringen. Fyra av fem teman pekar på olika former av hinder för vårdpersonalen att arbeta med NUR. Detta kunde till stor del härledas till bristfällig motivation och genomförande av en hållbar implementering. Vårdpersonalen upplevde brist på information och kunskap i arbetet med NUR. En engagerad verksamhetschef som hade kunskap om interventionen och kunde uppmuntra vårdpersonalen till att använda NUR som ett komplement i rehabiliteringen av patientgruppen efterfrågades. En stödjande organisation där en synlig kontaktperson kunde arrangera fysiska möten, uppdatera vårdpersonalen om aktuell forskning hade underlättat arbetet på vårdenheterna. Det framkom att det fanns en osäkerhet om hur och för vem NUR var tänkt. Riktar sig interventionen till patienter i primärvård, psykiatrisk vård, eller både och? Här finns möjlighet till att förtydliga målgrupper så att NUR används i de fall interventionen gör mest nytta. En ökad kommunikation, där Region Skåne centralt, tydligt visade vad de ville med interventionen skulle kunna bidra till att vårdenheterna prioriterade interventionen och att fler patienter fick tillgång till interventionen i framtiden. Som tillägg kan nämnas att NUR ansågs värdefullt för patienten genom möjlighet till återhämtning och för att komma vidare i sin rehabilitering. Det framkom även att interventionen ansågs värdefull för vårdpersonalen, som genom NUR fick en ökad förståelse för patienternas kapacitet.The aim of the study was to describe the experiences and perceptions of the nursing staff regarding work with Nature-based rehabilitation in the countryside (NUR) in Region Skåne. 14 semi-structured interviews were conducted with nursing staff on units linked to NUR. The data were processed by a thematic analysis. Five themes were identified: Understanding the regulations for NUR, Need for increased individual adaptation, Lack of information and knowledge, Time consuming in an already stressful situation and Valuable step in rehabilitation. Four out of five themes showed different kinds of obstacles for the patient in order to interact with nature through NUR. This could largely be attributed to inadequate motivation and lack of sustainable implementation. The nursing staff experienced a lack of information and knowledge working with NUR. An engaged operations manager who had knowledge of the intervention could encouraging the staff to use NUR as a complement to rehabilitation of the patient group. A supportive organization where a visible contact person could arrange physical meetings, update nursing staff about current research had facilitated work in the care units. It turned out that there was an uncertainty about how and for whom NUR was intended. Is the intervention made for patients in primary care, psychiatric care, or both? There is an opportunity here, to clear target groups so that NUR could be used where it makes the most benefit. Increased communication, where Region Skåne, clearly showed what they wanted with the intervention could help the health care units to prioritize the intervention so more patients could have access to the intervention in future. In addition, it can be mentioned that NUR was considered valuable to the patient through the possibility of recovery and to progress in their rehabilitation. It also emerged that the intervention was considered valuable to the staff, who through NUR gained and increased understanding of patients' capacity

Evidence-based design strategies to produce health promoting landscapes

Outdoor Environments for Health and Well-being is an international master’s program offered at the Swedish University of Agricultural Sciences (SLU) at Alnarp¸ leading to a Master of Science degree with a specialization in Environmental Psychology. The course Nature-Based Interventions LK0306 focuses on how different types of natural outdoor settings can be used for interventions as part of treatment, rehabilitation and programs for the prevention and promotion of healthy everyday habits in different user groups. This factsheet is the final product of the students’ work within the course during the autumn term of 2019. This year, Associate Professor John Rayner, contributed to this factsheet with his thoughts on the findings from the different groups’ work