By Vicki Guinn
At the Healthcare Design Expo & Conference in Phoenix, Arizona, November 12, representatives of Legacy Health and landscape architect Quatrefoil, Inc., received The Center for Health Design’s Evidence-Based Design Touchstone Award Platinum – the highest level – for the Evidence-Based Design (EBD) and Evaluation of the second-floor terrace garden at Legacy Emanuel Medical Center.
The award recognizes the use of an EBD process in the pursuit of increasing value, improving outcomes and engaging stakeholders. Awards were presented to projects that showed exemplary achievement through collaboration, evaluation and sharing: the touchstones of the EBD process.
“The natural environment can foster well-being and enhance people’s ability to function,” said Teresia Hazen, Med, HTR, QMHP, coordinator, Therapeutic Garden Program at Legacy Health. “The garden is such a peaceful place and the perfect antidote from the stress in a hospital environment.”
Located near the hospital’s Family Birth Center and Cardiovascular Intensive Care Unit, the 6,800-square-foot open-terrace garden is accessible round-the-clock to all hospital patients, visitors and employees. Called “A Nature Place,” the garden incorporates the elements of portal, path, destination and surround.
New study out: micro-doses of nature reduce symptoms of nurse burnout
The Legacy Emanuel garden was also the setting for an in-depth research investigation on nature to combat stress and burnout among nurses. The groundbreaking study was published in the November 2018 American Journal of Critical Care and is available to download and read in full: Impact of Nurses Taking Daily Work Breaks in Hospital Garden on Burnout (http://ajcc.aacnjournals.org/content/27/6/508).
“To our knowledge, this is the first controlled study to investigate the influence of taking work breaks in a garden on nurse burnout,” said co-investigator Serene Perkins, M.D., FACS, Director of Surgical and Clinical Research for Legacy Research Institute. “In short, taking work breaks in the Legacy Emanuel garden significantly reduced burnout in nurses working in high-stress environments.”
Nature presents us with a very real means to address workplace burnout. In this study, once daily, nurses spent a brief break, which lasted approximately 20 minutes, in a hospital garden; and a positive effect was noted after just 6 weeks. Meaningful green spaces represent an achievable means to help tackle burnout – and not just in hospitals, but in all kinds of workplaces.
Roger Ulrich, Ph.D., EDAC, co-project investigator and a pioneer in landscape design, said “There is a pattern of evidence that suggests that well designed gardens can reduce stress, lower blood pressure and relax people.” Dr. Ulrich is a guest professor of architecture at Chalmers University of Technology, Gothenburg, Sweden and Emeritus Professor at Texas A&M University.
According to Dr. Ulrich, anything that can be done to improve staff morale and help nurses cope with intense job demands and stresses can potentially help hospitals and other health care providers deliver better quality care.
The power of philanthropy
The in-depth study of the restorative benefits of therapeutic healing gardens was funded by a $560,000 Open Spaces Sacred Places grant from the TKF Foundation, which supported a cluster of studies at Legacy Emanuel, including the one described here.
“Philanthropy is a vital spark for innovation and scientific break-throughs. Taking findings and transforming them directly to improve medical care. . . that’s what Legacy Research does best,” said Joe Frascella, Ph.D., vice president of Legacy Research Institute.
Why this research matters
A recent Gallup survey found that burnout impacts as many as two-thirds of American full-time workers to some degree, with 23 percent reporting feeling burned out often.
Among nurses, a third are believed to experience high levels of burnout. It is a pressing problem that cuts across occupations of all kinds, industries and settings. For workers, it can eat away at their mental and physical health in a myriad of ways and can even shorten lifespans. An estimated $125 – $190 billion in health care spending is attributed to burnout each year.
“Heart of the Hospital” film features Legacy Emanuel Terrace Garden
The short film, “Heart of the Hospital,” (https://vimeo.com/261748013)explores the design and healing role of the therapeutic garden at Legacy Emanuel to improve patient care and outcomes. It was selected by the SHIFT Festival film committee to screen at their October 2018 conference.