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Evidence-based design (EBD) was popularized by the seminal study by Ulrich (1984) that showed the impact of a window view on patient recovery. [3] Studies have since examined the relationships between design of the physical environment of hospitals with outcomes in health, the results of which show how the physical environment can lower the incidence of nosocomial infections, medical errors ...
While in some respects it can be said that the concept of healing environments has evolved into EBD, it's mainly in the area of reduction of stress that this overlap occurs; as EBD goes beyond the healing environments dimension to consider the effect of the built environment on patient clinical outcomes in the areas of staff stress and fatigue ...
In general medicine and psychiatry, recovery has long been used to refer to the end of a particular experience or episode of illness.The broader concept of "recovery" as a general philosophy and model was first popularized in regard to recovery from substance abuse/drug addiction, for example within twelve-step programs or the California Sober method.
Attention restoration theory (ART) asserts that people can concentrate better after spending time in nature, or even looking at scenes of nature. Natural environments abound with "soft fascinations" which a person can reflect upon in "effortless attention", such as clouds moving across the sky, leaves rustling in a breeze or water bubbling over ...
Frequent stress: the magnitude and frequency of response to stress is what determines the level of allostatic load which affects the body. Failed shut-down: the inability of the body to shut off while stress accelerates and levels in the body exceed normal levels, for example, elevated blood pressure.
Another alternative, but not mutually exclusive hypothesis, is that shift-and-persist strategies affect health by increasing or up-regulating biological responses that enhance stress recovery and resilience. In particular, the parasympathetic nervous system's functioning may be enhanced by shift-and-persist response tendencies. [1]
The theory of boundary is to individualise the limits of what elements should be included and excluded in the analysis of systemic intervention. The terminology of boundary critiques was found by Ulrich in 1983 in which was used to refer to his own methodological practice. [ 2 ]
Boundary critique (BC) is the concept in critical systems thinking that, according to Ulrich (2002), states that "both the meaning and the validity of professional propositions always depend on boundary judgments as to what 'facts' (observation) and 'norms' (valuation standards) are to be considered relevant" or not.