Nursing metaparadigm concepts of nurse, person, environment, and health are the conceptual building blocks which provide direction to nursing research and knowledge development (Fawcett & Desnato-Madeya, 2013). Interaction of person, nurse and environment facilitate optimal outcomes yet, there remains a need for research on the paradigm concept of environment and creation of a healing environment in particular. (Meleis, 2010).

The purpose of this study was to explore the strategies Christian nurses used to create a healing environment and enhance well-being for non-end-of-life, hospitalized patients from admission forward. Specific aims included identifying nurses’ perspectives on (1) the strategies Christian nurses used to create a healing environment and enhance well-being, (2) the outcomes they perceived resulting from these strategies, and (3) the factors they regarded as either enhancing or inhibiting the creation of the healing environments. An additional aim was description of characteristics of nurses who created healing environments and enhanced well-being.

In this qualitative, Glaserian grounded theory (GGT) study, interview data were collected via a demographic “Information about You” sheet (see Appendix D) and semi- structured interviews (see Appendix C for interview guide) of nurses (N = 15) until data saturation was reached. A criterion-based, purposive sample was recruited, and tape-recorded face-to-face interviews were transcribed verbatim, coded, and analyzed using constant comparative methods in consultation with a grounded theory expert.

“Charting the healing path” is the core category and consists of four phases: helping patients get better, fostering the healing environment, charting a healing path, and observing outcomes. Within this model are ten substantive categories of baseline assessment, being available, knowing as a unique individual, hearing immediate concerns, seeing from the patient and the nurse points of view, partnering with the patient, setting realistic goals, realizing best potential, and outcomes. See Figure 1 for a conceptual model.

The “charting the healing path” model informs development of the environment domain of nursing knowledge. Knowing the patient, the juncture of nurse and patient points of view, and the resultant nurse-patient partnership seek best potential outcomes to be realized incrementally during, and after, hospitalization.

LLU Discipline





School of Nursing

First Advisor

Jones, Patricia S.

Second Advisor

Mamier, Iris

Third Advisor

Winslow, Betty W.

Degree Name

Doctor of Philosophy (PhD)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Holistic nursing; Nursing -- Religious aspects; Spirituality -- Health aspects

Subject - Local

Nurse-Patient Relations; Nurse's Role; Spiritual Therapies -- methods; Mental Healing; Faith Healing; Religion and Medicine; Empirical Research; Glaserian Grounded Theory



Page Count


Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives

Included in

Nursing Commons