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TMP.Objres.60.Pdf Forside: Michelangelo, 1475 – 1564 ‘The creation of Adam’ Sixtinske kapell ”A Thing of Beauty is a Joy forever”. Keats Abstract. Synnøve Caspari. 2003. The Golden Section The Aesthetic Dimension – a source of health. Supervisors: Professor Katie Eriksson, Associate Professor Dagfinn Nåden Åbo Akademi University, Dep.of Caring Science, Finland Within caring science, investigations and explorations have been carried out on the ontology of caring, and many aspects of the field have been the subject of scientific research. The main subject for this study is grounded on the human need for aesthetics. The purpose is to find how the aesthetic dimension is taken into consideration and how the aesthetic surroundings are evaluated and attended to, in the general hospitals in Norway. The theoretical perspective is founded basicly on the study of litterature from caring science and philosophy. The aim is to develop a disposition for a framework on the aesthetic surroundings in the hospitals, and to develop phenomenological and ontological knowledge and understanding of the aesthetic dimension. The study aspires to attain a deeper understanding of the aesthetic acknowledgment and of the aesthetic needs. The focus is how the aesthetic dimension can promote health and wellbeing, both for patients and for the caring staff, in the general hospitals and why the aesthetic dimension should be obligatory in ‘evident care’. The study concentrates on 11 selected categories in the hospital environment, where aesthetics is of importance. The research is implemented on 5 part studies: 1. part is a study of caring science and philosophical theories about aesthetics, as a framework for the investigation. 2. part is a survey of the physical environment, in Norwegian somatic hospitals, with focus on aesthetics. This by analyzing the strategy plans for the hospitals. 3. and 4. part is questionnaires to patients and nurses to get their opinion and evaluation of the aesthetic environment in the hospitals they are connected to, and their opinion on how this influences the health and wellness for both patients and caring staff. 5. part is qualitative interviews with 16 experts, to get their opinion and evaluation of the aesthetic environment in hospitals they are or have been connected to. How would the experts like the aesthetic surroundings to be, and also their opinion on what influence they think aesthetics has on health and wellness. The main literature of caring science is rooted in K. Erikssons caring theory as well as philosophic literature; mainly I. Kant, Platon and Y. Hirn’s theories on aesthetics. Various scientific researchers of aesthetics have also been referred to. The methodological approach is a triangulation with a hermeneutic exploration, where H.G. Gadamer and Ricoeur provides the inspirational foundation. The findings and conclusions result in the development of new hypothesis for the caring science foundation and suggestions, a disposition for a framework related to future planning of the aesthetic environments in general hospitals. It might be said that a common thread arises/appears in the invariance's (invariables) that are discerned from the analysis and interpretation of the interviews and also important angles shows in the variances that crystallized. Based on the conclusions the study confirms that there is a clear connection between health, wellness and aesthetics in the environment and that it is an ethical obligation for those in the caring professions to be aware of and attend to the aesthetic dimension. Keywords for searching in databases Medline 1999: Aesthetic, aesthetic surroundings, Aesthetic environment, Aesthetics, Research aesthetic, Hospital aesthetic, Patient Environment. Further search 2004 in Medline, National Library of Medicine and Cinahl: Patient environment, Health Facility Environment, aesthetic environment. Abstrakt Caspari, Synnøve. 2004. Det gyldne snitt Åbo Akademi, Institutionen för vårdvetenskap, Vasa (230 sider, 17 bilag) Innen vårdvitenskap er det forsket mye angående vårdens ontologi og substans. Mange områder har vært gjenstand for forskning. Hovedtema for denne avhandling og forskning har som utgangspunkt menneskets behov for estetikk. Hensikten med forskningen er ut fra et vårdvitenskapelig perspektiv, å finne ut og kartlegge hvordan estetikken generelt er ivaretatt, i omgivelsene på de norske somatiske sykehus. Det teoretiske grunnlag for forskningen er granskning av vårdvitenskapelig og filosofisk teori som angår estetikk. Hovedmål er å utvikle ansatser til en teori for estetikk i omgivelsene på sykehus, å utvikle epistemologisk og ontologisk kunnskap og forståelse for den estetiske dimensjon, samt en dypere forståelse for behovet for estetikk. Fokus er estetikkens betydning for fremme av helse og velvære, både for pasienter og for de ansatte på sykehus, samt estetikk i en evident vård. Forskningen består av fem delstudier. 1. delstudie er granskning av vårdvitenskap og filosofisk teori om estetikk. 2. delstudie er en analyse av handlingsplaner fra de norske somatiske sykehus, med fokus på føringer for estetikken i omgivelsene. 3. og 4. delstudie er spørreskjemaer til pasienter og sykepleiere ved seks somatiske sykehus, med spørsmål om hvordan de vurderer estetikken på de sykehus hvor de er pasienter eller er ansatt. 5. delstudie er kvalitative forskningsintervju av eksperter, deres vurdering av estetikken på sykehus hvor de har vært pasienter eller har/har hatt annen tilknytning til. Hvordan ønsker ekspertene at det estetiske miljø skal være og hva er deres mening angående estetikkens betydning for helse og velvære? Materialet for den teoretiske forskning er valgte tekster fra K. Erikssons vårdvitenskapelige teori og fra filosofisk teori av I. Kant, Y. Hirn og Platon som angår estetikk, samt annen forskning og litteratur. Metodologisk tilnærming er en triangulering med en hermeneutisk eksplorasjon, inspirert av H. G. Gadamer og P. Ricoeur. Konklusjoner og funn resulterer i utvikling av forslag til nye hypoteser for vårdvitenskapen og ansatser til teori angående fremtidig planlegging av estetiske omgivelser i somatiske sykehus. Ved analyse og tolkning av de kvalitative forskningsintervju, utkrystalliserer det seg invarianser og varianser som viser hva informantene vektlegger. Konklusjon fra de fem delstudiene er at det er en klar sammenheng mellom helse og velvære og estetikken i omgivelsene, og at det er en etisk forpliktelse for vårderne å ivareta den estetiske dimensjon. Søkeord: Aesthetic, aesthetic surroundings, aesthetic environment, estetics, research aesthetic, hospital aesthetic, patient environment, health facility environment, aesthetic environment. INNHOLDSFORTEGNELSE 1 INNLEDNING.................................................................................................................. 1 1.1 Bakgrunn ....................................................................................................................3 1.2 Forforståelse og paradigme ....................................................................................... 5 1.3 Utredning av begrepet estetikk................................................................................... 7 2 HENSIKT, FORSKNINGSSPØRSMÅL, DESIGN OG METODE.......................... 12 3 TIDLIGERE FORSKNING.......................................................................................... 21 3.1 Andre disipliner om estetikk og helse...................................................................... 24 3.2 Resultat av utforsking av litteratur som angår den estetiske dimensjon .................. 27 4 UTREDNING OG BESKRIVELSE AV ESTETISKE KATEGORIER .................. 28 5 DELSTUDIE I – UTFORSKNING AV VÅRDVITENSKAPELIG TEORI............ 42 5.1 Helsens substans og menneskets verdighet.............................................................. 44 5.2 Verdighet i forhold til estetikk og etikk ................................................................... 51 5.3 Estetikk relatert til områder for vård........................................................................ 53 5.4 Resultat fra granskning av vårdvitenskapelig teori som angår estetikk og helse..... 65 6 DELSTUDIE I – UTFORSKNING AV FILOSOFISK TEORI ................................ 67 6.1 Kant, Hirn og Platon om estetikk............................................................................. 69 6.2 Estetisk erkjennelse og kunstutfoldelse på forskjellige nivå – en utvidet forståelse 95 6.3 Den etiske forpliktelse i forhold til estetikk og menneskets verdighet .................... 99 6.4 Resultat fra utforsking av filosofisk teori og konsekvenser for vårdvitenskapen.. 102 6.5 Diskusjon og konklusjon fra delstudie I................................................................. 103 7 GJENNOMFØRING AV DE EMPIRISKE UNDERSØKELSENE....................... 106 7.1 Delstudie II − handlingsplaner ............................................................................... 106 7.2 Delstudie III og IV – spørreskjema til pasienter og sykepleiere............................ 108 7.3 Delstudie V − kvalitative forskningsintervju ......................................................... 115 8 RESULTATER FRA DELSTUDIENE...................................................................... 121 8.1 Delstudie II – innholdsanalyse av handlingsplanene ............................................. 121 8.2 Delstudie III – analyse av spørreskjemaene til pasienter ....................................... 130 8.3 Delstudie IV – analyse av spørreskjema til sykepleiere........................................
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