Healthcare settings are increasingly adopting nature-based interventions (NBIs) to support users’ health and well-being, but these interventions are often underutilized. To get a grip on utilization problems, insight into factors that affect use and uptake of NBIs in routine care is needed. This scoping review aimed to provide an overview of factors that facilitate or impede successful implementation of NBIs in hospitals, long-term care facilities for the elderly (LTCF), and rehabilitation centers. Systematic searches were conducted across various databases to identify studies that collected qualitative and/or quantitative data on the implementation of NBIs in healthcare settings. Findings were classified into the five domains of the Consolidated Framework for Implementation Research. A total of 57 articles were included in the review. The articles provide detailed insight into facilitating and impeding implementation factors related to the intervention (e.g., awareness, adaptability, type of natural elements, accessibility, safety, weather conditions, comfort, privacy, supportive design factors, activities). Other found factors related to the inner setting (e.g., culture, implementation climate) and individuals (e.g., characteristics and opportunities of stakeholders). Factors related to the outer setting (e.g., financing) and implementation process (e.g., teaming, assessing needs, planning, engaging, doing, integration in care and therapy, reflection and evaluation, maintenance) also emerged, but to a lesser extent. This review identified a broad range of factors important for the successful implementation of NBIs, which can guide implementation of future NBIs. To complement these findings, future studies should consider conducting implementation studies.

中文翻译：

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如何在医院、老年人长期护理机构和康复中心实施基于自然的干预措施：范围界定综述


医疗保健机构越来越多地采用基于自然的干预措施 （NBI） 来支持用户的健康和福祉，但这些干预措施往往未得到充分利用。为了解决利用问题，需要深入了解影响 NBI 在常规护理中使用和采用的因素。本范围审查旨在概述促进或阻碍在医院、老年人长期护理机构 （LTCF） 和康复中心成功实施 NBI 的因素。在各种数据库中进行系统检索，以确定收集有关在医疗保健环境中实施 NBI 的定性和/或定量数据的研究。研究结果分为实施研究综合框架的五个领域。本综述共纳入 57 篇文章。这些文章详细介绍了与干预相关的促进和阻碍实施因素（例如，意识、适应性、自然元素的类型、可访问性、安全性、天气条件、舒适度、隐私、支持性设计因素、活动）。其他发现的因素与内部环境（例如，文化、实施氛围）和个人（例如，利益相关者的特征和机会）有关。与外部环境（例如，融资）和实施过程（例如，团队合作、评估需求、计划、参与、实施、护理和治疗的整合、反思和评估、维护）相关的因素也出现了，但程度较轻。本综述确定了对成功实施 NBI 很重要的广泛因素，这些因素可以指导未来 NBI 的实施。为了补充这些发现，未来的研究应考虑进行实施研究。