Professional Capstone Project

Problem, Purpose, And Questions: Evidence-Based Practice Proposal

Breyauna L. Davis   

College of Nursing and Health Care Professions, Grand Canyon University   

HLT 490V – Professional Capstone Project

Prof. Ashley Hartman

February 5, 2023 


1. A healthcare issue that is being discussed in this case study is the problem of depression prevalent among patients. The problem of depression, stress, and anxiety are common in the discipline of healthcare studies. Millions of people across the world suffer from stress, anxiety, and depression problems every year (Yeon et al., 2021).

2. The target population in this study includes the group of people living in Korea who underwent forest-associated anti-stress and anti-depression studies. The population is getting affected tremendously due to the impact of stress, depression, and anxiety in their life. The therapy performed on these patients includes the exposure of the patients to a quiet forest environment where there is no noise and no pollution. Exposure to a quiet serene environment in a forest has a calming effect on the life of people who suffer from depression and must be kept away from the noisy life in the city suburbs.

Prolonged exposure to incidences of stress, depression and anxiety increases the chances of the occurrence of suicide. Therefore, appropriate therapy is prescribed to the patients. As the experimental survey revealed there are tremendous positive effects of undergoing forest inhabitation therapy with a reduction in the levels of stress, anxiety, and depression. The results are evident in the group of participant patients undergoing this therapy as they perform normal walks and breathing in the forest region in the morning in comparison to the participants who did not undergo this therapy. Thus, forest living, or inhabitation therapy is recommended to most clients who suffer from stress, anxiety, and depression (Yeon et al., 2021).

The depression scale index was also used for identifying and analyzing the level and intensity of stress, depression, and anxiety present in the mindset of the patient participants. The patient outcome includes the statistical study among the group of participants; intervention includes the therapy sessions organized in the serene environment of forests. The comparison analysis includes the group of participants with a control group of participants who did not undergo forest-associated and behavioral therapy sessions by the counselors. The outcome was that the treated group of patients showed a significant improvement in their behavior and exhibited lesser incidences of stress, anxiety, and depression (Yeon et al., 2021). The work of Bielinis et al. (2019), explained that there is a significant effect of the green cover silent forest therapy on the mental life of the patients undergoing therapy for stress, depression and anxiety. In another study conducted by the group of Jun et al. (2019), green cover forest placement therapy was performed on the participants for obtaining a calm composing mental behavior without any significant hurdles.

In another study conducted in the USA, there is an analysis of the levels of depression among people in the age group of 65 years. The older age group population is specifically prone to the incidence of depression and anxiety. The PICO outcome in this study includes the clinical intervention and examination of the elderly patients prone to depression and anxiety in comparison to the normal control group. The outcome measure is that elderly people are more prone to the occurrence of stress, anxiety, and depression. The questions which can be asked are “Is there an effect of undergoing a psychological behavioral therapy on the mental health of elderly people? (Anderson, 2021)”

3. The questions which need to be asked among the participants involved in this statistical survey include: 1. Whether the forest associated and forest visit sessions with behavioral therapy are helpful for the patients in the long run-in comparison to a significant outcome in the short run sessions? 2. Whether the behavioral therapy and the forest-associated sessions can help improve the relationship among the family members living in different families?



Anderson, C. (2021). Part of the Psychiatric and Mental Health Commons Recommended Citation Recommended Citation Anderson, Cantrell.

Bielinis, E., Jaroszewska, A., Łukowski, A., & Takayama, N. (2019). The Effects of a Forest Therapy Programme on Mental Hospital Patients with Affective and Psychotic Disorders. International Journal of Environmental Research and Public Health, 17(1), 118.

Jun, A. Y., Lee, K.-S., & Lee, S.-M. (2019). Effects of the forest experience intervention program on depression, cognitive function, and quality of life in the elderly people with mild cognitive impairment. Korean Journal of Health Education and Promotion, 36(3), 73–82.

Yeon, P.-S., Jeon, J.-Y., Jung, M.-S., Min, G.-M., Kim, G.-Y., Han, K.-M., Shin, M.-J., Jo, S.-H., Kim, J.-G., & Shin, W.-S. (2021). Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(23), 12685.