Japanese Journal of Medical Research
Open AccessMotivating Healthcare Workers in Non-Hierarchical Spaces: A Sacred Architectural Framework for Sustainable Engagement
Authors: Julian Ungar-Sargon.
Abstract
This article presents a transformative framework for motivating healthcare workers through the deliberate design of therapeutic spaces that transcend traditional hierarchical structures. Drawing upon the author's extensive body of work exploring the intersection of spirituality, healing environments, and clinical practice, this paper articulates a vision for healthcare settings that honor all workers equally through spatial, procedural, and relational dimensions. The framework integrates elements from Maslow's Hierarchy of Needs [1], Herzberg's Two-Factor Theory, and Thomas' Intrinsic Motivation Model with theological concepts of divine presence and sacred encounter. By reconceptualizing healthcare workspaces as sacred environments characterized by mutual recognition, authentic presence, and shared purpose, administrators can foster intrinsic motivation that sustains caregivers through the emotional and spiritual challenges inherent in healing work. Case studies demonstrate how physical environments can be reconfigured to dismantle hierarchical barriers, create spaces for collaborative meaning-making, and support the emotional and spiritual wellbeing of all healthcare workers. This approach addresses the current crisis of burnout, moral distress, and disengagement by reclaiming the profound meaning at the heart of healthcare practice and creating environments where all participants—regardless of role or status— can experience themselves as valued co-creators in the sacred work of healing.
Editor-in-Chief
View full editorial board →