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Flourishing Nursing

Rooted in care. Growing toward flourishing.

Framework Tools: Garden Soil, the Cup, and the SMART Garden Plan

🟡 Status for all three tools: developing framework. These are educational reflection and conversation aids. None has been clinically validated, none diagnoses anything, and none replaces clinical assessment or validated screening instruments. Future research is needed.

🧭 Which tool is which?

All of these are educational reflection tools. They help a person think and talk about what matters. None is a validated clinical assessment, none gives a score, and none diagnoses anything.

🪞 Five-Minute Flourishing Reflection

What it is: A short set of questions about how life feels right now

How to use it: Read it alone or with a nurse; notice one area to start with

Status: Educational, not validated

🌳 The Nine Gardens of Flourishing™

What it is: A conceptual map of nine areas of life, related to the six lifestyle medicine pillars

How to use it: Pick one garden to tend this week

Status: Conceptual model, not a recognized clinical framework

🪴 Garden Soil Assessment™

What it is: A way to think about the conditions around a person: housing, food, money, transport, support

How to use it: Gentle conversation openers; people may decline any question

Status: Developing; use your organization’s validated screening where required

☕ The Cup of Flourishing™ Assessment

What it is: A whole-life reflection: what feels full, what feels empty

How to use it: Reflect in your own words; choose what, if anything, to talk about

Status: Developing; no scores; not validated

🎯 SMART Garden Plan

What it is: Turning reflection into one realistic SMART goal

How to use it: Choose the smallest meaningful change that feels achievable

Status: Uses standard SMART goal-setting

📝 My one-page plan

What it is: A printable page: one goal, one action, when, barrier, workaround, support, review date

How to use it: Fill it in on screen or on paper; optional save on this device

Status: Available now

🌱 Living Flourishing Plan™

What it is: A fuller private, printable personal plan you can revisit as life changes

How to use it: Not available yet; use the one-page plan below in the meantime

Status: In development

Each tool is an invitation, not a test. There is no passing or failing.

🪴 1. Garden Soil Assessment

The idea: when a garden struggles, a gardener doesn’t lecture the flower. They check the soil. The Garden Soil Assessment is a way of thinking about the conditions underneath a person’s health, the things that make healthy choices easier or harder.

Soil factors a nurse might gently explore: 🏠 housing · 🥫 food security · 💵 finances · 🚌 transportation · 🏥 healthcare access · 📖 education and health literacy · 🏘️ neighborhood safety · ⚖️ discrimination · 👪 family support · 🤝 social connection · 🏭 work conditions · 🫶 caregiving demands · 📱 digital access · 🌍 cultural context · 🌳 environment · 🌙 opportunity to sleep · 🎒 overall stress burden

💬 Sample conversation openers: “Is there anything at home that makes following this plan hard?” · “How do you usually get to appointments?” · “In the past month, have you worried about having enough food?” · “Who helps you when things get hard?”

Where a setting requires social-needs screening, use the validated instrument your organization has adopted. The Garden Soil Assessment is a way to think and talk, not a substitute. People may decline any question.

☕ 2. The Cup of Flourishing™ Assessment

The idea: a reflective framework that helps a person look at their whole life at once and notice what feels full and what feels empty. It connects to The Cup of Flourishing™, co-authored by Chief Flourishing Chef Robin Jeep and Nathanael Elijah Smith, MSN, APRN, FNP-C, DipACLM.

Reflection areas: 🥗 nourishment · 🚶 movement · 🌙 sleep · 🌬️ stress · 🤝 relationships · 🧭 purpose · 🏘️ community · 🌳 environment · 🕊️ compassion, meaning, or spirituality

How it might be used: a person reflects on each area in their own words, notices where their cup feels fuller or emptier, and chooses what, if anything, they’d like to talk about. There are no scores, no “passing,” and no wrong answers.

The Cup of Flourishing™ Assessment is a developing reflective framework intended to support conversation about whole-person well-being. It is not a diagnostic tool, has not been validated, and does not replace clinical assessment. Possible future work includes expert review, content validity, patient acceptability, feasibility, and psychometric testing.

🎯 3. The SMART Garden Plan

The idea: turn reflection into one realistic action, using SMART goals (Specific, Measurable, Achievable, Realistic, Time-sensitive) as taught in lifestyle medicine.

👀 NOTICE → ✋ CHOOSE → 📝 PLAN → 🤝 CONNECT → 🚀 ACT → 🪞 REFLECT → 🔄 ADAPT

Never fifteen goals at once. Just one question: “What is the smallest meaningful change that feels achievable?” For example:

  • 🚶 Walk outside for five minutes after lunch, three days this week.
  • 📞 Call one friend by Sunday.
  • 🫘 Add beans to one meal this week.
  • 🌙 Move bedtime 15 minutes earlier on weeknights.
  • 🏘️ Attend one community class this month.
  • 🚌 Ask the clinic about transportation help before the next visit.
  • 📅 Schedule one overdue appointment.

🌱 If it doesn’t happen, that’s information, not failure. Reflect, adapt, and try a smaller step. Goals involving medications, new exercise with a health condition, or diet changes for a medical condition belong in conversation with the person’s clinician.

🪴 Soil asks what surrounds the person. ☕ The Cup asks how their life feels from the inside. 🎯 The SMART Garden Plan asks what one step fits.

The goal is not a perfect garden. The goal is a living one.

📝 4. My one-page flourishing plan

One goal. One small action. That’s the whole plan. Fill it in here or print it blank and use a pen. 🌱 Bring it to your next visit if you’d like your nurse to help.

🔒 Saving is optional. It keeps your words only in this browser on this device; nothing is sent to us or to anyone. Don’t save on a shared or clinic computer. Clearing your browser data erases it. Please don’t write private medical details here.

🌱 If it doesn’t happen, that’s information, not failure: choose a smaller step and try again. Goals about medicines, new exercise with a health condition, or diet changes for a medical condition belong in a conversation with your clinician. This is an educational reflection tool, not a validated clinical assessment.

ℹ️ Written by Flourishing Nurse Ninja Nathanael Elijah Smith, FNP-C, DipACLM, with artificial intelligence–assisted drafting. The Cup of Flourishing™ is co-authored with Chef Robin Jeep. All tools on this page are educational reflection tools, not validated clinical assessments; no scoring validity or outcomes are claimed. Independent external review: not yet completed. Last updated: October 14, 2026.

⭐⭐⭐⭐⭐ “…challenging us to carry the light forward.”

🍎 Mrs. Barbara Weaver · 🌺 #Ohana · our founder’s favorite lifestyle medicine teacher
🌲 Flourishing EVERgreen Guardian™ of the Pacific Northwest · 🩺 Chief Flourishing Lifestyle Medicine Patient Representative™ · 🤝 Chief Flourishing Community Belonging Guardian™

Flourishing Nursing™ golden lamp: Nathanael’s 2012 Pensacola Christian College nursing commencement speech