Holistic Nursing Practice最新文献

Doctoral nursing students experience high stress levels and mental health challenges, impacting resilience and professional readiness. Teaching wellness practices is essential to support student well-being and retention. High rates of stress and attrition among new nurses highlight the need for wellness-focused education, yet traditional teaching methods may not effectively promote self-care and stress reduction. Guided by Kolb's Experiential Learning Theory and the American Association of Colleges of Nursing Essentials Domain 10, this practice improvement project involved evaluation of a 40-minute guided meditation for Doctor of Nursing Practice students. The intervention included breath work, emotional grounding, and cognitive recentering. Using a pre-posttest design, 39 participants reported significantly reduced stress ( P < .001) and increased relaxation ( P < .001). Nearly all endorsed benefits to personal well-being and recommended future integration. Findings suggest experiential meditation fostered resilience and self-care, offering nurse educators a practical strategy to enhance student wellness, professional development, and workforce sustainability.

This study examined the symptom burden and palliative care needs of Korean women with stage III and IV breast cancer. Using a descriptive cross-sectional design, an online survey was conducted with 132 participants, assessing symptom burden with the Functional Assessment of Cancer Therapy-General and palliative care needs with the Problems and Needs in Palliative Care questionnaire-short version. The results showed that the greatest burden was in social well-being, followed by physical, functional, and emotional well-being. Psychological support emerged as the most pressing need, followed by financial assistance and information provision. Hierarchical regression revealed that lower functional well-being and higher economic status were significantly associated with greater palliative care needs, explaining 31.7% of the variance. These findings highlight that Korean women with advanced breast cancer experience multifaceted burdens and unmet needs, emphasizing the importance of psychosocial support, financial counseling, and strategies to sustain daily functioning.

Intensive care unit (ICU) nurses are frequently exposed to suffering and emotional distress, placing them at risk for burnout, compassion fatigue, and moral distress. Mindfulness practices can nurture presence, resilience, and compassionate care, yet many structured programs are too time-intensive for busy clinical environments. The Brief Intentional Grounding (BIG) Moment, a nurse-developed, 1- to 3-minute mindfulness practice, was created to restore balance, reduce stress, and support holistic well-being within the flow of care. In this pre-post intervention study, 30 ICU nurses at an urban safety-net hospital participated in a 3-month program including a 20-minute educational video and encouragement to practice The BIG Moment once or twice per shift. Perceived stress, measured with the 10-item Perceived Stress Scale, decreased significantly from baseline to 1 and 3 months ( P < .001). Results demonstrate that The BIG Moment is a brief, sustainable, and integrative practice that promotes nurse well-being and strengthens the healing environment.

This meta-analysis aims to assess the impact of pregnancy yoga on the mental health of women. Conducted without any temporal restrictions, our study collected data from PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases from September to December 2023. Following a thorough review, 9 studies were included in the analysis. Our meta-analysis indicated that the application of yoga during pregnancy significantly contributed to reducing depression (SMD: - 0.496, 95% CI: - 0.752 to -0.241; Z = - 3.807; P < .05) anxiety levels among pregnant women (SMD: - 0.739, 95% CI: - 1.22 to -0.256; Z = - 2.99; P < .05). The study concludes that yoga is an effective intervention for enhancing the mental health of pregnant women, leading to reduced anxiety and depression levels. Pregnancy yoga is suggested as a supportive practice to maintain the overall well-being - physical, mental, and spiritual - of expectant mothers, contributing to their adaptation to the challenges of parenthood by positively influencing the physiological and psychological transformations experienced during pregnancy.

In ambulatory oncology settings, some of the most meaningful healing occurs not during active treatment but within the quiet spaces surrounding it. This reflective essay explores therapeutic silence and attuned presence as holistic nursing interventions that support emotional, relational, and spiritual well-being for individuals receiving cancer treatment. Drawing on mindfulness-based nursing literature, communication theory, and co-regulation neuroscience, it examines how nurses create conditions of safety and connection even in time-pressured environments. De-identified clinical narratives illustrate how silence can regulate the nervous system, facilitate meaning-making, and honor the patient's inner experience. The essay concludes with practical reflections on cultivating presence within busy infusion settings and emphasizes the essential role quiet accompaniment plays in holistic oncology care.

This study aimed to examine the effect of foot reflexology and knee massage with black cumin seed oil on pain and fatigue symptoms in elderly individuals with knee osteoarthritis and assess which of these 2 applications is more effective. Our randomized controlled trial was conducted with 150 participants. Study data were collected from participants over 65 years who received outpatient treatment in a university hospital's physical therapy and rehabilitation unit and were determined to have no perception problems based on the Mini-Mental Test. After randomization, the study sample was classified into 5 groups, each including 30 participants: (1) foot reflexology with black cumin seed oil, (2) foot reflexology with a placebo, (3) knee massage with black cumin oil, (4) knee massage with a placebo, and (5) control. Participants were administered a Patient Descriptive Information Form, the Lequesne Knee Osteoarthritis Index, the Pain-Visual Analog Scale, the Fatigue Severity Scale, and the Western Ontario and McMaster Universities Osteoarthritis Index. Control group participants received standard of care, while participants in treatment groups received the studied interventions for 6 weeks. Data were collected by administering questionnaires to the participants in the first and sixth weeks and analyzed using IBM Statistical Package for Social Sciences 22.0 software. The study showed that foot reflexology and knee massage administered using black cumin oil effectively reduced pain and fatigue severity in Osteoarthritis (OA) patients, and overall, foot reflexology administered using black cumin oil was the most effective treatment to reduce pain and fatigue.

This study investigates the state of communication between nursing staff and patients concerning complementary and alternative medicine (CAM) in a university hospital in Taiwan. The study employed a validated cross-sectional survey to gather data from 90 nurses in the internal medicine ward. The results indicate a notable need for more initiation and documentation of CAM discussions by nurses, with less than a quarter recording patients' CAM usage. Barriers such as limited time, access to evidence-based information, and workplace culture were identified as significant obstacles. Additionally, nurse characteristics like age, experience, and seniority also played a role in the extent of CAM communication. The study underscores the urgent need for health care institutions to prioritize CAM communication as a vital component of patient-centered care. It suggests the development of strategies to facilitate proactive discussions and referrals.