Holistic Nursing Practice最新文献

This study was conducted to determine the effects of self-acupressure on sleep quality and fatigue in nurses working in medical clinics. A total of 64 nurses (n = 32 acupressure, n = 32 sham acupressure) participated in this prospective, 2-arm (1:1) study with an experimental design. In the study, both groups used the pressure points they were taught while performing self-acupressure 3 times per week for 4 weeks. After the intervention, the total mean score average of the acupressure group on the Pittsburg Sleep Quality Index and Fatigue Severity Scale was significantly lower than that of the sham acupressure group ( P < .05). Self-acupressure is a noninvasive, easy-to-use, safe, and efficient complementary and integrated technique that nurses can use to improve their sleep quality and manage fatigue.

The study's central objective is to harness the power of generative Artificial Intelligence (AI), in particular based on Large Language Models, as a valuable resource for delving deeper into the insights offered by patients with breast cancer (BC) who actively participated in a Mindfulness-Based Stress Reduction (MBSR) program. In a 6-week MBSR program, each session lasted 2 hours and encompassed a range of techniques, including sitting meditation, body scan, Hatha yoga, and walking meditation. A total of 25 participants were enrolled in the study. The majority of these participants reported a high level of satisfaction with the mindfulness course. The application of generative AI enabled a comprehensive analysis of the participants' responses, revealing distinct subgroups among them. The MBSR program was found to be beneficial for most participants, serving as a valuable tool in managing the psychological stresses associated with BC.

This phenomenological study aims to explore the experiences of individuals undergoing chemotherapy, focusing on their symptoms and the use of complementary and alternative treatments to cope with these challenges. Thirteen individuals diagnosed with cancer in a city in the central region of Turkey were interviewed using a semi-structured, in-depth approach in this phenomenological study. The criterion sampling method was employed to select participants, and interviews continued until data saturation was achieved. Thematic analysis was applied to the audio-recorded and transcribed interviews. The study adhered to the COREQ checklist for reporting qualitative research. The data analysis revealed 2 main categories (effects of cancer and chemotherapy on individuals, the use of complementary and alternative treatments to cope with the symptoms of patients receiving chemotherapy) and 6 themes (psychological effects, social impacts, physical effects, social practices, psychological practices, and physical practices). The study demonstrated that individuals faced significant psychological, physical, and social challenges due to cancer, posing difficulties in coping. The symptoms had a substantial negative impact on individuals. The research identified the use of various alternative methods, such as yoga, the Mediterranean diet, and music therapy, as coping strategies. It is recommended that individuals undergoing chemotherapy explore complementary and alternative treatment methods to effectively manage symptoms.

Su Jok therapy is used as an energy-based complementary and alternative method in cancer patients. The study was conducted to determine the effects of Su Jok therapy on pain, fatigue, insomnia, nausea, and vomiting experienced by patients with gastrointestinal cancer. This randomized controlled trial was conducted with 48 patients. Data were collected by the researcher by using an introductory information form, the short form McGill pain questionnaire, the cancer fatigue scale, the insomnia severity index, the Rhodes index of nausea, vomiting, and retching, and the visual analog scale. It was found that, after the application of Su Jok seed treatment, there was a significant decrease in the mean scores of the intervention group on the McGill pain scale, the cancer fatigue scale, the insomnia severity index, and the Rhodes index of nausea, vomiting, Su Jok therapy was effective in reducing the pain, fatigue, insomnia, nausea, and vomiting scores of patients with gastrointestinal cancer.

This paper showcases exhibits of the art of nursing through storying the call to serve that is grounded in nursing knowledge. Storying, a dimension of story theory, is defined as dialoging a meaningful unbounded happening in the integral nurse person relationship The exhibits represent storying the art of nursing with advanced practice and operating room practice. In the storying descriptions, the call to be truly present and serve one who was distressed, and suffering was lived with intentional dialogue about what mattered most to the person. The exhibits represent nursing wisdom about attending to the call to serve and may be inspiring and enlightening to others. Implications based on the exhibits for holistic nursing practice and education are offered.

Guilt in nursing is not just an individual emotion but an ethical experience rooted in the tension between care values and the conditions that constrain their practice. This systematic literature review analyzes guilt as a multidimensional phenomenon shaped by institutional, relational, and subjective factors. Eight key categories emerged: moral distress, institutional constraints, emotional and physical effects, end-of-life care, ethical conflicts with families, spirituality, informed consent, and coping strategies. The review reveals that guilt often stems not from personal error but from ethical dissonance between nurses' values and clinical realities. Hierarchies, rigid protocols, bureaucratic procedures, and lack of resources undermine nurses' moral agency and reinforce a logic of ethical isolation. This individualization of guilt obscures systemic responsibility and frames moral distress as personal failure. The findings call for a political reconceptualization of care, moving beyond resilience to foster shared ethical responsibility within teams. Recognizing guilt as a systemic indicator of ethical dysfunction is vital to rehumanize nursing, strengthen ethical subjectivity, and create more just and transformative care environments. Addressing guilt in this way empowers nurses not only to resist moral suffering but to reshape the structural conditions that perpetuate it.

The aim of this essay is to reflect on the concept of human energy in light of Martha Rogers' Humanistic Theory. Rogers presents a humanistic and holistic view of nursing, describing the human being as a synergistic unit in constant interaction with the environment. Her principles, such as integrality, resonance, and helicy, emphasize the continuous dynamics between the human and environmental fields. Human and environmental energy fields are open and fluid systems in continual interaction and influencing energy balance. The transition from the nursing diagnosis "Disturbed energy field" to "Imbalanced energy field" marks an advancement in the understanding of energy practices. Recent evidence supports the effectiveness of Integrative and Complementary Health Practices (ICHP), such as reiki and therapeutic touch, in restoring energy balance. Rogers' holistic approach is essential for modern nursing, promoting the integration and well-being of the human being in a broad manner.