Holistic Nursing Practice最新文献

This article explores the evolution of the concept of presence as a therapeutic and care measure in nursing from 1962 to the present. The findings are derived from an extensive bibliographic search conducted through documentary sources such as PubMed and Google Scholar, utilizing and interlinking descriptors including "nursing," "presence," "care," "intentionality," "humanization," and "concept." The results reveal a progressive refinement and enrichment of the concept of presence, culminating in recent developments that emphasize an intentional perspective, which seeks to enhance the human, integral, and ethical dimensions of health relationships. Intentional Presence represents a novel approach to accompaniment and care, which has become fundamental in holistic nursing, fostering a deeper and more human connection between nurse and patient, leading to more comprehensive and meaningful care.

Many healthcare professionals are experiencing increased stress and burnout, worsened by the COVID-19 pandemic, leading to negative individual and organizational outcomes such as mental illness, maladaptive coping, job dissatisfaction, poor patient care, and higher turnover costs. Mindfulness practice is a promising evidence-based approach to impact stress and burnout. This quality improvement pilot project evaluated the impact of a free mindfulness smartphone application on stress and burnout levels in certified or licensed adult healthcare professionals over 6 weeks. Using a quasi-experimental pre- and post-intervention design, the project assessed the Mindfulness Coach application's (app) impact on stress and burnout using the Perceived Stress Scale and the Mini Z 2.0 survey. The results indicated that using the app significantly reduced perceived stress but did not impact burnout symptoms.

Comfort has increasingly been employed as a key goal in a variety of contexts, including health, justice, the economy, and the environment. Comfort has long been a primary concern in nursing, and it is especially significant in defining the nature of nursing knowledge and the profession. The goal of analysis this is to comprehend the various principles of comfort and to investigate the linked nursing features required for successful patient care. Patient-centered care is a critical indicator of health care quality, and comfort is essential for the patient experience. Katherine Kolcaba introduced the philosophy of comfort in nursing care in the 1990s, when she defined comfort as having three components: relief, ease, and transcendence. Because comfort is a core patient aim and central to the patient experience, maximizing comfort is a universal goal for health care. The design is a concept analysis. Walker and Avant analysis approach was employed to investigate the concept of comfort. Various internet databases were searched extensively for the term "comfort." A total of 31 papers were analyzed to find comfort attribute common themes. The results of analysis showed that disease process, self-esteem, positioning, approach of staff, and hospital life are considered antecedents of comfort; meanwhile, consequences of comfort include symptom relief, reduced suffering, an increased sense of control, and emotions of belonging. Tools that measure the comfort concept can be subjective or objective. In conclusion, nurses could apply many theories such as Kolcaba's Comfort Theory to guide their practice.

With Chapman's Radical Loving Care as a framework, this article shares practical wisdom and habits that occur daily in a busy community hospital to help all nurse leaders to develop a holistic view to shape their vision and embed radical loving care in their connections. The application of Chapman's concepts to the mentoring of others is viewed as a form of love and helps to strengthen not only the mentee, but the entire system of nurses caring for each other. Radical loving care is seen as a far reaching, progressive and humanistic strategy to show a deep, abiding kindness and caring to other human beings in the world of health care.

The aim of this study was to assess the effects of online mindfulness-based breathing therapy combined with music on the levels of perceived strain, caregiver burden and burnout in caregivers of palliative care patients. This was a prospective, single-blind, randomized-controlled study. A total of 100 caregivers were randomly assigned to the intervention group ( n = 50) and the control group ( n = 50). Participants in the intervention group agreed to 3 sessions of mindfulness-based breathing therapy per week. Participants in the control group agreed to sit in a comfortable position in a quiet environment for 30 minutes for 3 consecutive days. We found statistical differences in groups in strain ( P < .001), burden ( P = .015) and burnout ( P = .039) when comparing intervention and control groups. Mindfulness-based breathing therapy combined with music is a non-pharmacological approach that may reduce perceived strain, caregiver burden and burnout in caregivers.

This study reviewed the literature on spiritual care published in the last decade to re-examine its necessity and importance, and to suggest future research directions. An integrative review was conducted on studies published from January 2014 to November 2024 using PubMed, Google Scholar, RISS, and KISS databases. Keywords "spiritual care" and "spiritual nursing" were used, and 288 studies were selected following PRISMA guidelines. A gap between perception and practice of spiritual care was identified, with time constraints, lack of education, and organizational support as major barriers. Spiritual care education was effective in enhancing competence of nurses and medical staff, positively impacting patients' quality of life and emotional stability. Cultural background and religious beliefs significantly influenced spiritual care practice. Systematic and standardized education, organizational support, and multidisciplinary approaches are necessary for effective spiritual care implementation, reflecting cultural diversity and modern health care needs.

This study compiled 39 representative world-famous paintings, which depict the images of nurses in different historical periods. According to the sorting results, the paintings were created between 1662 and 1962. The evolution of nursing is delved into by examining depictions of nurses in historical artworks. Through this exploration, we gain insight into the development and professional ethos of nursing across different historical periods. The focus is on delineating various professional representations of nurses in these celebrated paintings and assessing their professionalism. The essence of the nursing profession is encapsulated as fraternity, sacrifice, dedication, and inheritance. This narrative interprets the significance of nursing portrayed in world-renowned paintings.