Holistic Nursing Practice最新文献

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.

The purpose of this study was to understand the relationship between the characteristics, health status, and health-promoting lifestyles of volunteer workers who participate in the community among middle-aged and older adults. A cross-sectional study was conducted to collect data from 173 middle-aged and older adults volunteers from 2 communities in North Taiwan. Data were collected using a structured questionnaire that included Demographic Characteristics Form, Self-Rated Health Status Scale, and Health Promotion Lifestyle Scale. Most of the volunteers were female, with an average age of 60.41 (±9.30) years. The average item score for the health promotion lifestyle was 74.07 ( SD  = 19.27). Participants scored highest on the social support subscales and lowest on the exercise subscales, followed by health responsibility subscales. Multiple regression analysis revealed that an average of 6 to 8 hours of volunteer services per week, diversity of volunteer services, and self-rated health status were each significantly associated with a greater health promotion lifestyle. Community health care workers should strengthen community volunteer support networks and motivate volunteers to attend health-related classes. Various community activities can remind each volunteer of their health responsibilities and awareness of a healthy promotion lifestyle.

The use of theories in nursing reflects the discipline's progression toward autonomy and delineates its scope, directly guiding practice, research, education, and administration. This paper analyzes and evaluates the theoretical model for nursing care of women involved in health care decisions-The Wittmann-Price Theory of Emancipated Decision-Making in Women's Health Care-based on McEwen's systematic theory 3-phase evaluation method. Developed through a rigorous process, this theory centers on the concept of emancipation and its associated subconcepts crucial to decision-making in women's health. This included crafting explanatory propositions and incorporating them into a structured theoretical framework. Having been applied and refined in various clinical settings, the theory has improved in applicability and proven effective for guiding nursing care across diverse environments. Furthermore, fostering a flexible environment that enhances personal knowledge significantly contributes to emancipated decision-making, which is closely linked to decision satisfaction.