Journal of Holistic Nursing最新文献

Background and Purpose: The Nurse Practitioner Holistic Caring Instrument (NPHCI) is a 19-item, investigator-developed instrument designed to measure holistic caring in nurse practitioner (NP) practice. This paper evaluates multi-sample psychometric testing of the instrument, describing data from three samples, with analysis supporting the NPHCI as a valid and reliable instrument. Methods: The NPHCI has been administered in patient, NP program faculty, and NP convenience samples. Development of the NPHCI was guided by Shuler's NP practice model and Swanson's theory of caring. Construct validity was estimated using Interitem correlation, exploratory factor analysis and confirmatory factor analysis. Reliability of the instrument was assessed in all three samples via Cronbach's alpha. Findings: Exploratory factor analysis consistently supported the identification of three subscales in the NPHCI, and confirmatory factor analysis demonstrated a good fit between the theoretical constructs and empirical indicators in the data. The instrument has demonstrated strong reliability in three samples. Conclusions: The NPHCI demonstrates acceptable reliability and validity but further psychometric testing is indicated.

Purpose: The purpose of this study was to characterize nurses' attitudes toward music and implementation of music into patient care and to characterize barriers and facilitators toward the implementation of music into patient care. Design: A cross-sectional, quantitative, web-based questionnaire with minor qualitative elements. Methods: The questionnaire contained both open- and closed-ended questions. It was developed in Qualtrics and sent via email to nurses working on inpatient units at an academic medical center hospital in the southeastern United States. Findings: A total of 348 nurses responded to the questionnaire. Eighty-nine percent of nurses reported having used music in their care. The methods of implementation most employed by nurses were streaming (90%) or encouraging a patient to play music on the patient's personal device (76.8%). Eighty-eight percent of nurses reported that access to music streaming services (e.g., Spotify) would be very helpful or extremely helpful. In response to the open-ended questions, nurses indicated a lack of equipment as the primary barrier to implementing music in care. Conclusion: Nurses reported having a positive attitude toward the use of music, strongly endorsing its utility in patient care. Although most nurses reported implementing music, many nurses reported barriers and facilitators to the implementation of music in patient care.

This study aimed to explore women with breast cancer (WBC) lived experiences on the use of Complementary and Alternative Medicine (CAM) for breast cancer management. van Manen's phenomenology of practice was used as the methodology and method in this study. In-depth interviews guided by semi-structured questions were conducted with 21 WBC recruited using convenience sampling. The thematic analysis generated four main themes: Access, affordability and support for medical treatment, beliefs in CAM treatment, feeling the potential benefits of CAM, and Acknowledging the negative aspects of CAM. The outcomes from using CAM based on the lived experiences of WBC indicated that some CAM treatments could improve quality of life. However, some fraudulent CAM obtained from unprofessional CAM providers could cause harmful effects, delay medical cancer treatment, and increase breast cancer treatment costs. Therefore, there is an urgent need to enhance the awareness of appropriate treatment, including evidence-based CAM, for WBC. Improved understanding in the use of CAM as a part of quality breast cancer care services could contribute to increasing the quality of life and survival rates of women with breast cancer.

The aim is to determine nurses' professional values and individualized care experiences and the affecting factors. This cross-sectional study was conducted with 470 nurses in a city hospital between September and November 2021. Information Form, Nurses Professional Values Scale (NPVS), and The Individualized Care Scale-Nurse Version (ICS-Nurse) were used for data collection. The average score on the NPVS was 118.16 ± 21.9. The total ICS-Nurse score of the participants was 3.96 ± 0.7. A positive, weak and statistically significant relationship was found between the NPVS and ICS-Nurse in terms of clinical status, personal life, and decision-making subdimension scores (p < .05). The professional values of nurses were found to be at a moderate level which directly affect their approaches to individualized care. Having high levels of professional values can help nurses provide better individualized care to their patients.

Purpose: The purpose of this scoping review was to identify intervention studies related to well-being and healthy lifestyles in nursing students to identify research gaps in the literature for future research. Methods: The review followed the Joanna Briggs Institute (JBI), JBI Manual for Evidence Synthesis, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews checklist. Five databases were searched to retrieve the articles assessed by this review: APA PsycINFO, CINAHL Complete, PubMed, Scopus, and Web of Science. Inclusion criteria included articles with a sample population of nursing students; addressed the well-being, wellness, health, or healthy lifestyle(s) of nursing students; tested an intervention(s), lifestyle change, behavioral change interventions, or behavior change technique. Findings: Twenty-four articles were included for analysis. Three categories of interventions were found: interventions related to (1) educational and curricular strategies, (2) psychological related interventions, and (3) supportive environments. Conclusion: This review adds to the literature by identifying future interventions that can increase the well-being of nursing students. The ability to cope with the stressors of school and competing demands is essential to meet academic requirements and goals. Therefore, understanding how to address nursing student well-being is vital to the future of the nursing profession.

Purpose: Spiritual care is a multifaceted and integral part of holistic health within the medical standard of care, and it is a crucial component of healthcare providers' (HCPs) job descriptions. This study aimed to investigate Zambian HCPs' professional competence and practice of spiritual care in maternal healthcare settings, with a comparative focus on nurses. Methods: A cross-sectional design was applied among 311 maternal HCPs using an online survey with two validated instruments: Professional Competence in Spiritual Care (PCSC) and the Nurse Spiritual Care Therapeutics Scale (NSCTS). Results: Most participants were females (63.0%) and nurses or midwives (25.1% each). The mean PCSC score was 135.4 (SD = 26.5), indicating excellent competence in spiritual care. The mean NSCTS score was 24.5 (SD = 14.2), indicating that HCPs seldom provide spiritual care. No significant differences were found in PCSC scores across different HCPs (p = 0.065). However, midwives and medical practitioners scored significantly higher on NSCTS compared to nurses (p < 0.001). Conclusions: Zambian HCPs demonstrate excellent competence in spiritual care but seldom provide it. Nurses appear to provide inadequate spiritual care compared to other HCPs. These findings highlight the need for further investigation to identify barriers preventing nurses from delivering comprehensive spiritual care.

Purpose: Specialty nursing certifications serve as a validation of nursing knowledge in specific areas. Holistic nursing emphasizes comprehensive patient care and incorporates complementary alternative modalities (CAM) into daily care. Despite its significance, limited research has evaluated the perceived value of holistic nursing certification among nurses. Study Design: Descriptive survey design. Methods: The Likert-scale survey Perceived Value of Certification (PVCT)-12 Tool was given to holistic certified and non-certified nurses at a large, academic Magnet hospital in the northeast United States from 10/2022 to 2/2023. Additionally, non-certified nurses were asked to select the top three barriers to certification from a list of nine. The responses between certified and non-certified nurses were compared using the Chi-square test, Fisher's exact test, or Student's t-test as appropriate. Findings: A total of 59 nurses (25 certified, 34 non-certified) met inclusion criteria. Ninety-six percent of certified nurses versus 64.7% of non-certified nurses agreed that certification demonstrates a commitment to the nursing profession, p = 0.004, but, otherwise, responses to the PVCT-12 Tool were similar. Both groups felt certification was more strongly associated with intrinsic factors (e.g., sense of accomplishment) than extrinsic factors (e.g., salary). Conclusion: Nurses were consistent in their perceived value of holistic certification, regardless of their certification status.

Purpose of Study: This project explored the feasibility and perceived benefits of integrating mindfulness training, grounded in holistic nursing philosophy, into undergraduate and post-licensure BSN nursing curricula to support student well-being and resilience. Design of Study: Nursing faculty implemented an educational intervention using a pre-post design across two university nursing programs. Methods Used: Faculty embedded a semester-long mindfulness curriculum into existing nursing courses. Students received lectures, accessed curated mindfulness resources, and completed a reflective journal assignment. Pre- and post-intervention surveys assessed changes in students' knowledge, attitudes, and practices related to mindfulness. Findings: Among 103 students who completed both surveys, knowledge of mindfulness increased from 42% to 91%, and regular practice rose from 41% to 73%. Students reported improved stress and anxiety management, emotional awareness, and resilience. Nearly all participants (96%) indicated plans to continue mindfulness practices. Journal reflections revealed themes of improved mood, self-care prioritization, and enhanced coping strategies. Conclusions: Faculty successfully implemented mindfulness training, and students responded positively. The intervention supported stress reduction and resilience, aligning with national nursing education competencies and reflecting holistic nursing's emphasis on whole-person care. Findings suggest mindfulness integration may be a valuable, low-cost strategy to enhance nursing education and promote student well-being.