Journal of Holistic Nursing最新文献

Purpose: To examine the effects of forgiveness and resilience on anxiety, depression, and stress in nursing students. Design: Cross-sectional correlational study. Methods: The convinient sample of the study consisted of 383 nursing students. Results: Significant predictors of nursing students' anxiety levels were experiencing an event where they could not forgive themselves or others and resilience. Significant predictors of nursing students' depression levels were gender, income level, experiencing an event where they could not forgive themselves or others, resilience, and self-forgiveness. Significant predictors of nursing students' stress levels were experiencing an event where they could not forgive themselves or others, resilience, and forgiveness of others. Conclusion: An increase in the level of self-forgiveness in nursing students reduced depression symptoms, and an increase in the level of forgiveness of others decreased stress symptoms. An increase in the level of resilience reduced symptoms of anxiety, depression, and stress. Female gender and a middle level of income reduced symptoms of depression. Interventions that increase forgiveness and resilience should be integrated into the curriculum to reduce nursing students' psychological symptoms in the context of holistic nursing.

Purpose: Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. Design: A mixed-methods experimental design was used for this study. Methods: The quantitative phase included a sample of 27 participants randomly assigned to the control (n = 13) or VA (n = 14) condition. The VA condition consisted of three weekly 40-minute instructor-led seated exercise sessions over 24 weeks. Measures were obtained at baseline, three, and sixmonth intervals. Semi-structured interviews were conducted to explore participant's experiences of the program. Findings: Statistical comparison revealed significantly higher handgrip strength for the VA group (p = .008). Narrative analysis revealed that the program had a positive impact on participant's daily lives. Conclusions: The VA program offers a holistic, evidence-based exercise program for older adults with probable sarcopenia living in LTC facilities.

Purpose: The study's purpose was to assess: (1) Students' perceptions toward mindfulness interventions, and (2) Instructors' perceptions in implementing mindfulness interventions in their classes. Study design: Descriptive study. Methods: A total of 96 students from the second-degree option and BSN programs in the host institution participated in a mindfulness intervention prior to course activities. The four mindfulness interventions utilized in this study included: music, meditation, guided breathing, and positive affirmation. The data were analyzed using descriptive statistics on postintervention surveys. Findings: The mindfulness intervention was overwhelmingly received by the students and faculty as reflected in the result of the confidential postsurveys. The majority of the students and faculty felt that this mindfulness intervention was worth implementing in their course. Conclusion: The mindfulness intervention can promote students' feelings of "at ease" and confidence prior to a nursing course activity.

Nursing students will graduate as professional nurses and serve as community health role models. They need to start living a healthy lifestyle and having a good quality of life as soon as feasible. However, their attitudes and actions often reflect the opposite, as if their learning has little bearing on their lives. This study examines nursing students' lifestyle and quality of life, as well as the relationship between lifestyle and quality of life at a private university in Tangerang, Indonesia. This study is cross-sectional. The population comprised up to 220 third-year nursing students from one of Tangerang's private universities. The sample size was 147 students, drawn from convenience sampling. Data were collected online using the WHOQOL-BREF questionnaire and a lifestyle questionnaire that has been validated and reliable. The findings revealed that most students had a healthy lifestyle (72.1%) but a low quality of life (62.6%). Furthermore, there was a significant association between lifestyle and quality of life in nursing students (p-value 0.003). Nursing students must maintain a healthy lifestyle to have a good quality of life. Building quality of life in nursing students is crucial since it can improve their overall well-being and future care quality.

The purpose of the study was to explore how nurses' religious beliefs affect their ability to forgive themselves and others. Design: A descriptive correlational study was conducted. Methods: The data were collected using an online survey via Qualtrics using three validated tools Enright Forgiveness Inventory - 30 (to measure forgiveness of others), Enright Self-Forgiveness Inventory (to measure forgiveness of self), and Duke University Religious Index (to measure religiosity). Findings: Forgiveness of others was associated with both non-organized religious activities and intrinsic religiosity. After controlling for other variables, non-organized religious activities continued to predict forgiveness of others but organized religious activities negatively predicted forgiveness of others. Self-forgiveness was not associated with any of the religiosity indicators, and in the regression model, the seriousness of self-offense alone uniquely explained self-forgiveness. Conclusion: Stressed nurses become distracted, may miss effective job performance, and patient care may suffer. Emotional and spiritual health and better patient outcomes can be attributed to the nurse forgiving others and the self. Nurses must be self-aware to develop forgiveness strategies for their well-being and provide effective care. Faculty should teach "person-centered" care and educate students to forgive others and themselves for effective patient care.

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: 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: 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.