Journal of Holistic Nursing最新文献

The purpose of this research was to examine the holistic effects of combined complementary therapies in reducing stress in college students. This convergent mixed-method study provided aromatherapy, massage, and meditation music sessions to college students (N = 50) just before finals week. Paired t-tests analyzed pre-session and post-session perceived stress and anxiety as well as objective physiological measures, including salivary cortisol, heart rate, and blood pressure. There was a significant difference in the scores for perceived stress before and after the sessions, t(49) = 4.72, p < .001, as well as pre-anxiety and post-anxiety, t(49) = 10.27, p < .001. Additionally, salivary cortisol levels significantly reduced from pre-session to post-session t(49) = 2.76, p = .008; and a significant reduction in heart rate from pre-session to post-session, t(49) = 3.73, p < .001. This study demonstrates that 20 min of brief complementary interventions can alter students' subjective holistic health perspectives, with objective physiological data confirming changes that promote health and wellbeing.

Holistic nurses intentionally respond to the suffering of others with compassion. This article presents knowledge relevant to the Universal force of compassion from three knowledge sources: (a) neuroscience, (b) the chakra system by clairvoyants, and (c) nursing theorists Watson, Newman, and Smith. In the past two decades an increase in research on compassion has yielded information that has implications for fostering self-development, transformation, and healing. Therapeutic Touch^® (TT), a compassion-based holistic human energy field therapy, is used as a practice exemplar.

Purpose: In response to the COVID-19 pandemic, holistic nurses at an academic level 1 trauma center in Hawaii utilized a novel holistic approach to combat stress and anxiety symptoms while promoting nurse's well-being. This assessment aimed to determine whether a brief session incorporating Reiki and meditation could decrease nurses' perceived stress and anxiety while increasing perceived happiness and coping ability. Methods: Two Reiki-certified holistic nurses developed a mobile 10-minute individual well-being session called "Zen Den." In each session, the holistic nurse provided hands-on Reiki concurrent with a meditation streamed by a free online application. Pre and post-self-assessments were measured using a Likert scale. Findings: Participants (N = 92) showed an average decrease in perceived stress by 46% and anxiety by 45%, and an increase in feelings of happiness by 17% and perceived coping ability by 18%. Conclusion: This novel approach to promote well-being in the workplace can be achieved using existing resources such as Reiki-trained staff, a quiet space, and a 10-minute well-being session with guided meditation using a free online application.

Holistic nursing should be a goal for all nurses. Patients that receive holistic nursing feel acknowledged, valued, and appreciated. Caring for patients holistically requires student nurses to possess and display attributes of mindfulness and Ubuntu. Student nurses therefore need to be supported and taught how to provide caring holistically to patients while being aware, being present, and conscious in the caring moment. The purpose of this article was to describe the model developed as a frame of reference to facilitate holistic nursing through developing mindfulness and Ubuntu. A theory generative, exploratory, and contextual research design was followed. A diagrammatic structure was constructed after the concept analysis was conducted. The model consisted of three phases with an outcome of a student nurse who is caring holistically and mindfully. The model provides a framework of reference to facilitate holistic nursing through the development of mindfulness. This study adds a model of mindfulness and a lens of looking at mindfulness through an African philosophy of Ubuntu.

Purpose: The purpose of this study was to investigate the effectiveness of various mindfulness practices for reducing feelings of stress and burnout among healthcare staff. Study Design: This article contains the quantitative portion of a mixed-methods study. Methods: Healthcare workers (n = 48) were randomly assigned to one of three practices. Data were collected at three-time points (pre-intervention, mid-intervention, and three-weeks-post-intervention). Scores on the Perceived Stress Scale (PSS) and the Maslach Burnout Inventory for Human Services Survey (MBI-HSS) were recorded at each time point. Findings: Scores on the PSS reduced significantly (p < .05) across three time periods. Maslach Burnout Inventory for Human Services Survey EE subscale scores reduced significantly (p < .05) across three time periods. There was no significant difference between the intervention groups on PSS or MBI-HSS scores. Conclusions: All three mindfulness practices were effective in reducing perceived occupational stress and emotional exhaustion. There was no intervention that stood out from the others as the most effective in reducing scores on the PSS and MBI-HSS. This study demonstrated the effectiveness of mindfulness practices that are short in time and simple in implementation for relieving stress and burnout in healthcare staff.

Purpose: The aim of this study was to explore the essence of the lived experiences of palliative care professionals in cultivating mindfulness, with a focus on the meaning of mindfulness in their lives and how mindfulness is experienced throughout their process of caring for others. Design: This was a qualitative study using a phenomenological approach. Methods: Eleven palliative care professionals (three physicians, four nurses, three psychologists, and one spiritual care provider) partook in in-depth interviews. Data were collected from the in-depth interviews and analyzed according to the method of Giorgi. Findings: Two major themes emerged from this study. First, the palliative care professionals realized the need for self-care amid emotional burden, including recognizing their feelings of guilt and self-doubt, emotional contagion of grief, reflections of others' fragility on themself, and their self-imposed limitations. Second, they noticed the transformative impact of mindfulness on them, including detecting reconnection with their body, changes in their personal values, self-acceptance, and liberation. Conclusion: Palliative care professionals can cultivate self-acceptance and facilitate entirely new life experiences through the practice of mindfulness. For them, mindfulness is not merely a self-regulation technique but an existential epiphany, offering hope for self-care and empowerment.

Purpose of Study: Given the enormity of the most recent challenges to clinician well-being, intensified by the pandemic, we decided to explore the influence of Transcendental Meditation^® (TM)^® on the well-being of clinical nurses. The purpose of our study was to use qualitative analysis to enhance our understanding of the experiences of clinical nurses who practiced TM, as viewed through the lens of our conceptual model and Watson's holistic unitary caring science theory. Design and Method: This qualitative study involved a thematic analysis of clinical nurses' written descriptions following the completion of the TM program during the COVID-19 pandemic. Findings: The nurse participants shared their experiences with the practice of TM as creating present moment focus, leading to enhanced self-care, and development of authentic presence with others. The overall theme uncovered in the analysis is that authentic presence is veritas (truth) in knowing, being, doing, and becoming. Conclusions: The findings were congruent with Watson's unitary caring science theory and provided illumination of the holistic value of TM as a self-care strategy for supporting nurses' well-being with the goal of retaining nurses in practice. When nurses care for themselves, they are more likely and able to care for others, thus helping them to enjoy their nursing careers.