Journal of Holistic Nursing最新文献

This comprehensive integrated literature review provides evidence-based information on mindfulness meditation as a primary care treatment for anxiety. A variety of databases were utilized for article collection including MEDLINE Complete, CINAHL Plus with full text, Cochrane library, APA PsycInfo, APA PsycTests, Health Source: Nursing/Academic Edition, and PsycARTICLES. Research suggests anxiety can be treated effectively with a minimum of 8 weeks of meditation practice. Meditation is a cost effective and safe treatment modality that can be incorporated into the care of patients struggling with anxiety.

Purpose: The purpose of this descriptive study was to examine holistic spiritual self-care practices, diabetes knowledge, and its association with self-care practices among African Americans diagnosed with type 2 diabetes. The objective was to determine if spiritual self-care practices correlated with diabetes self-care practices among African Americans. Design: A descriptive research design was used for African Americans living in a Midwestern urban area. Participants were at least 18 years of age and diagnosed with type 2 diabetes. Participants were excluded if they had a diagnosis of type 1 or gestational diabetes, and/or a history of dementia or psychiatric illness. Method: Ninety African American participants between 28 and 88 years of age completed four instruments to measure diabetes knowledge, diabetes self-care practices, and spiritual self-care practices. Findings: Statistically significant correlations were found between general diet and diabetic self-care practices, spiritual self-care practices, physical spiritual self-care practices, and interpersonal spiritual self-care practices. Conclusion: This research project provided evidence that nursing staff caring for African Americans diagnosed with type 2 DM may consider incorporating spiritual self-care practices with other holistic self-care practices when helping African Americans manage their DM. This study found that spiritual self-care practices were important for African Americans who participated with this study.

Purpose: This mixed-methods study examined the relationship between multiple sclerosis symptoms to perceived severity, frequency of Uhthoff's phenomenon, the effectiveness of complementary cooling therapy on women's symptom clusters, and quality of life. This study explored the experiences of women with multiple sclerosis when using the Opal Cool Wrap related to heat intolerance, a complementary alternative therapy. Methods: Quantitative analysis of results from surveys from 62 women and seven qualitative semi-structured interviews with a subset of women who completed the surveys validated and illustrated the quantitative findings. Findings: Significant improvement in perceived severity for health transition, physical functioning, role-physical, bodily pain, and social functioning based on pre-/post-cooling therapy use. Three themes emerged from seven interviews: (1) being overheated impacts the quality of life; (2) cool wrap, a helpful tool for managing heat symptoms; and (3) strategies to remain cool. Conclusion: This study provides a comprehensive mixed-methods lens on the unique challenges women with multiple sclerosis face and information for disease management. Heat-related multiple sclerosis symptom clusters and Uhthoff's phenomenon women experience are common and impact safety, independence, health, and quality of life. Identifying complementary strategies such as cool showers and a cooling device to prevent and manage heat-related symptoms is a priority.

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.