Journal of Holistic Nursing最新文献

A trauma cluster occurs when two or more natural disasters are experienced simultaneously or consecutively within a short timeframe. With the predicted increase in the frequency and severity of such events, the risk of experiencing trauma clusters is expected to rise, posing significant threats to public health and safety. While the focus of disaster research traditionally centers on negative psychological outcomes, such experiences can also lead to positive effects such as post-traumatic growth and ease. As such, this study aimed to assess the levels of post-traumatic growth and ease, and their relationship, among Bahamians who experienced the trauma cluster of Hurricane Dorian and the coronavirus disease pandemic. Nearly 4 years after the trauma cluster event began, 208 participants completed an online survey including a sociodemographic form, the Post-traumatic Growth Inventory, and Ease Measure. Data were analyzed using descriptive statistics and Pearson's correlation. Results revealed a broad range of individual post-traumatic growth and ease scores, with a significant positive correlation between overall post-traumatic growth and ease levels. The findings suggest that individuals can respond to adversity in positive ways across various aspects of life. The knowledge gained can inform holistic nursing interventions to support disaster survivors.

Purpose: This study aimed to assess the effects of Reiki on wellbeing, maternal attachment, and the severity of postpartum physical symptoms in women with risky pregnancies. Method: This prospective, single-blinded randomized controlled study included 54 pregnant women assigned to either a Reiki group or a control group with no intervention. The Reiki group received eight Reiki sessions, starting in the third trimester and continuing until the sixth week postpartum. Data were collected using the "Descriptive Information Form," "Holistic Well-being Scale," "Maternal Attachment Scale," and "Postpartum Physical Symptom Severity Scale." Findings: A statistically significant difference was observed in the post-test scores of the Holistic Well-being Scale (MD: -50.59; 95% confidence interval [CI]: [-61.92, -39.25]) and the Postpartum Physical Symptom Severity Scale (MD: 13.74; 95% CI: [11.06, 16.41]). However, no significant difference was found in the Maternal Attachment Scale scores (MD: -2.51; 95% CI: [-6.89, 1.86]). Conclusions: This study demonstrates that Reiki applications that overlap with holistic nursing practices have the potential to improve wellbeing in risky pregnancies and alleviate postpartum physical symptoms. By promoting energy balance, Reiki may positively impact both psychological and physical wellbeing.

Purpose: Using the holistic nursing perspective as a guide, this study aimed to explore nursing students' self-care practices in Indonesian nursing educational institutions. Design: A cross-sectional study. Methods: Nursing students enrolled in undergraduate programs across 13 institutions in Indonesia were recruited using proportionate stratified random sampling. A total of 1,071 students participated in an online survey. Data were analyzed using univariate, bivariate, and multivariate statistics. Findings: Overall, students took care of themselves. Self-care scores were highest in the emotional and spiritual dimensions, while physical self-care was lowest. Students' self-care practices differed significantly based on their age, self-care education, self-care perception and health status. Educational background, self-care education, self-care perception and health status were all significant predictors of students' self-care practices. Conclusion: Indonesian nursing students demonstrated satisfactory scores in the total Integrated Health and Wellness Assessment, but strategies to support students' positive self-care practices beyond their nursing education should be established, alongside a focus on self-care dimensions that scored low. Centrally regulating nurse self-care education could ensure uniformity in curriculum integration and maximize long-term benefits for nursing students, the profession and the healthcare system in general.

Purpose: The present study aimed to adapt the Holistic Care Inventory (HCI) to the Turkish society and assess its validity and reliability. Design: A methodological research design was used for this study. Methods: There was conducted with 200 patients hospitalized in the oncology clinic of a city hospital in Türkiye. For the scale, language validity, content validity, construct validity, and reliability tests were evaluated respectively. Findings: The HCI consists of four subscales and 37 items. All path coefficients for the items in the scale were found to be over 0.40, and the conditions required for convergent and discriminant validity were met. The Cronbach's Alpha coefficient was 0.974, with 0.952 for the "physical care" subscale, 0.942 for the "sensitive care" subscale, 0.945 for the "interpretive care" subscale, and 0.947 for the "spiritual care" subscale. A significant, positive, and moderate relationship was found between the HCI and the Newcastle Satisfaction with Nursing Care Scale. Conclusions: The HCI was concluded to be a valid and reliable measurement instrument for the Turkish society and is recommended to be used in patient populations when needed.

Polypharmacy is problematic in patients with fibromyalgia. The purpose of this project was to increase the number of medical cannabis referrals in a rheumatology clinic for patients with fibromyalgia. By implementing an educational intervention on the benefits of medical cannabis for fibromyalgia, the number of medical cannabis referrals increased. The project's results yielded an increase of 4% to 17% in medical cannabis referrals. This was significant, with a Z-score of 2.3143 and a p-value of .0103. The project concluded that the educational intervention on the benefits of medical cannabis for fibromyalgia increased the number of medical cannabis referrals post-intervention compared to pre-intervention. Future research is needed on other integrative therapies for fibromyalgia to reduce polypharmacy. This work is critical for nurses as we continue to advocate for holistic nursing care of our patients.

Background: The Faith Community Nursing (FCN) model of care is nurse-led spiritual or faith-integrated holistic care that has been provided in faith communities worldwide. Studies exploring individuals' experiences within such models of care are limited. Purpose: To understand the experiences of older adults with chronic conditions who received care within an FCN model of care in Australia, led by registered nurses and supported by volunteers. Design: An exploratory qualitative approach. Methods: Face-to-face semistructured interviews were conducted with ten older adults with chronic conditions, recruited using purposive sampling. Interviews were digitally recorded and transcribed verbatim for the thematic data analysis process. Findings: Four main themes emerged: coping and faith integration, accepting care to meet daily living needs, social connections and respite care, and professional support and services. Older adults with chronic conditions in this study described how the FCN model of care met their needs and positively impacted their physical, emotional, and spiritual well-being. Conclusion: Positive experiences within the FCN model of care highlight the potential value and impact of such models of care on individuals and families in the faith community. Further studies exploring the effectiveness, broader application, and sustainability of the FCN model of care are warranted (198/200).

Psychedelic-assisted therapy (PAT) has shown promising results in alleviating psychological and existential suffering among individuals with serious illnesses. In parallel, nursing offers a robust theoretical framework to guide therapeutic communication in this context. This article explores the application of Peplau's Theory of Interpersonal Relations (PTIR) as a foundation for holistic communication in PAT, particularly in hospice and palliative care. We examine how PTIR's core concepts (person, health, environment, and nursing) along with its articulation of therapeutic roles, phases of the nurse-patient relationship, and the concept of anxiety as a signal of unmet needs, can be integrated into PAT's preparation, dosing, and integration phases. Drawing on a fictional case study involving a patient with advanced cancer, we illustrate how nurses can use PTIR to support emotional processing, foster insight, and promote personal growth during psilocybin-assisted therapy. By aligning Peplau's theory with the emerging field of PAT, this article highlights nursing's vital contribution to the development of safe, ethical, and compassionate psychedelic care practices. The integration of PTIR into PAT provides a valuable model for holistic nursing, offering structured yet flexible guidance for therapeutic communication with patients facing the complex emotional, spiritual, and existential dimensions of life-limiting illness.