Journal of Holistic Nursing最新文献

Purpose and design of study: This is an integrative systematic review of the role of forgiveness to cope with death anxiety that is common to aging and advanced illness. The purpose is to facilitate evidence-based information for holistic nurses to favor the promotion of forgiveness in their patients. Method: An integrative systematic review was undertaken to synthesize findings from original peer-reviewed research articles using qualitative, quantitative, and mixed methods conducted in adults (≥18 years old) receiving treatment for advanced illness and/or of older age (≥ 65 years old) from five electronic databases (Pubmed, Web of Science, PsycInfo, CINAHL, and Scopus). Findings: Forty-seven articles met the inclusion criteria. A priori framework-based synthesis identified the commonalities in the attributes underlying forgiveness, benefits of forgiveness on physical and mental health, and the forgiveness interventions relevant to aging and advanced illness but a lack of standardized assessments. Conclusions: This systematic review provides guidance for holistic nurses to promote forgiveness as an essential part of holistic healthcare in aging and advanced illness.

Introduction: Holistic caring considers not only the physical aspects of a human being but also the interconnections among each individual's body, mind, and spirit. Holistic nursing focuses on the principles of holism: wellness and the interrelationship between human beings and their environment. Physical, emotional, mental, spiritual, and social well-being are essential to promote nurses' ability to provide holistic care for patients. Purpose of study: The purpose of this research study was to develop, describe, evaluate, and provide guidelines for the operationalisation of a model to facilitate holistic self-care for professional nurses after the COVID-19 pandemic. Design of study: A theory-generating, qualitative, exploratory, descriptive and contextual research design was used. Methods: The researcher developed a model to facilitate intensive care professional nurses' holistic care consisting of three phases, namely the relationship phase, the working phase and the termination phase. The model was evaluated and validated by five experts from five different universities in South Africa, using Chinn, Kramer's and Sitzmann framework. As an initial model grounded in qualitative insights, it requires further empirical testing, which will be pursued as part of postdoctoral research. Findings: It is anticipated that this study will enhance the sense of interconnectedness with oneself, others, and the environment at the physical, mental, emotional, and social levels. Conclusions: Nursing managers can facilitate nurses' holistic self-care by providing resources and support, using this model as a frame of reference.

Background: Impaired attentive and cognitive functions were discovered to be increased threefold after a stroke attack. One holistic intervention proposed to overcome mental impacts is a combination of Natural Restorative Environment (NRE) and traditional music. Aim: This study aimed to evaluate the effect of Rindik Bali-based NRE on the cognitive and attentive function among post-stroke patients. Method: This was a quantitative study employing a quasi-experiment-pre- and-post with a control group design. A non-probability sampling with consecutive sampling technique was used to pick 46 post-stroke eligible participants and used instruments Trail Making Test (TMT A/B) and the Mini-Mental State Examination (MMSE). Participants were assigned to two groups, the experimental and control groups, with 23 participants each. Rindik Bali-based NRE was given twice a day for 3 consecutive days. Result: The Rindik Bali-based NRE intervention significantly improved the attentive function in the experimental group, and there was no significant change in the control group. Discussion: The holistic recovery concept that incorporates cultural studies and local beliefs may potentially be an effective method to provide sufficient stimulation in post-stroke rehabilitation. This study confirmed its effect on emotional management and nervous system stimulation.

Purpose: The Lerner Holistic Integrative Health Nursing Fellowship aims to incorporate components of Whole Health into nursing practice and promote innovative quality improvement programming that prioritizes well-being for patients, caregivers, and healthcare professionals. Methods: A lack of supported time has been reported as a barrier for education and self-care among nurses. This fellowship provided 10 participants with protected time to engage in a 9-month, 172-h curriculum including American Nurses Credentialing Corporation approved courses. Fellows completed baseline and post-fellowship surveys, post-module surveys, and exit interviews. Results: Fellows implemented 10 holistic based quality improvement initiatives, impacting over 453 patients and caregivers and 240 healthcare professionals. The fellowship resulted in an 80% increase in holistic nursing and integrative health utilization in professional practices and an 89% increase in knowledge, skill, and confidence related to holistic nursing, integrative health, the mind-body connection, and quality improvement or research initiatives. Conclusion: Transforming our system towards a Whole Health approach requires a dedicated and strategic plan. The fellowships' outcomes highlight the successful implementation of quality improvement initiatives and gains in knowledge, skills, and confidence in holistic nursing, IH, the mind-body connection, and quality improvement or research efforts.

This paper explores the utility of Peplau's Interpersonal Relations Theory in enhancing health literacy among older adults in clinical nursing practice. With an aging global population, older adults increasingly require complex healthcare interactions. Effective communication between nurses and older adults, a central tenet of Peplau's theory, is critical for promoting health literacy and ensuring positive outcomes. Health literacy enables older adults to better navigate healthcare systems, manage chronic conditions, and engage in self-care. This theory analysis employs Walker and Avant's methodology to examine Peplau's theory in the context of enhancing older adults' health literacy. We provide a historical overview of the theory's origins, describe its meaning, and present a literature review of academic literature that explores the concept of nurses enhancing older adults' health literacy. Through a thematic synthesis of nine records retrieved from three databases (MEDLINE, CINAHL, PsycINFO), this study identifies key themes such as trust-building, the role of social support, and nurses' roles as educators in facilitating health literacy. Findings support interpersonal nurse-patient relationships as critical to addressing health literacy barriers. The analysis highlights that Peplau's Interpersonal Relations Theory provides a useful framework for improving health literacy among older adults, ultimately supporting their well-being and healthcare outcomes.

Robust studies are necessary to support holistic solutions in healthcare, a tenet of holistic nursing practice. The purpose of this holistic study was to assess the quantitative and qualitative impact of healing touch on nurses' stress perception mid-shift. Recruitment of 128 RNs achieved a power of .7 and medium affect size. Vital signs and Visual Analog Scale for Stress (VASS) scores pre, post, and follow-up of healing touch or deep breathing groups revealed statistically significant Repeated Measures MANOVA findings in favor of healing touch. Pre-post intervention Heart Rate, Respiratory Rate, and VASS scores, p = .000, p = .019, and p = .005, respectively, and pre to follow-up Respiratory Rate, and VASS scores, p = .000 and .002, respectively. Qualitative findings affirmed nurses had greater stress reduction receiving healing touch than deep breathing, mid-shift.

Purpose: This study was conducted to reveal the effect of mindfulness practices on nursing students' stress-coping behaviors and positive thinking skills. Method: This was a two-group parallel nonrandomized study. Mindfulness practices were applied to the students in the experimental group. Data were collected using research tools (Personal Information Form, Positive Thinking Skills Scale, and Stress Coping Behaviors Scale for Nursing Students) as pre- and posttests. Findings: After the intervention, there was no significant difference between the two groups in the posttest scores of positive thinking skills (t = 0.624; p = .541) and stress coping behaviors of staying optimistic (t = -0.957; p = .345), transfer (t = -2.028; p = .050), problem-solving (t = -0.663; p = .512), and avoidance (U = 132; p = .230). Conclusions: Mindfulness practices are ineffective in improving earthquake survivor nursing students' coping behaviors and positive thinking skills.

Objective: Evaluate the efficacy of single and mixed complementary therapies, with different analgesic mechanisms, in relieving pain and anxiety during the late labor period. Design and method: In this study, 145 primiparous women with 2-3 cm dilation of the cervix were randomly assigned to one of five groups: control group (psychological comfort), comprehensive group, aroma group, auricular acupuncture group, and music group. The groups were distributed equally (1:1:1:1 ratio), and pain and anxiety scores were assessed at 30, 60, and 120 minutes post-intervention in each group. Outcomes and measures: Compared to the control group, all intervention groups showed lower pain scores. The comprehensive group had the largest reduction in pain scores at 30, 60, and 120 minutes post-intervention. The auricular point, aroma, and music groups also demonstrated significant reductions in pain scores at different time points. Only the comprehensive group had a statistically significant reduction in anxiety at 30 minutes post-intervention compared to the control group. However, at 60 and 120 minutes post-intervention, all intervention groups showed lower anxiety scores compared to the control group. Conclusion: The optimal effects of each therapy varied in terms of timing and duration. Combination therapy showed a greater effect size than single complementary therapy.

The purpose of this study was to investigate the impact of nurses' holistic nursing competence in chronic disease management on their attitudes toward caregiving roles. The sample of the study, which was carried out in descriptive design, consists of 114 nurses (52.6% female and 47.4% male). The research data were gathered with sociodemographic characteristics form, the Holistic Nursing Competence Scale (HNCS), and the Attitude Scale for Nurses in Caregiving Roles (ASNCR). The influence of HNCS, gender, years of job, working style, professional status, weekly working time, and difficulty caring for chronic patients on ASNCR explained 38.1% of the variance. The impact of the ASNCR, gender, years of work in the job, working type, weekly working hours, and having difficulties caring for chronic patients on HNCS explained 54.5% of the variance. Our findings demonstrated the impact of holistic competence on nurses' positive attitudes toward the role of caregiver.

Purpose: The purpose of this study was to investigate student nurses' perceptions of how creative art activities might support spiritual self-exploration, foster understanding of holistic care and promote spiritual growth in relation to Mercy and Jesuit values emphasized in their nursing program. Design: A qualitative design was used with data collected through surveys and students' reflections. Methods: Students enrolled in an introductory nursing course with a service-learning component participated in the study. Students were initially asked to create drawings depicting Mercy/Jesuit charisms, spirituality, and holistic nursing then complete written reflections. At the term's end, students created group art projects connecting service learning, holistic nursing care, and spiritual growth. Students responded to survey questions regarding spirituality, Mercy/Jesuit charisms, nursing practice, and their art experiences. Findings: Surveys were completed by 122 of the 137 students who participated in the art projects. After initial difficulty with artistic expression, most students reported the projects provided an opportunity for introspection related to personal spirituality, nursing, and the impact of service-learning experiences on future nursing practice. Conclusion: Arts-based learning can help students explore and express spirituality related to nursing and support their understanding and integration of values essential to the delivery of holistic nursing care.