Journal of Holistic Nursing最新文献

Humor plays a multifaceted role in healthcare, providing patients with a means to navigate fear, anxiety, and vulnerability. While it fosters rapport and resilience, patient-initiated humor (PIH) can also serve as a shield, camouflaging unspoken emotional struggles. Current research focuses on clinician-initiated humor and surface-level recognition of PIH without addressing underlying emotional drivers or offering practical strategies for nurses to respond effectively. This article aims to provide actionable techniques to help nurses recognize and meaningfully engage with the emotional significance of PIH at the moment it occurs. By incorporating playful discovery-an underexplored aspect of therapeutic communication-nurses can foster deeper connections and deliver more holistic, patient-centered care.

Purpose: Adolescence is a critical time for the development of spiritual identity. Aiming to contribute to the science of an essential component of holistic nursing and health, we explored perceptions of spirituality among sexual and gender minority (SGM) adolescents.

Study design: A qualitative descriptive design was used to explore spirituality perceptions among youth.

Methods: We recruited a national purposive sample of 12 sexual and/or gender minority youth using online eligibility screening. Enrolled participants engaged in semi-structured interviews followed by conventional thematic content analysis of transcribed qualitative data.

Findings: Four overarching themes of spirituality perception and meaning were interpreted in our study. Findings included eleven corresponding categories within our main themes. The four overarching themes were: (1) Why am I here? It's not just about me, (2) This is how I connect to the spirit, traditions, and beyond, (3) I care, I'm just not sure, and I'm still thinking about it, and (4) I'm not worried or preoccupied with the sacred.

Conclusion: SGM adolescence is a unique and essential time of spiritual identity, spiritual and religious transition or rejection, life purpose or connection, and/or a lack of preoccupation. Our findings have important implications for advancing holistic nursing practice, education, and research.

Purpose of study: The purpose of this study was to explore whether the professional construction of spirituality resonates with the experience and understanding of registered nurses (RNs). Design of study: Fairclough's critical discourse analysis approach. Methods used: Participants comprised three RN Standards for Practice research and development team members and 20 RNs working in hospitals in Australia. Data analysis was conducted through the application of Schneider's ten work steps. Findings: Holistic discourse was found to be a common discourse among both groups of participants. Other discourses which the two groups of participants drew from in their constructions of spirituality were mostly unique to each group. Conclusions: The findings have implications for spiritual care practice in the context of holistic nursing, notably in nursing practice standards and nursing education.

Purpose: The purpose of this study is to evaluate if integrating a holistic mindfulness modality into group therapy can decrease violence with-injury on an inpatient psychiatric unit. Design: The research used a mixed experimental design. Method: Allied Therapy Services (ATS) staff was trained in the mindfulness modality Brief Intentional Grounding and implemented it within group therapy twice daily in two different acute psychiatric units. Six months of post-intervention data on workplace violence with-injury incidents was compared to 6-month pre-intervention statistics on workplace violence with-injury. Qualitative data included patient and staff surveys on benefits of the intervention. Findings: The study revealed the use of Brief Intentional Grounding correlated with a significant reduction in workplace violence with-injury in two adult acute inpatient psychiatric units over a 6-month period when compared to the previous six months. The qualitative survey-data showed significant improvement in patients' emotional regulation, ability to manage stress, interpersonal connectivity, and gratitude after practicing Brief Intentional Grounding. Furthermore, staff reported practicing Brief Intentional Grounding was beneficial and improved their well-being. Conclusions: Integrating Brief Intentional Grounding into group therapy on an acute adult inpatient psychiatric unit improved patients' ability to regulate their emotions and led to reductions in violence with-injury, providing a safer work environment for nursing staff.

Current death education primarily centers on nurses' attitudes and competence in caring for dying patients but overlooks the holistic assessment of family and nurses themselves. Nursing students and new graduates often feel overwhelmed and unprepared when they encounter death or a dying patient in clinical settings, leading to emotional distress and inadequate care for the dying patient and their loved ones. The emotional impact of such experiences affects not only the nursing student but also the well-being of family members and the quality of care delivered to the patient. This article explores the importance and need for holistic death education for nursing students and new-to-practice nurses to carry out comprehensive assessments that address the physical, psychological, and spiritual needs of families who might be losing their loved ones. The discussion offers suggestions and examples of what nursing education can provide, drawing on the perspectives of those who were once new nurses and reflecting on what they wish they had known before caring for the dying, handling death, and supporting those left behind. Implications focus on approaches for family assessment and self-assessment after death and potential considerations for structural changes in healthcare.

Objective: This study aimed to investigate the effect of Reiki on surgical fear and anxiety in laparoscopic cholecystectomy patients. Study design: This study is a three-arm, parallel, randomized, controlled trial. Methods: Forty-eight patients who underwent elective laparoscopic cholecystectomy in the General Surgery Clinic of a university hospital between November 2022 and December 2023 were included in the study. Patients were assigned to Reiki, Sham Reiki, and control groups according to the group they were assigned to. Surgical Fear Questionnaire and Surgical Anxiety Questionnaire were measured to the patients before and after the procedure according to the group they were assigned to. Descriptive statistics, t-tests, and ANOVA were used to analyze the data. Results: A statistically significant relationship was found between the surgical fear and anxiety scores of the patients in the Reiki group both within themselves and when compared with the other groups, and they were found to be lower (p < 0.05). Conclusions: Reiki application was effective in reducing preoperative surgical fear and anxiety scores of patients undergoing laparoscopic cholecystectomy. This study demonstrated the effectiveness of Reiki, an easy-to-apply complementary therapy application, in reducing surgical fear and anxiety.

Purpose: This study aimed to examine the role of resilience and decision fatigue in mediating the relationship between spiritual well-being and spiritual care competence among nurses. Methods: A cross-sectional design was utilized. The study recruited 538 registered nurses from four referral hospitals in Jordan. Data were analyzed using descriptive statistics, Pearson's correlation, and Hayes Macro PROCESS model 6. Results: The average age of the 538 nurses was 35.75 years; 62.1% were female, and 96.6% were married. Bivariate correlations showed moderate correlations among all study variables. Decision fatigue negatively correlated with spiritual care competence, spiritual well-being, and resilience. The regression model indicated that spiritual well-being, resilience, and decision fatigue significantly predicted spiritual care competence, explaining about half of its variance. The bootstrapping analysis revealed that resilience significantly mediated the relationship between spiritual well-being and spiritual care competence, while the mediation role of decision fatigue was not significant. Conclusion: The study underscores the importance of spiritual well-being and resilience in enhancing nurses' spiritual care competence, aligning with the overarching goals of holistic nursing in creating a healing environment for both patients and caregivers. Nurse managers and educators should implement interventions to improve nurses' spiritual well-being and resilience, enhancing holistic care delivery.

Purpose: This concept analysis aims to conceptually define resourceful aging among migrants and refugees and develop a model integrating holistic nursing and healthcare practices to enhance their well-being. Methods: Using Walker and Avant's methodology for concept analysis, we conducted a thorough and comprehensive literature search. Findings: Resourceful aging among migrants and refugees is characterized by adaptability, social connectedness, resilience, and resource navigation. Key antecedents include access to basic needs and services, social and community support, cultural familiarity and integration, legal status stability, and culturally competent services. Consequences include improved well-being, social integration, reduced reliance on social services, intergenerational bonds, empowerment, and cultural identity preservation. Conclusions: Resourceful aging among migrants and refugees involves adapting to aging in a new country by embracing changing circumstances and utilizing available resources, enabling well-being, personal agency, and resilience. This process preserves cultural heritage while adapting to new environments, balancing adaptation with identity. The integration of holistic nursing principles into resourceful aging among migrants and refugees can foster more inclusive and healthy communities.

Purpose: This study aimed to evaluate the effect of mHealth-based mindfulness intervention on trait mindfulness, stress, anxiety, and depression among Registered Nurses caring for patients with COVID-19 in Jordan. Method: Using a pretest-posttest parallel controlled design, 102 nurses from the King Abdullah University Hospital were randomly assigned into experimental (n = 51) and control (n = 51) groups. The experimental group received 5 weeks of individual 30-min mindfulness intervention sessions via WhatsApp. The collected data included demographic information as well as baseline and postintervention scores from the Mindfulness Attention Awareness Scale and the Depression, Anxiety, and Stress Scale. Findings: Paired t-tests revealed that the experimental group demonstrated significantly lower levels of stress, anxiety, and depression, as well as higher trait mindfulness scores following the intervention. Independent t-tests indicated that, compared to the control group, the experimental group had significantly reduced depression and stress levels and increased trait mindfulness scores at the end of the intervention. Although anxiety scores were lower in the experimental group following the intervention, the difference between the groups was not statistically significant. Conclusion: This finding aligns with existing literature, which has reported similar outcomes in studies on mindfulness interventions. These studies highlight the potential of mHealth-based mindfulness intervention as a holistic approach to enhancing psychological well-being among nurses who care for patients with COVID-19. Trial Registration: Clinicaltrials.gov; ID: NCT06401252.