Holistic Nursing Practice最新文献

Ethical Challenges and Stress for Health Care Professionals in Life Support Withdrawal. 医疗保健专业人员在生命支持退出中的伦理挑战和压力。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2025-10-14 DOI: 10.1097/HNP.0000000000000762

Ching-Mei Chang, Hsien-Feng Lin

{"title":"Ethical Challenges and Stress for Health Care Professionals in Life Support Withdrawal.","authors":"Ching-Mei Chang, Hsien-Feng Lin","doi":"10.1097/HNP.0000000000000762","DOIUrl":"10.1097/HNP.0000000000000762","url":null,"abstract":"Withdrawing life-sustaining treatment (WLST) in terminally ill patients' presents significant ethical and emotional challenges for health care professionals. This cross-sectional study surveyed 436 health care providers at a teaching hospital in central Taiwan to explore the conflicts and stressors they face during WLST. Key ethical conflicts included unclear definitions of terminal illness, differing family attitudes, and ambiguous responsibility for extubation. Major stressors involved performing extubation, disclosing medical conditions, providing grief support, and navigating institutional procedures. Unmarried, younger, less experienced staff, particularly those without children or working in pediatric or surgical ICUs, were more susceptible to ethical stress ( P <.01). Nurses and respiratory therapists reported more conflict over extubation responsibility, while physicians struggled more with defining terminal illness ( P <.05). The findings highlight the need for clear guidelines, structured family meetings, multidisciplinary coordination, targeted education, emotional support systems, and broader public engagement with advance medical directives to reduce the ethical burden on health care professionals involved in WLST.","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"384-398"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145291871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Aromatherapy With Thyme Oil on Disease Symptoms, Vital Findings, and Hemodynamic Parameters in COVID-19 Patients: Erratum. 百里香油芳香疗法对COVID-19患者疾病症状、生命体征和血流动力学参数的影响：勘误

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2026-08-25 DOI: 10.1097/HNP.0000000000000809

Uğur Öner, Zeliha Cengiz, Ahmet Erol

引用次数: 0

How Did We Get Here? 我们是如何走到这一步的？

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2026-10-07 DOI: 10.1097/HNP.0000000000000811

Elizabeth M Blunt

引用次数: 0

Observation of the Clinical Effect of Auricular Acupressure in the Treatment of Insomnia: A SingleCenter, Single-Arm, Prospective Study. 耳穴按压治疗失眠症的临床疗效观察：单中心、单组、前瞻性研究。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2025-04-22 DOI: 10.1097/HNP.0000000000000736

Junrui Ma, Jiao Zhang, Lirong Xia, Zhanqiong Li, Jialan Wang, Hushan Zhang

引用次数: 0

The Call to Serve: Storying the Art of Theory Based Nursing Practice. 服务的呼唤：讲述基于理论的护理实践艺术。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2025-08-26 DOI: 10.1097/HNP.0000000000000761

Mary Jane Smith

引用次数: 0

Effectiveness of Buzzy on Pain and Anxiety in Children and Adolescents Undergoing Needle Procedures: A Meta-Analysis. Buzzy对针刺治疗儿童和青少年疼痛和焦虑的有效性：一项荟萃分析。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2025-07-14 DOI: 10.1097/HNP.0000000000000750

Luigi Apuzzo, Francesco Burrai, Sonia Sellami, Elena Brioni, Valentina Micheluzzi

{"title":"Effectiveness of Buzzy on Pain and Anxiety in Children and Adolescents Undergoing Needle Procedures: A Meta-Analysis.","authors":"Luigi Apuzzo, Francesco Burrai, Sonia Sellami, Elena Brioni, Valentina Micheluzzi","doi":"10.1097/HNP.0000000000000750","DOIUrl":"10.1097/HNP.0000000000000750","url":null,"abstract":"The use of cold vibration through the Buzzy device appears promising in reducing pain and anxiety levels in children and adolescents during needle-related procedures. This systematic review and meta-analysis summarizes and evaluates the evidence on this non-pharmacological treatment for pediatric patients undergoing venipuncture or injection procedures. A search was conducted across 6 databases in January 2025. Sixteen randomized controlled trials, involving a total of 1486 patients, were included. Cold vibration stimulation significantly reduced pain (Standard Mean Difference SMD -1.06, 95% confidence interval [-1.39, -0.72], P < .00001) and anxiety levels (SMD -1.60, 95% confidence interval [-2.70, -0.51], P = .004) compared to the control group. The judgment for the direction of the recommendation was rated \"for\" the Buzzy intervention, with the strength of the recommendation rated as \"weak.\" The use of cold vibration through the Buzzy device may have beneficial effects in reducing anxiety and pain levels in children and adolescents undergoing needle procedures.","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"342-356"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The BIG Moment in Critical Care: Evaluating a Nurse-Developed Mindfulness Intervention to Manage Stress and Sustain Compassionate Care. 危重病护理中的重要时刻：评估护士开发的正念干预来管理压力和维持同情心护理。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2026-01-22 DOI: 10.1097/HNP.0000000000000780

Timothy Murphy, Manu Thakral, Nicole Lincoln, William Brooke

引用次数: 0

The Skinny on Akkermansia muciniphila: A Gut Probiotic Associated With Reduced Risk of Obesity. 嗜粘液阿克曼氏菌：一种与降低肥胖风险相关的肠道益生菌。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2026-10-06 DOI: 10.1097/HNP.0000000000000810

Stephanie Maxine Ross

引用次数: 0

Animal-Assisted Therapy for the Management of Anxiety in the Hospital Setting: A Systematic Review. 动物辅助治疗在医院环境中的焦虑管理：一个系统的回顾。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-11-01 Epub Date: 2025-04-10 DOI: 10.1097/HNP.0000000000000737

Leticia Antolín Esteve, Patricia López-Mases, Leticia E Bartolomé Del Pino, Esther Lázaro

{"title":"Animal-Assisted Therapy for the Management of Anxiety in the Hospital Setting: A Systematic Review.","authors":"Leticia Antolín Esteve, Patricia López-Mases, Leticia E Bartolomé Del Pino, Esther Lázaro","doi":"10.1097/HNP.0000000000000737","DOIUrl":"10.1097/HNP.0000000000000737","url":null,"abstract":"The hospital is an environment in which patients and their families feel uncomfortable and frequently suffer from episodes of anxiety. In recent years, there has been a clear trend toward humanizing care and incorporating complementary therapies to provide comfort during hospitalization, one of which is animal-assisted therapy. The aim of this systematic review is to find out whether animal-assisted therapy, specifically with dogs, improves anxiety in people in the hospital setting. For this reason, a systematic review has been carried out following quality criteria, where a total of 13 primary studies have been included. The results obtained indicate that animal-assisted therapy reduces anxiety, increases the feeling of well-being and improves depression in patients who participate in the different sessions, regardless of their age and the duration of the intervention. All participants answered that the animal-assisted therapy was very satisfactory and they wish to repeat it. Different activities that can be carried out during animal-assisted therapy are explained and the importance of adapting the sessions according to the individual characteristics of the dog and the patient in order to achieve the greatest wellbeing are addressed.","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"374-383"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the Phenomenological Gap: Body Mapping as an Art-Based Reflection on Nursing Students' Moral Distress and Embodied Empathy During Simulation. 弥合现象学的鸿沟：身体映射作为一种基于艺术的反思护理学生在模拟过程中的道德困境和具身同理心。

IF 2.3 4区医学

Holistic Nursing Practice Pub Date : 2026-09-22 DOI: 10.1097/HNP.0000000000000812

Goh Eun Choi

{"title":"Bridging the Phenomenological Gap: Body Mapping as an Art-Based Reflection on Nursing Students' Moral Distress and Embodied Empathy During Simulation.","authors":"Goh Eun Choi","doi":"10.1097/HNP.0000000000000812","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000812","url":null,"abstract":"The primary objective of this qualitative study was to explore the phenomenological experiences of nursing students following a high-fidelity labor and delivery simulation, utilizing body mapping as an art-based reflective intervention. While simulation education bridges theoretical knowledge and clinical practice, it exposes students to psychological stressors, vicarious trauma, and moral distress that traditional cognitive debriefing cannot adequately resolve. Thirty-four nursing students participated in the study, creating visual artifacts and completing in-depth interviews. Data were analyzed using Colaizzi's phenomenological method. The analysis identified four distinct themes: shattered illusions and embodied shock, helplessness and moral distress, holistic empathy for maternal ambivalence, and reflective growth, preparedness, and competence. The results demonstrate that body mapping effectively externalizes pre-linguistic distress, enabling students to shift from an objectified perception of care to recognizing the patient as a lived body. This process facilitates the recovery of practical intention-the intrinsic capability to act purposefully amidst patient suffering-and cultivates moral integrity. The findings highlight a necessary evolution in nursing pedagogy. Integrating embodied, art-based reflective strategies offers a foundational framework to develop emotionally resilient, humanistic practitioners prepared for the complex demands of holistic clinical care.","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0