{"title":"The Effects of Mandala Coloring and Free Coloring on Mindfulness and the Score of Posttraumatic Stress Disorder in Veterans: A Randomized Controlled Trial.","authors":"Mohammad-Amin Nasiri, Seyedeh Azam Sajadi, Zahra Farsi, Marzie Heidarieh","doi":"10.1097/HNP.0000000000000680","DOIUrl":"10.1097/HNP.0000000000000680","url":null,"abstract":"<p><p>Due to the nature of the events in war, posttraumatic stress disorder (PTSD) is more difficult to treat in veterans than in other people. Nowadays, using art-making methods such as mandala coloring has attracted the attention of researchers. This randomized controlled trial was conducted with 84 male veterans diagnosed with PTSD. Veterans were recruited by convenience sampling method and randomly assigned to an intervention group (n = 42) and a control group (n = 42). Participants in the intervention group colored a mandala, whereas the control group colored freely for 15 minutes 2 times a week for 3 weeks. All participants completed Brown and Ryan's Mindful Attention Awareness Scale and Posttraumatic Stress Disorder Checklist for diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Mean baseline mindfulness scores were not significantly different between the mandala coloring group and the free coloring group (41.73 ± 5.29 vs 40.23 ± 4.59, P = .169). After the intervention, the mean mindfulness score was significantly higher in the mandala coloring group than in the free coloring group (52.23 ± 5.89 vs 46.04 ± 7.28, P < .001). Mean baseline PTSD scores were not significantly different between the mandala coloring group and the free coloring group (65.45 ± 5.89 vs 67.47 ± 4.66, P = .085). After the intervention, the mean PTSD score was significantly lower in the mandala coloring group than in the free coloring group (47.21 ± 5.77 vs 52.38 ± 5.52, P < .001). Both mandala coloring and free coloring increase mindfulness and decrease PTSD symptom severity. However, the mandala coloring method was more effective.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"230-238"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893350","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}
{"title":"The Effect of Laughter Yoga on Vasomotor Symptoms and Sleep Quality in Menopausal Women: A Randomized Controlled Trial.","authors":"Ahu Aksoy-Can, Tuba Güner-Emül, Filiz Değirmenci, Aysu Buldum, Aslıhan Aksu, Duygu Vefikuluçay-Yılmaz","doi":"10.1097/HNP.0000000000000690","DOIUrl":"10.1097/HNP.0000000000000690","url":null,"abstract":"<p><p>This experimental study aimed to determine the effects of online laughter yoga on the sleep quality and vasomotor symptoms (VMS) of menopausal women through a prospective, randomized controlled trial. About 36 women who attend the Menopause School were randomized into either the laughter yoga (n = 18) or the control group (n = 18). The laughter yoga group participated in eight online laughter yoga sessions, with two sessions per week for four weeks, whereas the control group did not receive any intervention. Data were collected using the Descriptive Characteristics Form, Visual Analog Scale (VAS), and Pittsburgh Sleep Quality Index (PSQI). The laughter yoga group had significantly lower posttest VAS scores compared with the control group in all VMS ( P < .05). Furthermore, the posttest PSQI score of the laughter yoga group was significantly lower than that of the control group ( P < .05). Although there was no significant difference in the pretest and posttest scores obtained by the control group from the VAS and PSQI ( P > .05), the intervention group exhibited a statistically significant difference in their pretest and posttest VAS and PSQI scores ( P < .05; P < .001, respectively). The results indicate that laughter yoga is an effective method for reducing VMS and improving sleep quality.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"192-200"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086079","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000719
Jesús Tomás Monge Moreno
{"title":"Exploring the Evolution of the Term \"Presence\" in Nursing: A Literature Review.","authors":"Jesús Tomás Monge Moreno","doi":"10.1097/HNP.0000000000000719","DOIUrl":"10.1097/HNP.0000000000000719","url":null,"abstract":"<p><p>This article explores the evolution of the concept of presence as a therapeutic and care measure in nursing from 1962 to the present. The findings are derived from an extensive bibliographic search conducted through documentary sources such as PubMed and Google Scholar, utilizing and interlinking descriptors including \"nursing,\" \"presence,\" \"care,\" \"intentionality,\" \"humanization,\" and \"concept.\" The results reveal a progressive refinement and enrichment of the concept of presence, culminating in recent developments that emphasize an intentional perspective, which seeks to enhance the human, integral, and ethical dimensions of health relationships. Intentional Presence represents a novel approach to accompaniment and care, which has become fundamental in holistic nursing, fostering a deeper and more human connection between nurse and patient, leading to more comprehensive and meaningful care.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"239-249"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789455","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000717
Peggi White, Rhonda Williams, Jamie Harrington
{"title":"Mindfulness Smartphone Application Implementation to Impact Stress and Burnout in Adult Healthcare Professionals.","authors":"Peggi White, Rhonda Williams, Jamie Harrington","doi":"10.1097/HNP.0000000000000717","DOIUrl":"10.1097/HNP.0000000000000717","url":null,"abstract":"<p><p>Many healthcare professionals are experiencing increased stress and burnout, worsened by the COVID-19 pandemic, leading to negative individual and organizational outcomes such as mental illness, maladaptive coping, job dissatisfaction, poor patient care, and higher turnover costs. Mindfulness practice is a promising evidence-based approach to impact stress and burnout. This quality improvement pilot project evaluated the impact of a free mindfulness smartphone application on stress and burnout levels in certified or licensed adult healthcare professionals over 6 weeks. Using a quasi-experimental pre- and post-intervention design, the project assessed the Mindfulness Coach application's (app) impact on stress and burnout using the Perceived Stress Scale and the Mini Z 2.0 survey. The results indicated that using the app significantly reduced perceived stress but did not impact burnout symptoms.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"205-213"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894127","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000731
Kholoud Alharbi
{"title":"Creating a Healing Environment: The Role of Comfort in Nursing Care.","authors":"Kholoud Alharbi","doi":"10.1097/HNP.0000000000000731","DOIUrl":"10.1097/HNP.0000000000000731","url":null,"abstract":"<p><p>Comfort has increasingly been employed as a key goal in a variety of contexts, including health, justice, the economy, and the environment. Comfort has long been a primary concern in nursing, and it is especially significant in defining the nature of nursing knowledge and the profession. The goal of analysis this is to comprehend the various principles of comfort and to investigate the linked nursing features required for successful patient care. Patient-centered care is a critical indicator of health care quality, and comfort is essential for the patient experience. Katherine Kolcaba introduced the philosophy of comfort in nursing care in the 1990s, when she defined comfort as having three components: relief, ease, and transcendence. Because comfort is a core patient aim and central to the patient experience, maximizing comfort is a universal goal for health care. The design is a concept analysis. Walker and Avant analysis approach was employed to investigate the concept of comfort. Various internet databases were searched extensively for the term \"comfort.\" A total of 31 papers were analyzed to find comfort attribute common themes. The results of analysis showed that disease process, self-esteem, positioning, approach of staff, and hospital life are considered antecedents of comfort; meanwhile, consequences of comfort include symptom relief, reduced suffering, an increased sense of control, and emotions of belonging. Tools that measure the comfort concept can be subjective or objective. In conclusion, nurses could apply many theories such as Kolcaba's Comfort Theory to guide their practice.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"224-229"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604717","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000753
Stephanie Maxine Ross
{"title":"GLP-1 (Glucagon-Like Peptide-1): Its Effects on Obesity and Type 2 Diabetes.","authors":"Stephanie Maxine Ross","doi":"10.1097/HNP.0000000000000753","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000753","url":null,"abstract":"","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":"39 4","pages":"250-252"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325524","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000666
Ginger Manss
{"title":"Actualizing Radical Loving Leadership in Real World Health Care.","authors":"Ginger Manss","doi":"10.1097/HNP.0000000000000666","DOIUrl":"10.1097/HNP.0000000000000666","url":null,"abstract":"<p><p>With Chapman's Radical Loving Care as a framework, this article shares practical wisdom and habits that occur daily in a busy community hospital to help all nurse leaders to develop a holistic view to shape their vision and embed radical loving care in their connections. The application of Chapman's concepts to the mentoring of others is viewed as a form of love and helps to strengthen not only the mentee, but the entire system of nurses caring for each other. Radical loving care is seen as a far reaching, progressive and humanistic strategy to show a deep, abiding kindness and caring to other human beings in the world of health care.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"201-204"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751584","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}
{"title":"The Effects of Mindfulness-Based Breathing on Strain, Burden, and Burnout in Family Caregivers of Palliative Care Patients: Randomized Controlled Study.","authors":"Dilek Yildirim, Cennet Çiriş Yildiz, Merve Harman Özdoğan","doi":"10.1097/HNP.0000000000000685","DOIUrl":"10.1097/HNP.0000000000000685","url":null,"abstract":"<p><p>The aim of this study was to assess the effects of online mindfulness-based breathing therapy combined with music on the levels of perceived strain, caregiver burden and burnout in caregivers of palliative care patients. This was a prospective, single-blind, randomized-controlled study. A total of 100 caregivers were randomly assigned to the intervention group ( n = 50) and the control group ( n = 50). Participants in the intervention group agreed to 3 sessions of mindfulness-based breathing therapy per week. Participants in the control group agreed to sit in a comfortable position in a quiet environment for 30 minutes for 3 consecutive days. We found statistical differences in groups in strain ( P < .001), burden ( P = .015) and burnout ( P = .039) when comparing intervention and control groups. Mindfulness-based breathing therapy combined with music is a non-pharmacological approach that may reduce perceived strain, caregiver burden and burnout in caregivers.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"214-223"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999795","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}
Holistic Nursing PracticePub Date : 2025-07-01Epub Date: 2025-06-19DOI: 10.1097/HNP.0000000000000754
Elizabeth M Blunt
{"title":"Breathing in Wellness.","authors":"Elizabeth M Blunt","doi":"10.1097/HNP.0000000000000754","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000754","url":null,"abstract":"","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":"39 4","pages":"191"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325523","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}