Holistic Nursing Practice最新文献

{"title":"The Lived Experiences of African American and Latinx Family Caregivers of Patients with Chronic Kidney Disease: A Photo-Elicitation Study.","authors":"Sadia Anjum Ashrafi, Minakshi Raj, Laura Quintero Silva, Ana Laura Selzer, Rosalba Hernandez, Soonhyung Kwon, Eleanor Rivera, Andiara Schwingel","doi":"10.1097/HNP.0000000000000804","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000804","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) is highly prevalent in African American and Latinx communities. Both communities practice collectivistic values, prioritizing family caregiving and making them integral parts of their patients' CKD care teams. Therefore, this study adopts photo-elicitation to explore the lived experiences of African American and Latinx family caregivers of CKD patients in the United States. The analysis yields four themes. Theme 1 highlights family caregivers' support, including instrumental and emotional care. Theme 2 explains how family caregivers' knowledge of CKD evolved throughout their caregiving journey, from being unaware to becoming knowledgeable about CKD and adapting their lifestyles in kidney-friendly ways. Theme 3 illustrates the emotional and practical challenges experienced by caregivers in their journeys. Finally, Theme 4 highlights how they coped with caregiving adversities through emotional strength, optimism, and resilience. These findings would help develop supportive interventions tailored to these populations and draw policy attention to establish holistic care.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016722","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":"Proactive Health Behavior During Pregnancy: A Concept Analysis With Implications for Holistic Nursing Practice.","authors":"Yanman Chen, Congshu Ma, Shiyao Liang, Guanqiong Hu, Jiaodi Yang, Yanjia Liu","doi":"10.1097/HNP.0000000000000807","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000807","url":null,"abstract":"<p><p>Proactive health behavior may enhance maternal well-being during pregnancy, yet the concept remains insufficiently defined in pregnancy-related care and nursing practice. This study used Rodgers' evolutionary method of concept analysis to clarify the concept and its relevance for holistic nursing practice. A structured search of 7 electronic databases identified 17 eligible publications from 2015 to 2026. The analysis identified 3 antecedent domains: individual characteristics, interpersonal resources, and sociodemographic and cultural contexts. Six core attributes were delineated: proactive cognitive engagement, behavioral confidence, accessibility of health information, psychological balance, adaptive behavior regulation, and social support-related benefits. The concept was further organized into 2 interrelated phases: initiation and maintenance. Proactive health behavior during pregnancy is thus understood as a dynamic, phase-based process with both empowering and potentially burdensome dimensions, offering a conceptual foundation for future research and holistic nursing support.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976675","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 Music Listening Intervention on Symptom Management and Quality of Life in Patients With Rheumatoid Arthritis: A Randomized Controlled Trial.","authors":"Irem Yildiz Cilengiroglu, Serap Unsar, Hakan Emmungil, Levent Ozturk","doi":"10.1097/HNP.0000000000000806","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000806","url":null,"abstract":"<p><p>Rheumatoid arthritis is a chronic inflammatory disorder severely impacting physical and psychosocial well-being. Alongside pharmacological treatments, nonpharmacological interventions are increasingly sought. This randomized controlled trial aimed to evaluate the efficacy of a music listening intervention on symptom management and quality of life in patients with rheumatoid arthritis. The study included 88 patients at a university hospital. The intervention group listened to standardized Turkish music (maqams) twice daily for 30 days. Data were collected at baseline, day 15, and day 30 using the EuroQol 5-dimensional Quality of Life Scale and Patient Symptom Thermometer. By day 30, the intervention group demonstrated significantly higher overall quality of life (EuroQol 5-dimensional Index and Visual Analog Scale; P < .05) compared with controls. Significant improvements were also observed in pain intensity, fatigue, physical function, depression (all P < .001), and general health status (P = .004). Therapeutic music listening can be an effective, noninvasive, and cost-efficient holistic nursing intervention. Integrating this sustainable strategy into rheumatoid arthritis care yields rapid, significant clinical improvements in multidimensional symptom management and overall quality of life.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910731","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":"Relationship Between Nurses' Perception of Caring Behavior, Missed Care, and Patient Perception of Quality of Nursing Care.","authors":"Hessa Almutairi, Omar Ghazi Baker, Kholoud Alharbi","doi":"10.1097/HNP.0000000000000775","DOIUrl":"10.1097/HNP.0000000000000775","url":null,"abstract":"<p><p>It is well known that nursing is the art and science of caring. The nurse's professional identity is defined through caring as it is one of the significant components of nursing knowledge. Nursing is a discipline-a way of knowing, being, valuing, and living. The quality of health care in the Kingdom of Saudi Arabia has advanced recently, and there are factors affecting this progress which could be classified into patients' factors as access to health care and health professional factors such as workload and job satisfaction. The aim of this study is to explore the relationship between nurses' caring behavior, missed care, and quality of nursing care. The study was a descriptive, correlational, and cross-sectional design. A total of 267 participants (170 nurses and 97 patients) were recruited through convenience sampling. Nurses with at least 1 year of clinical experience and inpatients admitted for 1 day or more were included. Caring behavior was measured using the Caring Behaviors Inventory (CBI-24), and missed nursing care was assessed using the MISSCARE Survey . The study revealed a negative relationship between caring behavior and missed care. Also, a positive relationship between caring behavior and quality of nursing care was revealed. Moreover, the study showed that there was no relationship between missed care and quality of nursing care. Addressing issues that may lead to missed nursing care such as shortage of staff is essential and needs to be solved.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"314-321"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145722668","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":"A Generational Divide in Wellbeing Expectations.","authors":"Elizabeth M Blunt","doi":"10.1097/HNP.0000000000000805","DOIUrl":"10.1097/HNP.0000000000000805","url":null,"abstract":"","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"287-288"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669156","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 Reiki on the Self-Efficacy, Death Anxiety, and Sleep Quality of Patients Diagnosed With Chronic Obstructive Pulmonary Disease: A Randomized-Controlled Study.","authors":"Kevser Sevgi Ünal Aslan, Funda Çetinkaya","doi":"10.1097/HNP.0000000000000694","DOIUrl":"10.1097/HNP.0000000000000694","url":null,"abstract":"<p><p>Reiki has been used for various medical problems. The present study aims to determine the effects of Reiki therapy on the self-efficacy, death anxiety, and sleep quality of patients diagnosed with COPD. The present used a quasi-experimental model with a pretest-posttest control group. The subjects (n = 75) were recruited from a hospital in Turkey, between February and June 2019. Subjects were then assigned to Reiki (n = 39) and placebo (n = 36) groups. In this study, it was determined that there was a statistically significant difference in the mean scores of self-efficacy, death anxiety, and sleep quality between the Reiki and placebo groups ( P < .05).These results suggest that Reiki exercise increased the self-efficacy and sleep quality levels and decreased the death anxiety.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"333-340"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286011","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 Aromatherapy With Thyme Oil on Disease Symptoms, Vital Findings, and Hemodynamic Parameters in COVID-19 Patients: A Randomized Controlled Trial.","authors":"Uğur Öner, Zeliha Cengiz, Ahmet Erol","doi":"10.1097/HNP.0000000000000745","DOIUrl":"10.1097/HNP.0000000000000745","url":null,"abstract":"<p><p>The present study aimed to determine the effects of aromatherapy through thyme oil inhalation on respiratory symptoms, hemodynamic parameters and vital signs in COPD patients. The pre-test post-test randomized controlled experimental study was conducted with inpatients COPD (intervention group = 60, control group = 60). Data were collected using the \"Patient Information Form\", \"COPD Symptoms Form\", and \"Hemodynamic Parameters and Vital Signs Monitoring Form\" as well as a saturation device. Following the pre-test, patients in the intervention group inhaled thyme oil 3 times a day for 5 days but the control group did not receive anything. COPD symptoms and hemodynamic parameters were measured on the fifth day as the post-test. Vital signs were measured and recorded 3 times every day over 5 days. It was found that thyme oil application through inhalation significantly reduced all COPD symptoms (dyspnea, cough, secretion, etc.) in the intervention group compared to the control group. pH and O 2 levels were higher while CO 2 levels were lower in the intervention group, and as of the third day, saturation levels were higher whereas respiratory rates were lower. In this regard, thyme oil is recommended as a non-pharmacological treatment method for COPD patients.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"292-306"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995633","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":"Effect of Progressive Relaxation Exercises on Dyspnea and Comfort Level in Individuals With Chronic Obstructive Lung Disease: A Randomized Controlled Study.","authors":"Ayşe Avci Türkseven, Ayşegül Çelik","doi":"10.1097/HNP.0000000000000729","DOIUrl":"10.1097/HNP.0000000000000729","url":null,"abstract":"<p><p>This parallel-group randomized controlled trial aimed to investigate the effect of progressive relaxation exercises on dyspnea and comfort level in individuals with chronic obstructive pulmonary disease. The study utilized a stratified and block randomization methodology, with 42 patients completing the trial. Patients in the intervention group received 30-min progressive relaxation exercises for 6 weeks. The mean dyspnea level scores of the patients in the intervention group at week 6 were found to be lower than those of the control group, with a statistically significant difference between the two groups ( P < .05). Furthermore, a statistically significant decrease in patients' mean comfort level scores in the intervention group was observed over the follow-up periods ( P < .05). The study results demonstrate that progressive relaxation exercises constitute an effective nursing intervention for managing dyspnea in patients with chronic obstructive pulmonary disease.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"322-332"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604718","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":"Vetiver and Orange Blossom Aid in Lowering Blood Pressure and Heart Rate and Improving Sleep Quality.","authors":"Kang-Ming Chang, Shu Wen Whu, Tai-Shan Shen, Yi-Jung Lai","doi":"10.1097/HNP.0000000000000738","DOIUrl":"10.1097/HNP.0000000000000738","url":null,"abstract":"<p><p>Aromatherapy has emerged as a prominent therapeutic modality, particularly for individuals grappling with insomnia and stress. This study delves into the sleep patterns of a general population and evaluates the impact of 3 distinct essential oils over a 4 to 6-week period. The study rigorously assesses changes in sleep quality and various cardiovascular parameters before and after the utilization of these essential oils. A total of 67 participants completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire and expressed their willingness to partake in the experiment through an online platform. Subsequently, the participants underwent comprehensive measurements of cardiovascular and autonomic nervous system parameters. Following random assignment into 1 of 3 groups, the subjects diligently used the prescribed essential oils for the specified duration. A posttest was conducted to meticulously document the changes in cardiovascular and autonomic nervous system parameters, as well as the PSQI scale. The 3 essential oils employed were lavender, vetiver, and orange blossom, with 21, 18, and 17 participants, respectively. The experimental findings revealed a noteworthy reduction in PSQI scores after 4 to 6 weeks of using vetiver and orange blossom essential oils. The scores decreased from 7.92 (3.55) and 8.32 (3.71) to 6.08 (3.30, P = .007) and 6.47 (2.20, P = .042), respectively. This reduction was even more pronounced among subjects with initial PSQI scores of 5 or higher. Furthermore, the utilization of vetiver and orange blossom essential oils demonstrated a significant reduction in systolic blood pressure (SYS) over the 4 to 6-week period. Vetiver SYS levels decreased from 108.39 (5.67) to 105.33 (5.93) ( P = .0016), and orange blossom SYS levels decreased from 110.53 (9.49) to 108.18 (9.49) ( P = .0414). In addition, the heart rate of the vetiver group also exhibited a significant decrease from 78.33 (12.06) to 76.00 (12.06) ( P = .0342). Thus, the results strongly suggest that vetiver and orange blossom essential oils contribute to the reduction of blood pressure, heart rate, and the enhancement of sleep quality, particularly in individuals experiencing sleep disturbances. These findings align with previous research on the soothing effects of essential oils and their potential in promoting both cardiovascular and sleep-related well-being.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"307-313"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989873","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 Concept of Energy in Martha Rogers' Humanistic Theory: A Theoretical Reflection.","authors":"Abilio Torres Dos Santos Neto, Michell Ângelo Marques Araújo, Ana Fátima Carvalho Fernandes, Erilaine de Freitas Corpes, Manuela de Mendonça Figueirêdo Coelho","doi":"10.1097/HNP.0000000000000716","DOIUrl":"10.1097/HNP.0000000000000716","url":null,"abstract":"<p><p>The aim of this essay is to reflect on the concept of human energy in light of Martha Rogers' Humanistic Theory. Rogers presents a humanistic and holistic view of nursing, describing the human being as a synergistic unit in constant interaction with the environment. Her principles, such as integrality, resonance, and helicy, emphasize the continuous dynamics between the human and environmental fields. Human and environmental energy fields are open and fluid systems in continual interaction and influencing energy balance. The transition from the nursing diagnosis \"Disturbed energy field\" to \"Imbalanced energy field\" marks an advancement in the understanding of energy practices. Recent evidence supports the effectiveness of Integrative and Complementary Health Practices (ICHP), such as reiki and therapeutic touch, in restoring energy balance. Rogers' holistic approach is essential for modern nursing, promoting the integration and well-being of the human being in a broad manner.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"289-291"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674570","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}