Holistic Nursing Practice最新文献

{"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}

{"title":"Traditional Chinese Medicine Nursing for Breast Cancer-Related Lymphedema: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Shengling Li, Lei Pan, Jing Wang, Tao Wang, Xiangni Zou","doi":"10.1097/HNP.0000000000000803","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000803","url":null,"abstract":"<p><p>This systematic review and meta-analysis evaluated the efficacy of traditional Chinese medicine (TCM) nursing interventions for breast cancer-related lymphedema. A comprehensive search of 6 databases identified 26 randomized controlled trials involving 2315 participants. TCM nursing significantly improved the overall clinical response rate (risk ratio = 1.22, 95% confidence interval [CI], 1.18-1.27, I2 = 0%), reduced Visual Analogue Scale pain scores (mean difference = -1.20, 95% CI, -1.41 to -1.00), and enhanced upper limb function (standardized mean difference = -1.33, 95% CI, -1.56 to -1.09). Subgroup analyses for affected limb circumference showed potential benefits, but substantial heterogeneity (I2 = 91%) precluded overall pooling. No severe adverse events were reported. Current evidence suggests TCM nursing may be an effective and safe adjunctive therapy for breast cancer-related lymphedema; however, methodological limitations, including a lack of blinding, warrant cautious interpretation. Further rigorous trials are needed to confirm these findings.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561898","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 Holistic, Tarot-Inspired Framework for Understanding and Mitigating Burnout in Nurses Through Self-Reflection.","authors":"Cecelia L Crawford","doi":"10.1097/HNP.0000000000000801","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000801","url":null,"abstract":"<p><p>Burnout of nurses is a global occupational hazard characterized by emotional exhaustion, cynicism, and reduced care quality. Often framed as a nurse resilience issue, other evidence suggests organizational and systemic contributors such as workload, staffing shortages, and toxic leadership. This article introduces a holistic, tarot-informed framework for nurse self-reflection based on the Rider-Waite process organized around the Celtic Cross card-position structure. This framework uses card positions and symbolism as prompts to explore psychological, social, professional, and structural influences that inform nurses' experiences of burnout, rather than using tarot for prediction or divination. The 10-card position spread supports meaning-making, mindfulness, and professional identity to explore nurses' work experiences; tarot cards can be added for deeper symbolic meaning. This interconnected framework provides a pathway to nurse resilience and holistic insight. Individual reflection alone is insufficient; sustainable change also requires leadership accountability and organizational commitment to healthy work environments. Nursing is based on human caring, which also includes caring for ourselves.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578400","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":"Mindfulness-Based Interventions as Holistic Strategy for Psychiatric Nurse Burnout: A Narrative Review.","authors":"Julnar Nizar Hasan, Lara Sassine","doi":"10.1097/HNP.0000000000000799","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000799","url":null,"abstract":"<p><p>Psychiatric nurses experience elevated burnout rates due to emotionally demanding environments. Mindfulness-based interventions (MBIs) have emerged as promising strategies for burnout reduction. This study aimed to examine evidence on MBIs for reducing burnout in psychiatric nurses through narrative synthesis. Systematic CINAHL search (January 2025) using Boolean operators yielded 276 articles. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 12 studies (2020-2024) were selected examining mindfulness interventions and burnout outcomes in nursing populations. Eight-week MBSR programs demonstrated large effect sizes (standardized mean difference: -4.27 for emotional exhaustion, -2.89 for depersonalization). In psychiatric nurses, 75% achieved meaningful burnout reduction versus 40% controls. Benefits persisted at 3-month follow-up. MBIs represent evidence-based strategies for nursing burnout, particularly in psychiatric settings. Implementation requires organizational support. Future research should examine long-term sustainability and psychiatric nursing-specific adaptations.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535650","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":"Knowledge, Attitudes, and Practices Toward Complementary and Alternative Medicine Among Nurses in Western Saudi Arabia.","authors":"Fatmah Alsharif, Fatimah Rajab, Najla Alrithy, Khadijah Alharbi, Wejdan Alahmadi, Khulud Adel Abudawood","doi":"10.1097/HNP.0000000000000802","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000802","url":null,"abstract":"<p><p>Complementary and alternative medicine (CAM) is widely used in Saudi Arabia, yet nurses' readiness to provide safe, evidence-informed guidance remains unclear. This study assessed nurses' knowledge, information-seeking ability, attitudes, and practice related to CAM and identified demographic and professional predictors of competency in 2 Ministry of Health tertiary hospitals in the Western Region. A cross-sectional survey of 501 registered nurses used validated measures of CAM familiarity, access to information, attitudes, and practice behaviors. Overall familiarity was low to moderate, and 64.5% reported difficulty locating reliable information. Attitudes were generally positive (42.7% very high), while practice levels were mostly moderate (84.6%); only 7.6% had prior CAM training. Higher education and previous CAM training were significant predictors of better familiarity, information-seeking, and practice. Despite supportive attitudes, gaps in knowledge and training limit safe integration, underscoring the need for structured education and institutional guidance.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535673","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":"Nurses' Awareness and Observational Ability Regarding Toenail Assessment in Older Adults: A Cross-Sectional Study.","authors":"Erina Horii, Mihoko Ishizawa, Yumi Mizojiri, Masae Matsuda","doi":"10.1097/HNP.0000000000000800","DOIUrl":"https://doi.org/10.1097/HNP.0000000000000800","url":null,"abstract":"<p><p>Toenail disorders (eg, onychomycosis) are common among older adults and may cause pain, impaired mobility, and reduced quality of life. Despite aiding early detection and management, toenail observation is often overlooked in nursing. This cross-sectional survey included registered nurses at a single hospital without specialized foot care training. Associations between case-based observational performance and reasons for not routinely observing toenails were examined using the Mann-Whitney U test. Among 28 respondents, 25 (89.2%) reported that they \"sometimes did not\" or \"did not\" routinely observe patients' toenails. Median observational performance and reporting judgment were 60.0% (interquartile range: 43.4-80.0) and 56.7% (20.0-80.0), respectively. The most common reasons were the absence of habitual toenail observation and no prior consideration of toenail care; nurses selecting these reasons had lower observational performance. Routine toenail observation was uncommon and related to these factors.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470345","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":"Investigating the Effect of Herbal Medicines on Sleep Quality in Postpartum Mothers: A Systematic Review and Meta-Analysis.","authors":"Fatemeh Zahra Karimi, Mahbubeh Abdollahi, Atefeh Yas","doi":"10.1097/HNP.0000000000000785","DOIUrl":"10.1097/HNP.0000000000000785","url":null,"abstract":"<p><p>This study aims to assess the impact of herbal medicines on sleep quality in postpartum mothers. All randomized clinical trials were retrieved from the Cochran library, SID, Magiran, Scopus, PubMed, and Web of Science databases without a time limit. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flowchart was utilized to report the study selection process. STATA software was used to analyze the data. Out of the 463 studies retrieved, 11 were systematically reviewed. Of the 11 studies, 7 were included in the meta-analysis. The results of the meta-analysis indicated a statistically significant difference between the intervention and control groups ( P =.014), with the mean overall sleep quality score in the intervention group being lower than that of the control group (standard mean difference = -0.89) and a confidence interval of (-1.61 to -1.18), demonstrating that herbal medicines improved the sleep quality. Herbal medicines improve the sleep quality of postpartum mothers, therefore, it is recommended to use these plants in postpartum care.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455672","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 Mindfulness-Based Stress Reduction on Pediatric Oncology Nurses' Stress Level, and Pediatric Oncology Patients' Psychosocial Symptoms and Care Satisfaction: A Prospective Non-Randomized Trial.","authors":"Remziye Semerci, Tuğba P Saribudak, Behice B Çalişkan, Nazife Altinel Dalmiş, Güldem Yildiz, Meryem Kapanci","doi":"10.1097/HNP.0000000000000706","DOIUrl":"10.1097/HNP.0000000000000706","url":null,"abstract":"<p><p>Studies investigating the effects of relaxation practices on nurses and patient outcomes are limited. This study aimed to evaluate the impact of Mindfulness-Based Stress Reduction (MBSR) on pediatric oncology nurses' stress levels, as well as the psychosocial symptoms and care satisfaction of pediatric oncology patients. A non-randomized prospective study with a pretest-posttest design was conducted, involving 112 children and 8 pediatric oncology nurses between November 2021 and August 2022. The study was conducted in 3 stages. First, the children's nursing care satisfaction and psychosocial symptoms were evaluated during the first 3 months before the MBSR intervention. Second, the nurses participated in the MBSR program for 2 months. Third, the children's nursing care satisfaction and psychosocial symptoms were assessed again 3 months after the MBSR intervention. The results showed that children who received nursing care post-MBSR had lower scores in the Psychosocial, Hopelessness, and Communication Difficulty subscales compared to those who received care pre-MBSR. Additionally, these children had higher scores in Evaluation of Quality of Care from the Children's Point of View, Psychosocial, Physical, and Information subscales. There was a significant reduction in the stress levels of nurses between the pre-MBSR and post-MBSR assessments. MBSR is an effective method for reducing pediatric oncology nurses' perceived stress levels and should be utilized to support both pediatric oncology nurses and patients in enhancing their psychosocial functioning.</p>","PeriodicalId":13081,"journal":{"name":"Holistic Nursing Practice","volume":" ","pages":"247-257"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464117","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}