Katherine Louise Cooper, Kathleen Dixon, Esther Chang, Lauretta Luck
{"title":"A Comparison of Constructions of Spirituality in an Australian Nursing Context.","authors":"Katherine Louise Cooper, Kathleen Dixon, Esther Chang, Lauretta Luck","doi":"10.1177/08980101251336323","DOIUrl":"10.1177/08980101251336323","url":null,"abstract":"<p><p><b>Purpose of study:</b> The purpose of this study was to explore whether the professional construction of spirituality resonates with the experience and understanding of registered nurses (RNs). <b>Design of study:</b> Fairclough's critical discourse analysis approach. <b>Methods used:</b> 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. <b>Findings:</b> 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. <b>Conclusions:</b> The findings have implications for spiritual care practice in the context of holistic nursing, notably in nursing practice standards and nursing education.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"261-271"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ns Ni Luh Putu Thrisna Dewi, Ns Ni Made Nopita Wati, Ns Ketut Lisnawati, Ns Ni Made Merlin, Ns Ni Made Diah Pusparini Pendet, I Gede Juanamasta, Ns Putu Intan Daryaswanti, Rapin Polsook
{"title":"The Effect of Rindik Bali Based-Natural Restorative Environment (NRE) on Cognitive and Attentive Function among Post-Stroke Patients: A Quasi-Experimental Study.","authors":"Ns Ni Luh Putu Thrisna Dewi, Ns Ni Made Nopita Wati, Ns Ketut Lisnawati, Ns Ni Made Merlin, Ns Ni Made Diah Pusparini Pendet, I Gede Juanamasta, Ns Putu Intan Daryaswanti, Rapin Polsook","doi":"10.1177/08980101251343671","DOIUrl":"10.1177/08980101251343671","url":null,"abstract":"<p><p><b>Background:</b> Impaired attentive and cognitive functions were discovered to be increased threefold after a stroke attack. One holistic intervention proposed to overcome mental impacts is a combination of Natural Restorative Environment (NRE) and traditional music. <b>Aim:</b> This study aimed to evaluate the effect of <i>Rindik Bali</i>-based NRE on the cognitive and attentive function among post-stroke patients. <b>Method:</b> This was a quantitative study employing a quasi-experiment-pre- and-post with a control group design. A non-probability sampling with consecutive sampling technique was used to pick 46 post-stroke eligible participants and used instruments Trail Making Test (TMT A/B) and the Mini-Mental State Examination (MMSE). Participants were assigned to two groups, the experimental and control groups, with 23 participants each. Rindik Bali-based NRE was given twice a day for 3 consecutive days. <b>Result:</b> The <i>Rindik Bali</i>-based NRE intervention significantly improved the attentive function in the experimental group, and there was no significant change in the control group. <b>Discussion:</b> The holistic recovery concept that incorporates cultural studies and local beliefs may potentially be an effective method to provide sufficient stimulation in post-stroke rehabilitation. This study confirmed its effect on emotional management and nervous system stimulation.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"248-260"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Patient-Induced Humor: Strategies for Recognizing and Addressing Emotional Shielding in Nursing Practice.","authors":"","doi":"10.1177/08980101261460528","DOIUrl":"10.1177/08980101261460528","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"292-294"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca L Turpin, Sarah Martin, Rebecca Liljestrand, Heather Wensil Venrick
{"title":"Resilience and Quality of Life in Registered Nurses Working in Rural and Small Hospitals.","authors":"Rebecca L Turpin, Sarah Martin, Rebecca Liljestrand, Heather Wensil Venrick","doi":"10.1177/08980101251343676","DOIUrl":"10.1177/08980101251343676","url":null,"abstract":"<p><p><b>Purpose:</b> To study holistic health of rural registered hospital nurses by exploring quality of life and resilience. <b>Design:</b> Mixed methods survey design. <b>Methods:</b> Two hundred nine registered nurses from 23 rural-designated hospitals were recruited via e-mail using a state nurse database. The survey utilized the Connor-Davidson Resilience Scale, the WHO Quality of Life-BREF Scale, demographic questions, and two open-ended questions for self-reporting resilience strategies and barriers. Demographics and scale ratings were analyzed using SPSS. Content analysis was used to evaluate self-reported resilience strategies and barriers. <b>Findings:</b> Reliability scale ratings were <i>r</i> = 0.886 and <i>r</i> = 0.935, respectively. A resilience mean score of 31.7 of 40 max (moderate) was consistent with prior studies for nurses and larger populations. The quality-of-life mean score (4.38 out of 5) indicating a strong rating of personal health and moderate satisfaction for overall holistic health. The psychological health mean was rated lowest. Qualitative findings identified six themes for resilience strategies and five themes for barriers to participation in resilience activities. These themes align strongly with the philosophical principles of holistic nursing. <b>Conclusion:</b> Resilience-building interventions and consideration for decreasing barriers to health-promoting behaviors are suggested. Fostering resilience can improve quality of life of nurses and support effective, holistic care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"304-317"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randy L Rosamond, Diane Wind Wardell, Gloria P Giarratano, Deidre J Devier, Qingzhao Yu
{"title":"Healing Touch as a Method for Supporting Holistic Nursing Practice: A Cluster Randomized Controlled Trial.","authors":"Randy L Rosamond, Diane Wind Wardell, Gloria P Giarratano, Deidre J Devier, Qingzhao Yu","doi":"10.1177/08980101251337518","DOIUrl":"10.1177/08980101251337518","url":null,"abstract":"<p><p>Robust studies are necessary to support holistic solutions in healthcare, a tenet of holistic nursing practice. The purpose of this holistic study was to assess the quantitative and qualitative impact of healing touch on nurses' stress perception mid-shift. Recruitment of 128 RNs achieved a power of .7 and medium affect size. Vital signs and Visual Analog Scale for Stress (VASS) scores pre, post, and follow-up of healing touch or deep breathing groups revealed statistically significant Repeated Measures MANOVA findings in favor of healing touch. Pre-post intervention Heart Rate, Respiratory Rate, and VASS scores, <i>p</i> = .000, <i>p</i> = .019, and <i>p</i> = .005, respectively, and pre to follow-up Respiratory Rate, and VASS scores, <i>p</i> = .000 and .002, respectively. Qualitative findings affirmed nurses had greater stress reduction receiving healing touch than deep breathing, mid-shift.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"233-247"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Patient-Initiated Humor: Strategies for Recognizing and Addressing Emotional Shielding in Nursing Practice.","authors":"Lisa Kelly","doi":"10.1177/08980101251343679","DOIUrl":"10.1177/08980101251343679","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"284-291"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Mindfulness Practices on Positive Thinking and Stress Coping Behaviors of Earthquake Survivor Nursing Students: A Nonrandomized Controlled Study.","authors":"Betul Bal, Nagihan Koroğlu Kaba","doi":"10.1177/08980101251342293","DOIUrl":"10.1177/08980101251342293","url":null,"abstract":"<p><p><b>Purpose:</b> This study was conducted to reveal the effect of mindfulness practices on nursing students' stress-coping behaviors and positive thinking skills. <b>Method:</b> This was a two-group parallel nonrandomized study. Mindfulness practices were applied to the students in the experimental group. Data were collected using research tools (Personal Information Form, Positive Thinking Skills Scale, and Stress Coping Behaviors Scale for Nursing Students) as pre- and posttests. <b>Findings:</b> After the intervention, there was no significant difference between the two groups in the posttest scores of positive thinking skills (<i>t</i> = 0.624; <i>p</i> = .541) and stress coping behaviors of staying optimistic (<i>t</i> = -0.957; <i>p</i> = .345), transfer (<i>t</i> = -2.028; <i>p</i> = .050), problem-solving (<i>t</i> = -0.663; <i>p</i> = .512), and avoidance (<i>U</i> = 132; <i>p</i> = .230). <b>Conclusions:</b> Mindfulness practices are ineffective in improving earthquake survivor nursing students' coping behaviors and positive thinking skills.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"224-232"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lerner Holistic Integrative Health Nursing Fellowship: A Whole Health Approach to Education and Practice.","authors":"Katrina Vigo, Annie Kaplon, Kathleen DeMarco","doi":"10.1177/08980101251350022","DOIUrl":"10.1177/08980101251350022","url":null,"abstract":"<p><p><b>Purpose:</b> The Lerner Holistic Integrative Health Nursing Fellowship aims to incorporate components of Whole Health into nursing practice and promote innovative quality improvement programming that prioritizes well-being for patients, caregivers, and healthcare professionals. <b>Methods:</b> A lack of supported time has been reported as a barrier for education and self-care among nurses. This fellowship provided 10 participants with protected time to engage in a 9-month, 172-h curriculum including American Nurses Credentialing Corporation approved courses. Fellows completed baseline and post-fellowship surveys, post-module surveys, and exit interviews. <b>Results:</b> Fellows implemented 10 holistic based quality improvement initiatives, impacting over 453 patients and caregivers and 240 healthcare professionals. The fellowship resulted in an 80% increase in holistic nursing and integrative health utilization in professional practices and an 89% increase in knowledge, skill, and confidence related to holistic nursing, integrative health, the mind-body connection, and quality improvement or research initiatives. <b>Conclusion:</b> Transforming our system towards a Whole Health approach requires a dedicated and strategic plan. The fellowships' outcomes highlight the successful implementation of quality improvement initiatives and gains in knowledge, skills, and confidence in holistic nursing, IH, the mind-body connection, and quality improvement or research efforts.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"295-303"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring Spirituality Among Sexual and Gender Minority Adolescents: Evidence for Enhancing Holistic Practice.","authors":"April A Braswell, Kris Hohn, Diane L Parker","doi":"10.1177/08980101251340345","DOIUrl":"10.1177/08980101251340345","url":null,"abstract":"<p><p><b>Purpose:</b> 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 <i>spirituality</i> among sexual and gender minority (SGM) adolescents. <b>Study Design:</b> A qualitative descriptive design was used to explore spirituality perceptions among youth. <b>Methods:</b> 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. <b>Findings:</b> 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) <i>Why am I here? It's not just about me</i>, (2) <i>This is how I connect to the spirit, traditions, and beyond</i>, (3) <i>I care, I'm just not sure, and I'm still thinking about it,</i> and (4) <i>I'm not worried or preoccupied with the sacred</i>. <b>Conclusion:</b> 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.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"272-283"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehumanizing Holistic Nursing Education: From Mindfulness and Spiritual Care to Transformative Clinical Formation.","authors":"Endah Fitriasari, Muhammad Taufan Umasugi","doi":"10.1177/08980101261458433","DOIUrl":"10.1177/08980101261458433","url":null,"abstract":"<p><p>Holistic nursing education is increasingly important in preparing nurses who are not only clinically competent, but also reflective, compassionate, spiritually sensitive, and culturally responsive. This commentary argues that mindfulness and spiritual care should not be positioned as isolated curricular additions, but as central elements of transformative clinical formation. Drawing on recent scholarship in holistic nursing, nursing education and spiritual care, the article highlights three critical issues: the risk of reducing mindfulness to a stress-management technique, the persistent gap between spiritual care knowledge and clinical enactment, and the need for culturally inclusive pedagogical models. It further suggests that future research should move beyond short-term self-reported outcomes by employing longitudinal, mixed-method, and practice-based evaluations. Reframing holistic nursing education as transformative clinical formation may offer a more rigorous direction for curriculum innovation, faculty development, and holistic nursing science.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"221-223"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}