Željko Mudri, Dragana Milutinović, Nina Brkić Jovanović, Ivana Barać, Renata Apatić, Marija Barišić, Robert Lovrić
{"title":"Assessment of Empathy as a Prerequisite for Holistic Nursing: Psychometric Analysis of the Jefferson Scale of Empathy-Health Profession Students for Croatian BSc and MSc Nursing Students.","authors":"Željko Mudri, Dragana Milutinović, Nina Brkić Jovanović, Ivana Barać, Renata Apatić, Marija Barišić, Robert Lovrić","doi":"10.1177/08980101241233331","DOIUrl":"10.1177/08980101241233331","url":null,"abstract":"<p><p><b>Purpose:</b> To translate the original Jefferson Scale of Empathy-Health Profession Students version in a group of nursing students and asses its psychometrical characteristics according to the COnsensus-based Standards for the selection of health Measurement INstruments guidelines. <b>Design</b>: A descriptive cross-sectional study. <b>Methods</b>: The study included 345 bachelor's and master's students in the nursing degree program. Construct validity was tested by exploratory factor analysis using principal component analysis with varimax rotation. Convergent validity was tested using the Pearson correlation coefficient to test the relationship between empathy and emotional intelligence. The reliability of internal consistency was estimated using Cronbach's alpha. <b>Findings</b>: The final version of the 16-item scale with its three-factor structure has a high reliability with a Cronbach's alpha value of 0.86, and the Pearson correlation coefficient revealed a positive and significant relationship between emotional intelligence and the total score of the empathy scale and the three subscales. <b>Conclusion</b>: The contribution of the study is significant as the instrument is qualitatively validated and its content is clinically and educationally important for understanding the concept of empathy, especially in the education of nursing students. The correct assessment of empathy contributes to a better understanding and implementation of the components of holistic care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"145-158"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050974","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 Italian Validation of the Healthcare Professional Humanization Scale for Nursing.","authors":"Arianna Angelone, Roberto Latina, Giuliano Anastasi, Flavio Marti, Silvia Oggioni, Lucia Mitello, Dhurata Izviku, Irene Terrenato, Anna Rita Marucci","doi":"10.1177/08980101241230289","DOIUrl":"10.1177/08980101241230289","url":null,"abstract":"<p><p><b>Purpose:</b> The Healthcare Professional Humanization Scale (HUMAS) is a measure of the evaluation of the humanization of care in nursing professions. Despite being validated for the Spanish language, there still needed validation in Italian, which seems essential considering the cultural differences. <b>Aim:</b> We aimed to test the validity and reliability of the HUMAS with an Italian sample of registered nurses. <b>Methods:</b> The present study used cross-sectional data from 300 nurses that completed the survey. The study's main phases were (a) construction of the Italian version; (b) testing and analyzing the psychometric properties of the scale. The exploratory factor analysis and the Content Validity Index (CVI) were performed. Cronbach's alpha and test-retest were used to determine the reliability. <b>Findings:</b> The final Italian version of HUMAS (HUMAS-I) comprised 19 items grouped into five correlated latent factors, accounting for 68.4% of the variance. Additionally, it exhibited a satisfactory Cronbach's alpha for each latent component and an average CVI for the entire scale of 0.68. <b>Conclusions:</b> The HUMAS-I shows acceptable psychometric proprieties as the original Spanish version. Therefore, it could be an advantageous instrument for use in nursing practice and research.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"121-133"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906919","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":"Utilization of Art in Nursing Education to Enhance Student Spiritual Growth and Holistic Nursing Practice.","authors":"","doi":"10.1177/08980101251342995","DOIUrl":"10.1177/08980101251342995","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"211-212"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152857","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 Effects of Laughter Yoga on Happiness and Stress in Nursing Students Going into Clinical Practice for the First Time.","authors":"Betul Bal, Canan Demirci, Gamze Gulsum Kilicli","doi":"10.1177/08980101241237928","DOIUrl":"10.1177/08980101241237928","url":null,"abstract":"<p><p><b>Background:</b> There are numerous difficulties that nursing students must overcome in the nursing practice environment. This circumstance mainly impacts the happiness and stress levels of nursing students who lack clinical practice. <b>Aim:</b> In this study aimed to examine the effect of laughter yoga (LY) on nursing students' happiness and stress levels attending to clinical practice for the first-time. <b>Method:</b> In this randomized controlled trial, a totally 50 nursing students were included from a nursing school in Turkey. Data were collected between December 2022-January 2023 via The Happiness Scale and the Perceived Stress Scale for Nursing Students. A total of eight LY lessons for 4 weeks were practiced to the laughter group (LG). <b>Result:</b> The Happiness Scale's means were compared between the groups before and after the intervention, and the results revealed a significant increase (<i>p</i> < 0.05). There was not a significant difference in the stress scale scores between both the groups following LG and clinical practice (<i>t</i>: -1.780; <i>p</i> = 0.081). However, the stress scores of the LG decreased significantly after the LY sessions were completed (<i>b</i>: 3.595; <i>p</i> = 0.001). <b>Conclusion:</b> LY can be an effective method to be used to help increase happiness and reduce the stress of nursing students for first-time entering clinical practice.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"159-169"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133250","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":"\"'You Just Want to Give me Some Medicine and be on my Way': Preferences, Beliefs, and Experiences Related to Western Medication among Members of a State-Recognized Tribe\".","authors":"Sarah E Reese, Jessica L Liddell, Laila Mascarena","doi":"10.1177/08980101231219357","DOIUrl":"10.1177/08980101231219357","url":null,"abstract":"<p><p><b>Background:</b> Native American/American Indian (NA/AI) people have higher rates of chronic disease, including substance use and mental health disorders, compared to White Americans. Though pharmaceuticals can be helpful in addressing many chronic healthcare conditions, many people do not take medications as prescribed. NA/AI identity has been found to be associated with lower rates of medication adherence compared to White Americans. <b>Purpose:</b> The purpose of this study is to better understand NA/AI women's perceptions, beliefs, and experiences related to medication. <b>Methods:</b> Thirty-one semi-structured interviews were conducted with NA/AI women from a state-recognized tribe located in the Gulf South. Interviews were transcribed and analyzed using a qualitative description approach. <b>Results:</b> Eighteen women discussed their experiences using medications when asked about their healthcare experiences. Participants identified the following themes in their discussion of medication: (a) Cost of Medication as a Barrier; (b) Negative Side Effects of Western Medication; (c) Fear of Resistance and Dependence; (d) Preference for Traditional Medicine or None; and (e) Lack of Communication around Medications from Providers. <b>Conclusion:</b> Our findings support the growing call for cultural safety within medical settings and integrating NA/AI conceptualizations of health and well-being and traditional practices into western healthcare settings to better support NA/AI people.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"176-189"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991821","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}
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":"https://doi.org/10.1177/08980101251343676","url":null,"abstract":"<p><strong>Purpose: </strong>To study holistic health of rural registered hospital nurses by exploring quality of life and resilience.</p><p><strong>Design: </strong>Mixed methods survey design.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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":"8980101251343676"},"PeriodicalIF":2.0,"publicationDate":"2025-05-23","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}
{"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":"8980101251343679"},"PeriodicalIF":2.0,"publicationDate":"2025-05-23","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":"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":"https://doi.org/10.1177/08980101251340345","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Study design: </strong>A qualitative descriptive design was used to explore spirituality perceptions among youth.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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>.</p><p><strong>Conclusion: </strong>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":"8980101251340345"},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","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}
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":"https://doi.org/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":"8980101251336323"},"PeriodicalIF":2.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039140","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}