Journal of Holistic Nursing最新文献_第3页

Patterns and Predictive Factors of Health-Related Quality of Life Among Community-Dwelling Patients With Hypertension: A Cross-Sectional Study From Thailand. 泰国社区高血压患者健康相关生活质量的模式和预测因素：一项横断面研究

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-30 DOI: 10.1177/08980101261479405

Suthasinee Srinoon, Jeeraporn Kummabutr, Pantip Sangprasert, Siriluck Kaewsriwong, Korawan Keaittipattanachai

{"title":"Patterns and Predictive Factors of Health-Related Quality of Life Among Community-Dwelling Patients With Hypertension: A Cross-Sectional Study From Thailand.","authors":"Suthasinee Srinoon, Jeeraporn Kummabutr, Pantip Sangprasert, Siriluck Kaewsriwong, Korawan Keaittipattanachai","doi":"10.1177/08980101261479405","DOIUrl":"https://doi.org/10.1177/08980101261479405","url":null,"abstract":"PurposeTo describe the patterns of health-related quality of life (HRQoL) across four WHOQOL-BREF domains and to identify independent predictive factors-including cognitive health mindfulness-among community-dwelling adults with hypertension in an urbanized area of Thailand.DesignDescriptive cross-sectional study.MethodsThree hundred and thirty adults (≥35 years) with physician-confirmed hypertension were recruited by multi-stage stratified random sampling from 11 sub-district health promoting hospitals. Measures included the WHOQOL-BREF, Stress Scale (ST-5), Intellectual Well-Being Scale, and the 17-item Cognitive and Behavioral Sati Scale (CBSS). Descriptive statistics, Pearson correlation, and multiple linear regression were applied.FindingsOverall HRQoL was moderate in 55.8% of participants (M = 94.53, SD = 11.35). Cognitive health mindfulness was moderate in 64.2% (M = 50.00, SD = 12.34; α = 0.884). Multiple regression identified four independent predictors: intellectual well-being (β = 0.536), stress (β = -0.175), cognitive health mindfulness (β = 0.157), and absence of complications (β = 0.108); R2 = 0.446, F (6, 323) = 43.009, p < .001.ConclusionsCognitive health mindfulness was an independent, though modest, predictor of HRQoL among hypertensive patients, alongside intellectual well-being, stress, and absence of complications. These cross-sectional findings support incorporating mindfulness and intellectual well-being screening, alongside stress management and complication prevention, into holistic primary hypertension nursing assessment, with intervention effectiveness to be established by future longitudinal and experimental research.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261479405"},"PeriodicalIF":1.6,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867800","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}

引用次数: 0

Holistic Nursing Care for People Experiencing Diabetes Burnout: A Theoretical Reflection Using the Tidal Model. 糖尿病倦怠患者的整体护理：潮汐模型的理论反思

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-26 DOI: 10.1177/08980101261476298

Marcelino Maia Bessa, Rodrigo Jácob Moreira de Freitas, Maria Célia de Freitas, Vanessa de Araujo Lima Freire, Lourival Veras de Oliveira, Sherida Karanini Paz de Oliveira

{"title":"Holistic Nursing Care for People Experiencing Diabetes Burnout: A Theoretical Reflection Using the Tidal Model.","authors":"Marcelino Maia Bessa, Rodrigo Jácob Moreira de Freitas, Maria Célia de Freitas, Vanessa de Araujo Lima Freire, Lourival Veras de Oliveira, Sherida Karanini Paz de Oliveira","doi":"10.1177/08980101261476298","DOIUrl":"https://doi.org/10.1177/08980101261476298","url":null,"abstract":"Diabetes burnout is an emerging psychosocial phenomenon characterized by emotional, physical, and mental exhaustion associated with the continuous demands of diabetes management, adversely affecting self-care and wellbeing. This study aimed to develop a theoretical reflection on how the principles of the Tidal Model, interpreted through the lens of holistic nursing, may inform nursing care for individuals experiencing diabetes burnout. This theoretical reflection was based on an analytical and interpretive approach using The Tidal Model: A Guide for Mental Health Professionals, integrated with the scientific literature on diabetes burnout and holistic nursing. The analysis was organized into four thematic sections: understanding diabetes burnout, the foundations of the Tidal Model, its application in nursing practice, and a holistic interpretation of diabetes burnout. The reflection suggests that diabetes burnout is a multidimensional experience capable of disrupting healing processes and that relational and narrative mechanisms of the Tidal Model may promote meaning reconstruction and re-engagement in care. An original conceptual model and theoretical propositions were developed to clarify these mechanisms. This study advances holistic nursing knowledge by integrating person-centered care, the therapeutic relationship, and healing processes in the context of diabetes burnout.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261476298"},"PeriodicalIF":1.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834599","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}

引用次数: 0

Bridging Cure and Healing Through Care: A Scoping Review of Nursing's Role in Integrating Biomedical and Holistic Paradigms. 通过护理弥合治愈和愈合：护理在整合生物医学和整体范式中的作用的范围审查。

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-20 DOI: 10.1177/08980101261476470

Mahtab Farahani, Alireza Nikbakht Nasrabadi, Hamidreza Namazi, Arpi Manookian, Mohammad Ali Cheraghi, Mohammad Ali Mardom

{"title":"Bridging Cure and Healing Through Care: A Scoping Review of Nursing's Role in Integrating Biomedical and Holistic Paradigms.","authors":"Mahtab Farahani, Alireza Nikbakht Nasrabadi, Hamidreza Namazi, Arpi Manookian, Mohammad Ali Cheraghi, Mohammad Ali Mardom","doi":"10.1177/08980101261476470","DOIUrl":"https://doi.org/10.1177/08980101261476470","url":null,"abstract":"PurposeTo examine the role of nursing care as a mediating bridge between biomedical cure and holistic healing within the framework of holistic nursing, and to identify barriers and strategies for integrating these paradigms in nursing practice.DesignA scoping review following Joanna Briggs Institute methodology.MethodPubMed, Scopus, and Web of Science were searched in May 2025 (updated February 2026). Twenty-seven studies met inclusion criteria. Data were analyzed using narrative synthesis with inductive thematic analysis in MAXQDA 2020.FindingTwenty-seven studies were included, yielding five interrelated themes: (i) the tension between care and cure; (ii) healing as a multidimensional and transcendent outcome; (iii) nursing care as a potential mediating mechanism between cure and healing; (iv) barriers to integration; and (v) strategies for strengthening nursing's integrative role.ConclusionFindings suggest that nursing care may function as an integrative mechanism through which biomedical cure and holistic healing can be meaningfully connected in practice. However, this potential is significantly constrained by persistent barriers. Educational reform, organizational support, culturally sensitive spiritual care, and thoughtful technology integration are essential strategies for promoting holistic nursing practice. Future research should empirically test integrative models and evaluate their impact on patient and nurse outcomes within holistic nursing frameworks.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261476470"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801432","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}

引用次数: 0

Nurse-Led SP6 and LI4 Acupressure for Improving Labour Pain, Maternal Coping, and Intrapartum Maternal Comfort: A Three-Arm Pilot Randomized Controlled Trial Guided by Swanson's Theory of Caring. 护士主导的SP6和LI4穴位按压改善分娩疼痛、产妇应对和分娩时产妇舒适度：Swanson护理理论指导下的三臂随机对照试验

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-20 DOI: 10.1177/08980101261477557

Sakila Basnet, Barkha Devi, Geeta Shyamsunder Soohinda

{"title":"Nurse-Led SP6 and LI4 Acupressure for Improving Labour Pain, Maternal Coping, and Intrapartum Maternal Comfort: A Three-Arm Pilot Randomized Controlled Trial Guided by Swanson's Theory of Caring.","authors":"Sakila Basnet, Barkha Devi, Geeta Shyamsunder Soohinda","doi":"10.1177/08980101261477557","DOIUrl":"https://doi.org/10.1177/08980101261477557","url":null,"abstract":"Background: Childbirth is a multidimensional experience involving physical, emotional, and psychological challenges. Holistic nursing interventions such as acupressure may improve maternal well-being beyond pain relief, yet comparative evidence for SP6 (Sanyinjiao) and LI4 (Hegu) acupressure is limited.Purpose: To evaluate the preliminary effectiveness of nurse-administered SP6 and LI4 acupressure on labour pain, maternal coping, and intrapartum maternal comfort among primiparous women.Methods: In this three-arm pilot randomized controlled trial, 90 primiparous women were randomly assigned (1:1:1) to SP6 acupressure, LI4 acupressure, or routine intrapartum care (30/group). Acupressure was administered at 4, 6, and 8 cm cervical dilatation. Labour pain and coping were assessed repeatedly, and maternal comfort was measured once at 10 cm cervical dilatation. Data were analysed using linear mixed-effects models and one-way ANOVA.Results: Significant group, time, and group × time interaction effects were observed for labour pain and coping (all p < .001). Compared with LI4 acupressure and routine care, SP6 acupressure produced greater pain reduction, improved maternal coping, and higher intrapartum maternal comfort (all p < .001).Discussion: Guided by Swanson's Theory of Caring, SP6 acupressure appears to be a feasible holistic nursing intervention that supports person-centred maternity care. Larger multicentre randomized controlled trials are warranted.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261477557"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801380","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}

引用次数: 0

Association of Spiritual Intelligence and Self-Compassion With Hope in Patients With Cancer: Implications for Holistic Nursing Care. 癌症患者的精神智力和自我同情与希望的关联：对整体护理的影响。

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-18 DOI: 10.1177/08980101261476487

Lida Abazari, Aida Abazari, Homayoon Kazemy, Mahsa Iranmanesh, Behnaz Bagherian

{"title":"Association of Spiritual Intelligence and Self-Compassion With Hope in Patients With Cancer: Implications for Holistic Nursing Care.","authors":"Lida Abazari, Aida Abazari, Homayoon Kazemy, Mahsa Iranmanesh, Behnaz Bagherian","doi":"10.1177/08980101261476487","DOIUrl":"https://doi.org/10.1177/08980101261476487","url":null,"abstract":"BackgroundHope is a key psychological and existential resource for patients with cancer and is associated with adaptation. From a holistic nursing perspective, identifying factors that foster hope may inform person-centered care. This study examined the associations of spiritual intelligence and self-compassion with hope among patients with cancer within a holistic nursing framework, with the aim of improving understanding of internal resources related to whole-person adaptation.MethodThis descriptive-analytical cross-sectional study was conducted in 2024 among 100 hospitalized patients with cancer in Kerman, Iran. Participants were selected using systematic random sampling. Data were collected using demographic, Hope, Spiritual Intelligence, and Self-Compassion questionnaires. Pearson correlation and hierarchical multiple regression analyses were performed.ResultsSpiritual intelligence was positively correlated with hope (r = 0.40, p < .001), whereas self-compassion was not significantly associated with hope (r = -0.04, p = .69). In the regression model, spiritual intelligence emerged as a significant predictor of hope, whereas self-compassion showed no independent association.ConclusionSpiritual intelligence showed a positive association with hope in patients with cancer, whereas self-compassion was not independently associated. These results underscore the importance of spiritual resources in patients' psychological adaptation and support the integration of spiritual care within holistic nursing practice.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261476487"},"PeriodicalIF":1.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801358","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}

引用次数: 0

Retrospective Analysis of Caring Efficacy After Completing a Unitary Human Caring Science Holistic Nursing Curriculum. 完成单一人文关怀科学整体护理课程后护理效果的回顾性分析。

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-13 DOI: 10.1177/08980101261476469

Elizabeth A Cunniff, Joyce B Perkins, Cynthia Dols Finn, Catherine Graeve

引用次数: 0

Death Anxiety as a Mediator Between Religious Attitudes and Spiritual Care Needs in Hemodialysis Patients. 死亡焦虑在血透患者宗教态度与精神护理需求之间的中介作用

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-13 DOI: 10.1177/08980101261475490

Sibel Arguvanli Çoban, Işin Cantekin, Rukiye Burucu

{"title":"Death Anxiety as a Mediator Between Religious Attitudes and Spiritual Care Needs in Hemodialysis Patients.","authors":"Sibel Arguvanli Çoban, Işin Cantekin, Rukiye Burucu","doi":"10.1177/08980101261475490","DOIUrl":"10.1177/08980101261475490","url":null,"abstract":"PurposeTo examine the mediating role of death anxiety in the relationship between religious attitudes and spiritual care needs among patients undergoing hemodialysis (HD), with implications for holistic nursing assessment and intervention.DesignA descriptive, correlational, cross-sectional design.MethodsA total of 203 patients receiving HD were recruited. Data were collected using a Descriptive Characteristics Form, the Religious Attitude Scale, the Spiritual Care Needs Scale, and the Death Anxiety Scale (DAS). Mediation was tested using Hayes' PROCESS Macro with bias-corrected bootstrap confidence intervals (5,000 resamples).FindingsReligious attitudes were significantly associated with spiritual care needs, and death anxiety partially mediated this relationship (indirect effect b = -1.754, 95% confidence interval [-2.95, -0.65]). Mean DAS scores exceeded the clinical threshold, indicating prevalent death anxiety across the sample.ConclusionsDeath anxiety functions as a mediating mechanism linking religious attitudes to spiritual care needs in HD patients. Findings support integrating structured death anxiety screening and culturally sensitive religious support into holistic nursing care, operationalizing the holistic caring process.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475490"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727254","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}

引用次数: 0

Sickness Presenteeism Among Iranian Nurses: A Holistic Nursing Perspective on Burnout, Social Support, and Health-Related Productivity Loss. 伊朗护士的出勤率：倦怠、社会支持和健康相关生产力损失的整体护理视角。

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-13 DOI: 10.1177/08980101261475480

Behnaz Bagherian, Homayoon Kazemy, Sina Shahmohammadi, Alireza Gilani

{"title":"Sickness Presenteeism Among Iranian Nurses: A Holistic Nursing Perspective on Burnout, Social Support, and Health-Related Productivity Loss.","authors":"Behnaz Bagherian, Homayoon Kazemy, Sina Shahmohammadi, Alireza Gilani","doi":"10.1177/08980101261475480","DOIUrl":"10.1177/08980101261475480","url":null,"abstract":"BackgroundSickness presenteeism, defined as attending work despite health problems that would justify sickness absence, is an important concern in holistic nursing because nurses' wellbeing is inseparable from sustainable caring practice.PurposeThis exploratory study examined associations among sickness presenteeism, burnout, perceived social support, and health-related productivity loss among nurses working in teaching hospitals in Iran.MethodsA cross-sectional exploratory study was conducted with 60 nurses working in emergency, intensive care, cardiac care, and medical wards of three teaching hospitals affiliated with Kerman University of Medical Sciences, Kerman, Iran. Data were collected using a demographic and occupational questionnaire, the Sickness Presenteeism Questionnaire, the Stanford Presenteeism Scale-6, the Maslach Burnout Inventory, and the Social Provisions Scale. Descriptive statistics, Pearson correlations, and exploratory regression analyses were used.ResultsThe mean sickness presenteeism score was 6.28 ± 1.32, suggesting frequent self-reported sickness presenteeism. Sickness presenteeism was not significantly associated with burnout, perceived social support, or health-related productivity loss. Employment status significantly predicted burnout, and age significantly predicted health-related productivity loss.ConclusionFindings should be interpreted as preliminary. Sickness presenteeism among nurses may reflect tensions among self-care, professional obligation, relational expectations, and organizational conditions. Holistic nursing approaches should address both individual self-care and healing work environments that support rest, recovery, dignity, and sustainable caring.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475480"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724217","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}

引用次数: 0

The Nurses' Coping Resource Inventory (N-CRI): A Salutogenic Framework for Holistic Nurse Burnout Resilience. 护士应对资源量表（N-CRI）：整体护士职业倦怠恢复力的有益框架。

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-13 DOI: 10.1177/08980101261476474

Winfridah Wangui Njung'e, Felix Cheruiyot

{"title":"The Nurses' Coping Resource Inventory (N-CRI): A Salutogenic Framework for Holistic Nurse Burnout Resilience.","authors":"Winfridah Wangui Njung'e, Felix Cheruiyot","doi":"10.1177/08980101261476474","DOIUrl":"10.1177/08980101261476474","url":null,"abstract":"BackgroundBurnout represents a global workforce crisis that undermines holistic nurse wellbeing, care quality and workforce retention, especially in low-resource health systems. Although sense of coherence (SOC) and adaptive coping promote resilience, holistic and salutogenic frameworks remain underutilized.ObjectivesTo examine nurses' coping strategies and intervention preferences through Antonovsky's SOC and develop the nurses' coping resource inventory (N-CRI), an empirically grounded, middle-range conceptual framework for burnout resilience.MethodsAn explanatory sequential mixed-methods study was conducted with 97 nurses at a Kenyan referral hospital. Quantitative descriptive statistics and qualitative thematic analysis mapped findings to SOC dimensions (comprehensibility, manageability, and meaningfulness).ResultsAdaptive coping predominated: spiritual practices (74.2%), peer support (67.0%), and cognitive reframing (62.9%), with maladaptive strategies rare (≤13.4%). Meaningfulness emerged strongest, yet manageability was limited by institutional gaps. Nurses prioritized structural burnout interventions, including safe staffing, fair remuneration, and work-life balance. The N-CRI organizes interdependent systemic, interpersonal, and individual holistic coping resources that mobilize generalized resistance resources and strengthen SOC to foster holistic resilience.ConclusionHolistic nurse burnout resilience reflects the interplay of organizational, relational, and individual healing resources, not individual coping alone. The N-CRI offers a concise, adaptable framework for holistic assessment, multilevel interventions, and policy supporting sustainable workforce wellbeing.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261476474"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725193","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}

引用次数: 0

Rethinking Public Hospital Design in Low-Middle-Income Countries Through the Lens of Florence Nightingale's Environmental Theory: A Commentary Research. 南丁格尔环境理论视角下对中低收入国家公立医院设计的反思

IF 1.6

Journal of Holistic Nursing Pub Date : 2026-08-13 DOI: 10.1177/08980101261477551

Aftab Ahmad Khan, Shafiqa Banu

{"title":"Rethinking Public Hospital Design in Low-Middle-Income Countries Through the Lens of Florence Nightingale's Environmental Theory: A Commentary Research.","authors":"Aftab Ahmad Khan, Shafiqa Banu","doi":"10.1177/08980101261477551","DOIUrl":"10.1177/08980101261477551","url":null,"abstract":"Purpose of StudyTo examine the recurring environmental design problems in low-resource public hospitals including insufficient ventilation and daylight, overcrowding, a raised washroom, and their cumulative burden on nursing care through Florence Nightingale's environmental theory, and to connect these patterns to the established literature on infection risk, fall prevention, and the therapeutic environment as a core value of holistic nursing.Design of StudyClinical commentary based on composite field observation, guided by Nightingale's environmental theory and the five core values of the American Holistic Nurses Association.MethodObservations were gathered over approximately 2 years of clinical teaching and supervisory ward visits across several secondary-level public hospitals in low-resource settings. No formal audit tool was used; observations were synthesized into composite, illustrative patterns and read against current evidence-based design and holistic nursing literature.FindingsFour recurring patterns were identified: insufficient ventilation and natural light; overcrowding and inadequate bed spacing; a washroom accessible only by climbing several unmarked steps above the ward floor; and a cumulative burden on nursing workflow and patient experience. Each maps directly onto Nightingale's environmental canons and connects to established evidence on infection risk, recovery, and falls.ConclusionsThe physical environment is a dimension of whole-person care, not a backdrop to it. Nightingale's environmental theory, interpreted through contemporary holistic nursing scholarship, generates specific, low-cost obligations for environmental assessment, nurse advocacy, and leadership in settings where resources are limited.","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261477551"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723270","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}

引用次数: 0