{"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":"https://doi.org/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":"8980101251342293"},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","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":"Effects of Multi-Mechanism Complementary Therapy on Pain and Anxiety During Labor Latency in Primiparous Women.","authors":"Qi-Tao Hu, Ying Li, Ying Zhu, Jie Wang, Qian Li","doi":"10.1177/08980101241232443","DOIUrl":"10.1177/08980101241232443","url":null,"abstract":"<p><p><b>Objective:</b> Evaluate the efficacy of single and mixed complementary therapies, with different analgesic mechanisms, in relieving pain and anxiety during the late labor period. <b>Design and method:</b> In this study, 145 primiparous women with 2-3 cm dilation of the cervix were randomly assigned to one of five groups: control group (psychological comfort), comprehensive group, aroma group, auricular acupuncture group, and music group. The groups were distributed equally (1:1:1:1 ratio), and pain and anxiety scores were assessed at 30, 60, and 120 minutes post-intervention in each group. <b>Outcomes and measures:</b> Compared to the control group, all intervention groups showed lower pain scores. The comprehensive group had the largest reduction in pain scores at 30, 60, and 120 minutes post-intervention. The auricular point, aroma, and music groups also demonstrated significant reductions in pain scores at different time points. Only the comprehensive group had a statistically significant reduction in anxiety at 30 minutes post-intervention compared to the control group. However, at 60 and 120 minutes post-intervention, all intervention groups showed lower anxiety scores compared to the control group. <b>Conclusion:</b> The optimal effects of each therapy varied in terms of timing and duration. Combination therapy showed a greater effect size than single complementary therapy.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"134-144"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914038","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 Nurses' Holistic Competence in Chronic Disease Management on Their Attitudes Toward Caregiver Roles.","authors":"Müjde Kerkez, Mehmet Hayrullah Öztürk","doi":"10.1177/08980101231217374","DOIUrl":"10.1177/08980101231217374","url":null,"abstract":"<p><p>The purpose of this study was to investigate the impact of nurses' holistic nursing competence in chronic disease management on their attitudes toward caregiving roles. The sample of the study, which was carried out in descriptive design, consists of 114 nurses (52.6% female and 47.4% male). The research data were gathered with sociodemographic characteristics form, the Holistic Nursing Competence Scale (HNCS), and the Attitude Scale for Nurses in Caregiving Roles (ASNCR). The influence of HNCS, gender, years of job, working style, professional status, weekly working time, and difficulty caring for chronic patients on ASNCR explained 38.1% of the variance. The impact of the ASNCR, gender, years of work in the job, working type, weekly working hours, and having difficulties caring for chronic patients on HNCS explained 54.5% of the variance. Our findings demonstrated the impact of holistic competence on nurses' positive attitudes toward the role of caregiver.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"112-120"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500125","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}
Sonya L Kowalski, Elaine Webber, Julia Stocker-Schneider, Taylor Long
{"title":"Utilization of Art in Nursing Education to Enhance Student Spiritual Growth and Holistic Nursing Practice.","authors":"Sonya L Kowalski, Elaine Webber, Julia Stocker-Schneider, Taylor Long","doi":"10.1177/08980101241237109","DOIUrl":"10.1177/08980101241237109","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to investigate student nurses' perceptions of how creative art activities might support spiritual self-exploration, foster understanding of holistic care and promote spiritual growth in relation to Mercy and Jesuit values emphasized in their nursing program. <b>Design:</b> A qualitative design was used with data collected through surveys and students' reflections. <b>Methods:</b> Students enrolled in an introductory nursing course with a service-learning component participated in the study. Students were initially asked to create drawings depicting Mercy/Jesuit charisms, spirituality, and holistic nursing then complete written reflections. At the term's end, students created group art projects connecting service learning, holistic nursing care, and spiritual growth. Students responded to survey questions regarding spirituality, Mercy/Jesuit charisms, nursing practice, and their art experiences. <b>Findings:</b> Surveys were completed by 122 of the 137 students who participated in the art projects. After initial difficulty with artistic expression, most students reported the projects provided an opportunity for introspection related to personal spirituality, nursing, and the impact of service-learning experiences on future nursing practice. <b>Conclusion:</b> Arts-based learning can help students explore and express spirituality related to nursing and support their understanding and integration of values essential to the delivery of holistic nursing care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"201-210"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029539","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":"Cultivating Therapeutic Presence: A Pilot Project.","authors":"Nancy L Bloemer, Frank M Biro","doi":"10.1177/08980101241273364","DOIUrl":"10.1177/08980101241273364","url":null,"abstract":"<p><p><b>Purpose:</b> Cultivating therapeutic presence is a pilot project for addressing perceived stress in a group of holistic healthcare workers. <b>Design and Methods:</b> The project incorporated mindfulness-based interventions, self-care techniques, and the establishment of supportive relationships. It was presented during the COVID pandemic to integrative health care workers at a children's hospital. <b>Findings:</b> There was an overall improvement in perceived stress scores across the series, with an effect size estimated by Cohen's d = .963, consistent with a large effect. Participants reported persistent effects on a survey administered five months after completion of the project, which included feeling more confident, using the techniques, and more effectively caring for themselves. <b>Conclusions:</b> This project integrated mindfulness-based interventions with self-care techniques, as well as strengthening support networks. Upon completion, perceived stress decreased, a finding that persisted for several months.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"170-175"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908281","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}
Bridget Webb, Heather Carter-Templeton, Tim Cunningham
{"title":"An Integrative Review of \"The Pause\" After Patient Death.","authors":"Bridget Webb, Heather Carter-Templeton, Tim Cunningham","doi":"10.1177/08980101231218366","DOIUrl":"10.1177/08980101231218366","url":null,"abstract":"<p><p><b>Background:</b> Healthcare providers are engrossed in high-stakes, high-stress situations during their daily work with patient death being a potential negative outcome of work-related stress. Many interventions exist to combat work-related stress among nurses. The Pause, an intervention to offer a moment of silence for the healthcare team after a patient death, is one example. <b>Objective:</b> An integrative review of The Pause was conducted to investigate its use and how it impacts healthcare providers and their work environments. <b>Methods:</b> The integrative review methodology by Whittemore and Knafl was used to guide this study. Steps included were problem identification, literature search, data evaluation, data analysis, and presentation. Content analysis was used to identify themes. <b>Results:</b> Seven databases were searched in 2022 and seven studies were identified for inclusion in this review. Two themes were identified: personal benefits and professional benefits. Findings reveal benefits from self-care and grief processing to a better work environment. <b>Conclusions:</b> The Pause is a low-cost, low-risk intervention that can be implemented at an organizational level to help reduce burnout, unresolved grief, increase resilience, increase retention, and improve patient outcomes. Future research should include an examination of how The Pause may affect patient outcomes and workplace culture.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"190-200"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500124","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}
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}