Journal of Holistic Nursing最新文献

{"title":"Anchoring Through Touch: Nurses' Perspectives on the Meaning of Hygiene Care for Patients at the End of Life in Palliative Care Wards-A Grounded Theory Study.","authors":"Kotone Nishiya, Risa Takashima, Mayumi Kato, Rika Yano","doi":"10.1177/08980101261475734","DOIUrl":"https://doi.org/10.1177/08980101261475734","url":null,"abstract":"<p><p>PurposeTo explore how nurses in palliative care wards perceive hygiene care for patients at the end of life.DesignA theory-generating qualitative study based on the grounded theory approach.MethodsEighteen nurses working in palliative care wards were recruited through purposive and theoretical sampling. Semistructured interviews were conducted between January and May 2025. Data were analyzed using the grounded theory approach.Findings\"Anchoring through touch\" emerged as the core category; touch refers not merely to physical contact, but to a responsive mode of practice wherein nurses adjust care according to patients' pain, anxiety, embarrassment, comfort, and discomfort. Patients initially experienced hygiene care as \"relinquishing their former everyday life,\" but responsive touch enabled \"reorienting through bodily pleasantness\" and \"opening of the self through acceptance.\" Sensory stimuli and trusting dialogue facilitated \"encountering the self across time,\" helping patients reinterpret their lives and achieve \"recovery of a sense of connectedness.\" Conversely, pain and distress rendered this process fragile, increasing susceptibility to \"pain-induced existential instability.\"ConclusionsThis study theorizes hygiene care as a holistic nursing practice supporting bodily, emotional, relational, temporal, and existential dimensions through responsive touch. \"Anchoring through touch\" offers an empirical foundation for understanding whole-person healing within everyday fundamental nursing care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475734"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766162","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":"Intensive Care Nurses' Experiences of Holistic Delirium and Depression Care: A Phenomenological Study Guided by Neuman's Systems Model.","authors":"Füsun Afşar, Şenay Öztürk","doi":"10.1177/08980101261477959","DOIUrl":"10.1177/08980101261477959","url":null,"abstract":"<p><p><b>Background:</b> Delirium and depression are common and serious complications among intensive care unit (ICU) patients and are associated with adverse clinical outcomes, prolonged hospitalization, and increased mortality. Although the clinical management of these conditions has been widely studied, less is known about how nurses integrate physical and psychological care to support patients experiencing these complex challenges.<b>Aim:</b> This study explored intensive care nurses' experiences of providing holistic care for patients with delirium and depression through the lens of Neuman's Systems Model (NSM).<b>Study Design:</b> A qualitative phenomenological approach was used. Semistructured, in-depth interviews were conducted with 23 intensive care nurses working in a tertiary hospital. Data were analyzed using thematic analysis.<b>Results:</b> Six interconnected themes illustrated how nurses balanced physical and psychological care while responding to patient, environmental, and organizational stressors. The findings highlighted the perceived impact of delirium and depression on patient recovery, the central role of non-pharmacological interventions, the emotional and professional burden of care, institutional challenges influencing practice, the effects of stressors on both care quality and nurse well-being, and recommendations for strengthening holistic care. Interpreted through NSM, nurses' experiences reflected layered preventive practices operating across primary, secondary, and tertiary levels of intervention to maintain patient stability.<b>Conclusions:</b> Holistic care for patients with delirium and depression extends beyond symptom management and requires attention to psychological, environmental, and organizational dimensions of care. Nurses play a pivotal role in promoting patient stability through therapeutic relationships, environmental regulation, psychosocial support, and interdisciplinary collaboration. NSM offers a valuable framework for guiding preventive, holistic nursing interventions in intensive care settings.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261477959"},"PeriodicalIF":1.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723530","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":"Empathy and Emotional Intelligence as Predictors of Spiritual Care Competence in Holistic Nursing: A Cross-Sectional Study.","authors":"Yu-Hua Ho, Pei-Ling Wu, Hsiang-Chu Pai, Ya-Wen Kuo","doi":"10.1177/08980101261475446","DOIUrl":"https://doi.org/10.1177/08980101261475446","url":null,"abstract":"<p><p>PurposeGrounded in Watson's Theory of Human Caring and holistic nursing principles, this study examined relationships among empathy, emotional intelligence, and spiritual care competence in clinical nurses and identified predictors of spiritual care competence.DesignA cross-sectional correlational design was used.MethodsData were collected from 575 hospital nurses in Taiwan using the Jefferson Scale of Empathy, the Wong and Law Emotional Intelligence Scale, and the Spiritual Care Competence Scale. Descriptive statistics, Pearson correlation coefficients, and multiple linear regression analyses were conducted.FindingsNurses demonstrated moderate-to-high spiritual care competence, which was positively correlated with empathy and emotional intelligence. Emotional intelligence (<i>β</i> = .383, <i>p</i> < .001) and empathy (<i>β</i> = .165, <i>p</i> < .001) were significant predictors, in a model that explained 21.7% of the variance (adjusted <i>R</i>² = .217). Spiritual care education was positively associated with competence, whereas years of clinical experience were negatively associated with attitude toward patients' spirituality and spiritual communication.ConclusionsEmotional intelligence and empathy are key competencies associated with spiritual care competence. These findings support integrating emotional intelligence, empathy, and spiritual care training into nursing education and professional development to strengthen person-centered, holistic care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475446"},"PeriodicalIF":1.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714510","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":"Whose Responsibility is Care? Nursing Students' Perceptions in Clinical Practice: A Phenomenological Study.","authors":"Şadiye Özcan, Füsun Afşar","doi":"10.1177/08980101261476781","DOIUrl":"10.1177/08980101261476781","url":null,"abstract":"<p><p>BackgroundThis study explored nursing students' lived experiences and perceptions of caregiving practices and the distribution of caregiving responsibilities in clinical settings within the context of holistic nursing.MethodsA qualitative study using an interpretive phenomenological approach was conducted. Data were collected between March and June 2026 through semi-structured interviews with 24 nursing students with clinical experience. Interviews were audio-recorded, transcribed verbatim, and analyzed using interpretive phenomenological analysis.ResultsCaregiving was often deprioritized, fragmented, and delegated to students. Clinical environments were described as task-oriented and constrained by workload and bureaucratic demands, limiting holistic and relational care. Students perceived caregiving primarily as an individual moral responsibility rather than a structured professional obligation. Limited role modeling and supervision reinforced this pattern.ConclusionA gap exists between holistic care values in education and clinical practice. The marginalization of caregiving threatens the relational and humanistic foundations of nursing. Strengthening care-focused environments, role modeling, and support for holistic care is essential to sustain core nursing values.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261476781"},"PeriodicalIF":1.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727247","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":"A Quadripartite Compass for Holistic Nursing: Philosophy of Science, Islamic Teleology, and Culturally Responsive Care.","authors":"Mohamed Hajri, Lassad Gharbi","doi":"10.1177/08980101261477659","DOIUrl":"10.1177/08980101261477659","url":null,"abstract":"<p><p>PurposeTo articulate the scholarly status, philosophical coherence, and disciplinary contribution of the Quadripartite Compass for Holistic Nursing.ApproachA comparative hermeneutic analysis places holistic nursing and caring science in dialogue with selected Western philosophical traditions and Islamic teleology.ArgumentThe Compass is a philosophical framework that operates at a metatheoretical level and functions in use as a reflective heuristic. Its four coordinates - ontology, axiology, epistemology, and methodology - are interdependent rather than additive: assumptions about personhood shape values; values influence what counts as knowledge; knowledge and values guide action; and practice may revise prior assumptions. Islamic teleology makes purpose, moral accountability, relational dignity, and spiritual meaning more visible, while holistic nursing constrains teleological interpretation through person-centeredness, noncoercion, and respect for individual variation. Wholeness is therefore understood as irreducible, relational, dynamic, and meaning-laden rather than as a sum of dimensions.ConclusionsThe Compass offers a disciplined vocabulary for theory development, education, reflective practice, and future inquiry. It does not replace nursing theories, evidence, professional ethics, or culturally specific assessment. Instead, it helps nurses examine whether conceptions of being, value, knowledge, and action remain coherent with whole-person care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261477659"},"PeriodicalIF":1.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725816","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":"When Subtle Neurologic Changes Speak: A Reflective Narrative of Central Cord Syndrome After Anterior Cervical Discectomy and Fusion.","authors":"Jamie Sutton","doi":"10.1177/08980101261475015","DOIUrl":"https://doi.org/10.1177/08980101261475015","url":null,"abstract":"<p><p>This reflective narrative explores the lived experience of developing central cord syndrome (CCS) following a postoperative spinal epidural hematoma after anterior cervical discectomy and fusion and examines implications for holistic nursing practice and education. Grounded in Watson's Theory of Human Caring, this reflective narrative examines lived experience through a caring science lens. Findings indicate that early postoperative neurologic symptoms were initially minimized, contributing to delayed escalation and emergent surgical intervention for hematoma evacuation. The subsequent course of CCS involved persistent neuropathic pain, impaired upper and lower extremity motor function progressing to paralysis, fatigue, and significant alterations in autonomy and self-perception. Analysis suggests that vigilant clinical assessment, ethical responsiveness to patient-reported symptoms, and authentic relational presence are inseparable components of safe and holistic nursing practice. This narrative underscores the importance of integrating caring science into high-acuity clinical environments to strengthen patient safety, preserve dignity, and enhance advocacy. Reflective inquiry grounded in holistic theory contributes to nursing knowledge by reinforcing the ethical and relational foundations of whole-person care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475015"},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686616","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":"Watson's Caring Science-Based Interventions in Holistic Nursing and Health Care: A Scoping Review of Patient Satisfaction and Clinical Outcomes.","authors":"Alice Yan, Christi Zuber","doi":"10.1177/08980101261475483","DOIUrl":"https://doi.org/10.1177/08980101261475483","url":null,"abstract":"<p><p>PurposeTo map and summarize the literature on Watson's Caring Science Theory-based interventions in relation to patient satisfaction and clinical outcomes. Watson's Caring Science Theory provides a foundational framework for relational and holistic nursing care, yet evidence on patient-centered outcomes remains fragmented.DesignScoping review guided by Arksey and O'Malley's five-stage methodological framework and reported per PRISMA-ScR.MethodsTwo primary databases (PubMed and CINAHL) were searched, supplemented by Google Scholar, for English-language, peer-reviewed studies published between 2015 and 2025. Data were charted to summarize study characteristics, intervention components, theoretical operationalization, and outcome domains.FindingsTwenty-four studies met inclusion criteria, including 17 randomized controlled trials. Studies were conducted in diverse contexts, including oncology, maternity care, chronic illness management, surgical recovery, palliative care, and caregiver support. Intervention content and duration varied, but commonly emphasized relational care, emotional presence, individualized education, and supportive environments. Interventions improved patient satisfaction, psychological outcomes, symptom management, quality of life, self-care behaviors, and caregiver well-being.ConclusionsWatson's Caring Science Theory offers a meaningful framework for holistic nursing and health care. The evidence suggests positive patient-centered and psychosocial outcomes but remains heterogeneous. Future research should strengthen theory reporting, prioritize patient-centered outcomes, and use longer follow-up and multisite designs.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475483"},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686572","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 a Mindfulness-Based Intervention During Hemodialysis on Trait Mindfulness, Cognitive Reappraisal, Expressive Suppression, and Quality of Life: A Cluster Randomized Controlled Trial.","authors":"Hossam Alhawatmeh, Anas Shorfat, Issa Hweidi, Nezam Nusair, Sawsan Abuhammad, Ibrahim Alasqah","doi":"10.1177/08980101261475125","DOIUrl":"https://doi.org/10.1177/08980101261475125","url":null,"abstract":"<p><p>PurposeTo evaluate the short-term effects of a brief mindfulness-based intervention delivered during hemodialysis on trait mindfulness, cognitive reappraisal, expressive suppression, and kidney disease-related quality of life (QOL) in adults with end-stage renal disease (ESRD).DesignCluster-randomized, parallel-group, pretest-posttest trial.MethodsAdults receiving maintenance hemodialysis (N = 104 analyzed) were randomized by six dialysis day/shift clusters to a mindfulness intervention (n = 52) or wait-list control group (n = 52). The intervention consisted of a 30-min guided mindfulness protocol three times weekly for 5 weeks during dialysis. Outcomes were measured using the Mindful Attention Awareness Scale, Emotion Regulation Questionnaire, and Kidney Disease QOL.ResultsLinear mixed models showed the intervention group achieved significantly higher posttest scores than controls in trait mindfulness (mean difference [MD] = 0.64, p = .004) and cognitive reappraisal (MD = 0.53, p < .001). Regarding health-related QOL domains, significant improvements were found for the physical component summary (MD = 7.35, p < .001), kidney disease effects (MD = 25.82, p = .001), and kidney disease burden (MD = 21.66, p = .001).ConclusionPossible short-term benefits of a dialysis-chair mindfulness intervention for trait mindfulness, cognitive reappraisal, and QOL among adults receiving hemodialysis.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261475125"},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686618","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":"A Grounded Theory of Spiritual Development Within Holistic Professional Formation in Undergraduate Nursing Students.","authors":"Revital Shapira, Sílvia Caldeira","doi":"10.1177/08980101261474984","DOIUrl":"https://doi.org/10.1177/08980101261474984","url":null,"abstract":"<p><p>PurposeTo explore how undergraduate nursing students from different academic years experience and describe their spiritual development, and to explain how this process contributes to holistic professional formation.DesignA qualitative grounded theory study informed by Corbin and Strauss was conducted.MethodsTwenty-one undergraduate nursing students from different academic years participated in semi-structured interviews, and 11 of them also completed reflective online diaries. Data collection and analysis were conducted concurrently using constant comparative analysis. Ethical approval was obtained.FindingsSpiritual development emerged as a meaning-oriented process situated within holistic professional formation, characterized by a movement from externally guided reassurance toward internally grounded meaning-making. Emotionally demanding clinical experiences disrupted students' assumptions and generated uncertainty. When supported through reflection and relational engagement, these experiences contributed to self-awareness, internal grounding, and students' capacity for presence, compassion, and engagement in care.ConclusionsFindings challenge the assumption that clinical exposure alone supports students' spiritual development. The MAMA-BEAR model offers a substantive grounded theory explaining how academic and clinical environments may support spiritual development as part of holistic professional formation, with implications for curricula, educator preparation, and whole-person care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261474984"},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680946","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":"Evaluating Nurse Coaching Feasibility and Well-Being Outcomes Among Nursing Students Using Mixed Methods.","authors":"Christine S Gipson, Belinda Deal, Gloria Duke, Jutara Srivali Teal, Meg M Little","doi":"10.1177/08980101261469266","DOIUrl":"https://doi.org/10.1177/08980101261469266","url":null,"abstract":"<p><p>BackgroundThis study examined the feasibility and preliminary outcomes of a nurse coaching (NC) intervention for well-being, resilience, and perceived stress among undergraduate nursing students.MethodA convergent parallel mixed-methods design was employed. Quantitative data were analyzed using descriptive statistics and exploratory paired sample <i>t</i>-tests. Qualitative data were collected and analyzed using photovoice methods. Metainferences were developed to integrate quantitative and qualitative findings.ResultsPerceived stress showed a preliminary decrease, while resilience and well-being demonstrated small, nonsignificant increases. Three major themes emerged from the photovoice data: (a) broadening perspectives, (b) developing self-care practices, and (c) managing the doing and being.ConclusionNC shows promise as a holistic, student-centered approach that may support well-being, resilience, and perceived stress in undergraduate nursing students. Although preliminary, these findings highlight the potential value of nursing coaching in academic settings. Recruitment and retention challenges revealed valuable feasibility considerations for planning future larger-scale studies.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261469266"},"PeriodicalIF":1.6,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594399","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}