Journal of Holistic Nursing最新文献

{"title":"Clinical Decision-Making and Mental Workload as Predictors of Holistic Nursing Care Quality Among Emergency Department Nurses.","authors":"Marzieh Khatooni, Sara Rahimi, Ahad Alizadeh, Asrin Radmehr","doi":"10.1177/08980101261468408","DOIUrl":"https://doi.org/10.1177/08980101261468408","url":null,"abstract":"<p><p>BackgroundIdentifying factors affecting emergency nurses' holistic nursing care quality is an effective strategy to improve holistic nursing care quality. This study aimed to identify predictors of holistic nursing care quality among emergency department (ED) nurses.MethodThis cross-sectional study was conducted on 289 nurses working in the EDs. Eligible participants were selected through a census method. Data were collected using a demographic information form, the Quality Patient Care Scale, the NASA Task Load Index, and the Clinical Decision-Making Questionnaire. Data analysis was performed using multiple linear regression models with SPSS version 26.FindingsThe mean scores of holistic nursing care quality, clinical decision-making, and mental workload were 2.99, <i>SD</i> = 0.25 (above average), 83.01, <i>SD</i> = 11.45 (above average), and 73.57, <i>SD</i> = 3.47 (above average), respectively. Clinical decision-making was positively associated with holistic nursing care quality (<i>p</i> < .001), while mental workload was negatively associated with holistic nursing care quality (<i>p</i> < .001). Age was also positively associated with holistic nursing care quality (<i>p</i> < .001).ConclusionThese findings can guide nursing managers and policymakers to design empowerment programs and supportive strategies to foster an optimal environment for enhancing holistic nursing care quality, particularly in emergency settings.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261468408"},"PeriodicalIF":1.6,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551317","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":"Bonds That Transform, Care That Transcends: Development of a Nursing Professional Practice Model.","authors":"Alejandra Parisotto, María Marta Palermo, Alicia Valentina García, María Del Pilar Mendiguren, Marisa Camejo, Joan Manuel González Guevara, Soledad Nieto, Romina Vázquez, Beatriz Sánchez-Herrera","doi":"10.1177/08980101261467548","DOIUrl":"https://doi.org/10.1177/08980101261467548","url":null,"abstract":"<p><p>PurposeTo develop a professional nursing professional practice model (PPM) to guide performance at a university hospital.DesignSequential multimethod design for theory development.MethodThe study was executed in four sequential phases: (1) identification of the need for a PPM; (2) preliminary model design; (3) internal and peer validation; and (4) evaluation against international standards.FindingsThis PPM prioritizes holistic care for patients and their families to ensure clinical excellence and safety in nursing services. It integrates synergistic management, organizational structures, and continuous quality improvement to address contemporary healthcare challenges within a holistic care philosophy.ConclusionsThe \"Bonds that Transform, Care that transcends\" model provides a new framework for holistic hospital nursing practice. Grounded in humanistic perspectives, the model posits that therapeutic relationships transcend clinical procedures through high-quality interactions among staff, patients, and families. By fostering mutual growth, this care extends beyond the hospital to transform individuals, strengthen autonomy, and dignify the human condition. Broadly, this framework bridges theoretical holism with clinical pragmatism, promoting nursing leadership, facilitating education, advancing research, and offering a scalable roadmap for humanizing high-complexity healthcare institutions.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261467548"},"PeriodicalIF":1.6,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537751","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":"Health-Promoting Lifestyle Behaviors Among Primary Health Care Nurses in Saudi Arabia: A Cross-Sectional Study Guided by Pender's Health Promotion Model.","authors":"Andrew Dumale Ngo, Mohammed Bien Kulintang, Talal Ali F Alharbi, Rasha Mohammed Hussien, Azza Elsayed Abd Elfattah Arafat, Ashwaq Hamad Ali Alshmirry","doi":"10.1177/08980101261461617","DOIUrl":"https://doi.org/10.1177/08980101261461617","url":null,"abstract":"<p><p>PurposeNurses are expected to model health-promoting behaviors, yet maintaining healthy lifestyles remains challenging. This study examined health-promoting lifestyle behaviors among primary health care nurses in Saudi Arabia and explored demographic influences across six lifestyle domains using Pender's Health Promotion Model.MethodsA cross-sectional design was used among 184 primary health care nurses in the Qassim Region. Data were collected using the Health-Promoting Lifestyle Profile II and analyzed using descriptive statistics and regression analysis.ResultsThe overall health-promoting lifestyle mean score was moderate (<i>M</i> = 2.30, SD = 0.58). Spiritual growth (<i>M</i> = 2.76, SD = 0.79) and interpersonal relations (<i>M</i> = 2.64, SD = 0.70) were the highest-rated domains, while physical activity was the lowest (<i>M</i> = 1.77, SD = 0.74). No significant differences in overall health-promoting lifestyle were observed across demographic variables. Regression analysis showed that demographic factors did not significantly predict health-promoting lifestyle behaviors (<i>R</i>² = .034).ConclusionPrimary health care nurses showed strengths in relational and meaning-oriented well-being but limited engagement in physical self-care. The weak influence of demographic factors suggests that contextual and environmental conditions play a larger role in shaping lifestyle behaviors, highlighting the need for strategies that support nurses' well-being and strengthen holistic nursing practice.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261461617"},"PeriodicalIF":1.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474175","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":"Aromatherapy to Reduce Stress in Nurses: A Pilot Study.","authors":"Jennifer Allen, Paul G Shekelle, Marika Booth","doi":"10.1177/08980101261467532","DOIUrl":"https://doi.org/10.1177/08980101261467532","url":null,"abstract":"<p><p>Purpose of StudyThis pilot study evaluated the feasibility and estimated the effect size of an intervention using direct-inhalation aromatherapy personal nasal inhalers as a potential complementary modality to support nurse well-being, resilience, and the capacity to provide compassionate care by reducing perceived stress in the workplace.Design of StudyNon-randomized, pre-post intervention pilot design.Methods UsedNurses were recruited from 11 clinical sites. Participants used a nasal inhaler containing a blend of lavender, frankincense, and bergamot essential oils over a 2-week intervention period. Stress was measured using weekly self-report surveys and the 4-item perceived stress scale (PSS-4) at baseline and post-intervention.FindingsFifty-nine nurses (registered nurses and licensed vocational nurses) from inpatient and outpatient settings participated. The sample was predominantly female, aged 45-54, primarily of Asian descent, with bachelor's prepared, with 16-20 years of experience, and largely working in primary care. The primary outcome showed a 0.76-point reduction in PSS-4 scores. Secondary outcomes demonstrated reductions in self-reported stress. Implementation and outcome measurement were feasible across diverse clinical environments.ConclusionsDirect-inhalation aromatherapy may offer a low-cost intervention with the potential to enhance nurse well-being and reduce stress. A future hypothesis-testing trial is feasible with respect to intervention delivery, outcome measurement, and sample size.Trial RegistrationPRS review pending with clinicaltrials.gov (Unique protocol ID:1782433-3).</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261467532"},"PeriodicalIF":1.6,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450418","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":"Olfactory Training and Aromatherapy for Treating Depressive Symptomatology: A Scoping Review.","authors":"Maryam Rostamvand, Rebecca Billings, Heather Shelton, Xueling Zeng, Hathaichanok Phaowiriya, Susan Egas, Lindsey M Harris, David E Vance","doi":"10.1177/08980101261466341","DOIUrl":"https://doi.org/10.1177/08980101261466341","url":null,"abstract":"<p><p>BackgroundRepeated exposure to odorants through olfactory training (OT) and aromatherapy (AT) represents a noninvasive approach for psychological well-being.ObjectiveThis scoping review investigated how OT/AT can be used to reduce depressive symptoms, summarized intervention characteristics reported in the literature, and pointed out gaps in the literature.MethodsA scoping review of the literature published between 2000 and 2026 was conducted using a broad search across PubMed, CINAHL, Scopus, and PsycINFO based on inclusion/exclusion criteria on June 17, 2025, and April 13, 2026. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines, 29 peer-reviewed interventional studies examining depressive symptomatology outcomes were synthesized.ResultsMost studies (e.g., 22/29) demonstrated improvements in depressive symptomatology (Cohen's <i>d</i> = -0.90 to 1.56; mean Cohen's <i>d</i> = 0.41); however, these effects were not consistently greater than control conditions, as several studies reported only within-group improvements. Results varied likely due to protocol differences (i.e., OT/AT sessions per day/week, odorant types, total intervention durations, measurement tools). Assessing adherence to OT/AT was challenging due to incomplete reporting across studies.ConclusionsThe OT/AT are simple, noninvasive, and relatively affordable interventions for reducing depressive symptoms in several vulnerable populations, except in clinically diagnosed depressive outpatients with moderate symptom severity. The OT/AT aligns with holistic nursing principles by integrating the sensory and emotional components to improve mental health and overall well-being. There is a lack of methodological standardization and inconsistency in monitoring adherence to OT/AT; thus, more rigorous randomized controlled trials are needed to examine its therapeutic benefit.ImpactThis scoping review contributes to future nursing research priorities and provides evidence for integrating OT/AT into holistic nursing practice.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261466341"},"PeriodicalIF":1.6,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438845","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":"Dyadic Empowerment Intervention on Self Care and Quality of Life for People with Chronic Illness: A Scoping Review.","authors":"Deborah Siregar, Chun-Yi Ho, Shannastaniar Aisya Adif, Ching-Chu Liao, Huan-Fang Lee, Miaofen Yen","doi":"10.1177/08980101261458844","DOIUrl":"https://doi.org/10.1177/08980101261458844","url":null,"abstract":"<p><p><b>Purpose:</b> This scoping review mapped and synthesized evidence on dyadic empowerment (DE) interventions for individuals living with chronic illness and their significant others, with a focus on self-care and quality of life outcomes. <b>Methods:</b> The review followed Arksey and O'Malley's five-stage framework and adhered to the PRISMA-ScR guidelines. A comprehensive search of EMBASE, Ovid MEDLINE, Cochrane Library, and CINAHL was conducted from database inception to March 2024. Eligible studies included individuals with chronic illness and examined dyadic empowerment interventions involving significant others. <b>Findings:</b> Eight studies were included. Two main modes of delivery were identified: digital health and face-to-face interventions. Across studies, intervention components commonly included education, monitoring, support, problem-solving, and skill development. Most studies reported improvements in self-care and quality of life, although intervention duration and frequency were inconsistently reported, limiting comparability and replicability. <b>Conclusion:</b> The findings suggest that dyadic empowerment interventions may support self-care and quality of life by strengthening relational involvement in chronic illness management. However, clearer reporting and greater standardization of intervention components, duration, and frequency are needed to strengthen future research and support implementation in holistic nursing practice.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261458844"},"PeriodicalIF":1.6,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279750","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 an Intervention Based on the Roy Adaptation Model on Glycated Haemoglobin Levels in Adolescents with Diabetes: A Randomised Controlled Trial.","authors":"Gülşah Sunay Ertem, Sibel Ergün, Nurcan Özyazıcıoğlu","doi":"10.1177/08980101261457665","DOIUrl":"https://doi.org/10.1177/08980101261457665","url":null,"abstract":"<p><p>AimThis study evaluated the effect of a Roy Adaptation Model (RAM)-based educational intervention on A1C levels and adaptive behaviors in adolescents with type 1 diabetes, and its contribution to physiological, psychosocial, and behavioral adaptation within a holistic nursing framework.MethodsThis randomized controlled trial included 60 adolescents aged 11 to 18 years followed in a pediatric endocrinology clinic. Participants were randomly assigned to an intervention group receiving structured RAM-based education, individualized tasks, and follow-up support (n = 30), or a control group receiving an educational brochure (n = 30). Data were collected at baseline and three months postintervention using a Sociodemographic Form, the Diabetes Knowledge Assessment Form, and clinical A1C records.ResultsCompared with the control group, the intervention group showed significant improvements in diabetes knowledge, adaptive behaviors, and A1C levels (<i>p</i> < .05). Interventions targeting RAM's adaptive modes contributed to glycemic control by strengthening psychosocial adaptation.ConclusionRAM-based nursing interventions promote physiological, psychosocial, and behavioral adaptation in adolescents with type 1 diabetes. Structured education enhances self-care, glycemic control, and coping. Integrating holistic nursing approaches into pediatric diabetes care is essential for improving outcomes.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261457665"},"PeriodicalIF":1.6,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297298","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":"Self-Management of Cardiovascular-Kidney-Metabolic Syndrome: A Concept Analysis.","authors":"Margaret A Ayorinde, Lakeshia Cousin, Staja Q Booker, Jennifer R Dungan","doi":"10.1177/08980101261458446","DOIUrl":"https://doi.org/10.1177/08980101261458446","url":null,"abstract":"<p><p>PurposeTo clarify and define self-management (SM) within cardiovascular-kidney-metabolic (CKM) syndrome through concept analysis, with implications for holistic nursing.DesignConcept analysis using Walker and Avant's eight-step method.MethodsSix databases were searched for peer-reviewed articles (2005-2025). Twenty-one studies met the inclusion criteria. Findings were interpreted through the Individual and Family Self-Management Theory and Neuman's Systems Model. Qualitative literature enriched interpretation of the holistic dimensions of each attribute.FindingsFour defining attributes emerged: self-monitoring, personalized and precision care, collaborative care, and sustained engagement; each carrying behavioral and experiential significance. Five antecedents and six consequences were identified across biological, psychosocial, structural, and spiritual dimensions. Self-Management in CKM is distinct from self-care as traditionally conceptualized, due to pathophysiological interdependence, system-level coordination, and experiential complexity.ConclusionsThis analysis provides a holistic, theory-informed definition of Self-Management in CKM and a foundation for middle-range theory development. The framework supports nurse-led interventions addressing the whole person across interacting chronic conditions.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261458446"},"PeriodicalIF":1.4,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260469","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":"Faith-Concordant Nursing Care: A Concept Analysis and Insights for Holistic Nursing.","authors":"Areej Al-Hamad, Yasin M Yasin, Youmna Mahmoud, Hajar Osazin","doi":"10.1177/08980101261458422","DOIUrl":"https://doi.org/10.1177/08980101261458422","url":null,"abstract":"<p><p>PurposeThis concept analysis aims to clarify the concept of faith-concordant nursing care and examine its relevance to holistic nursing practice, particularly within culturally and religiously diverse healthcare contexts.Design/MethodsA concept analysis was conducted using Walker and Avant's approach to refine and define the concept within nursing. The process included identifying the concept, reviewing its uses in literature, determining defining attributes, constructing model and related cases, and examining antecedents, consequences, and empirical referents. Literature on spiritual care, cultural competence, and holistic nursing was synthesized to inform the analysis.FindingsFaith-concordant nursing care is defined by four key attributes: shared belief alignment, cultural-religiosity competence, relational trust (theological safety), and holistic integration. Antecedents include spiritual vulnerability, self-identification of faith preferences, institutional and provider openness, and culturally and linguistically safe communication. Consequences include enhanced psychological well-being, spiritual peace, improved patient satisfaction, and strengthened therapeutic relationships.ConclusionsFaith-concordant nursing care advances holistic nursing by offering a unitary and practice-oriented framework that moves beyond general spiritual care toward intentional alignment with patients' self-identified faith beliefs and practices. The concept contributes to nursing science and has implications for nursing practice, education, future research, and healthcare systems seeking to address patients' spiritual needs more effectively.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261458422"},"PeriodicalIF":1.4,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229121","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":"Existential Disruption in Multiple Sclerosis Care: An Integrative Review of Identity and Meaning.","authors":"Lisa Kelly, Chanam Shin","doi":"10.1177/08980101261456436","DOIUrl":"https://doi.org/10.1177/08980101261456436","url":null,"abstract":"<p><p><b>Purpose:</b> Multiple sclerosis (MS) disrupts daily life, identity, and anticipated futures. While clinical care has advanced, less attention has been given to how individuals experience changes in meaning, self-concept, and continuity over time. This review synthesizes current evidence on existential disruption in MS and examines how identity and meaning are affected across the disease trajectory. <b>Design:</b> Integrative review. <b>Method:</b> An integrative review was conducted using Whittemore and Knafl's methodology. A systematic search of CINAHL, PubMed, MEDLINE, and PsycINFO identified 25 studies published between 2015 and 2025. <b>Findings: :</b> Existential disruption emerged as a dynamic and recurring process shaped by identity disruption, uncertainty, stigma, and meaning-making across the illness trajectory. These experiences extended beyond diagnosis and were reactivated during disease transitions. Meaning-making processes supported adaptation by maintaining continuity of self rather than resolving disruption. <b>Conclusions:</b> Identity and meaning are central to living with MS yet remain underrecognized in clinical care. This review advances a conceptual understanding of existential disruption as an ongoing process of negotiating self-continuity. Nursing practice may be strengthened by approaches that attend to existential experience as part of holistic, person-centered care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261456436"},"PeriodicalIF":1.4,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229082","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}