{"title":"COVID-19 Narratives from Those with Chronic Illness.","authors":"Clayton C Clark, Laura Nold","doi":"10.1177/08980101241249795","DOIUrl":"https://doi.org/10.1177/08980101241249795","url":null,"abstract":"<p><p>Older, chronically ill adults already at risk for social isolation experienced exacerbated isolation due these COVID-19 interventions. This study aimed to describe the narratives of older adults with chronic illness during COVID-19, connect them to the broader literature and use them as exemplars for a holistic analysis of policies for respiratory pandemics. Using narratives related to COVID-19 experiences from a larger research study on spiritual coping with chronic heart failure, the study rendered the themes of isolation, uncertainty, and making the best of it which were connected to additional literature validating the experiences of the participants. The narratives and their themes were then used as a launching point for a holistic analysis of the pandemic response and its effects on well-being for older adults. Clinicians and policymakers should carefully consider not just the physical health burden of a respiratory pandemic on older, chronically, ill adults, but also the holistic health burdens of policies. With these broader health domain considerations in mind ethical and practical recommendations future responses to viral respiratory pandemics are offered.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101241249795"},"PeriodicalIF":2.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873734","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 Latent Variable of Holistic Nursing Competence and Turnover Intention: Job Satisfaction.","authors":"Çiğdem Kardaş, Nigar Ünlüsoy Dinçer","doi":"10.1177/08980101241241172","DOIUrl":"https://doi.org/10.1177/08980101241241172","url":null,"abstract":"<p><p><b>Aim:</b> Holistic nursing competence is very important for increasing job satisfaction and reducing turnover intention. The aim of this study is to explain the relationship between nurses' holistic nursing competence, job satisfaction and turnover intention, and the mediating effect of job satisfaction between holistic nursing competence and turnover intention. <b>Design:</b> The cross-sectional design was adopted and explained with a hypothetical model. <b>Methods:</b> The study was conducted between March, 8 and May, 5 2021 in a training and research hospital in Turkey. The research was conducted on 342 voluntary nurses. Percentage, frequency distribution, descriptive statistics (mean, standard deviation) and Pearson correlation analysis were benefitted to evaluate the data. Path analysis was used for model testing. p < 0.05 was accepted for significance. <b>Results:</b> The mean scores of the nurses in all scales were moderate. Holistic nursing competence was positively correlated to job satisfaction, but it is detected as negatively and less correlated to turnover intention (p < .05). Job satisfaction played a mediating role between nurses' holistic nursing competence and their turnover intention (p < .05). <b>Conclusions:</b> It is important to understand nurses' holistic nursing competencies and job satisfaction and to reduce their intention to leave. These concepts should be taken into account in order to retain professional nurses with holistic nursing competence.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101241241172"},"PeriodicalIF":2.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307776","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":"https://doi.org/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":"8980101241237928"},"PeriodicalIF":2.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Journey of Uncertainty: Learned Lessons From the Lived Experiences of Nurses in Kuwait Taking Care of COVID-19 Patients in the Early Pandemic.","authors":"Muna Alshammari, Khaldoun Aldiabat","doi":"10.1177/08980101241237103","DOIUrl":"https://doi.org/10.1177/08980101241237103","url":null,"abstract":"<p><p><b>Purpose of the Study:</b> This study explored the experiences of nurses in Kuwait who worked with COVID-19 patients during the first wave of the disease. <b>Study Design:</b> This was a qualitative descriptive study. <b>Methods Used:</b> In-depth interviews were conducted with seven (7) nurses who worked in intensive care units between September 2020 and March 2021. <b>Findings:</b> The experiences of Kuwait nurses in COVID-19 care showed an evolving journey of dealing with a strange and complex disease. With little known about the disease, the nurses approached COVID-19 care with uncertainty and ambivalence, unsure of where this journey would look like. Four themes emerged from the data and they included (1) from challenges to coping, (2) focusing on good health throughout the pandemic, (3) navigating through scarce resources and power dynamics, and (4) a multi-dimensional burden. <b>Conclusions:</b> Despite the difficulties encountered, supportive systems such as the availability of medical supplies, and support from superiors, colleagues, the community, and families, helped Kuwait nurses to cope with the stresses of an early COVID-19 pandemic while providing care. This approach takes a holistic stance to care for both patients and the nurses working in an epidemic setting.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101241237103"},"PeriodicalIF":2.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133249","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":"https://doi.org/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":"8980101241233331"},"PeriodicalIF":2.0,"publicationDate":"2024-03-06","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}
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":"https://doi.org/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":"8980101241237109"},"PeriodicalIF":2.0,"publicationDate":"2024-03-05","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}
Jeanene Gigi Robison, Tina Walter, Judi Allyn Godsey, Jaimie Robinson
{"title":"Chairside Yoga Therapy Alleviates Symptoms in Patients Concurrently Receiving Outpatient Cancer Infusions: A Promising Feasibility Study.","authors":"Jeanene Gigi Robison, Tina Walter, Judi Allyn Godsey, Jaimie Robinson","doi":"10.1177/08980101231170482","DOIUrl":"10.1177/08980101231170482","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate effectiveness of chairside yoga therapy on perceptions of fatigue, pain, nausea, anxiety, and distress among oncology patients concurrently receiving outpatient cancer infusion therapy. <b>Design:</b> This prospective pilot study used pre-/post-survey design in convenience sample of cancer patients in outpatient setting. <b>Methods:</b> Researchers developed and administered the Outpatient Cancer Symptom Assessment Scale (OCSAS) comprised of cancer- or treatment-related symptoms commonly reported in the oncology population (nausea, pain, fatigue, anxiety, and distress). Following IRB approval, symptoms were rated using Likert scale of 0 (not present) to 10 (severe) before and after chairside yoga therapy delivered concurrently with outpatient infusions. Qualitative data was collected related to patients' overall infusion experience. <b>Findings:</b> Participants (<i>n </i>= 82) reported positive patient experiences and statistically less pain (<i>p</i> < 0.001), fatigue (<i>p</i> < 0.001), anxiety (<i>p</i> < 0.001), and distress (<i>p</i> < 0.001) following the yoga intervention compared to baseline. Nausea was not significantly impacted by the yoga intervention. <b>Conclusions:</b> Yoga therapy received concurrently during outpatient cancer infusion is consistent with a holistic and integrative approach to care for the oncology population. Yoga therapy offers promise for reducing symptoms which negatively impact quality of life, including pain, fatigue, anxiety, and distress. Qualitative data suggests patients' overall infusion experience was enhanced with yoga therapy.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"64-78"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763633","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}
Howe Liu, Christopher M Wiedman, Venita Lovelace-Chandler, Suzhen Gong, Yasser Salem
{"title":"Deep Diaphragmatic Breathing-Anatomical and Biomechanical Consideration.","authors":"Howe Liu, Christopher M Wiedman, Venita Lovelace-Chandler, Suzhen Gong, Yasser Salem","doi":"10.1177/08980101221149866","DOIUrl":"10.1177/08980101221149866","url":null,"abstract":"<p><p><b>Background:</b> Deep diaphragmatic breathing (DDB) involves slow and fully contraction of the diaphragm with expansion of the belly during inhalation, and slow and fully contraction of the abdominal muscles with reduction of the belly during exhalation. It is the key component of the holistic mind-body exercises commonly used for patients with multimorbidity. <b>Purpose:</b> The purpose of this study was to re-visit and address the fundamental anatomical and biomechanical consideration of the DDB with the relevant literature. <b>Method:</b> Peer-reviewed publications from last the 15 years were retrieved, reviewed, and analyzed. <b>Findings:</b> In this article, we described the updated morphological and anatomical characteristics of the diaphragm. Then, we elucidated in a biomechanical approach how and why the DDB can work on the gastrointestinal, cardiopulmonary, and nervous systems as well as on regulating the intra-abdominopelvic pressure and mind-body interaction to coordinate the diaphragm-pelvic floor-abdominal complex for a variety of physical and physiological activities. <b>Conclusion:</b> Understanding of this updated DDB knowledge may help holistic healthcare professionals including holistic nurses provide better patient education and care management during the DDB or DDB-based mind-body intervention time.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"90-103"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9195156","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":"Perspectives From Adolescent and Young Adult Cancer Survivors for a Planned Nurse-Patient Dyadic Storytelling Intervention.","authors":"Eunji Cho, Terrah Foster Akard","doi":"10.1177/08980101231189392","DOIUrl":"10.1177/08980101231189392","url":null,"abstract":"<p><p><b>Purpose:</b> This qualitative study aimed to explore the perspectives of adolescents and young adults (AYA) on a planned nurse-patient dyadic storytelling intervention. <b>Background:</b> Cancer is a highly distressful event for AYA. AYA with cancer experience multidimensional suffering while dealing with their developmental transition from adolescence to young adulthood. Their unique needs require appropriate, well-tailored psychosocial support. Nurses can provide such support through storytelling approaches.</p><p><strong>Method: </strong>AYA cancer survivors participated in cross-sectional qualitative interviews to provide feedback on the nurse-patient storytelling intervention model.</p><p><strong>Analysis: </strong>Qualitative content analysis was used to interpret and categorize the data.</p><p><strong>Findings: </strong>Barriers and facilitators of the intervention emerged. Themes related to barriers included (a) the disadvantages of an online program, (b) the limitations of the in-person program, (c) interacting with nurses, (d) sharing personal stories with others, and (e) the timing of the program. Themes regarding facilitators included (a) benefits to AYA with cancer, (b) benefits to nurses, (c) benefits of online/in-person programs, and (d) willingness to participate. <b>Conclusions:</b> AYA with cancer may benefit from the nurse-patient dyadic storytelling intervention. Developing innovative methods to optimize and customize interventions based on preferences is essential. Future research should involve nurse feedback and tailored approaches for AYA with cancer.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"49-63"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9843611","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}
Arif Imam Hidayat, Iwan Purnawan, Wahyudi Mulyaningrat, Saryono Saryono, Adiratna Sekar Siwi, Yohanes Andy Rias, Ferry Efendi
{"title":"Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study.","authors":"Arif Imam Hidayat, Iwan Purnawan, Wahyudi Mulyaningrat, Saryono Saryono, Adiratna Sekar Siwi, Yohanes Andy Rias, Ferry Efendi","doi":"10.1177/08980101231180051","DOIUrl":"10.1177/08980101231180051","url":null,"abstract":"<p><p><b>Purpose:</b> Dhikr and prayer reduce pain and improve a patient's vital signs. However, the interactions among these require further clarification in patients undergoing appendectomy. This study aimed to assess the effects of the combination of dhikr and prayer on pain, pulse rate, respiratory rate, and oxygen saturation. <b>Study design:</b> Quasi-experimental design. <b>Method:</b> Pain, pulse, respiratory rate, and oxygen saturation were measured via clinical examination immediately after leaving the recovery room at 1 and 2 hr after surgery in both the experimental and control groups. In total, 88 eligible participants were allocated to two groups: participants who received both dhikr and prayer (<i>n</i> = 44), and those who received routine care without analgesic therapy (<i>n</i> = 44). The chi-square test, independent <i>t</i> test, and general equation model were employed. <b>Results:</b> Respondents showed a significant interaction between group and time to decrease in pain, pulse, respiratory rate, and improved oxygen saturation, except for pain within 1 hr. The differences in all outcome scores between the groups after 1 and 2 hr were statistically significant, except for oxygen saturation after 1 hr. <b>Conclusion:</b> The combination of dhikr and prayer effectively decreased pain and improved vital signs. This helped nurses implement this procedure by promoting an essential culture of spiritual care for appendectomy patients.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"6-14"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935007","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}