Journal of Holistic Nursing最新文献

{"title":"Breaking the Silence: Holistic Death Education in Nursing Curriculum Is Not Enough.","authors":"Sang Bin You, Xiaoxuan Liu, Augustine Cassis Obeng Boateng","doi":"10.1177/08980101251329758","DOIUrl":"10.1177/08980101251329758","url":null,"abstract":"<p><p>Current death education primarily centers on nurses' attitudes and competence in caring for dying patients but overlooks the holistic assessment of family and nurses themselves. Nursing students and new graduates often feel overwhelmed and unprepared when they encounter death or a dying patient in clinical settings, leading to emotional distress and inadequate care for the dying patient and their loved ones. The emotional impact of such experiences affects not only the nursing student but also the well-being of family members and the quality of care delivered to the patient. This article explores the importance and need for holistic death education for nursing students and new-to-practice nurses to carry out comprehensive assessments that address the physical, psychological, and spiritual needs of families who might be losing their loved ones. The discussion offers suggestions and examples of what nursing education can provide, drawing on the perspectives of those who were once new nurses and reflecting on what they wish they had known before caring for the dying, handling death, and supporting those left behind. Implications focus on approaches for family assessment and self-assessment after death and potential considerations for structural changes in healthcare.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"148-154"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decreasing Workplace Violence With-Injury in an Acute Psychiatric Setting Through Brief Intentional Grounding.","authors":"William Brooke, Susanlee Wisotzkey","doi":"10.1177/08980101251330394","DOIUrl":"10.1177/08980101251330394","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study is to evaluate if integrating a holistic mindfulness modality into group therapy can decrease violence with-injury on an inpatient psychiatric unit. <b>Design:</b> The research used a mixed experimental design. <b>Method:</b> Allied Therapy Services (ATS) staff was trained in the mindfulness modality Brief Intentional Grounding and implemented it within group therapy twice daily in two different acute psychiatric units. Six months of post-intervention data on workplace violence with-injury incidents was compared to 6-month pre-intervention statistics on workplace violence with-injury. Qualitative data included patient and staff surveys on benefits of the intervention. <b>Findings:</b> The study revealed the use of Brief Intentional Grounding correlated with a significant reduction in workplace violence with-injury in two adult acute inpatient psychiatric units over a 6-month period when compared to the previous six months. The qualitative survey-data showed significant improvement in patients' emotional regulation, ability to manage stress, interpersonal connectivity, and gratitude after practicing Brief Intentional Grounding. Furthermore, staff reported practicing Brief Intentional Grounding was beneficial and improved their well-being. <b>Conclusions:</b> Integrating Brief Intentional Grounding into group therapy on an acute adult inpatient psychiatric unit improved patients' ability to regulate their emotions and led to reductions in violence with-injury, providing a safer work environment for nursing staff.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"180-192"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039242","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":"Spiritual Well-Being and Spiritual Care Competence: The Mediating Role of Resilience and Decision Fatigue.","authors":"Oraib M Jamahneh, Mohammed Munther Al-Hammouri, Jehad Rababah, Rola Hseinat, Naheel K Alshurmman, Alanoud Alshorman, Wafa'a Ta'an, Feras Saifan","doi":"10.1177/08980101251325285","DOIUrl":"10.1177/08980101251325285","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to examine the role of resilience and decision fatigue in mediating the relationship between spiritual well-being and spiritual care competence among nurses. <b>Methods:</b> A cross-sectional design was utilized. The study recruited 538 registered nurses from four referral hospitals in Jordan. Data were analyzed using descriptive statistics, Pearson's correlation, and Hayes Macro PROCESS model 6. <b>Results:</b> The average age of the 538 nurses was 35.75 years; 62.1% were female, and 96.6% were married. Bivariate correlations showed moderate correlations among all study variables. Decision fatigue negatively correlated with spiritual care competence, spiritual well-being, and resilience. The regression model indicated that spiritual well-being, resilience, and decision fatigue significantly predicted spiritual care competence, explaining about half of its variance. The bootstrapping analysis revealed that resilience significantly mediated the relationship between spiritual well-being and spiritual care competence, while the mediation role of decision fatigue was not significant. <b>Conclusion:</b> The study underscores the importance of spiritual well-being and resilience in enhancing nurses' spiritual care competence, aligning with the overarching goals of holistic nursing in creating a healing environment for both patients and caregivers. Nurse managers and educators should implement interventions to improve nurses' spiritual well-being and resilience, enhancing holistic care delivery.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"127-136"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701405","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":"Holistic Healing Through Mindfulness: An Experimental Study Addressing Psychological Challenges Among Nurses Caring for Patients With COVID-19.","authors":"Hossam Alhawatmeh, Luay Abusaif, Maryam Alharrasi, Raeda F AbuAlrub, Shaher H Hamaideh","doi":"10.1177/08980101251323021","DOIUrl":"10.1177/08980101251323021","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to evaluate the effect of mHealth-based mindfulness intervention on trait mindfulness, stress, anxiety, and depression among Registered Nurses caring for patients with COVID-19 in Jordan. <b>Method:</b> Using a pretest-posttest parallel controlled design, 102 nurses from the King Abdullah University Hospital were randomly assigned into experimental (<i>n</i> = 51) and control (<i>n</i> = 51) groups. The experimental group received 5 weeks of individual 30-min mindfulness intervention sessions via WhatsApp. The collected data included demographic information as well as baseline and postintervention scores from the Mindfulness Attention Awareness Scale and the Depression, Anxiety, and Stress Scale. <b>Findings:</b> Paired t-tests revealed that the experimental group demonstrated significantly lower levels of stress, anxiety, and depression, as well as higher trait mindfulness scores following the intervention. Independent t-tests indicated that, compared to the control group, the experimental group had significantly reduced depression and stress levels and increased trait mindfulness scores at the end of the intervention. Although anxiety scores were lower in the experimental group following the intervention, the difference between the groups was not statistically significant. <b>Conclusion:</b> This finding aligns with existing literature, which has reported similar outcomes in studies on mindfulness interventions. These studies highlight the potential of mHealth-based mindfulness intervention as a holistic approach to enhancing psychological well-being among nurses who care for patients with COVID-19. <b>Trial Registration:</b> Clinicaltrials.gov; ID: NCT06401252.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"114-126"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651968","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 Holistic Effect of Complementary Interventions in Reducing Stress in College Students.","authors":"Linda Cefo, Kellyann Navarre, Allyson Chicoski, Myrita Wilhite, Violet Cox, Sheryl Feeney","doi":"10.1177/08980101241312288","DOIUrl":"10.1177/08980101241312288","url":null,"abstract":"<p><p>The purpose of this research was to examine the holistic effects of combined complementary therapies in reducing stress in college students. This convergent mixed-method study provided aromatherapy, massage, and meditation music sessions to college students (<i>N</i> = 50) just before finals week. Paired t-tests analyzed pre-session and post-session perceived stress and anxiety as well as objective physiological measures, including salivary cortisol, heart rate, and blood pressure. There was a significant difference in the scores for perceived stress before and after the sessions, t(49) = 4.72, <i>p</i> < .001, as well as pre-anxiety and post-anxiety, t(49) = 10.27, <i>p</i> < .001. Additionally, salivary cortisol levels significantly reduced from pre-session to post-session t(49) = 2.76, <i>p</i> = .008; and a significant reduction in heart rate from pre-session to post-session, t(49) = 3.73, <i>p</i> < .001. This study demonstrates that 20 min of brief complementary interventions can alter students' subjective holistic health perspectives, with objective physiological data confirming changes that promote health and wellbeing.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"155-165"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016053","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":"Effect of Reiki on Surgical Fear and Anxiety in Cholecystectomy Patients: A Randomized Controlled Trial.","authors":"Hamide Şişman, Çiğdem Bildirici, Tolga Akçam Atılgan","doi":"10.1177/08980101251324696","DOIUrl":"10.1177/08980101251324696","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to investigate the effect of Reiki on surgical fear and anxiety in laparoscopic cholecystectomy patients. <b>Study design:</b> This study is a three-arm, parallel, randomized, controlled trial. <b>Methods:</b> Forty-eight patients who underwent elective laparoscopic cholecystectomy in the General Surgery Clinic of a university hospital between November 2022 and December 2023 were included in the study. Patients were assigned to Reiki, Sham Reiki, and control groups according to the group they were assigned to. Surgical Fear Questionnaire and Surgical Anxiety Questionnaire were measured to the patients before and after the procedure according to the group they were assigned to. Descriptive statistics, t-tests, and ANOVA were used to analyze the data. <b>Results:</b> A statistically significant relationship was found between the surgical fear and anxiety scores of the patients in the Reiki group both within themselves and when compared with the other groups, and they were found to be lower (p < 0.05). <b>Conclusions:</b> Reiki application was effective in reducing preoperative surgical fear and anxiety scores of patients undergoing laparoscopic cholecystectomy. This study demonstrated the effectiveness of Reiki, an easy-to-apply complementary therapy application, in reducing surgical fear and anxiety.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"137-145"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732991","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 Prospective Mixed Methods Study on Experiences of Mindfulness Intervention on Pain and Anxiety in Patients Undergoing a Colorectal Surgery.","authors":"Rebecca Brown, Laura M Nicolais, Kristiina E Hyrkas","doi":"10.1177/08980101251321963","DOIUrl":"10.1177/08980101251321963","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the effectiveness and experiences of a mindfulness intervention in colorectal surgical patients. <b>Design of Study:</b> Descriptive mixed methods study. <b>Method:</b> Sixteen participants were provided with two or three 15-20-min mindfulness sessions. Data were collected before and after each session on blood pressure, heart and respiratory rate, anxiety, and pain. The participants were interviewed before their discharge. <b>Findings:</b> Eight participants (<i>n</i> = 8) received two and eight (<i>n</i> = 8) three sessions. Decreasing blood pressure and lower heart rates were noted after the sessions. Also, decreasing pain scores were found, especially in participants who attended two sessions. Minor decrease in anxiety scores were noticed in participants who attended three sessions. Two major themes emerged from the interviews: <i>healing and restoration of health</i> and <i>becoming in tune with self</i>. These themes were characterized by study participants' reflections on experience of recovery, progression to physical relaxation, pathway to serenity, awareness of emotions, evolution of perceptions and experiences of mindfulness. <b>Conclusions:</b> The physiological changes to mindfulness intervention, composed of two or three sessions, were minor and challenging to measure to demonstrate effects. However, study participants' experiences were very positive and suggest that this intervention could prove to be beneficial for colorectal surgical patients.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"166-179"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651966","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":"Erratum to \"The Power of Spirituality and Satisfaction: Uncovering the Roots of Caring Behaviors in Nursing\".","authors":"","doi":"10.1177/08980101261453130","DOIUrl":"https://doi.org/10.1177/08980101261453130","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261453130"},"PeriodicalIF":1.4,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018682","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 Impact of Nurse's Intentional Presence as a Holistic Intervention on Stress, Anxiety, Depression, and Coping in Patients Undergoing Bowel Obstruction Surgery: A Randomized Controlled Trial.","authors":"Mahboubeh Kavousi, Nahid Aghebati, Hamid Heydarian Miri, Sara Movahed","doi":"10.1177/08980101261433369","DOIUrl":"https://doi.org/10.1177/08980101261433369","url":null,"abstract":"<p><p><b>Introduction:</b> Emergency surgery for bowel obstruction can significantly impact patients' coping mechanisms, leading to various physical and psychological complications. The intentional presence of a nurse, as a holistic approach, can aid patients in enhancing their coping strategies and psychological well-being postsurgery. <b>Aim:</b> This study aimed to assess the effect of a nurse's intentional presence, as a holistic intervention, on stress, anxiety, depression, and coping strategies in patients undergoing bowel obstruction surgery. <b>Method:</b> This randomized controlled trial was conducted at Qaem Hospital in Mashhad, Iran, from March 2021 to October 2022. A total of 62 patients were randomly assigned to two groups. The intervention group received nursing care based on the theory of intentional presence over five individual sessions lasting 45-90 min each in the hospital, followed by telephone support for up to 1-month postdischarge. The control group received educational pamphlets. Data were collected using the Filipino Coping Strategies Scale (FCSS) and DASS-21 before, 1 week after, and 1 month after the intervention. Data were analyzed using SPSS 27 with quantile regression models adjusting for baseline covariates. <b>Results:</b> The results showed homogeneity between the two groups regarding age (P = 0.14) and other demographic and disease information (P > 0.05). The Mann-Whitney test revealed significant reductions in anxiety, stress, and depression in the intervention group compared to the control group at 1 month (P < 0.001). Additionally, there was a significant improvement in coping strategies (indicating better adaptation) in the intervention group compared to the control group at 1 month (P = 0.04). Quantile regression confirmed these findings with significant adjusted effects (anxiety: RC = -3.14, 95% CI [-4.89, -1.39]; stress: RC = -1.00, 95% CI [-1.96, -0.04]; depression: RC = -1.00, 95% CI [-1.98, -0.02]; coping: RC = 4.11, 95% CI [1.87, 6.35]). <b>Conclusion:</b> The findings indicate that the intentional presence of a holistic nurse can enhance patient adaptation to disease symptoms after surgery and reduce stress, anxiety, and depression. Further studies with mixed-methods designs are needed to comprehensively assess patient adaptation and the qualitative aspects of the nurse-patient relationship.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261433369"},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845986","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":"Lian Gong as a Health Promotion Strategy in Primary Care: A Systematic Review.","authors":"Isabela de Macedo Del Rey, Giovana Bandeira Dugnani, Luciana Netto","doi":"10.1177/08980101261444515","DOIUrl":"https://doi.org/10.1177/08980101261444515","url":null,"abstract":"<p><p>The objective of this study is to analyze the studies that evaluated the performance of Lian Gong in 18 therapies as a health promotion strategy for individuals of different age groups, followed in the Primary Health Care (PHC) services of the Sistema Único de Saúde (SUS). This is a systematic review study, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model, from the Lilacs, MedLine, SciElo, PubMed, Virtual Health Library, and Capes Periodicals Portal databases, using the descriptors: PHC, Health Promotion, Complementary therapies, Chinese Traditional Medicine, Lian Gong, Qigong, PHC, and Health Promotion. Following the inclusion and exclusion criteria, 25 articles published between 2006 and 2023 in the national and international literature were analyzed. The best evaluated attributes with the practice of Lian Gong in primary care include the improvement of symptoms of pain and depression, while the worst performances found were related to changes in the individuals' immune systems. Most of the services evaluated were Brazilian and Chinese, applied in Basic Health Units and Family Health Strategies. The services evaluated showed a need to strengthen the components of the structure and process to facilitate the population's access to integrative and complementary practices and obtain better performance of PHC in health promotion.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101261444515"},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846021","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}