Journal of Holistic Nursing最新文献

Background: Auriculotherapy, a form of therapy that involves stimulating specific points on the ear auricle, has garnered attention for its potential in holistic stress management in adults, aligning with broader patient-centered therapeutic approaches. Objective: The aim of this study was to evaluate the effectiveness of auriculotherapy for stress relief in adults. Methods: A comprehensive search of nine databases (PubMed, Scopus, CINAHL, Web of Science, Ovid Medline, Cochrane Library, RISS, KMbase, and KISS) was performed, yielding 553 studies. Of these, 12 were selected for meta-analysis based on the inclusion criteria, which considered demographic data, types of auriculotherapy, intervention characteristics, auricular points, and stress-related outcomes. The risk of bias was also evaluated for each selected study. Results: The meta-analysis results (n = 12) indicated that auriculotherapy was significantly superior to the control group in terms of subjective stress index, blood pressure, heart rate variability, and pulse rate, as well as improving low-frequency (LF) and high-frequency (HF) heart rate components and their ratio (LF/HF) in adults. Additionally, the subgroup analysis indicated a trend where the effect size of acupressure may be larger than that of acupuncture. Conclusions: Our findings underscore auriculotherapy's efficacy in reducing stress in adults, advocating for its integration into nursing curriculums as a viable clinical intervention for stress management. Promoting its application in clinical environments could complement holistic, patient-centric care paradigms.

Purpose: To identify the effects of Reiki on stress among Japanese nurses. Design: Mixed method and intervention design. Method: A nonprobability snowball sampling was used. Twenty-one nurses were invited to receive the Reiki intervention. Physical responses were measured by pulse rate, respiration rate, blood pressure rate, and salivary α-amylase activity pre- and postintervention. Psychological responses were evaluated by the mood dimensions and Total Mood Disturbance of the Profile of Mood States 2nd Edition. To obtain qualitative data, semistructured interviews were conducted after the intervention, and a web-based questionnaire was completed the following day. Findings: Twenty-one participants completed the study, and results indicated that the Reiki intervention significantly improved psychological stress reactions. No significant differences were found in physical stress. Two categories were identified from qualitative data: "positive effects" and "negative effects". Codes including "warm," "body feeling more comfortable," and "stress awareness" emerged as the positive effects. No adverse events were indicated. Conclusion: The results are the first step toward holistic nursing care in Japan and quantitative and qualitative data confirmed that Reiki improved the psychological aspect of stress responses of Japanese nurses.

Purpose: This concept analysis aims to address the gap in knowledge regarding the concept of successful refugee cohabitation with host families. It seeks to develop a conceptual model that integrates holistic nursing and healthcare practices into refugee cohabitation settings to enhance refugee well-being. Methods: A comprehensive literature search was conducted using Walker and Avant's methodology for concept analysis. Findings: Successful refugee cohabitation with host families concept characterized by peaceful coexistence, power dynamics, hospitality, and cultural tolerance. Antecedents include refugee shelter needs, societal acceptance, humanitarian solidarity, and legal support. Consequences include refugee inclusion and integration, societal cohesion, psychological well-being, and refugee-host acceptance. Conclusions: Successful refugee cohabitation is defined as a private hosting arrangement that embodies shared living spaces and peaceful coexistence amid conflict or crises, fostering resilience and support for displaced individuals by local citizens. It combines hospitality, balanced power, and cultural tolerance, driven by refugee needs for shelter and a commitment to successful refugee settlement and integration. This hosting arrangement promotes societal development and cohesion, economic growth, psychological well-being, and foster inclusion and intergroup tolerance. The integration of holistic nursing principles into refugee cohabitation practices can foster more inclusive and healthy communities.

Purpose: This study aims to delve into the process of men confronting infertility. Design: This research employed the Straussian grounded theory approach. Methods: The study encompassed interviews with 16 participants from a private fertility center in Isfahan, Iran, between March 2023 and March 2024. The interviews were semistructured. Data analysis was carried out concurrently using constant comparative methods and standard grounded theory techniques. the participants' main concerns were identified, culminating in developing a substantive theory centered around a core category. Findings: The primary category for men struggling with infertility was "forced concealment." This was exhibited through the suppression of emotions, maintaining secrecy about infertility, hiding treatment, and attributing infertility to their wives to counteract threats to their masculinity. Factors such as partners, family, societal surroundings, care providers, and beliefs influenced the adopting of the "forced concealment" strategy. Conclusions: The "forced concealment" theory offers insights into the experiences of men struggling with infertility. The study highlights the necessity of formulating culturally sensitive strategies that enable healthcare providers, nurses, and health system managers to effectively fulfill their roles and address the challenges and needs of couples confronting male infertility. This can be realized through a comprehensive approach that integrates nursing skills and competencies.

Holistic nurses intentionally respond to the suffering of others with compassion. This article presents knowledge relevant to the Universal force of compassion from three knowledge sources: (a) neuroscience, (b) the chakra system by clairvoyants, and (c) nursing theorists Watson, Newman, and Smith. In the past two decades an increase in research on compassion has yielded information that has implications for fostering self-development, transformation, and healing. Therapeutic Touch^® (TT), a compassion-based holistic human energy field therapy, is used as a practice exemplar.

Background: Nurses worked in emotionally demanding environments, eroding their resilience and caring capacity. In response, healthcare organizations explored serenity rooms as a supportive intervention to enhance nurses' condition. Purpose: To identify and synthesize empirical evidence on the implementation and impact of serenity rooms for nurses. Methods: This systematic mixed-methods review was conducted, according to the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, on CINAHL, PubMed, Scopus, and Web of Science. The search strategy followed the Population-Intervention-Outcome framework, focusing on manuscripts evaluating the serenity room for nurses' well-being. Data from qualitative, quantitative, and mixed-method studies published between 2015 and 2025 were summarized using a convergent integrated approach. Results: Twelve studies were included and three themes emerged: Purpose-serenity rooms as emotional sanctuaries, promoted nurses' psychophysical recovery, reflection, and inner balance; Healing Environments-natural light, calming colors, biophilic design, and sensory comfort were common characteristics of serenity rooms; Restorative Practices-Mindfulness, aromatherapy, creative arts, and supportive social interaction were key features in inducing presence and self-awareness. Conclusion: Serenity rooms captured the holistic nursing spirit, integrating mind, body, and spirit. Implementing serenity rooms in clinical settings would sustain nurses' well-being, building emotional resilience, and reconnecting them with the profession's therapeutic aspects.

Background: Reiki is a complementary energy therapy aimed at reducing symptoms and improving quality of life. This study evaluated the effects of four consecutive 20-min Reiki Level 2 sessions on pain intensity and quality of life in hemodialysis (HD) patients who had previously received Reiki Level 1. It also compared follow-up outcomes between Level 1 and Level 2 applications. Methods: A double-blind, randomized controlled, pre-test-post-test retrospective comparative design was employed. The intervention group (prior Reiki Level 1 recipients) received four days of Reiki Level 2. The placebo control group, which previously received sham Reiki, had no further intervention. Data were collected using the Patient Identification Form, Visual Analog Scale for Pain (VAS-Pain), Kidney Disease Quality of Life Short Form (KDQOL™-36), and Psychodynamic Response List. Results: VAS-Pain scores significantly decreased in the intervention group post-Reiki Level 2. While KDQOL™-36 subscales showed no significant group differences, mental component scores improved in the intervention group. Reiki Level 1 was more effective in pain reduction, whereas Level 2 yielded greater improvements in symptom, problem, mental health, and disease effect scores. Conclusions: Both Reiki levels positively impacted mental health, symptom burden, and quality of life. However, Reiki Level 1 was superior in reducing pain intensity, while Reiki Level 2 offered broader quality-of-life benefits. Trial registration: This study was registered under the Clinical Trials Protocol Registration System (NCT06519136) prior to data collection. The full protocol and registration details are available at: https://clinicaltrials.gov/study/NCT06519136.

Purpose of the Study: To assess burnout levels among community nurses in Portugal during the COVID-19 pandemic and explore the relationship between burnout dimensions, work-related stressors, and coping strategies, through a holistic nursing lens. Design of the Study: Quantitative, descriptive, cross-sectional design. Method Used: A convenience sample of 75 nurses from ACES Grande Porto V-Porto Ocidental completed an anonymous online questionnaire. The instrument included sociodemographic and professional variables, working conditions during the pandemic, and the Professional Wear Questionnaire for Nurses-Reduced Version. The data were analyzed using both descriptive and inferential statistics. Findings: Overall levels of burnout were low across emotional exhaustion, depersonalization, and reduced personal fulfillment. The most significant stressors were work overload and contact with death and pain. Nurses primarily used social support and direct confrontation as coping strategies. No statistically significant associations were found between burnout dimensions and sociodemographic, professional, or psychological variables. Findings suggest the presence of resilience and possible institutional or personal protective factors. Conclusions: This study contributes to the holistic nursing science by emphasizing the importance of supporting nurses' well-being through holistic self-care and organizational practices. The findings underscore the need for additional research on protective factors and resilience-building interventions within comprehensive frameworks.