Holistic Nursing

Background: The extension of roles within the Primary Care Team is one approach recommended to address the shortage of GPs in the UK. A key aspect of care that Advanced Nurse Practitioners (ANPs) can undertake is acute home visits. Aim: To evaluate the perspectives of Advanced Nurse Practitioners performing acute in-hours home visits in Primary Care. Methods: The research methods consist of the collection of qualitative data in eight semi-structured interviews across a Primary Care locality which were then analysed via a process of thematic analysis. Findings: Three key themes were identified: providing holistic care; engaging with the home setting; and negotiating role ambiguity. Conclusion: Practices wishing to involve ANPs in acute home visits should ensure clear definition and good understanding of the ANP role. Effective inter-professional relationships should be fostered with appropriate mentorship and clinical supervision to support ANPs in optimising their contribution to acute home visits.

Mindfulness is a burgeoning field of study and practice within mental health care and medicine. Yet ethical codes, and the philosophy of the therapist-client relationship, differ greatly between disciplines, and even more between those disciplines and mindfulness-based approaches. The potential for ethical dilemmas is therefore significant.

The book breaks new ground by taking a focused look at an ethics derived from contemporary clinical mindfulness practice itself. What does a secular ethics of mindfulness look like? Who is competent to work therapeutically with mindfulness, and how does one delimit areas and levels of competence? How do clinicians ethically understand the therapist-client relationship from the therapeutic position of mindfulness? And how do clinicians respond when the necessary restraints of their professional role and ethics code come into conflict with the mindfulness-based relationship and therapeutic position?

This book makes a vital contribution to the understanding of ethics as the cornerstone of mindfulness-based practice, and will be of interest to all those involved in delivering mindfulness-based interventions, including psychologists, counselors, spiritual directors, occupational therapists, physicians, nurses, and educators.

This article describes the Holistic Nursing: Scope and Standards of Practice. It defines holistic nursing, its five core values, and its practice standards. These include holistic philosophy, theory, and ethics; holistic caring process; holistic communication, therapeutic environment, and cultural diversity; holistic education and research; and holistic nurse self-care. Educational preparation for holistic nursing and settings in which holistic nurses practice are also explored.

"Abstract

Many healthcare finance mechanisms involve transferring uncertain costs to healthcare providers in lieu of fixed payments or global capitation. Global capitation violates basic principles of risk management through insurance. Risk-theoretic analysis of capitation shows that risk disaggregation forces efficient providers to become inefficient insurers. Risk-assuming providers face lower profitability and increased exposure to operating losses, and must reduce patient benefits. Global capitation causes inefficiency, increases healthcare costs, and threatens patient-provider relationships."

This article is a philosophical review of school nursing and its constructs framed by Barbara Dossey’s holistic nursing theory. The author describes the application of holistic nursing theory within the school nurse’s area of activity. The review suggests that holistic nursing theory can be applied in several areas of school nursing. School nurses have a multifaceted occupation that includes meetings with students, parents, and school staff. Barbara Dossey’s holistic nursing theory offers the school nurse tools to deal with people’s varied experiences, feelings, and needs.

The aim of this study was to investigate the effect of relaxing music on pain intensity in patients with neuropathic pain. A quasi-experimental study, repeated measures design was used. Thirty patients, aged 18-70 years, with neuropathic pain and hospitalized in an Algology clinic were identified as a convenience sample. Participants received 60 minutes of music therapy. Classical Turkish music was played to patients using a media player (MP3) and headphones. Participants had pain scores taken immediately before the intervention and at the 30th and 60th minutes of the intervention. Data were collected over a 6-month period in 2012. The patients' mean pain intensity scores were reduced by music, and that decrease was progressive over the 30th and 60th minutes of the intervention, indicating a cumulative dose effect. The results of this study implied that the inclusion of music therapy in the routine care of patients with neuropathic pain could provide nurses with an effective practice for reducing patients' pain intensity.

Holistic approach to nursing care is a comprehensive model that involves all facets
of care which involves mental, spiritual, and social needs of patients. However,
studies have shown that most nurses are not familiar with this model of caring and
only considers the corporeal needs of the patient. Thus, the aim of the study was to
assess the caring behaviors, spiritual and cultural competencies of nurses. Also, the
extent of influence of cultural and spiritual competencies to the caring behaviors of
Filipino nurses were determined. The study utilized a causal research design and a
purposive sample of 124 Filipino medical-surgical nurses who were employed in
Level 3 hospitals were included. The data were collected through a survey using three
(3) questionnaires which includes Nurse Cultural Competence Scale developed by
Perng and Watson (2012), the Nurse Spiritual Care Therapeutic Scale developed by
Mamier and Taylor (2014) and the Caring Nurse-Patient Interaction Scale developed
by Cossette et al. (2006). The data collected was analyzed using frequency,
percentage, mean, standard deviation and univariate linear regression analysis. The
findings revealed that Filipino nurses rated themselves good in terms of spiritual and
cultural competencies. Specifically, the subscales of cultural competencies which
include cultural skills, cultural knowledge, and cultural sensitivity were also rated as
good. On the other hand, the caring behaviors of Filipino nurses were rated as
excellent. The same findings were also noted for two of its subscales, the clinical care
, and comforting care while both relational and humanistic care were rated as very
good. Spiritual competencies showed a significant influence in the caring behaviors of
nurses, however, no significant influence was noted between the cultural competencies
and caring behaviors of nurses.

Keywords: Caring behaviors, cultural competencies, holistic care, spiritual
competencies

The purpose of the research paper is to provide an example of an annotated bibliography of at least six scholarly or peer- reviewed articles. The written annotations are illustrated from books, Web sites, articles, government documents and videos. An annotation should be written in the third person and should stand alone, accurately describing the contents of the source without reference to any other source. The bibliographic citation information should include the proper APA (American Psychology Association) formatted reference with a brief description of the published research and the type of sources available for the article. .

Health and nursing are shifting from acute care to community settings, causing confusion for clients and professionals. Although the holistic nursing perspective has improved care to human beings in interaction with their environment and has moved nursing away from pathology-focused care, the community as the focus of care has not been addressed. This article presents an integrated model of community health that expands holistic nursing to the community as client. The model clarifies nursing care for the individual, family, aggregate, and community. One can focus on any one level, with the awareness that each is part of a unified whole. Holistic community nursing completes the circle of care by moving beyond the particular part to focus on the greatest health for the community. The intent is to help nurses describe their unique areas of expertise within the complex community system and to establish a basis for collaboration and partnership.

Seven major constructs-belonging, meaning, hope, the sacred, morality, beauty, and acceptance of dying-were revealed in an analysis of the literature pertaining to patient spiritual needs. The authors embedded these constructs within a 29-item survey designed to be inclusive of traditional religion, as well as non-institutional-based spirituality. This article describes the development of a multidimensional instrument designed to assess a patient's spiritual needs. This framework for understanding a patient's spiritual needs hopefully contributes to the growing body of literature, providing direction to healthcare professionals interested in a more holistic approach to patient well-being.

This article discusses some novel approaches that can be implemented in Sri Lanka to upgrade its nursing education to meet global challenges. Globally, employers look for nursing professionals who possess competencies compatible with the new demands of the global healthcare system. Therefore, it has become necessary to upgrade nursing education to broaden its scope, and provide more exceptional patient care and job satisfaction. The relevant literature for the article was gathered from the Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed and Google Scholar. The search was restricted to the English language and 2020 as the year of publication. Health professionals in the field were also interviewed for their opinion on improving the Sri Lankan nursing curriculum. Enhancing nursing education is one of the best investments a country can make towards a quality healthcare system. Training is crucial. The implementation of new approaches to nursing education will standardize and develop the quality of nursing professionalism in Sri Lanka.

To help patients achieve the greatest benefit from cardiac rehabilitation programs, nurses must assist them to modify unhealthy behaviors. Many cardiac rehabilitation programs, however, lack a theoretical foundation; therefore, interventions are usually executed without accounting for the complexities of human behavior, and little consideration is given to the difficulties encountered in altering unhealthy behavior patterns. Bandura's self-efficacy theory is considered a suitable model for cardiac rehabilitation because it provides a systematic direction which allows one to interpret, modify, and predict patients' behaviors. This article describes the development of and conceptual framework for Bandura's theory, how it provides a basis for measurement of self-efficacy, and how it may be applied to the study of cardiac rehabilitation. Finally, some research issues, which are related to applications of self-efficacy theory in cardiac rehabilitation are discussed.

Bach remedies were identified by Dr Edward Bach, a physician and homoeopath. Bach flower remedies consist of 38 remedies which are designed as a system of emotional healing. Remedies are dispensed in homoeopathic dosages, are safe and do not appear to interfere with any other medication. Nurses may find the remedies a useful adjunct to their nursing care.

topic. A nursing model for psychiatric nursing.source. Author's clinical work, review of literature.goal. To describe this model and its use with psychiatric clients.conclusion. This model complements the biomedical model by helping clients gain insight and access to their subjective experience.

Kesehatan merupakan suatu keadaan dinamis dari terwujudnya kesejahteraan fisik, psikis, sosial dan spiritual. Asuhan keperawatan spiritual merupakan bagian dari pelayanan keperawatan yang holistik dan komprehensif, namun keberadaannya masih menjadi wacana besar dan belum terlaksana secara optimal di pelayanan keperawatan. Metode penelitian ini adalah kualitatif dengan pendekatan fenomenologi. Partisipan berjumlah 13 orang yang merupakan perawat yang bekerja di Rumah Sakit, sampel di peroleh dengan metode purposive sampling, data dikumpulkan dengan metode wawancara mendalam secara terstruktur. Hasil penelitian didapatkan 4 tema yakni: Beban kerja dan kekurangan staf perawat, format pengkajian keperawatan spiritual belum maksimal, tingkat pengetahuan aplikasi pelayanan keperawatan spiritual masih kurang, Dukungan/ kebijakan manajemen Rumah Sakit belum maksimal. Rekomendasi dari penelitian ini diharapkan pelayanan perawat dalam memberikan asuhan keperawatan spiritual dapat terlaksana secara komprehensif dilayanan kesehatan, dengan menyediakan standar pendokumentasian keperawatan spiritual dengan baik dan benar yang tentunya dapat di dukung oleh pihak manajemen rumah sakit. Kata Kunci :hambatan pelayanan spiritual, Asuhan keperawatan spiritual. ABSTRACT Health is a dynamic state of physical, psychological, social and spiritual well-being. Spiritual nursing care is a part of holistic and comprehensive nursing services, but its existence is still a big discourse and has not been implemented optimally in the nursing service yet. This research method is qualitative with a phenomenological approach. There are 13 participants evolved in this study. Those participants were nurses who worked in hospitals, and choosen by a purposive sampling method. Collecting data applied a structured in-depth interview method. There are 4 themes found in this study were: workload and shortage of nursing staff, unstadardize spiritual nursing assessment form, the lack of nurses knowledge on spiritual nursing care, the lack of support and policy from hospital management. Research recommendations are providing spiritual nursing care is necessary in hospital services, and its implemented comprehensively and holitically thorough hospitla services, providing a guidelines for impelementing spiritual nursing care, and the importance of hospital management support.

Spiritual services for patients in health care services are important. Spiritual care is one of the basic domains in the efforts of quality palliative care services. Its began when hospice services were developed into palliative services. Palliative care is a form of service aimed at patients suffering from advanced-stage of chronic disease both in life-threatening and life-limiting conditions, and in the patient's family and preparing patients near death to die with dignity. Palliative care is also a service that focuses on efforts to improve the quality of life of patients and families through comprehensive care that includes bio-psycho-social-cultural and spiritual. The purpose of this review literature is to identify spiritual assessment instruments for palliative patients. This review literature reviews scientific articles through searches in several journal databases such as CINAHL, Google Scholar, Proquest, PUBMED, and Science Direct. Some spiritual assessment methods that can be used in palliative patients are the FICA, FAITH, SPIRIT, ETHNIC (S), HOPE, and Ars Moriendi Model methods. Based on this review literature it can be concluded that the provision of spiritual care services is an important aspect of nursing, especially in palliative care services. The use of instruments for assessing the patient's spiritual is very helpful in exploring the value of the patient's faith and beliefs about life in a healthy and sick range. Abstrak Pelayanan spiritual pada pasien dilayanan kesehatan merupakan hal penting. Perawatan spiritual merupakan salah satu domain dasar dalam upaya pelayanan perawatan paliatif yang berkualitas. Hal tersebut dimulai sejak pelayanan hospis dikembangkan menjadi pelayanan paliatif. Perawatan paliatif merupakan suatu bentuk pelayanan yang ditujukan pada pasien yang menderita penyakit kronis stadium lanjut baik sifatnya mengancam jiwa maupun yang membatasi kehidupan, dan pada keluarga pasien serta mempersiapkan pasien menjelang kematian sehingga meninggal secara bermartabat. Perawatan paliatif juga merupakan suatu layanan yang berfokus pada upaya peningkatan kualitas hidup pasien dan keluarga melalui perawatan komprehensif yang mencakup bio-psiko-sosial-budaya dan spiritual. Tujuan literatur review ini untuk mengidentifikasi instrumen pengkajian spiritual pada pasien paliatif. Literatur review ini menelaah artikel ilmiah melalui penelusuran di beberapa jurnal basis seperti CINAHL, Google Scholar, Proquest, PUBMED, dan Science Direct. Beberapa metode pengkajian spiritual yang dapat digunakan pada pasien paliatif yaitu metode FICA, FAITH, SPIRIT, ETHNIC(S), HOPE, dan Ars Moriendi Model. Berdasarkan literatur review ini dapat disimpulkan bahwa pemberian layanan perawatan spiritual merupakan aspek penting dalam keperawatan terutama di pelayanan perawatan paliatif. Penggunaan instrumen pengkajian terkait spiritual pasien sangat membantu dalam mengeksplorasi nilai keyakinan dan kepercayaan pasien baik mengenai kehidupannya dalam rentang sehat dan sakitnya.