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holistic nursing

Chyssoula Karlou, Constantina Papadopoulou, Elizabeth Papathanassoglou, Chryssoula Lemonidou, Fotini Vouzavali, Anna Zafiropoulou-Koutroubas, Stelios Katsaragakis, Elisabeth Patiraki
BACKGROUND: Nurses' caring behaviors are central in the quality of care of patients undergoing sophisticated chemotherapy protocols. However, there is a scarcity of research regarding these behaviors in non-Anglo-Saxon countries. OBJECTIVE: The aim of this study was to explore caring behaviors that nurses perceive as important in caring for patients in Greece receiving chemotherapy. METHODS: We used a mixed-methods design, including a survey in 7 oncology wards in 3 cancer hospitals in Attica, Greece, and a subsequent qualitative focus group investigation...
March 13, 2018: Cancer Nursing
Walter A Boyle, David J Murray, Mary Beth Beyatte, Justin G Knittel, Paul W Kerby, Julie Woodhouse, John R Boulet
OBJECTIVES: Develop a standardized simulation method to assess clinical skills of ICU providers. DESIGN: Simulation assessment. SETTING: Simulation laboratory. SUBJECTS: Residents, Critical Care Medicine fellows, acute care nurse practitioner students. INTERVENTIONS: Performance scoring in scenarios from multiple Critical Care Medicine competency domains. MEASUREMENTS AND MAIN RESULTS: Three-hundred eighty-four performances by 48 participants were scored using checklists (% correct) and holistic "global" ratings (1 [unprepared] to 9 [expert])...
March 7, 2018: Critical Care Medicine
Kristin Akerjordet, Trude Furunes, Annie Haver
AIM: To provide a synthesis of the evidence of health-promoting leadership related to nursing by exploring definitions, core attributes and critical conditions. BACKGROUND: Increasing pressure in health-care settings due to efficiency requirements, population aging with complex illnesses and projected global shortage of nurses, is a potential threat to nurses' health and job satisfaction, as well as patient quality of care and safety. New ways of thinking about nursing leadership and evidence-based human resource management are required to improve nursing environments...
March 9, 2018: Journal of Advanced Nursing
Chaplain John D Connolly
Healthcare ethics committees, physicians, surgeons, nurses, families, and patients themselves are constantly under pressure to make appropriate medically ethical decisions concerning patient care. Various models for healthcare ethics decisions have been proposed throughout the years, but by and large they are focused on making the initial ethical decision. What follows is a proposed model for healthcare ethics that considers the most appropriate decisions before, during, and after any intervention. The Just War Tradition is a model that is thorough in its exploration of the ethics guiding a nation to either engage in or refuse to engage in combatant actions...
March 8, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Elizabeth V Kinchen, Victoria Loerzel
PURPOSE: The purpose of this study was to explore student nurses' openness to using or recommending holistic therapies, the strategies they use to manage stress from school or work, and their perceptions of the impact of holistic therapies on personal health. STUDY DESIGN: Qualitative component of a quasi-experimental, mixed-methods study. METHODS: A convenience sample of undergraduate nursing students in a southeastern U.S. university completed baseline surveys, including demographics and three open-ended questions regarding attitudes toward holistic therapies and strategies used for stress management...
March 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Denise Andrea Harris, Kirsten Jack, Christopher Wibberley
AIM: The aim of this study was to explore the meaning of living with uncertainty for people diagnosed with motor neurone disease (MND). BACKGROUND: MND is a progressive neurodegenerative condition resulting in multiple needs, arising from the complex nature of the disease trajectory. People with MND are often required to make decisions for symptom management and end-of-life care. Research into the lived experience of MND has previously highlighted: the shock of receiving such a diagnosis and prognosis; subsequent concerns relating to the future and loss; and the existential suffering for a person with MND...
March 8, 2018: Journal of Clinical Nursing
Alejandro Bosch-Alcaraz, Anna Falcó-Pegueroles, Iolanda Jordan
AIMS AND OBJECTIVES: To investigate the meaning of comfort and to contextualise it within the framework of paediatric critical care. BACKGROUND: The concept of comfort is closely linked to care in all health contexts. However, in specific settings such as the paediatric critical care unit it takes on particular importance. DESIGN: A literature review was conducted. METHODS: A literature search was performed of articles in English and Spanish in international health science databases, from 1992 to March 2017, applying the quality standards established by the PRISMA methodology and the Joanna Briggs Institute...
March 8, 2018: Journal of Clinical Nursing
Madison B Smith, Tamara G R Macieira, Michael D Bumbach, Susan J Garbutt, Sandra W Citty, Anita Stephen, Margaret Ansell, Toni L Glover, Gail Keenan
OBJECTIVES: To present the findings of a systematic review on the use of simulation-based learning experiences (SBLEs) to teach communication skills to nursing students and clinicians who provide palliative and end-of-life care to patients and their families. BACKGROUND: Palliative care communication skills are fundamental to providing holistic patient care. Since nurses have the greatest amount of direct exposure to patients, building such communication competencies is essential...
January 1, 2018: American Journal of Hospice & Palliative Care
Laura M Anderson, Thomas P Chacko
Binge eating disorder, food addiction, and dysregulated overeating are common among people with severe obesity and prevalent among bariatric surgery populations. These problematic eating habits share commonalities with other addictions. Effective, holistic self-management is needed to promote long-term weight loss and psychosocial adjustment among patients who are severely obese who undergo surgery, especially those with clinically remarkable levels of binge eating, food addiction, or dysregulated overeating...
January 2018: Journal of Addictions Nursing
Tara J Schapmire, Barbara A Head, Whitney A Nash, Pamela A Yankeelov, Christian D Furman, R Brent Wright, Rangaraj Gopalraj, Barbara Gordon, Karen P Black, Carol Jones, Madri Hall-Faul, Anna C Faul
A fragmented workforce consisting of multiple disciplines with varying levels of training and limited ability to work as a team often provides care to older adults. Interprofessional education (IPE) is essential for preparing practitioners for the effective teamwork required for community-based, holistic, person-centered care of the older adults. Despite numerous programs and offerings to advance education and interdisciplinary patient care, there is an unmet need for geriatric IPE, especially as it relates to community-dwelling older adults and caregivers in medically underserved areas...
2018: Advances in Medical Education and Practice
Anette Johnsson, Petra Wagman, Åse Boman, Sandra Pennbrant
AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden. BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved...
March 1, 2018: Journal of Clinical Nursing
Anette Johnsson, Åse Boman, Petra Wagman, Sandra Pennbrant
AIM: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden. BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome...
March 1, 2018: Journal of Clinical Nursing
Helen Hall, Caragh Brosnan, Robyn Cant, Melissa Collins, Matthew Leach
AIM: To explore registered nurses' attitudes and behaviour toward patients' use of complementary therapies. BACKGROUND: Despite high rates of use of complementary therapies by the general population, little is known of how nurses respond to patients' use of these therapies. DESIGN: A two-phase sequential exploratory mixed methods design. METHODS: Nineteen registered nurses working in Australia participated in a semi-structured interview in 2015-2016 and emerging themes informed the development of a quantitative survey instrument administered online nationwide in 2016...
March 1, 2018: Journal of Advanced Nursing
Kathy Latham, Brian Nyatanga
This study explored the lived experiences of clinical nurse specialists who can prescribe independently in their role of providing support to patients with palliative care needs within the community. Part 1 of this study examined how the study was carried out; this second part explores the findings. The nurses reported that being able to prescribe enabled them to provide seamless, holistic care, which gave patients faster access to medicines, especially at weekends when their GP was unavailable. Prompt availability of medicines led to effective symptom control and consequently a better quality of life for patients...
March 2, 2018: British Journal of Community Nursing
Charlotte S Connerton, Catherine S Moe
Spiritual care is an important component of holistic nursing care. To implement spiritual care, the nurse must assess, diagnose, and respond to the needs of each patient and her or his significant others. Meeting the spiritual care needs of the patient can lead to physical healing, reduction of pain, and personal growth. Nurses providing spiritual care experience lower stress and less burnout.
February 1, 2018: Creative Nursing
Callista Roy
BACKGROUND: Today, we face a situation some call the "profession at the crossroads." The problem is the development of the profession being threatened by an imbalance among philosophical, conceptual/theoretical, and empirical inquiry. OBJECTIVES: The aims of this project are to (a) examine the development and contributions of theory, (b) outline the challenges we face in knowledge development, and (c) provide a structure for disciplinary knowledge that provides a unifying focus and renovates theories' place in nursing science that can direct the future of developing knowledge for practice...
March 2018: Nursing Research
Adriano Friganović, Irena Kovačević, Boris Ilić, Mirna Žulec, Valentina Krikšić, Cecilija Grgas Bile
Healthy settings involve a holistic and multidisciplinary method that integrates actions towards risk factors. In hospital settings, a high level of stress can lead to depression, anxiety, decreased job satisfaction and lower loyalty to the organization. Burnout syndrome can be defined as physical, psychological and emotional exhaustion, depersonalization, and low sense of personal accomplishment. The aim of this literature review was to make systematic literature analysis to provide scientific evidence for the consequences of constant exposure to high levels of stress and for the methods to be used to prevent burnout syndrome among health care workers...
June 2017: Acta Clinica Croatica
Peter J Holland, Tse Leng Tham, Fenella J Gill
AIM: A discussion of the findings from a nationwide study of workplace and well-being issues of Australian nurses and midwives. BACKGROUND: Current discourse only provides a fragmented understanding of a multifaceted nature of working conditions and well-being, necessitating a more holistic investigation to identify critical workplace issues within these professions. DESIGN: Discussion paper. DATA SOURCES: A national survey conducted in July 2016 involving Australian Nursing and Midwifery Federation members...
February 26, 2018: International Journal of Nursing Practice
Vanessa Basketter, Miranda Benney, Louise Causer, Louisa Fleure, David Hames, Sarah Jones, Kamlesh Patel, Lisa White
Several treatment options are now available to men with metastatic castration-resistant prostate cancer (mCRPC). While survival rates for mCRPC continue to improve, patients are faced with increasingly complex treatment pathways and decisions. The clinical nurse specialist (CNS) plays a crucial role in navigating patients with mCRPC through their treatment pathway and fulfils a number of key responsibilities, including providing holistic care and support to patients and their families, educating and communicating with them in a timely and effective manner, and liaising with other healthcare professionals to seamlessly coordinate patient treatment...
February 1, 2018: British Journal of Nursing: BJN
Lorraine Steefel
Correctional nursing practice is focused on a unique patient population: inmates who present with their own ethnicities and have an imposed culture from the prison structure. As such, culture must be considered to provide holistic care. Madeleine Leininger's Theory of Culture Care Diversity and Universality, which maintains that care is the essence of nursing (without inclusion of culture, there is no care), suggests three nursing actions: to maintain the patient's culture, make accommodations for it, and/or repattern cultural ways that may be unhealthful...
January 2018: Journal of Forensic Nursing
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