Principles of holistic care in nursing

Every modern nurse knows their patients are more than the sum of their parts. That’s why they need to practice holistic nursing care to achieve the best results. Holistic nursing is an integrated way of thinking, reflecting, practicing, and being-in-the-world and ultimately, a way of approaching patients. Many think of holistic nursing as a way of life as the philosophy, thoughts, and self-care become incorporated into one’s daily living and professional identity.

Sacred Heart University: The Human Journey

Sacred Heart University’s RN-BSN online program prepares you to stand out for good, incorporating a signature core curriculum based on similar principles as Holistic Nursing Care. The core curriculum: Human Journey is a national model of values-based education addressing fundamental human questions and issues that relate to the core of nursing. The Human Journey of Nursing course is a complementary course to the University’s course curriculum. The Nursing Journey course builds on the four fundamental questions, and incorporates many of the Holistic Theory components.

Sacred Heart’s Common Core: The Human Journey program consists of four courses taken at the undergraduate RN-BSN program level. These courses blend an integrated understanding of the arts and sciences preparing students to think critically, solve real-world problems and better understand humankind – a holistic approach ideal for nursing students.

The Beginning of Holistic Nursing Care

While the history of healing the sick goes back almost to the beginning of time, there were relatively few advances in the field of medicine that took place before the 19th century and as such, the role of nurses remained unchanged for several years. In the mid-19th century, nurses began to be seen in a different light, as Florence Nightingale began to pioneer a new approach to healing the ill and diseased. She did so by incorporating a more holistic approach to her treatments that is mirrored by many in the nursing profession today. The role of nurses in society has evolved to encompass the holistic side of medicine such as caring and compassion as well as embodying natural elements of the human spirit.

Holistic Nursing Philosophy

Holistic Nursing is defined by the American Holistic Nurses Association (AHNA) as “all nursing practice that has healing the whole person as its goal”. The practice recognizes the total human being – the interconnectedness of body, mind, emotion, spirit, social/cultural, relationship, context, and environment. The views, beliefs, and practices of the nurse are as important as the nurse’s view of nursing care. Sacred Heart’s core curriculum and culture brings with it a teaching and perspective that goes beyond nursing as a profession, and into a human journey for both the nurse and the patient.

The standards of Holistic Nursing Care are based on five core values of practice:

  1. Holistic Philosophy and Education
  2. Holistic Ethics, Theories, and Research
  3. Holistic Nurse Self-Care
  4. Holistic Communication, Therapeutic Environment and Cultural Competence
  5. Holistic Caring Process

Holistic nurses are mindful of the patient’s well-being in every aspect. This means being fully present and mindful, establishing caring relationships with patients, guiding and supporting patients in their choices of conventional and complementary care, communicating effectively, incorporating each patient’s environment and support system into his or her care, assisting patients in achieving harmony in their lives, and-lastly, practicing self-care.

Examples of Holistic Care

For example, when speaking and caring for a patient, a holistic nurse will:

  • Make eye contact
  • Say their name
  • Ask how they are feeling
  • Smile and use laughter when appropriate
  • Treat them with respect and dignity
  • Teach them how to take responsibility for their own care
  • Relax them in stressful situations
  • Take an interest in their lives

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The Five Elements of Holistic Nursing

There are five elements necessary for a nurse to function in a holistic manner:

  • Knowledge: Master the basics of nursing practice.
  • Theories: Surmise to articulate, understand, and reflect on practice.
  • Expertise: Make accurate decisions and perform effectively.
  • Intuition: Understand individuals’ experience and connect it to healing.
  • Creativity­­: Innovate new solutions to problems and identify new ways of patient care.

A Commitment to Patients

Sacred Heart University is committed to educating nurses to ensure the best quality care physically, emotionally and spiritually for all of their patients. From studying new procedures to learning about new medications, the nursing profession as a whole demands that its members be devoted to their patients in every way and dedicated to improving health care through continued education.

It is important to remember that holistic nursing is not a replacement of medicinal practice. Rather, it is an all-encompassing practice of integrating all aspects of the individual into the clinical treatment to enhance the healing processes and create a healthier patient in every way.

Discover a values-based, patient-centered education when enrolling in Sacred Heart’s accredited RN-BSN program. Sacred Heart also offers a condensed and accelerated RN-BSN-MSN program for those who want to speedily obtain their master’s in the same program. Ranked among the top universities in the North by U.S. News & World Report and one of New England’s best colleges, Sacred Heart provides a quality education with innovative courses and state-of-the-art methods. More than 80 percent of faculty hold the highest degrees in their field. Call Sacred Heart University at 877-791-7181 to speak with an admissions adviser.

Learn more about Carson-Newman's online BSN to MSN-FNP program.

Holism is a philosophical approach in support of the belief that the whole is greater than the sum of its parts. According to this approach, the whole cannot be understood by examining its individual parts; instead, it is individual parts that allow us to see and hear the reality of the whole. This philosophy can be applied to the health care field in the form of holistic care. Holism goes beyond the actions performed or words spoken to a patient. It’s a method to ensure care for all parts of a patient. The American Holistic Nurses’ Association defines holistic nursing as “all nursing practice that has healing the whole person as its goal.”

Holistic nurses are those who recognize and treat each patient differently. They nurture wholeness and healing by respecting each patient’s unique physical, mental, emotional, spiritual and environmental strengths and challenges and honoring each patient’s values, health beliefs and health experience.

Carson-Newman’s online family nurse practitioner program prepares registered nurses to become more complete and autonomous caregivers. The university’s Christian mission fits hand-in-glove with the call to compassionate care that equips nurses with a holistic approach to support more than just recovery. Carson-Newman graduates learn how to provide extra care for patients by promoting a healthy lifestyle and finding resources that positively affect patients’ lives.

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Holistic Nursing Care is Based on Florence Nightingale’s Work

Holistic nurses take a “mind-body-spirit-emotion-environment” approach to the practice of traditional nursing. This form of whole-health nursing is grounded in caring, relationship and interconnectedness. It’s based on the work of Florence Nightingale, who emphasized unity, wellness and the connection between patients and their environment. Since 2006, holistic nursing has been officially recognized by the American Nurses Association (ANA) as a nursing specialty with a defined scope and standards.

One of the best things about holistic nursing care is that it can be practiced in all settings. It’s not specific to a particular patient group, disease or demographic. Holistic nurses use “doing” and “being” therapies (known as complementary and alternative therapies) to remove the barriers to the healing process and create a space that allows them to be instruments of healing. “Doing” therapies include most forms of modern medicine (medications, procedures, dietary manipulations, radiation and acupuncture). “Being” therapies use states of consciousness to affect the body (imagery, prayer, meditation and quiet contemplation, and the presence and intention of the nurse).

Whole-Health Nursing Pays Attention to the Whole Person

The fundamental care functions of the health care establishment are to protect and enhance health, prevent diseases and relieve pain. When a person’s health or life is threatened by illness, that person is likely to seek treatment with both physical symptoms and spiritual issues in mind.

Health care providers are more likely to enhance the health of the individual holistically when health is defined as the harmony between mind, body and spirit. Full attention must be paid to the whole person, not just the current presenting symptoms, illness, crisis or tasks to be accomplished. Whole-health nursing entails considering and then assisting patients with the effects of illness on the body, mind, emotions, spirituality and personal relationships.

When trust is present in the provider-patient relationship, a plan of care can be co-created with the patient, and care can be given and received. Each patient’s subjective experience about health, health beliefs and values are explored and incorporated into the plan.

Nurses Who Go Beyond Routines More Likely to Address Full Needs of Patients

When nurses are under time constraints and the patient load is high, it’s easy to simply treat the physical being and move on to the next patient. Studies have shown that typical nursing care is routine-based and one-dimensional. Attention is paid to the usual problems, the patient’s physical needs and the doctor’s orders. Frequently, the patient’s psychological, spiritual, emotional and social needs are ignored or not fully identified and satisfied.

Routine-based care results in wasted time and resources, slower recovery and potential risk to the patient's life. It’s necessary to modify nurses' attitudes and encourage whole-health nursing in order to overcome this problem.

A study by Valizadeh et al. (2015) found that nurses who tend to go beyond the routines are more likely to address the entirety of patients’ needs. These nurses work to establish closer relationships with patients and evaluate their overall conditions. Researchers observed that religious, moral and professional principles significantly influenced nurses' tendency to provide holistic care. These principles induced nurses to pay more attention to their patients, have a better understanding of their needs, and try to offer an optimal care plan, as well as contributed to a nurse's sense of commitment.

Holistic Nursing Can Foster Greater Integration of Self-Care

Holistic nursing care also enriches the life of the nurse. Holistic nurses understand that failure to care for themselves reduces their ability to care for others. Nursing can be a physically, mentally and emotionally draining profession. It’s of great benefit to seek out those experiences that remind us why we became nurses in the first place. This can be achieved through the provision of holistic nursing care because it encourages nurses to integrate self-care, self-responsibility, spirituality and reflection in their own lives.

When nurses promote a patient’s psychological and emotional well-being to facilitate physical healing, their relationship with the patient changes and grows into something more positive than before. This can lead to better patient outcomes and increased satisfaction in the nurse role. A study by Goodwin and Candela (2013) examined whether newly practicing nurses benefited from learning holistic comfort theory during their baccalaureate education. Researchers found holistic comfort helped ease the transition from school to practice, allowing nurses to transcend the unavoidable difficulties experienced during this period. Additionally, participants experienced improved patient safety and pride in patient care.

Holistic care will continue to be a focus as health care moves forward. The Patient Protection and Affordable Health Care Act of 2010 has placed the focus on patient-centered care. In this environment, patients are key players in determining which outcomes are valued.

Pew Health Professions Commission’s landmark 1994 report on relationship-centered care serves as a guideline for addressing the bio-psycho-social-spiritual dimensions of individuals in integrating caring, healing and holism into health care. The current health care climate emphasizes effectiveness, coordination of services and preventive care. A strong foundation in lifestyle change and holistic care strategies are required to meet these objectives.

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Increasingly, hospitals and other health care facilities are creating delivery models that include integrative health. Holistic nursing has flourished within these integrative care systems. Students are also seeking programs that focus on holistic nursing care and integrative health such as Carson-Newman’s Online Master of Science in Nursing - Family Nurse Practitioner program. The American Association of Colleges of Nursing (AACN) identifies “holistic, patient-centered care” and an understanding of complementary and alternative modalities as essential to baccalaureate education.

Contact us to find out more about our online MSN-FNP program.

Sources:

American Holistic Nurses Association (n.d.). What is holistic nursing? Retrieved on August 13, 2018 from the American Holistic Nurses Association website at http://www.ahna.org/About-Us/What-is-Holistic-Nursing

Demirsoy, N. (2017). Holistic care philosophy for patient‐centered approaches and spirituality. In O. Sayligil (Ed.), Patient centered care (pp. 119-138). IntechOpen. Retrieved from https://www.intechopen.com/books/patient-centered-medicine/holistic-care-philosophy-for-patient-centered-approaches-and-spirituality

Dossey, B. M. (2013). Nursing: Integral, integrative, and holistic – local to global. In B. M. Dossey & L. Keegan (Eds.), Holistic Nursing: A handbook for practice (pp. 3-57). Burlington, MA: Jones and Bartlett Learning. Retrieved from  http://www.dosseydossey.com/barbara/pdf/Dossey-Integral_Nursing_HN_6th_ed.pdf

Goodwin, M., and Candela, L. (2013). Outcomes of newly practicing nurses who applied principles of holistic comfort theory during the transition from school to practice: A qualitative study. Nurse Education Today, 6 (1), 614-619. Retrieved from https://linkinghub.elsevier.com/retrieve/pii/S0260-6917(12)00255-9

Klebanoff, N. A. (2013). Holistic nursing: Focusing on the whole person. American Nursing Today, 8(10). Retrieved from https://www.americannursetoday.com/holistic-nursing-focusing-on-the-whole-person/

The importance of holistic nursing care: How to completely care for your patients (n.d.). Retrieved on August 14, 2018 from the Practical Nursing website at https://www.practicalnursing.org/importance-holistic-nursing-care-how-completely-care-patients

Valizadeh, L., Zamanzadeh, V., Jasemi, M., Taleghani, F., Keoch, B., and Spade, C. M. (2015). Going beyond-the-routines view in nursing: A qualitative study. Journal of Caring Sciences, 4(1), 25–34. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363649/