Journal of Holistic Nursing

This pilot study assessed the role of Healing Touch (HT), an energy-based therapy, in modulating chronic neuropathic pain and the associated psychological distress from post spinal cord injury. Twelve veterans were assigned to either HT or guided progressive relaxation for six weekly home visits. The instruments selected showed sensitivity, although there was a large variation among the groups. There was a significant difference in the composite of interference on the Brief Pain Inventory (t = -2.71, p = .035). The mean score of the fatigue subscale of the Profile of Moods decreased (ns) in the HT group and in the subscale of confusion yet remained stable in the control group. The Diener Satisfaction With Life Scale showed increased well-being in the HT group and no change in the control group. Participants reported various experiences with HT sessions indicating that it may have benefit in the complex response to chronic pain.

The purposes of this longitudinal, descriptive pilot study were to (a) test the acceptability and feasibility of a 6-week spiritual intervention; (b) determine the relationship between spirituality and stress; (c) explore the effects of the intervention on measures of perceived stress, spiritual perspective, and spiritual well-being; and (d) explore the meaning of spirituality. The sample consisted of 27 community-dwelling adults. Six categories emerged from the qualitative data as descriptors of the meaning and significance of spirituality. The survey data indicated that there were significant negative correlations between perceived stress and spiritual well-being at three time intervals, a significant decline in the levels of perceived stress, and a significant increase in spiritual perspective from the pretest to the 6-week follow-up. There were no significant changes in spiritual well-being. The intervention proved effective in reducing stress in this healthy adult sample.

This article reports on a hermeneutic phenomenological investigation of the transformational and extraordinary experiences, or sacred journeys, of 11 nurse healers. The study was guided by Watson’s conceptual model. An overarching theme, “walking two worlds,” was identified, along with five essential themes: belonging and connecting, opening to spirit, summoning, wounding and healing journey, and living as a healer. The importance of these phenomenologically uncovered holistic understandings to the teaching, practice, administration, knowledge development, and theoretical evolvement of nursing is argued.

The concept of acculturation in Mexican immigrants was analyzed using the concept analysis technique developed by Walker and Avant. The related concepts for acculturation are assimilation, separation, and marginalization. The defining attributes identified for acculturation are original cultural identity, exposure to a culture different from one’s own, and changes in the behavioral, affective, and/or cognitive domains of one’s functioning after exposure to a new culture. An antecedent for acculturation is that identification with one’s culture of origin must be well established. Another antecedent is the willingness to modify one’s original cultural identity. Transition is identified as a consequence of acculturation. Acculturation is a complex, multifaceted concept and cannot be adequately captured by measures that use language preference alone. Other factors such as social class, employment, education, and income should also be considered when acculturation is a factor in nursing practice and research.

The concepts of spirituality and nursing presence are difficult for nursing students to comprehend, identify, and apply. Yet holistic nursing practice obligates nurse educators to teach students about these abstract concepts. The purpose of this article is to describe a nursing faculty’s approach to encourage baccalaureate students to explore and develop an understanding of the concepts of spirituality and nursing presence in light of their clinical practice. A clinical placement in a faith-based community crisis center for the poor and homeless is part of a semester-long, psychiatric/mental health clinical course. At the crisis-center day shelter, students (N = 188) develop an interactive advocacy relationship with the clients and witness both spiritual care and nursing presence. Seminar-driven, topic-focused discussions foster reflective thinking application of these difficult concepts. Without exception, the students affirm that this is an experience of self-discovery and maturation in understanding spirituality and nursing presence in nursing practice.

This essay draws on the personal experiences of a spiritual pilgrimage in northern Spain. Using pilgrimage as metaphor and the experience of walking a portion of the famous Spanish El Camino, (the way), the author raises questions such as: How do we walk through life? How do we get our footing to bring artistry of caring into our lives and work and world? What steps do we take that speak to who we are and our raison d’être? This perspective is grounded in Newman’s health as evolving consciousness, Rogers’s science of unitary being, Quinn’s view of sacred space, and Watson’s caritas (cosmic loving consciousness) as the highest form of consciousness, and the infinite source of healing/wholeness. A walking spiritual pilgrimage serves as metaphoric invitation for nurses and nursing to engage in conscious, creative, artful steps, imprinting self and society with caritas in our lives, our work, and our world.