Journal of Holistic Nursing - Volume 39, Number 3

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Editorial
Restricted accessEditorialFirst published September, 2021pp. 212-213
We Belong: The Global Imperative of Holistic Nursing
W. Richard Cowling
Research article
Restricted accessResearch articleFirst published September, 2021pp. 214-215
Appreciating the Synergy of Holistic Scholars: A Commentary
Mary Anne HanleyORCID
Research article
Open accessResearch articleFirst published September, 2021pp. 216-224
A Philosophical Review of School Nursing Framed by the Holistic Nursing Theory of Barbara Dossey
Pernilla GarmyORCIDEva K. ClaussonAnn-Christin Janlöv
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Abstract
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.
Research article
Restricted accessResearch articleFirst published September, 2021pp. 225-238
Integrative Nursing and Omaha System–Based Nursing Care Interventions in Older Women Feeling Loneliness (INOSEL): Study Protocol for a Randomized Controlled Trial
Ayşegül ilgazORCIDSebahat gözüm
Abstract
Purpose:
This article presents the planned protocol for a study that investigates the effects of nursing care interventions based on Integrative Nursing (IN) and the Omaha System. The Omaha System is a nursing classification system focused on holistic care and used in determining nursing diagnoses and applying and evaluating interventions.
Design:
This study protocol describes a randomized controlled trial with a parallel group design.
Method:
Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement 2013 checklist is used in this study. The CONSORT (Consolidated Standards of Reporting Trials) flowchart is used in this protocol. After the level of loneliness of older women is determined by the Loneliness Scale for the Elderly in a family health center, women with high levels of loneliness will be randomly assigned to the intervention and control groups. Nursing care interventions consist of group-based (sightseeing, picnics, theater, cinema, group education, and charity activities) and person-centered interventions, according to IN and the Omaha System, for 12 weeks.
Conclusions:
This protocol will test the effectiveness of nursing care interventions that include a comprehensive (physical, psychological, social, and spiritual) evaluation. The results will help contribute to the provision of care in terms of IN and the Omaha System and guide health professionals and researchers.
Research article
Restricted accessResearch articleFirst published September, 2021pp. 239-253
Becoming a Channel of God: How Faith Community Nurses Develop Their Spiritual Practice
Denise LeBlanc-KwawKathryn WeaverORCIDJoanne Olson
Abstract
Purpose:
This study explored the underlying process faith community nurses (FCNs) experience in developing their spiritual nursing practice.
Design:
A qualitative, exploratory design was used.
Method:
Data from interviews with six FCNs were generated and analyzed using Glaserian grounded theory.
Findings:
The basic social psychological process, cultivating the soul to become a channel of God, explains the steps these nurses take to achieve stages of presence. Going through these stages of presence, FCNs develop a foundation of God-related beliefs and values, presence with self, presence with God, presence with others, presence with God and others, and become a channel of God.
Conclusions:
Developing spiritual care competence in assessing and meeting clients’ spiritual needs is necessary to enhance person-centered practice, a vital aspect of holistic care. The model of presence can inform the development of spiritual care competencies and link to other nursing theories including Watson’s theory of caring and Benner’s novice to expert theory. Workplace support is needed for nurses to refine spiritual nursing care practices and integrate spiritual care into practice. Further research regarding the stages of presence could foster deeper understanding of how foundations of God-related values develop.
Research article
Open accessResearch articleFirst published September, 2021pp. 254-269
How Do Migrant Nursing Home Staff Relate to Religion in Their Work With Patients Who Are Approaching Death?
Marta Høyland LavikORCIDBirgitta Haga GripsrudEllen Ramvi
Abstract
Aim
To investigate how migrant nursing home staff relate to religion in their care for patients who are approaching death.
Method and Theory
Individual in-depth interviews were conducted with 16 migrant health care workers from five nursing homes in Norway. The overall analytic approach was hermeneutical. The parts and the whole were interpreted in light of each other to gain a “thick description” of the data material in order to show the ways in which experiential meaning-making draws on cultural webs of sign ificance.
Findings
Religion held various meanings for the migrant health care workers interviewed. Religious and cultural competence and knowledge of migrant nursing home staff was neither asked for by the management nor discussed in the staff group. The way our participants related to religion at work was therefore based on individual preferences and internalized practices.
Conclusion and Implication for Practice
Organized reflection groups among staff are needed in order to integrate and develop religious literacy in the multicultural nursing home setting. Such reflection groups can help the individual staff member to perform holistic nursing, that is, to be attentive of the interconnectedness of biological, social, psychosocial, and spiritual aspects in a human being.
Research article
Restricted accessResearch articleFirst published September, 2021pp. 270-271
How Do Migrant Nursing Home Staff Relate to Religion in Their Work with Patients Who are Approaching Death
Research article
Restricted accessResearch articleFirst published September, 2021pp. 272-284
The Experience of Working With a Faith Community Nurse Liaison of Care in a Primary Care Practice Among Older Adult Clients and Their Informal Caregiver
Loralee SessannaORCIDSherry H. PomeroyYvonne Askew
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Abstract
Informal caregivers of older adults aging in place are at risk for adverse health and financial consequences. This descriptive qualitative study explored the experience of working with a faith community nurse (FCN) liaison of care in a Catholic health care system affiliated primary care practice among older adult clients and their informal caregiver. Semistructured face-to-face interviews were conducted with nine older adult client–informal caregiver dyads, three clients, and one caregiver (n = 22). Interviews were audio recorded, transcribed, and analyzed using Braun and Clarke’s reflexive thematic analysis method. The analysis generated one overarching theme, I’m Sorry the Study and FCN Visits Are Coming to an End, and two key themes, The FCN Was Always There to Help Us (older adult clients) and The FCN Took the Pressure Off of Caregiving for Awhile (informal caregivers). Participants viewed the FCN as an instrumental member of their health care team and considered prayer and spiritual support offered by the FCN an essential element of care.
Review article
Restricted accessReview articleFirst published September, 2021pp. 285-305
Understanding Historical Trauma for the Holistic Care of Indigenous Populations: A Scoping Review
Lucy Joo-CastroORCIDAmanda Emerson
Abstract
Historical trauma refers to the collective depredations of the past that continue to affect populations in the present through intergenerational transmission. Indigenous people globally experience poorer health outcomes than non-Indigenous people, but the connections between Indigenous people’s health and experiences of historical trauma are poorly understood. To clarify the scope of research activity on historical trauma related to Indigenous peoples’ health, we conducted a scoping review using Arksey and O’Malley’s method with Levac’s modifications. Seventy-five articles (1996-2020) were selected and analyzed. Key themes included (a) challenges of defining and measuring intergenerational transmission in historical trauma; (b) differentiating historical trauma from contemporary trauma; (c) role of racism, discrimination, and microaggression; (d) questing for resilience through enculturation, acculturation, and assimilation; and (e) addressing historical trauma through interventions and programs. Gaps in the research included work to establish mechanisms of transmission, understand connections to physical health, elucidate present and past trauma, and explore epigenetic mechanisms and effects ascribed to it. Understanding first what constitutes historical trauma and its effects will facilitate development of culturally safe holistic care for Indigenous populations.

Volume 39, Issue 3, September 2021