Holistic Core Values Holistic nursing care involves treating the patient mind and body, as well as providing comfort through prayer. The overall ideal goal of providing holistic care is treating the patient as a whole. There are certain standards and guideline designed by the American Holistic Nursing Association in which establish the core values of holistic nursing (Frisch, 2001, p. 1). This paper will discuss the core value number three: holistic communication, therapeutic environment and cultural diversity. Second, an interview was conducted with two co-workers Ms. C.D. and Ms. N.S. and Mrs. T.R., a family member concerning the selected core value. Their opinion concerning the selected core value will be further discussed in this paper. Third, the concept of healing and cure will be discussed, including the difference between the two terms. Fourth, a clinical experience will be discussed in there was no cure but healing demonstrated within the patient. Finally, there will be details of the healing process identified by the patient, family and nurse. The purpose of this paper is to discuss significance of core value number three: holistic communication, therapeutic environment and cultural diversity as it pertains to providing holistic nursing care.
Core Value The core value number three: holistic communication, therapeutic environment and cultural diversity considers the patient current health and therapeutic interventions in order to provide holistic nursing care. The
“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also
Although the caring act of nursing has not changed, the attitude and approach to the practice must be adjusted to meet the current health care needs. At the present time, care providers are not only faced with the challenge of providing quality and efficient care, but also, the issues of communicating with patients of various cultures. Even with several resources and guidelines available to clinicians, in the real-time setting, nurses, with their hurried tasks, often resort to stereotyping, feeling incompetent to offer holistic care to cultural groups. In order to meet the needs of a multicultural population, nurses must have useful parameters they can readily apply at the bedside to be able to provide a quality,
In a nutshell, it is clear that holistic nursing together with its complementary and integrative therapies shall be applied and kept in mind for curing the patients. It shall be made sure that the environment, communication and therapies are kept friendly, which will help the patient to recover faster. As a nurse practitioner, I gain a lot as discussed because of the holistic nursing practice. I would recommend each nurse across the world to go after
Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011).
Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do
Nurses who work in holistic medicine will perform patient assessments to identify short- and long-term needs. They will facilitates patient and family involvement in developing holistic care plans. They will provides holistic health care interventions that are goal-oriented, researched-based and patient-focused. They evaluates the effectiveness of interventions and modify care practices based on results. They share relevant patient care information to promote continuity of care between different provider
Patient centered care is a core component of nursing practice. Understanding and practicing cultural competence is a central element of delivering patient centered care. One approach to understanding other cultures is by utilizing the Purnell Model for Cultural Competence. According to Larry Purnell (2002), cultural competence is defined as “the adaptation of care in a manner that is consistent with the culture of the client and is…a conscious process and nonlinear” (p. 193). In the model, culture is divided into 12 different domains: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health care practices, and health care practitioner (Purnell, 2002). This model is an excellent framework for assessing and interpreting the cultural complexities of each patient so the best individualized care can be provided. I have used this model and each of its domains in an interview with my friend, Surbhi Patel, in an attempt to further understand her culture.
This can alleviate stress, which contributes to physical and emotional imbalance. Providing holistic care states Maier-Lorentz (2008), is defined as formulating a care plan that meets the individual needs of the patient. Leininger’s theory is the holistic model that supports such care and allows for advancement in transcultural nursing through research (Maier-Lorentz, 2008). To provide such care, while remaining culturally aware, the nurse must be void of any biases and stereotypes as a result of his or her own socialization. Lowe and Archibald (2009), state that there is no formulary approach in nursing practice to adequately deal with cultural diversity, because of preconceived notions and stereotypes. This practice has to be achieved through training and acquired knowledge. Training in providing culturally competent care promotes cultural self-awareness, knowledge of other cultures as well as recognizing the impact of culture on the nurse-patient relationship (Pesquera, Yoder & Lynk, 2008).
intentional beneficial implications and health results for individuals of different cultural backgrounds. The model theory developed into some nursing practices referred to as the transcultural nursing, which is a study and practice emphasizing on the comparative cultural care concepts and values, practices, beliefs of groups and individuals sharing a common culture. The goal is to avail culturally specific and universal care practices within the nursing profession to promote the health and well being of the patients. The theory model therefore assesses the cultural set up of a given patient’s background to avail a comprehensive and holistic overview of the client’s environment (Petiprin, 2015). A theory that is most relevant in addressing
In 1998, the American Holistic Nurses’ Association defined holistic nursing as “all nursing practice that has healing the whole person as its goal.” Holistic nursing integrates alternative medicines, such as meditation, Reiki, yoga, guided imagery, etc., with traditional medicine. With a holistic nursing approach, the whole person is treated, rather than just their symptoms. Patients are viewed as individually unique, therefore two people with the same disease may receive two very different treatments. Holistic nursing also puts an importance on patient
As nurses, we have to be transcultural and put our own beliefs and practices aside, and focus on the patient’s beliefs and practices in order to provide proper nursing interventions to help patients improve their health (DeSantis, 1994, p.708). The nurse must look at the patient as a way to learn about different cultures. The patient is the nurse’s source of information about the culture. Without understanding the effects of culture, many situations could be dangerous (DeSantis, 1994, p.714). Caregivers taking care of different populations must be aware of the many observances, and must ensure situational awareness to make the patients feel comfortable and trust that caregivers understand the patients’ needs in order for healing and health improvement to happen. Medical professionals have to be able to work with people from many different cultures as globalization
A basic concept of holistic medicine is that the patient’s physical, emotional, and spiritual belief will affect their overall health. The mind, body, and spirit must be viewed as one. The patient’s cultural beliefs and preferences must be included in their plan of care as well. According to Jasemi, Zamanzadeh, Valizadeh, Keogh, and Taleghani (2015), “holistic care increases self-awareness and self-confidence in patients and causes nurses to better understand the effects of an illness on a person's entire life and their true needs” (p.214). As a new provider, it is important to understand that holistic care may result in various outcomes. Some patients will not have a full recovery from an illness or disease. The philosophy of holistic care is utilized at all stages of life. The final stage is a perfect example. Every patient deserves to die with peace and dignity, and they deserve to live as independently as possible until that day. The use of massage therapy, acupuncture, chiropractic care, and naturopathy will be seen when utilizing holistic care. As a new APRN, it is important to educate the patient on the importance of diet, exercise, psychotherapy, and spiritual counseling. When caring for patients in a holistic manner, you must incorporate all aspects of their life in order to optimize their
As I prepare to enter the nursing field, I am confronted with the complexity of this career. There are no strict guidelines as to how we choose to care for our patients making it the nurses responsibility to ensure quality care. Every patient is unique and deserves to have their care tailored to them. Creating a personalized care plan can be difficult because there are so many aspects that make each person different such as their diagnosis, lifestyle choices, socioeconomic status and ethnicity. However, it is essential to address these areas of their life to create the best possible health outcome. Creating a holistic care plan proves to the client that you want to see them succeed in the hospital and once they are discharged. Providing holistic
The Theory of Culture Care Diversity and Universality is founded on the principle the compassion is the crux of nursing (Black, 2014, p.277). In order to provide care effectively, one must demonstrate empathy toward his or her patient. Additionally, Leininger’s theory calls for transcultural nursing, which is centered on culture as the basis for care delivery; essentially, it is the provision of culturally competent care (Narayanasamy, 1999). To allow the nurse to assess a patient culturally, Leininger devised the sunrise model, which encompasses multiple traits specific to an individual’s cultural background.
Aru Narayanasamy’s (2006) qualitative research on holistic care focused on the effects Narayanasamy’s previous empirical studies have had on nursing education. In today’s society, holistic care this is not considered as a mean of medical intervention. But yet it can provide a profound healing power for patients by giving them hope and a sense of purpose. For instance, by praying, individuals satisfy their spiritual needs and strengthen their belief in higher power. Believing that a higher power has the ability to heal will provide emotional and spiritual support for those who have faith. Although previous studies (Koening, 1998; Write, 2002) demonstrating the positive effects of prayers on individuals with health complications, still the medical field professionals are reluctant of accepting and practicing this belief in their treatment interventions. To be able to answer above question, of whether previous studies on holistic studies have affected nursing education, Narayanasamy’s study relied heavily on action research in which he reviewed large amount of previous primary qualitative research conducted on the same topic. Additionally, Narayanasamy incorporated surveys in this research to get the current state of nurses holistic care practices. Participants in the survey consisted of nurses representing adult, child and mental health care units. It is not specifically stated in the research how many surveys were collected. However, the data that