Table 33 - uploaded by Rothlyn P Zahourek
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PURPOSE: This study was done to explore the essence and meaning of the experience of 'aging,' as a process of 40's and 50's women in Korea by applying the Parse's Human Becoming theory (2002).
METHODS: Data was collected from February to April, 2013, using the phenomenological research method. Data was collected through in-depth informal interview...
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... Det borde således vara självklart att som sjuksköterska alltid utgå från människan i ett helhetsperspektiv. En sådan holistisk syn på personen som en person som finns i ett sammanhang, och vars hälsa behöver förstås i relation till den övergripande livssituationen och inte reduceras till symtom, kan emellertid vara utmanande såväl i forskning som i den kliniska vardagen (Montgomery Dossey & Keegan, 2013;Zahourek, 2009). Vården har blivit allt mer specialiserad, och organisatoriska modeller som exempelvis New public management (NPM) kan innebära att kraven på effektivitet och lönsamhet leder till att fokus läggs på specifika och avgränsade problem snarare än på att se personen och dennes hälsa i ett större sammanhang (George, 2017). ...
This chapter focuses on how nurses should act towards Sámi patients in order to promote cultural safety in meetings with the healthcare system. The method applied is a secondary analysis of interviews of 12 persons, as well as participatory observations. The findings show that there still are barriers between health personnel and Sámi patients due to the historic legacy and lack of knowledge. The barriers can be linguistic challenges, different understandings of an illness’s causes and authority distance due to the notion of the Sámi as inferior human beings.
Purpose:
The purpose of this study was to describe and summarize the characteristics of contemporary holistic nursing research (HNR) published nationally.
Design:
A descriptive research design was used for this study.
Method:
Data for this study came from a consecutive sample of 579 studies published in six journals determined as most consistent with the scope of holistic nursing from 2010 to 2015. The Johns Hopkins level of evidence was used to identify evidence generated, and two criteria-power analysis for quantitative research and trustworthiness for qualitative research-were used to describe overall quality of HNR.
Findings:
Of the studies, 275 were considered HNR and included in the analysis. Caring, energy therapies, knowledge and attitudes, and spirituality were the most common foci, and caring/healing, symptom management, quality of life, and depression were the outcomes most often examined. Of the studies, 56% were quantitative, 39% qualitative, and 5% mixed-methods designs. Only 32% of studies were funded. Level III evidence (nonexperimental, qualitative) was the most common level of evidence generated.
Conclusions:
Findings from this study suggest ways in which holistic nurse researchers can strengthen study designs and thus improve the quality of scientific evidence available for application into practice and improve health outcomes.
Objective:
To test the feasibility of a relaxation guided imagery (RGI) intervention for mothers of hospitalized preterm infants and to explore the biobehavioral effects of RGI on their distress, responsiveness, and physiological stress.
Design:
Single sample, pretest-posttest design.
Setting:
A large Level III NICU in Southern California.
Participants:
Twenty mothers of hospitalized preterm infants (24-32 weeks gestational age).
Methods:
Correlational analyses of RGI use with self-reported measures of distress (perceived stress, state anxiety, and depressive symptoms), awakening salivary cortisol level, and salivary cortisol awakening response collected from mothers at baseline and after 8 weeks of an RGI intervention.
Results:
Nineteen mothers completed the study. Average use of RGI varied from 1.7 to 7.4 times per week (mean = 4.46, standard deviation = 2.7). Greater average use of RGI was correlated with lower awakening cortisol levels (r = -.38), greater cortisol awakening response (r = .36), and lower levels of distress (perceived stress [r = -.38], anxiety [r = -.43], and depression [r = -.41]).
Conclusion:
Relaxation guided imagery may be a feasible and acceptable intervention to reduce mental and physiologic stress and improve responsiveness in mothers of hospitalized preterm infants.
This article presents an emerging model of healing transformations to guide nurses in caring for those living with a chronic illness. A review of the literature on chronic illness and its relationship to lifestyle behavior change and transformative nursing practice is included. Derived from qualitative narratives, this work reports the clusters of phenomena within each phase of the model. The model emerged from data gathered during 36 in-depth interviews with 18 men and women living with chronic skin wounds. During two interviews, each participant shared important life stories and meaningful reflections on living with a chronic skin wound. Using the theory of health as expanding consciousness, analysis of each participant's life story revealed individual life patterns and patterns across participants. These patterns were validated and reflected on with participants during the second interview. Synthesizing participants' patterns of responses, the model of healing transformations emerged. Developed from clients' experiences, the model of healing transformations provides rich insight into the nature of healing and the central role of the nurse practicing from a holistic perspective in this process. Nurses make a positive difference in the healing trajectory of those living with chronic illnesses such as chronic skin wounds.
