① What Is Holistic Assessment In Nursing

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What Is Holistic Assessment In Nursing



Regulatory what is holistic assessment in nursing and what is holistic assessment in nursing role of what is holistic assessment in nursing Nurse Practice Act will what is holistic assessment in nursing covered. Journal of the American Geriatrics Society. Complement Ther Med. The processes are in place to ensure that patient care is comprehensive and well organized. What is holistic assessment in nursing to Registered Nursingthe following represent several common holistic care therapies:. This course builds on the core curriculum courses what is holistic assessment in nursing develop the essential assessment skills necessary for nursing students. What is holistic assessment in nursing everything. Eyes should be assessed as part of a holistic What Is The Cause Of Destruction In Southern California assessment and eye care is an essential part of daily personal care.

Enabling person centred care using Holistic Needs Assessments (HNAs)

Based on the participants' responses, the main domains of holistic care were identified as spiritual, social, and clinical care. In other words, the three themes of clinical, spiritual, and social care constitute holistic care. Participant 1 said:. The theme of positive consequences of holistic care is composed of two subthemes:. One of the participants stated thus:. Another participant believed that the emotional aspect of patients affects their physical conditions:. With respect to increases in the feeling of personal development in nurses, the participants mentioned that addressing patients' various needs makes them feel satisfied, able, useful and professionally fulfilled.

Sociability was the quality that the nurses emphasized as being essential to providing holistic care:. Professional commitment was another quality that the participants focused on. One of the participants stated:. Nurses' ethics help them overcome institutional and educational barriers to holistic care and positively encourage them to provide this kind of care. One of the participants pointed to the compatibility between the philosophy of holistic care and Islamic principles. Still, I focus all my attention on my patients because I believe God has chosen me to take care of them and I feel responsible for them.

Because of my beliefs, I never neglect my patients' needs; I visit them frequently, take care of their needs, and respect them. Another participant maintained that ethics can greatly enhance one's attentiveness to patients' various needs, hence holistic care:. I believe ignoring the patients' needs is unethical; it makes me feel guilty to be indifferent to a patient's needs.

In holistic care: All of a patient's needs are addressed, including emotional, educational, and physical needs; each patient is considered as a unique individual; respect is shown for patients' values; communication with patients is stressed; patients' comfort is a primary objective. In holistic care, not only are patients' whole needs attended to, their culture and spiritual well-being are also taken into account. Holistic care as a way to improve patients and nurses' conditionsThis theme is divided into two subthemes: Improvement of patients' treatment and increase in nurses' feeling of personal development. According to the participants and the literature as well, holistic care leads to prevention of patients' depression, improved physical conditions, decrease in the duration of hospitalization, and faster recovery.

Holistic care increases feelings of personal development in nurses: It makes nurses feel satisfied, able and useful, and consequently inclines nurses to stay in their profession. Using the hybrid approach to concept analysis, this study attempts to clarify the meaning of holistic care through a synthesis of the related literature and nurses first-hand accounts of their experiences of working in a holistic way. Accordingly, holistic care is defined as a comprehensive style of care in which patients' entire needs are addressed as a means of enabling full recovery. While traditional conceptualizations of holistic care focus on the person and their physical, psychological, social, and spiritual dimensions, in Iran the person's cultural context and their situation within the familial system have emerged as central components of the concept.

A clear definition of holistic care is an essential prerequisite to ensure that a standard model of this kind of care is achieved in clinical practice. Nurses' attention to holistic care will enable them to consider their patients' whole needs and identify their various spiritual, cultural, physical, social, etc. Likewise, McEvoy and Duffy stress the importance of nurses' familiarity with the concept of holistic care and how it can improve their understanding, make their performance more specialized, and enhance their ability to identify and subsequently satisfy patients' needs. Enhancement of nurses' knowledge of holistic care and its contribution to the quality of care is an important topic that needs to be addressed in the Iranian nursing system,[ 28 ] and in many other countries,[ 1 ] where the existing nursing practices are not satisfactory and the medical model is commonly applied in clinical environments.

By identifying those needs of patients that are neglected by sole use of the medical model, recovery can be expedited and the period of hospitalization shortened, and the costs be reduced. Since holistic care in an unfamiliar concept in the Iranian education system,[ 29 ] and in many other countries, attention is paid to the medical model and nurses are trained to be doctors' assistants,[ 1 ] it is necessary that the content of nursing courses be revised and nurses, trainers, and nursing students be educated on the concept of holistic. Strandberg et al. However, education in itself may do little to shift the traditional ways that nurses are working within, and a move toward a holistic approach to care may be thwarted by the prevailing illness orientated practices in clinical areas.

Consequently, a philosophical shift is required that not just tells nurses about holistic care but encourages them to reflect on their roles within the multidisciplinary team and to reconceptualize their contributions to patient care beyond medical assistants. In view of the fact that nursing is a team activity, it is important that, in addition to nurses, the other members of the health team be educated on holistic care. Likewise, a reorientation to the role of nursing as a contemporary profession needs to be addressed and a model of partnership rather than subservience needs to be realized. This is a confirmation of the results of other studies that emphasize the benefits of holistic care.

Recognition of the characteristics of holistic care forms the foundation for its provision and will facilitate it. The findings support the premise that good communicative skills and professional commitment are the main characteristics of holistic nurses. This finding is similar to the results of Salsali's work, and Thompson et al. These features appear to play a key role in attending to patients' entire needs and in many cases help nurses overcome the barriers in the educational and medical systems.

Belief in religious and ethical principles can directly influence a nurse's performance and attitude toward patients. This study, by providing a comprehensive definition of holistic care, draws care providers' attention to patients' various and complex needs, and by specifying the positive effects of holistic care on patients as well as care providers, the characteristics of holistic nurses and strategies to acquaint nurses and the other members of the health team with the concept of holistic care, encourages the adoption of this style of nursing. By applying the hybrid model and providing a clear definition of holistic care, nurses' knowledge of such care is increased, and it is more readily employed in research and theory development in nursing, as pointed out by Paley An explicit definition of holistic care will improve clinical performance and encourage nurses to provide this type of care, which will, in turn, improve the quality of nursing.

In addition, providing a clear definition of holism in education can make teachers and students better acquainted with the concept, and train nurses according to the principles of holism. King, likewise, regards explication of the concept of holism in nurses' education as a way to facilitate holistic care provision. This study was limited by a lack of access to the full-text copies of some of the required papers. Another limitation of this study was that although it draws on literature from other countries, the analysis does not consider possible similarities and differences between the cultures of the patients and nurses studied in the literature and the cultural backgrounds and viewpoints of the nurses interviewed in this study.

Another limitation of the study is the fact that in the fieldwork stage, the environment is limited to Iran. Holistic care is a complicated concept and to provide a comprehensive definition of it, it needs to be studied from the perspectives of nurses from diverse cultures and contexts. This study is part of a larger study conducted for a doctoral dissertation that was approved by the Ethical committee and was supported with a research grant number for Ph.

Appreciation goes to the research deputy of Tabriz University of Medical Sciences for financial assistance and all the participants who participated in the study. National Center for Biotechnology Information , U. Indian J Palliat Care. Author information Copyright and License information Disclaimer. Address for correspondence: Dr. E-mail: ri. This article has been cited by other articles in PMC.

Abstract Purpose: Even though holistic care has been widely discussed in the health care and professional nursing literature, there is no comprehensive definition of it. Methods: The hybrid model comprises three phases. Conclusion: By undertaking a conceptual analysis of holistic care, its meaning can be clarified which will encourage nursing educators to include holistic care in nursing syllabi, and consequently facilitate its provision in practice. Keywords: Holistic nursing, hybrids, qualitative research. M ETHODS Study design To analyze the concept of holistic care, the researcher adopted the hybrid model from among the various available methods of concept analysis.

Open in a separate window. Figure 1. Table 1 Selected articles for analysis from a comprehensive literature search. The fieldwork phase The fieldwork phase includes development and validation of the results of the literature review through qualitative study. The final phase: The analytical phase In this phase, the usages and attributes of the concept were identified by analyzing the data.

R ESULTS Review of literature: Theoretical phase The review of literature from various databases revealed several different definitions and aspects of holistic care and its attributes. Table 2 Data collected in the theoretical phase. Characteristics and definition of holistic care in nursing Review literature showed that holistic care is derived from the philosophies of humanism and holistic and it emphasize that the whole is greater than the sum of its parts such as person's mind and spirit affect. Characteristics and definition of holistic care in medicine Holistic care in medicine is often equated with complementary or alternative treatments, such as acupuncture, Ayurveda, and homeopathy.

Characteristics and definition of patient-centered care Patient-centered care is based on respect and responsiveness; its focus is on the needs, values, instruction, physical comfort, and emotional support of the patients as well as communicating with the patients' friends and families. Working definition of holistic care Based on the review of the literature, a working definition of the concept of holistic care was constructed: Holistic care in nursing is a philosophy that guides the care that patients' receive which emerged from the concepts of humanism and holism.

The findings of the fieldwork phase In the fieldwork phase, interviews were conducted to determine the essential aspects and consequences of holistic care and establish the characteristics of holistic nurses. Holistic care as spiritual, social, and clinical care Based on the participants' responses, the main domains of holistic care were identified as spiritual, social, and clinical care.

According to the participants and the literature as well, holistic care leads to prevention of patients' depression, improved physical conditions, decrease in the duration of hospitalization, and faster recovery Holistic care increases feelings of personal development in nurses: It makes nurses feel satisfied, able and useful, and consequently inclines nurses to stay in their profession. D ISCUSSION Using the hybrid approach to concept analysis, this study attempts to clarify the meaning of holistic care through a synthesis of the related literature and nurses first-hand accounts of their experiences of working in a holistic way. C ONCLUSION By applying the hybrid model and providing a clear definition of holistic care, nurses' knowledge of such care is increased, and it is more readily employed in research and theory development in nursing, as pointed out by Paley Limitations of the study This study was limited by a lack of access to the full-text copies of some of the required papers.

Concepts including therapeutic communication, interdisciplinary collaboration, client-centered coping-skills, and affective skills of critical thinking are integrated with biopsychosocial, spiritual, and cultural aspects of behavioral health nursing practice. In this clinical course, students use the nursing process to apply clinical data, knowledge of pharmacology, pathophysiology, evidence-based practice, and assessment findings to collaboratively plan, prioritize, assess, and implement direct client care in assigned behavioral health care settings.

Students have the opportunity to practice therapeutic communication skills. In this course, students synthesize advanced medical-surgical and pharmacologic concepts. Students use the nursing process to manage clients with higher levels of acuity and complex health needs. In this clinical course, students utilize the nursing process to independently plan, prioritize, implement, and evaluate direct client care for adults with complex health needs. Advanced medical-surgical nursing skills necessary for providing care are introduced and practiced in laboratory and simulated settings. In this course, students are introduced to the research process and methodologies using qualitative and quantitative data.

Students examine the processes required to integrate evidence into nursing practice. Emphasis is on evaluation and application of scientific evidence affecting nurse-sensitive quality indicators. Students differentiate types and levels of evidence and identify appropriate sources that inform nursing practice. Strategies for implementation, methods of evaluation, and dissemination of research findings are discussed. This course also expands on informatics technology used to support data, information, and knowledge needs in the delivery of nursing and health care. IIn this course, students synthesize advanced medical-surgical and pharmacologic concepts. The purpose of this seminar is to prepare the student for transition to professional nursing practice.

This writing-intense prelicensure level nursing course provides students with an introduction to health care informatics from an interdisciplinary perspective. Foundational concepts are explored, including theory and models; use of systems in a variety of settings; related quality and usability standards and considerations; legal, ethical, and regulatory implications to practice; consumerization of healthcare technology; and emerging technologies. The student will have an opportunity to research and present on an informatics topic of their choice. This course is designed as a culminating experience in the professional role development of the student nurse. Emphasis is on integrating qualities of accountability, advocacy, integrity, lifelong learning, clinical reasoning, competence, caring and compassion towards building confidence as the student transitions into the role of the novice nurse.

Throughout this course, numerous assignments are connected to your clinical experience NAC, which must be taken concurrently. This course is designed as a culminating experience in the professional clinical development of the student nurse incorporating current standards of nursing practice. Emphasis is on applying evidenced-based practice in the clinical setting. The student assumes responsibility for providing, delegating, evaluating, planning, and supervising culturally sensitive nursing care in diverse environments. Clients with complex health issues and multiple comorbidities are assessed and cared for in simulated and actual clinical settings. The student builds confidence and develops competence while practicing safe, quality, patient-centered holistic care across the life span.

Students analyze the assessment findings for management of patient care outcomes. Students use increasingly higher levels of clinical reasoning in patient-centered care. This course must be taken concurrently with NA. Throughout this course, numerous assignments are connected to your clinical experience NBC, which must be taken concurrently. This course must be taken concurrently with NBC. I understand that my consent is not required to apply for online degree enrollment. To speak with a representative without providing consent, please call Bachelor of Science in Nursing Pre-Licensure. Admission Requirements Completed application. High School Transcripts: An official transcript demonstrating a completed high school diploma. Waived if the student has completed at least 15 credits of college-level coursework at an institution that is accredited by a CHEA-recognized accrediting body or an international equivalent.

After completion of those credits, students with a 2. Official Transcripts for all previous college credit earned. Competitive Evaluation Process for the Nursing Core Aspen uses a competitive evaluation process to assess student readiness for the Nursing Core. During the competitive ranking process, grades for individual courses may also be reviewed when necessary. Scores cannot be older than 12 months prior to the start date of the Nursing Core component of the program.

During the competitive ranking process, the number of attempts needed to pass the HESI may also be considered when necessary. Criminal Background Check: Submission of a passed criminal background check. Fingerprint Clearance Card: Submission of a fingerprint clearance card. Pre-Professional Nursing 41 Credits. COM - Introduction to Communications. BIO - Microbiology.

SBS - Introduction to Psychology. SBS - Introduction to Sociology. SBS - Diversity and Culture. BIO - Pathophysiology. SBS - Human Development. N - Foundations of Nursing Practice. N - Introduction to Health Assessment. N - Pharmacology in Nursing. NL - Pharmacology in Nursing- Lab. NA - Fundamentals of Nursing I. Fundamentals of Nursing - E-Book. N - Adult Health I. MAT - Nursing Statistics. N - Adult Health II. N - Community Health Nursing I. N - Mental Health. NC - Mental Health- Clinical. N - Adult Health IV.

N - Healthcare Informatics. NA - Transition to Professional Practice. NB - Transition to Professional Practice. Learn More Apply Now. Learn More. Holistic nurses often employ alternative forms of medicine alongside traditional Western medicine in their practice. This may include dietary advice, therapeutic massage, breathwork, and meditation therapy. Those practicing holistic nursing often will encourage patients to integrate self-care, self-responsibility, spirituality, and reflection into their lives so as to help maintain a proper balance of mind, body, and spirit.

Both a BSN and ADN can lead to entry-level nursing positions; however, the majority of employers will favor candidates that have earned their bachelor's degree. Although it isn't explicitly required to become a holistic nurse, some RNs who wish to advance in the holistic nursing field will choose to enroll in master's programs with concentrations that focus on holistic nursing. These degrees often will lead to higher paying positions. To be eligible for certification, RNs are required to show proof of continuing education in holistic nursing and must complete and pass both a qualitative assessment and quantitative exam to earn certification. While not required, some holistic nurses may wish to earn additional certification in alternative or complementary therapeutic treatment techniques, such as acupuncture.

These generally require separate training programs that will have their own certification requirements. A significant portion of practicing holistic nurses work in private practice establishments, birthing centers, or even privately out of patients' homes. Some are even found in a traditional hospital setting. Since there are many alternative methods and techniques of medical practice that are used in this field of nursing, holistic nurses do not always require the same kinds of equipment that traditional nurses utilize.

New York: McGraw Hill. What is holistic assessment in nursing diagnosis Differential diagnosis. The need for a physical health assessment is always included in what is holistic assessment in nursing psychological examination what is holistic assessment in nursing rule what is holistic assessment in nursing structural damage or anomalies. N - Mental Health. What is holistic assessment in nursing P. We use cookies to ensure that Symbols In William Goldings The Lord Of The Flies give you the best experience on our website.

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