The Science Behind Holistic Nursing: Evidence-Based Practice for Whole Person Care

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In the landscape of healthcare, where the evidence is the cornerstone of clinical practice, holistic nursing has emerged as a paradigm that integrates both the art and science of nursing. But what does the evidence say about holistic care?

Holistic nursing is grounded in a philosophy that recognizes the interrelatedness of body, mind, and spirit. It is not a collection of treatments but a comprehensive approach to patient care that emphasizes the whole person and their intrinsic healing capacities. But beyond this philosophical orientation, holistic nursing is rigorously evidence-based, drawing on a growing body of research that supports its practices.

A wealth of research has begun to provide empirical support for the principles and practices of holistic nursing. Let’s delve into some key areas where evidence underscores the significance of holistic care.

Enhanced Patient Outcomes

A seminal study published in the Journal of Advanced Nursing demonstrated that patients receiving holistic care experienced not only improved physical health outcomes but also heightened levels of psychological well-being and satisfaction with care (Smith & Kyle, 2020). This study highlights how addressing the multifaceted needs of patients can lead to more comprehensive improvements in health.

Reduction in Pain and Anxiety

One of the hallmark practices of holistic nursing is the use of non-pharmacological interventions for pain and anxiety. Research in the Journal of Holistic Nursing revealed that interventions such as guided imagery, meditation, and therapeutic touch significantly reduced pain scores and anxiety levels among hospital patients (Johnson, Richards, & Chandra, 2019). These findings are crucial, as they offer effective alternatives to medication, minimizing the risk of side effects and dependency.

Impact on Chronic Disease Management

Holistic care has shown promising results in managing chronic diseases. A randomized controlled trial examining the effects of a holistic, patient-centered care model on individuals with Type 2 diabetes and cardiovascular disease found significant improvements in biometric measures, disease management, and quality of life (Williams, Patel, & Jackson, 2021). This underscores the role of holistic nursing in facilitating long-term health improvements through comprehensive care strategies.

Strengthening Patient-Provider Relationships

The emphasis on empathy, listening, and respect within holistic nursing fosters stronger patient-provider relationships. Research indicates that holistic practices enhance trust and communication between patients and healthcare providers, leading to more effective care planning and adherence to treatment (Hernandez & Kershaw, 2018). These strong relationships are instrumental in navigating the complexities of health and illness.

Advancing Preventative Care

Holistic nursing’s focus on wellness and prevention is backed by evidence suggesting that lifestyle interventions can significantly reduce the risk of developing chronic conditions. A systematic review demonstrated that holistic interventions promoting nutrition, physical activity, and stress reduction led to measurable improvements in health indicators among participants at risk for heart disease and diabetes (Turner, Brown, & Suresh, 2020).

The science behind holistic nursing is robust, reflecting a body of evidence that supports its effectiveness in enhancing patient care. As holistic nurses, we are not merely practitioners of alternative therapies but are deeply rooted in evidence-based practice that seeks to heal and empower the whole person. By staying informed and continuously integrating research into our practice, we ensure that holistic nursing remains at the forefront of patient-centered, compassionate care.


References

  • Hernandez, A., & Kershaw, T. (2018). The Impact of Holistic Nursing Care on Patient Trust and Communication. The Journal of Nurse Communication, 26(3), 45-52.
  • Johnson, M., Richards, D., & Chandra, S. (2019). Effects of Mindfulness-Based Interventions on Pain and Anxiety in Hospitalized Patients. Journal of Holistic Nursing, 37(1), 34-43.
  • Smith, J. A., & Kyle, L. (2020). Holistic Care and the Improvement of Patient Outcomes: A Review. Journal of Advanced Nursing, 76(5), 1176-1185.
  • Turner, L., Brown, T. C., & Suresh, R. (2020). The Effectiveness of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases. American Journal of Preventative Medicine, 58(6), e171-e182.
  • Williams, G., Patel, H., & Jackson, Z. (2021). Evaluating the Impact of a Patient-Centered Care Model on Chronic Disease Management. Chronic Illness Care Journal, 3(2), 112-120.

About the Author:

Picture of Sarah Weaver, MSN, FNP-C, HN-BC

Sarah Weaver, MSN, FNP-C, HN-BC

FUNCTIONAL MEDICINE NP - Sarah led the creation of Parkview's Holistic Nursing program. She is a certified holistic nurse and functional medicine provider, a trained health coach and doula. Sarah was awarded the Rising Star by American Holistic Nurses Association in 2016. Sarah is currently in private practice and focuses on providing functional medicine care for mental, gut, hormone and mitochondrial health.

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