Development and evaluation of an inpatient [correction of impatient] holistic nursing care services department

A Concept Analysis of Holistic Care by Hybrid Model

Purpose:

Even though holistic care has been widely discussed in the health care and professional nursing literature, there is no comprehensive definition of it. Therefore, the aim of this article is to present a concept analysis of holistic care which was developed using the hybrid model.

Methods:

The hybrid model comprises three phases. In the theoretical phase, characteristics of holistic care were identified through a review of the literature from CINAHL, MEDLINE, PubMed, OVID, and Google Scholar databases. During the fieldwork phase, in-depth interviews were conducted with eight nurses who were purposely selected. Finally, following an analysis of the literature and the qualitative interviews, a theoretical description of the concept of holistic care was extracted.

Results:

Two main themes were extracted of analytical phase: “Holistic care for offering a comprehensive model for caring” and “holistic care for improving patients' and nurses' conditions.”

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.

Going beyond-the-routines view in nursing: a qualitative study

INTRODUCTION

Nurses' practice of beyond-the-routine view leads to a better treatment process and higher professional status for nurses. However, most studies show that such care is ignored in nursing. The objective of the present study is to analyze nurses' experiences with regard to beyond-the-routine care in order to know this type of better care and encourage nurses to practice it.

METHODS

This is a qualitative study based on conventional content analysis. Eighteen nurses participated in the study. Data collection was based on purposive, snowball and theoretical sampling. The data was collected through comprehensive interviews conducted in various wards at the university hospitals of Urmia and Tabriz, Iran. The collected data was analyzed according to qualitative content analysis and by using the software MAXQDA.

RESULTS

The results showed that the categories of attempting to identify the patients' problems and listening to one's inner voice are effective factors in going beyond the routines in providing care which can in turn lead to more satisfactory care plans.

CONCLUSION

Effective communicative skills, sufficient nursing knowledge, strong religious and professional principles will encourage nurses to provide beyond-the-routine care. Accordingly, it is necessary to emphasize these factors during education in order for nurses to practice this type of caring.