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Advanced Holistic Nursing Practice Narratives: A View of Caring Praxis
Mary Enzman Hines1,2, Jennifer Gaughan2
1University of Colorado, Colorado Springs.
Summary
Advanced holistic nurses (AHNs) find it challenging to articulate their practice of caring. This study identified seven key themes of caring-within-practice, offering insights into holistic nursing care.
Area of Science:
- Holistic Nursing
- Advanced Practice Nursing
- Qualitative Research
Background:
- Advanced holistic nurses (AHNs) are recognized for healthcare transformation but struggle to articulate their caring practices.
- Existing nursing research lacks detailed descriptions of caring within advanced practice settings.
- A gap exists in understanding the lived experiences of caring in advanced holistic nursing.
Purpose of the Study:
- To explore and describe the concept of caring-within-practice for advanced holistic nurses.
- To identify common themes and elements of caring as experienced and enacted by AHNs.
- To illuminate the nuanced ways AHNs provide holistic care through secondary analysis of narratives.
Main Methods:
- Secondary analysis of qualitative narratives from six advanced holistic nurse participants.
- Participants provided reflective narratives on patient exemplars of caring.
- John's model for structured reflection was used to deepen narrative analysis.
Main Results:
- Seven distinct themes of caring-within-practice emerged: normalizing the environment, creating sacred space, being rooted in compassion, the art of being present, establishing trust-caring, coaching the family as caregiver, and inspiration for the future.
- Narrative excerpts illustrated these themes, providing rich descriptions of AHN practice.
- The findings offer a detailed portrayal of how AHNs enact caring in diverse settings.
Conclusions:
- Caring-within-practice for AHNs is a multifaceted phenomenon encompassing environmental, relational, and inspirational aspects.
- The identified themes provide a framework for understanding and articulating advanced holistic nursing care.
- Further research and education can benefit from these insights to enhance the practice and recognition of AHNs.
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