The fuzzy concept of ‘holistic care’: a critical examination

Bullington, Jennifer; Fagerberg, Ingegerd

doi:10.1111/scs.12053

Cited by 16 publications

(24 citation statements)

References 7 publications

(7 reference statements)

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“…Holistic care is a nebulous and subjective concept. [ 13 ] In general, it describes approaches and interventions that are meant to satisfy a patient's physical, mental, emotional, and spiritual needs. [ 14 ] However, this definition is not comprehensive, and research demonstrates that the concept of holistic care is frequently used by nurses in a variety of contexts without any clear knowledge of what is meant by it.…”

Section: Introductionmentioning

confidence: 99%

“…[ 14 ] However, this definition is not comprehensive, and research demonstrates that the concept of holistic care is frequently used by nurses in a variety of contexts without any clear knowledge of what is meant by it. [ 13 ] Thus, the meaning of the concept of holistic care often remains unclear and ambiguous[ 1 ] and usually incorrectly understood. [ 15 ] Most often, “holistic care” is viewed with disapproval and condemned as unspecialized, unscientific, wasteful, and time-consuming.…”

Section: Introductionmentioning

confidence: 99%

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A concept analysis of holistic care by hybrid model

Jasemi

Valizadeh

Zamanzadeh

et al. 2017

Indian J Palliat Care

116

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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.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A concept analysis of holistic care by hybrid model

Jasemi

Valizadeh

Zamanzadeh

et al. 2017

Indian J Palliat Care

116

View full text Add to dashboard Cite

show abstract

“…[ 4 ] In view of the great influence of holistic care on treatment and more effective nursing, the health-care systems in many countries in recent decades have tried to promote holistic care by applying changes to the educational and administrational systems,[ 4 ] but studies show that their efforts have been fruitless. [ 21 22 ]…”

Section: Introductionmentioning

confidence: 99%

Effective factors in providing holistic care: A qualitative study

Zamanzadeh¹,

Jasemi²,

Valizadeh³

et al. 2015

Indian J Palliat Care

118

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Background:Holistic care is a comprehensive model of caring. Previous studies have shown that most nurses do not apply this method. Examining the effective factors in nurses’ provision of holistic care can help with enhancing it. Studying these factors from the point of view of nurses will generate real and meaningful concepts and can help to extend this method of caring.Materials and Methods:A qualitative study was used to identify effective factors in holistic care provision. Data gathered by interviewing 14 nurses from university hospitals in Iran were analyzed with a conventional qualitative content analysis method and by using MAXQDA (professional software for qualitative and mixed methods data analysis) software.Results:Analysis of data revealed three main themes as effective factors in providing holistic care: The structure of educational system, professional environment, and personality traits.Conclusion:Establishing appropriate educational, management systems, and promoting religiousness and encouragement will induce nurses to provide holistic care and ultimately improve the quality of their caring.

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“…[19,20] As person-centered care has been found to nurture the "personhood" of patients, several studies have concluded that it is the best model for improving older people's quality of life. [12,19,20] However, although the concept "person-centered care" has become very popular, Fagerberg and Bullington [21] fear that it risks being used in just as inaccurate and eroded a manner as "holistic care"; that it is "on the way to becoming the same kind of buzz word as holistic care", [21] which in itself justifies this study of how nurses perceive the prerequisites for person-centered care. The person's knowledge and understanding are prerequisites for participation and influence over their health, care and treatment.…”

Section: Theoretical Framework -Person-centered Carementioning

confidence: 85%

Prerequisites for person-centered care – As described by community care nurses

Pennbrant

Lyckhage

Nilsson

2014

Clinical Nursing Studies

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Aim: The aim of this study was to describe nurses' experiences of person-centered care within an integrated care chain. Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data. Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills. Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

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The fuzzy concept of ‘holistic care’: a critical examination

Cited by 16 publications

References 7 publications

A concept analysis of holistic care by hybrid model

A concept analysis of holistic care by hybrid model

Effective factors in providing holistic care: A qualitative study

Prerequisites for person-centered care – As described by community care nurses

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