NYSNA Continuing Education
NYSNA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's (ANCC) Commission on Accreditation.
All ANCC accredited organizations' contact hours are recognized by all other ANCC accredited organizations. Most states with mandatory continuing education requirements recognize the ANCC accreditation/approval system. Questions about the acceptance of ANCC contact hours to meet mandatory regulations should be directed to the Professional licensing board within that state.
This course meets the Florida State Requirements for Mandatory Continuing Education on Domestic Violence as defined in S741.28 as part of biennial relicensure.
NYSNA has been granted provider status by the Florida State Board of Nursing as a provider of continuing education in nursing (Provider number FBN3265).
The purpose of this course is to familiarize the learner with the principles and theories of holistic nursing practice and healing. This course will assist the student in comprehending the meaning of a holistic perspective for theory development, practice implications, and daily life. Experiential interventions are used to enhance effective communication with self and others.
As you begin this course, in an effort to immediately apply concepts of holistic nursing and to prepare you to take this course, let's focus briefly on you, the learner.
Remove any distractions or noises from the room. You may wish to have a blank piece of paper and pen to record any thoughts or insights. Find a comfortable position in your chair, putting both feet on the floor. You may choose to play some relaxing music. Take several deep breaths, listening to each breath moving in . . . and out. Deep, abdominal breaths, cleansing . . . clearing your mind. Feel the energy of the start of each breath. As you relax, let a beam of light, such as the rays of the sun, shine on you for comfort and healing. Allow yourself to experience the warmth and relaxation. As you bask in this healing light, reflect on the following self-assessment questions: Do I exercise without guilt? Do I practice relaxation daily? Do I take risks? Do I recognize that the different roles of my life are expressions of my true self? Do I operate from the perspective that life has value, meaning, and direction? When you are ready, you may record any insights gained from this reflective experience. You are now centered, relaxed, and ready to begin.
About Holistic Nursing
In 1980, Charlotte McGuire founded the American Holistic Nurses Association to encourage nurses to be models of wellness. The objectives of the organization include improving the quality of health care by promoting education, participation, and self responsibility for wellness; to function as an empowering network for persons interested in holistic nursing; and to explore, anticipate and influence new directions in health care.
The philosophy of the American Holistic Nurses Association is that nursing is an art and a science. The primary purpose of holistic nursing is to assist others in achieving the wholeness inherent within them. Disease or distress is viewed as an opportunity for increased awareness of the interconnectedness of body, mind and spirit. The American Holistic Nurses Association has developed Standards of Holistic Nursing Practice to define and guide the practice of Holistic Nursing (AHNA, 1988). The standards are divided into two main parts: nurse focused concepts and patient focused concepts. Nurse-focused concepts include: professional education, personal development, holistic ethics, community and global involvement, holistic nursing theory and holistic nursing process. Patient-focused concepts address caring for the whole client and family or significant other, health education and mutual decision making, cultural care, health promotion, spiritual care and care of the environment.
Holistic nursing embraces all nursing and has enhancement of healing the whole person from birth to death as its goal. Holistic nursing recognizes that there are two views regarding holism: that holism involves identifying the interrelationships of the bio-psycho-social-spiritual dimensions of the person, the whole being greater than the sum of its parts; and that holism involves understanding the individual as a unitary whole in mutual process with the environment. The goals of holistic nursing can be achieved within either framework. Holistic nursing practice draws on nursing knowledge, theories, research, expertise, intuition, and creativity. Practicing holistic nursing requires nurses to integrate self-care in their lives, increasing their awareness of the interconnectedness with self, others, nature, and God /Life Force/Higher Power/Spirit. This awareness is used to facilitate the healing process (AHNA, 1998).
Holistic nursing is a philosophy and a model that integrates the concepts of presence, healing and holism.
Presence is a way of approaching an individual that respects and honors his/her essence. It is a way of relating that reflects a quality of being with, and in collaboration with, rather than doing to, and is the core essential in healing (Dossey, et al., 2000).
Healing is defined as the return toward the natural states of integrity and wholeness of an individual. It is a process of bringing together aspects of one's self, body-mind-spirit, at a deep level of inner knowing in a way that leads toward integration and balance (Dossey, et al., 2000).
Holism is the view that an integrated whole has a reality independent of and greater than, the sum of its parts (Dossey, et al., 1998). Holistic nurses consider the integrated whole in order to understand the person or situation. Everything is viewed in terms of patterns and processes that combine to form a whole, instead of seeing things as pieces, fragments or parts.
The Natural Systems Theory, from the work of VonBertalanffy (1972), provides a way of comprehending the interconnectedness of natural structures in the universe and has relevance for healthcare professions. The traditional western view of disease usually begins at the systems level and stops at the molecular level (Lazlo, 1968). For example, if a patient is complaining of pressure in the chest and difficulty breathing, the practitioner likely will begin with an assessment of respiratory and cardiac functioning and proceed to obtaining blood for laboratory testing.
The natural systems theory more accurately describes disease as a disturbance originating at any level from subatomic to suprapersonal. Each level possesses specific characteristics within a structure and is governed by similar principles of organization. A change in any one part, therefore, affects all the other parts simultaneously, just as a pebble thrown in a body of water changes the surface while at the same time changes the air surface above and the water surface below. For the patient referred to above, with respiratory distress, the holistic practitioner would also look to patterns related to the patient's family and broader social systems in helping to identify factors that contribute to the patient's illness, as well identifying factors that will assist in healing. From the holistic perspective, any change in any aspect of the natural system will impact on all other aspects, either positively or negatively. The goal of holistic nursing care is to decrease the many different disturbances and stressors that contribute to and that are caused by a person's illness.
Holism and natural systems theory have important implications for clients' and nurses' views of health and disease. In the traditional or allopathic model of care, invasive and noninvasive medical or surgical procedures, including the administration of medications, are used in diagnosis and treatment of illness (Dossey, et al., 2000). Those who advocate the allopathic method combat diseases with techniques that produce effects different from those produced by the disease. In the non-traditional or holistic model of care, therapies that can interface with traditional medical and surgical therapies are used as complements to care. Those who advocate the holistic model assert that consciousness is real and is related to all matters of health and illness (Dossey, et al., 2000).
Comparison of the Allopathic
and Holistic Models of Health Care