1.3 Holistic Nursing Care

Holistic Nursing Care

The American Nurses Association (ANA) recently updated the definition of nursing as follows: “Nursing integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence. Nursing is the diagnosis and treatment of human responses and advocacy in the care of individuals, families, groups, communities, and populations in the recognition of the connection of all humanity.”[1]

The ANA further describes nursing as a learned profession built on a core body of knowledge that integrates both the art and science of nursing. The art of nursing is defined as, “Unconditionally accepting the humanity of others, respecting their need for dignity and worth, while providing compassionate, comforting care.”[2]

Nurses care for individuals holistically, including their emotional, spiritual, psychosocial, cultural, and physical needs. They consider problems, issues, and needs that the person experiences as a part of a family and a community throughout the nursing process.

Caring and the Nursing Process

The American Nurses Association (ANA) states, “The act of caring is foundational to the practice of nursing.”[3] Successful use of the nursing process requires the development of a care relationship with the patient. A care relationship is a mutual relationship that requires the development of trust between both parties. This trust is often referred to as the development of rapport and underlies the art of nursing. While establishing a caring relationship, the whole person is assessed, including the individual’s beliefs, values, and attitudes, while also acknowledging the vulnerability and dignity of the patient and family. Assessing and caring for the whole person takes into account the physical, mental, emotional, and spiritual aspects of being a human being.[4] Caring interventions can be demonstrated in simple gestures such as active listening, making eye contact, touching, and verbal reassurances while also respecting and being sensitive to the care recipient’s cultural beliefs and meanings associated with caring behaviors.[5] See Figure 1.1 of a nurse using touch as a therapeutic communication technique to communicate caring.

 

Photo showing closeup of a younger hand holding an elderly one
Figure 1.1: Touch as a Therapeutic Communication Technique. “hospice-1793998_1280.jpg” by truthseeker08 is licensed under CC0.

Attribution

This section contains material taken from Nursing Fundamentals 2e by Chippewa Valley Technical College and is licensed under a Creative Commons Attribution 4.0 International License. 


  1. American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.
  2. American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.
  3. American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.
  4. Walivaara, B., Savenstedt, S., & Axelsson, K. (2013). Caring relationships in home-based nursing care - registered nurses’ experiences. The Open Journal of Nursing, 7, 89-95. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722540/pdf/TONURSJ-7-89.pdf
  5. American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.

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Nursing Physical Assessment Copyright © 2024 by Barbara Gawron and Meenu James is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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