Validity and Reliability of Holistic Nursing Competencies and The Patients’s Holistic Needs: A Pilot Study
Keywords:
Competency, Holistic, Needs, Nursing, PatientsAbstract
Aims: This study aimed to identify the validity and reliability of the core competencies of The Holistic Nursing Competency Questionnaire and The Holistic Needs of Patients.
Methods: A pilot study with a correlational descriptive design was conducted to measure holistic nursing competency and the fulfillment of holistic patient needs in the ICU room of Dr. H. Soewondo Kendal Hospital. The study included 25 nurses and 30 patients. Holistic nursing competency was measured using a questionnaire, while the fulfillment of holistic patient needs was assessed using an observation sheet.
Results: The Holistic Nursing Competency Questionnaire is valid, reliable, and psychometrically robust, but the holistic needs of patients were reduced from 33 items to 29 valid and reliable items.
Conclusion: The validity test showed that the questionnaire and observation sheet were valid and reliable for measuring holistic nursing competency and the fulfillment of holistic patient needs. The study highlights the need to improve nurses' holistic competencies and address the challenges in fulfilling the holistic needs of patients, especially in critical care areas.
References
Aydin, A., & Hiçdurmaz, D. (2019). Holistic nursing competence scale: Turkish translation and psychometric testing. International Nursing Review, 66(3), 425–433. https://doi.org/10.1111/inr.12514
Azizatunnisa, N., & Suhartini. (2012). Pengetahuan dan keterampilan perawat dalam pelayanan keperawatan holistik di Indonesian Holistic Tourist Hospital. Journal of Nursing Studies, 1(1), 140–148.
Bayih, W. A., Ayalew, M. Y., Belay, D. M., Alemu, A. Y., Birihane, B. M., Asnakew, S., Endalamaw, A., Demis, A., Kebede, S. D., Abate, B. B., Baih, S. Z., Feleke, D. G., Mekonen, D. K., Aynalem, Y. A., Aytenew, T. M., & Chanie, E. S. (2021). The implementation of nursing process during patient care in Ethiopia: A systematic review and meta-analysis. Heliyon, 7(5), e06933. https://doi.org/https://doi.org/10.1016/j.heliyon.2021.e06933
Best, M., Leget, C., Goodhead, A., & Paal, P. (2020). An EAPC white paper on multi-disciplinary education for spiritual care in palliative care. BMC Palliative Care, 19(1), 1–10. https://doi.org/10.1186/s12904-019-0508-4
Beswick, A. D., Wylde, V., Bertram, W., & Whale, K. (2023). The effectiveness of non-pharmacological sleep interventions for improving inpatient sleep in hospital: A systematic review and meta-analysis. Sleep Medicine, 107, 243–267. https://doi.org/https://doi.org/10.1016/j.sleep.2023.05.004
Bice, A. A., Kantor, R., Parker, D., Ellington, K., & Conde-Zuege, R. (2021). Holistic review of BSN to DNP applicants: A step-by-step approach to implementation. Journal of Professional Nursing, 37(5), 971–977. https://doi.org/https://doi.org/10.1016/j.profnurs.2021.07.020
Carius, C., Zippel-Schultz, B., Schultz, C., Schultz, M., & Helms, T. M. (2020). Developing a Holistic Competency Model for Telenursing Practice: Perspectives From Telenurses and Managers of Telemedicine Service Centres. Journal of the International Society for Telemedicine and EHealth, 4(e22), 1–17. https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/174/html
Dossey, B. M., Keegan, L., & Guzzetta, C. F. (2015). Holistic Nursing A Handbook for Practice (4th edition). In Nursing Education Perspectives (Vol. 27, Issue 2).
Hartono, S. (2020). Gambaran kompetensi perawat holistik di area perawatan akut dan kritis rumah sakit di Kabupaten Klaten.
Ibrahim, K. (2020). Aplikasi Keperawatan Holistik Di Area Keperawatan Kritis. Symposium Himpunan Perawat Critical Care Indonesia (HIPERCCI) Ke-X, 5(3), 248–253.
Ismail, S., Hatthakit, U., & Songwathana, P. (2018). Exploring Islamic Based Caring Practice in Intensive Care Unit: A Qualitative Study. Nurse Media Journal of Nursing, 7(2), 91. https://doi.org/10.14710/nmjn.v7i2.13889
Ismail, S., Sohilait, H., Priscilla Frudence, & Erawati, M. (2024). The Holistic Nursing Competencies and Instruments for Critically III-Patients : A Scoping Review Nursing Department, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia. 18(1), 52–68.
Lat, T. I., McGraw, M. K., & White, H. D. (2021). Gender Differences in Critical Illness and Critical Care Research. Clinics in Chest Medicine, 42(3), 543–555. https://doi.org/10.1016/j.ccm.2021.04.012
Lopez-Sierra, H. E. (2019). Cultural Diversity and Spiritual/Religious Health Care of Patients with Cancer at the Dominican Republic. Asia-Pacific Journal of Oncology Nursing, 6(2), 130–136. https://doi.org/https://doi.org/10.4103/apjon.apjon_70_18
López-Tarrida, Á. D. C., de Diego-Cordero, R., & Lima-Rodríguez, J. S. (2021). Spirituality in a doctor’s practice: what are the issues? Journal of Clinical Medicine, 10(23), 5612. https://doi.org/10.3390/jcm10235612
McAuliffe, E., Mulcahy Symmons, S., Conlon, C., Rogers, L., De Brún, A., Mannion, M., Keane, N., Glynn, L., Ryan, J., & Quinlan, D. (2022). COVID‐19 community assessment hubs in Ireland: A study of staff and patient perceptions of their value. Health Expectations, 26(1), 119–131. https://doi.org/10.1111/hex.13603
Molala, W., & Downing, C. (2020). Experiences of newly qualified critical care nurses caring for post-cardiothoracic surgery paediatric patients in a private hospital in gauteng. International Journal of Africa Nursing Sciences, 13, 100213. https://doi.org/10.1016/j.ijans.2020.100213
Patestos, C., Anuforo, P., & Walker, D. J. (2019). Incorporating holism in nursing education through the Integrative Student Growth Model (ISGM). Applied Nursing Research, 49(February), 86–90. https://doi.org/10.1016/j.apnr.2019.05.001
Regency Medical Centre Ltd. (2022). 4 types of patients you usually find in the intensive care unit. https://www.regencymedicalcentre.com/blog/patients-in-the-intensive-care-unit/
Sadiq, K., Wahid, A., & Hafifah, I. (2019). Deskripsi Pelaksanaan Pengkajian Keperawatan Holistik Di Igd Rsud Ulin Banjarmasin. Dunia Keperawatan, 7(2), 82. https://doi.org/10.20527/dk.v7i2.4396
Supriyanto, Hamid, A. Y. S., Rosyada, D., Mansyur, M., & Efendi, F. (2019). Nurse’s competence in supporting the spiritual-religious needs of patients in Indonesia. Indian Journal of Public Health Research and Development, 10(3), 604–608. https://doi.org/10.5958/0976-5506.2019.00567.9
Takase, M., & Teraoka, S. (2011). Development of the holistic nursing competence scale. Nursing and Health Sciences, 13(4), 396–403. https://doi.org/10.1111/j.1442-2018.2011.00631.x
Todorov, A., Kaufmann, F., Arslani, K., Haider, A., Bengs, S., Goliasch, G., Zellweger, N., Tontsch, J., Sutter, R., Buddeberg, B., Hollinger, A., Zemp, E., Kaufmann, M., Siegemund, M., Gebhard, C., & Gebhard, C. E. (2021). Gender differences in the provision of intensive care: a Bayesian approach. Intensive Care Medicine, 47(5), 577–587. https://doi.org/10.1007/s00134-021-06393-3
Unal, A. U., Kostek, O., Takir, M., Caklili, O., Uzunlulu, M., & Oguz, A. (2015). Prognosis of patients in a medical intensive care unit. Northern Clinics of Istanbul, 2(3), 189–195. https://doi.org/10.14744/nci.2015.79188
Wijesinghe, V., Rishard, M., & Srisanjeevan, S. (2022). Quality of surgical management of placenta accreta spectrum in a tertiary center in Sri Lanka: baseline study for quality improvement project: problems and solutions. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04840-7
Zheng, L. W., Chen, Y., Chen, F., Zhang, P., & Wu, L. F. (2014). Effect of acupressure on sleep quality of middle-aged and elderly patients with hypertension. International Journal of Nursing Sciences, 1(4), 334–338. https://doi.org/10.1016/j.ijnss.2014.10.012
Additional Files
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
