What are the 4 domains of holism and holistic assessment?

The theoretical phase began with the selection of the concept of holistic care and a review of the literature. In addition, providing a clear definition of holism in education can make teachers and students better familiar with the concept and train nurses according to the principles of holism. The practice of holistic care began with Florence Nightingale, who believed that patients could benefit from healing interventions such as touch, light, music, aromatics, and quiet reflection. In addition, comprehensive care emphasizes the nurse-patient partnership and the negotiation of health care needs that lead to recovery.

The professional environment, which consists of workload, management and limited compliance of the clinical environment with professional standards, can affect the formation of holistic care and act as a barrier or facilitator to it. According to the participants, the sociability and sensitivity to the needs of people who fall into the subcategory of personality traits influence the promotion of attention to the diverse needs of patients, so nurses develop a holistic perception. Holistic evaluation goes beyond nurses documenting the patient's vital signs, symptoms, and physical ailments. This study, by providing a comprehensive definition of holistic care, draws the attention of care providers to the diverse and complex needs of patients, and by specifying the positive effects of comprehensive care on patients and care providers, the characteristics of holistic nurses and strategies to familiarize nurses and other members of the health team with the concept of comprehensive care encourage the adoption of this style of nursing.

The characteristics and competence of educators have been introduced as a component of the educational structure in this study; educators can provide students with a practical model from which to learn the principles of comprehensive care in practice. However, the findings reveal that these factors are not appropriate enough in Iran to lead to comprehensive care, and Iranian nurses tend to stick to their routine duties and meet only the clinical needs of patients. The topics mentioned above play an important role in shaping comprehensive care and, where appropriate, can improve the delivery of this mode of care by creating motivation in nurses and increasing their knowledge. One of the best ways nurses can provide quality care is to reach patients on a personal level with a holistic, individual-centered practice.

Input sources that include religious beliefs, participant education, and engagement are another important factor in providing holistic care. As nurses consider their role in the movement toward complementary modalities and integrative care, they also find it helpful to examine the American Association of Holistic Nurses (AHNA) standards of practice. A holistic evaluation identifies the needs of the patient and recommends the type of care that will work best for them. The Strindberg study in Sweden confirms this fact and emphasizes the role of management in promoting comprehensive care.