Concept Analysis of “Holistic Care” in Nursing in Japan

DOI
  • Ogiwara Noriko
    Yokohama Sakae Kyousai Hospital, Federation of National Public Service Personnel Mutual Aid Associations
  • Mito Yuko
    Kanagawa University of Human Services
  • Kim Sooja
    Former Kanagawa University of Human Services

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Other Title
  • 日本の看護における「全人的ケア」の概念分析

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 This study analyzed 30 previously published studies by using the concept analysis approach of Rodgers (2000) to clarify the concept of “holistic care” in nursing in Japan. The following 4 categories were extracted as attributes：“ascertaining the overall situation and getting involved,” “mitigating the threat to the patient’s existence and healing,” “being with the patient and showing compassion,” and “respecting the patient’s humanity and individual essence.” Five categories related to threats, seeking, unfulfillment, qualities, and change/diversification were extracted as antecedents in 3 contexts (patients and their families, nurses, and society). Four categories related to release, recovery, and growth were extracted as consequences. Taken together, “holistic care” was defined as respecting the humanity and individual essence of patients by healing them and mitigating the threat to their existence and showing compassion based on the attitude that nurses should try to fully understand and be involved with patients when patients feel that their existence is threatened and desire respect for their own humanity and individual essence. Following this approach will recover the patient’s humanity and their individual essence while facilitating the growth of those involved.

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