CNUR 103 Final
Unit 1: Holistic Nursing
Terminology
Compassion: emotion evoked by suffering of others, a strength that allows one person to connect with
another to acknowledge that suffering, and desire to ease the accompanying pain
Compassion fatigue: distress that accumulates over time after continuous exposure to caregiving
situations that are interpreted as traumatic – effects may be physical, emotional, moral, spiritual, and
intellectual
Empathy: ability to truly know another person within a trusting, mutually respectful relationship – most
essential element of emotional intelligence that one must have to care for another person
Holistic nursing: aims to heal whole person and draws on nursing knowledge, theories, expertise and
intuition to guide nurses in becoming therapeutic partners with people in their care – recognizes totality
of human beings – interconnectedness of body, mind, emotion, spirit, social/cultural factors,
relationship, context, and environment
Relational practice: art and skill of being able to connect with people across differences by joining with
them as they are and where they are
Spirituality: existential construct inclusive of all the ways in which a person makes meaning and
organizes sense of self around a personal set of beliefs, values, and relationships – sometimes
understood in terms of transcendence or inspiration – involvement of community of faith and practice
may be a part of an individual’s spirituality
TRUST Quick Reference Guide
Traditions – Are there things you would like your healthcare team to know about your spiritual or
religious/practices/beliefs/experiences?
Reconciliation – Are there any unresolved issues you would like support in exploring at this time?
Understandings – Are there particular personal beliefs that are helping to sustain/comfort you at this
time?
Searching – Are there particular beliefs/practices/experiences you are questioning as a result of your
current challenges?
, Teachers – Are there people/groups/resources you find helpful in exploring spiritual questions such as
the above?
WHOLE Care Screening Questions
W – WHOLISM - What would you most like us, as your healthcare providers, to know about you so we
can provide wholistic care that is in keeping with your expectations and goals?
H – HISTORY – What is important for us to know about your health history? (physically, mentally,
emotionally, spiritually, socially, culturally, otherwise?)
O – OPTIONS – What options have you already considered/used to address your health challenges?
L – LOGISTICS – What assistance do you need to better understand and safely access the modalities that
can best support your healing process?
E – ENVIRONMENT – What can we do to help create an environment that is comforting and restful to
you? CARE – What do you regularly do to care for yourself? How can we support you in engaging in
these self-care activities?
, Whole Care Screening Questions
W – WHOLISM - What would you most like us, as your healthcare providers, to know about you so we
can provide wholistic care that is in keeping with your expectations and goals?
(Clarify, as needed, the meaning of wholism.)
H – HISTORY – What is important for us to know about your health history? (physically, mentally,
emotionally, spiritually, socially, culturally, otherwise?)
O – OPTIONS – What options have you already considered/used to address your health challenges?
(Clarify that options might include healing modalities from a variety of healing systems, including
biomedicine/‘conventional’ modalities and other healing systems/‘complementary’ modalities.)
L – LOGISTICS – What assistance do you need to better understand and safely access the modalities
that can best support your healing process?
E – ENVIRONMENT – What can we do to help create an environment that is comforting and restful to
you?
CARE – What do you regularly do to care for yourself? How can we support you in engaging in these
self-care activities?
*Note: You will need to adapt the wording of each of these questions to suit your own authentic
communication style and the needs/comprehension level of the patient, expanding and clarifying
whenever necessary.
WHOLE Care Screening Questions Copyright Karen Scott Barss 2013 Permission Granted for Use in SCBScN 2015
, T.R.U.S.T. – An Affirmation of Inclusive Spiritual Care
Broken spirits
cracked open and exposed
remain
until warmth and light,
the life-giving flow of compassion
takes root,
nurtures forth
new shoots
of trust.
- KSB
Note: In keeping with the principles of inclusive spiritual care, users are encouraged to draw on/invite
personally-meaningful imagery as an alternative or complement to imagery offered in T.R.U.S.T.
Unit 1: Holistic Nursing
Terminology
Compassion: emotion evoked by suffering of others, a strength that allows one person to connect with
another to acknowledge that suffering, and desire to ease the accompanying pain
Compassion fatigue: distress that accumulates over time after continuous exposure to caregiving
situations that are interpreted as traumatic – effects may be physical, emotional, moral, spiritual, and
intellectual
Empathy: ability to truly know another person within a trusting, mutually respectful relationship – most
essential element of emotional intelligence that one must have to care for another person
Holistic nursing: aims to heal whole person and draws on nursing knowledge, theories, expertise and
intuition to guide nurses in becoming therapeutic partners with people in their care – recognizes totality
of human beings – interconnectedness of body, mind, emotion, spirit, social/cultural factors,
relationship, context, and environment
Relational practice: art and skill of being able to connect with people across differences by joining with
them as they are and where they are
Spirituality: existential construct inclusive of all the ways in which a person makes meaning and
organizes sense of self around a personal set of beliefs, values, and relationships – sometimes
understood in terms of transcendence or inspiration – involvement of community of faith and practice
may be a part of an individual’s spirituality
TRUST Quick Reference Guide
Traditions – Are there things you would like your healthcare team to know about your spiritual or
religious/practices/beliefs/experiences?
Reconciliation – Are there any unresolved issues you would like support in exploring at this time?
Understandings – Are there particular personal beliefs that are helping to sustain/comfort you at this
time?
Searching – Are there particular beliefs/practices/experiences you are questioning as a result of your
current challenges?
, Teachers – Are there people/groups/resources you find helpful in exploring spiritual questions such as
the above?
WHOLE Care Screening Questions
W – WHOLISM - What would you most like us, as your healthcare providers, to know about you so we
can provide wholistic care that is in keeping with your expectations and goals?
H – HISTORY – What is important for us to know about your health history? (physically, mentally,
emotionally, spiritually, socially, culturally, otherwise?)
O – OPTIONS – What options have you already considered/used to address your health challenges?
L – LOGISTICS – What assistance do you need to better understand and safely access the modalities that
can best support your healing process?
E – ENVIRONMENT – What can we do to help create an environment that is comforting and restful to
you? CARE – What do you regularly do to care for yourself? How can we support you in engaging in
these self-care activities?
, Whole Care Screening Questions
W – WHOLISM - What would you most like us, as your healthcare providers, to know about you so we
can provide wholistic care that is in keeping with your expectations and goals?
(Clarify, as needed, the meaning of wholism.)
H – HISTORY – What is important for us to know about your health history? (physically, mentally,
emotionally, spiritually, socially, culturally, otherwise?)
O – OPTIONS – What options have you already considered/used to address your health challenges?
(Clarify that options might include healing modalities from a variety of healing systems, including
biomedicine/‘conventional’ modalities and other healing systems/‘complementary’ modalities.)
L – LOGISTICS – What assistance do you need to better understand and safely access the modalities
that can best support your healing process?
E – ENVIRONMENT – What can we do to help create an environment that is comforting and restful to
you?
CARE – What do you regularly do to care for yourself? How can we support you in engaging in these
self-care activities?
*Note: You will need to adapt the wording of each of these questions to suit your own authentic
communication style and the needs/comprehension level of the patient, expanding and clarifying
whenever necessary.
WHOLE Care Screening Questions Copyright Karen Scott Barss 2013 Permission Granted for Use in SCBScN 2015
, T.R.U.S.T. – An Affirmation of Inclusive Spiritual Care
Broken spirits
cracked open and exposed
remain
until warmth and light,
the life-giving flow of compassion
takes root,
nurtures forth
new shoots
of trust.
- KSB
Note: In keeping with the principles of inclusive spiritual care, users are encouraged to draw on/invite
personally-meaningful imagery as an alternative or complement to imagery offered in T.R.U.S.T.
