NURS 4323: Holistic Health – Assessment Task 2: Holistic Practice & Reflective Journals
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Course: NURS 4323 – Holistic Health: The Art and Science of Caring and Healing
Assessment Type: Experiential Learning & Reflective Journaling
Weighting: 30% of Total Grade
Length: 3 Weekly Journal Entries (approx. 400–600 words each) + Activity Log (15 Hours Total)
Submission Format: Single compiled Word document (APA 7th Edition style)
Due Date: End of Module 4
Context
In this course, we move beyond simply studying holistic theories to living them. To truly understand the impact of holistic health on patient care, you must first experience it within your own life. This assignment invites you to select one specific holistic modality—such as meditation, yoga, aromatherapy, or guided imagery—and integrate it into your daily routine over the coming weeks.
This is not just about relaxation; it is a rigorous engagement with self-care as a professional competency. The insights you gain here regarding the physiological and psychological shifts in your own body will directly inform your final Evidence-Based Practice (EBP) Poster Presentation.
Task Description
You are required to select one holistic modality to practice consistently for a minimum of 15 hours over the duration of Modules 2, 3, and 4 (aim for approximately 5 hours per week). You will document your practice hours and submit a reflective journal analyzing your experience.
Step 1: Select Your Modality
Choose a practice that is new to you or one you wish to deepen. Common examples include:
- Mindfulness-Based Stress Reduction (MBSR)
- Diaphragmatic Breathing / Breathwork
- Yoga or Tai Chi
- Progressive Muscle Relaxation
- Guided Imagery
Note: This modality will also serve as the topic for your Assignment 3: EBP Poster Presentation. Choose something you are interested in researching further.
Step 2: Practice and Log (15 Hours)
Engage in your chosen practice for at least 5 hours per week during the assigned modules. Keep a simple time log (Date, Time, Duration, Activity) to verify your 15 hours.
Step 3: Write Weekly Reflections
For each week of practice, write a reflective entry (approx. 400–600 words) addressing the following:
- Description: Briefly describe the sessions (environment, duration, technique used).
- Physiological/Emotional Response: What physical sensations did you notice? Did your heart rate, muscle tension, or breathing pattern change? How did your emotional state shift before and after the practice?
- Barriers and Facilitators: What challenges did you face in maintaining the practice? How did you overcome them?
- Clinical Application: How might this specific modality be useful for a patient population you currently work with or intend to work with? Connect this to the “Self-Care” and “Nurse as Healer” concepts discussed in our text.
Formatting & Submission Requirements
- Format: Submit all three journal entries and your hours log in one single Microsoft Word document (.docx).
- Style: Use APA 7th edition for formatting. First-person narrative (“I felt…”) is expected and encouraged for the reflection sections.
- Citations: While this is a personal reflection, you should loosely anchor your observations in course concepts. If you refer to specific health benefits, cite the course textbook or a peer-reviewed article.
Grading Rubric / Marking Criteria
| Criteria | High Distinction (A) | Satisfactory (B-C) | Unsatisfactory (D-F) |
|---|---|---|---|
| Completion of Practice (15 hrs) | Log clearly demonstrates 15+ hours of dedicated practice with detailed timestamps. | Log shows 10-14 hours or lacks detail in timestamps. | Fewer than 10 hours completed or log is missing. |
| Depth of Reflection | Profound analysis of physical and emotional shifts; explicitly connects personal experience to holistic nursing theory. | General description of how the practice felt; some connection to theory but superficial. | Vague description; lacks analysis of physiological or emotional changes. |
| Clinical Application | Insightful connection made between the personal modality and specific patient care scenarios. | Basic connection to patient care mentioned but lacks specificity. | No mention of how this applies to nursing practice/patient care. |
| Writing & Mechanics | Professional, clear, and expressive writing; APA format used correctly. | Clear writing with minor grammatical or formatting errors. | Poorly organized; significant errors impede readability. |
Sample Answer for guidance
The following excerpt demonstrates the expected depth for a journal entry focusing on Diaphragmatic Breathing.
During my third session of diaphragmatic breathing this week, I initially struggled to lower my respiratory rate, noticing a persistent tightness in my thoracic region likely due to shift-work stress. However, around the ten-minute mark, I observed a palpable shift; my peripheral skin temperature seemed to increase, and my heart rate, which I manually palpated, dropped from 88 to 72 beats per minute. This physiological calming response mirrors the parasympathetic activation described in our readings on the relaxation response (Dossey et al., 2021). Mentally, the “brain fog” I felt prior to the session cleared, allowing me to approach my evening tasks with renewed focus rather than fatigue. Reflecting on this, I can see immense value in teaching this technique to my pre-operative patients who often exhibit high sympathetic arousal and anxiety before procedures. Even a five-minute guided breathing intervention could serve as a non-pharmacological adjunct to standard anxiolytics in that setting.
References
- Dossey, B.M., Keegan, L. and Barrere, C.C. (2021) Holistic Nursing: A Handbook for Practice. 8th edn. Burlington, MA: Jones & Bartlett Learning. Available at: https://www.jblearning.com/catalog/productdetails/9781284196528
- Perez, G.K. et al. (2019) ‘Promoting resiliency and well-being in nurses and allied health professionals: A mindfulness-based intervention’, Holistic Nursing Practice, 33(1), pp. 27–39. doi: 10.1097/HNP.0000000000000306
- Stahl, J.E. et al. (2018) ‘Dosage-dependent effects of a mindfulness-based intervention on physiological markers of stress in nurses’, Journal of Holistic Nursing, 36(4), pp. 312–323. doi: 10.1177/0898010117725286
- Wei, H. et al. (2020) ‘The impact of nurse leadership styles on nurse burnout: A systematic literature review’, Nurse Leader, 18(5), pp. 439–450. doi: 10.1016/j.mnl.2020.06.002
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