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faced by a nurse who wishes to administer this spiritual care and holds a personal commitment to the Christian faith which might not be always true. It is not ethical for a nurse to decide patient care based on his/her religion beliefs. The author now asked themselves that can an atheist be a good holistic nurse? I will reserve my personal comment about the question but nurses should know there limit when it comes to spiritual care because all every nurse feel comfortable when it comes to providing spiritual care. However, spiritual care is still the core valve of holistic nursing (AHSA, 2000). To author’s opinion there are many priest (pastor or imam ) out there that are willing to offer spiritual support for patient during their hard time, nurse should only suggest to offer a professional priest that has more experience to discuss with patient rather than putting themselves into an uncomfortable position when it comes to meeting a patient spiritual need. As we stated earlier in the introduction chapter, the focus in nursing care is not just on sickness or illness but also on the human being. In holistic care the connectedness of body, mind and spirit are valued and acknowledged and therefore individuals are treated as unique (Mariano, 2005). The assessment and evaluation of holistic needs in a patient and life choices are considered the backbone of rehabilitation. The need to assess the patient’s family situation and find a balance is important. Friends and family should help in encouraging patients to be more active in their care, relate with others and meet other people and go out even if the patient does not want to. Reflection on data collected from patients is also important to nurses. Reflecting on data from interviews with patients and family members and observation is needed to make the process of care individual and evidence based. This could provide nurses with information to develop coaching and collaboration skills. Patients and family could also benefit from reflecting on data collected by being actively involved, developing positive attitude and by recognising own needs, limitations and strength and coming up with a care plan that is best for the patient. The inclusion of psychosocial assessment is important in that it could help overcome the myths of social life in patients and undertake the non-physical care naturally. This reflection assessment method helps nurses develop their role as leaders, gaining self-confidence and improve their communication skills with patients and other care givers. However sometimes this is not possible for nurses to achieve because of heavy workload and time schedule which should be taken into consideration, explored and evaluated by health care supervisors. Holistic nursing treats and heals the whole individual, and as states, nurses are the facilitators of the healing process and honour the individual’s subjective experiences and beliefs about their health and values (Dossey 2005). One goal of holistic nursing is to reduce the patient’s fear of the unknown and to reduce anxiety. Reducing anxiety facilitates the healing process, increase patient satisfaction and improves the efficacy of the care given. This can be done with music, relaxation via guided imagery e.g. imagining happy moments, therapeutic massage, and play therapy for children, touch therapy and active listening. Simple gestures such as holding the patients hand can make the patient feel less alone. Holistic nursing is challenging in the fact that is requires or demands that the nurse give something of his or her self. However, it is not easy to teach nursing students or even nurses to develop therapeutic use of self in a caring relationship. The qualities of compassion and empathy are elusive. This can only be learnt in the field and many years of 37 | P a g e practice. Reflecting back on past experiences with patients helps nurses in identifying what they did right and what can they do better next time. It opens up a learning space and this can be done by writing journals about their everyday practice. Writing helps nurses to be attentive to their own and others needs through description of their experiences. Holistic nursing care from author’s imagination is the future of nursing which need to be developed and adapted with by all institution offer nursing education. In today’s world, where government expenses are subject to be cut might be a big challenge or treat for hospital or nurses to provide a genuine and truthful care. Migrating nurse from one country to another for the purpose of finding their career job must also be willing adapt to different culture so as to fulfil the content of holistic nursing care. We will not conclude from our result that all answers reflect nurses’ view and challenges on holistic nursing practice due to limited access to paid articles and articles and data gathered from one language however, the result provided for this research work according to the authors finding are to their best knowledge seeking answers to the research questions. 7.1 Relating findings to the theoretical framework Relating the result of this research work to presented theoretical framework which is Katie Eriksson’s Theory of Caritative Caring and George L. Engel Bio-psycho-social spiritual model. The analysis of 21 articles used in the study and categories used correlated to theoretical framework the framework can be used as a guideline when dealing with
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