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patient means not only recovering but regaining physical, mental, and spiritual health as a whole.(16, 20,) Communication Relationships in care provide the foundation for many important activities in healthcare. In this relationships information is exchanged, resources are allocated, diagnosis are arrived at, treatments are chosen and outcomes of the care given are assessed. All this can only be achieved with the quality of relationship that links the patient to the doctors, nurses, organization and community. According to article (16) communication during preoperative care is very important because the patient is depending on the health care professionals. With good communication the nurses are able to analyze patients, and family member’s knowledge, feelings, thoughts and problems. This helps to understand the patient and family members and evaluate the quality of healthcare. In order to make a patient whole all individuals involved in this process should know their roles and limitations. This relationship centered care is health enhancing and is significantly influenced by the different relationships that promote the wellbeing and full functioning of a patient. (18, 19) 31 | P a g e Active listening is a technique of reflecting back what the patient has said. It requires that the nurse listen to the patient, ask the right questions not to force answers or interpret replies, respond sincerely to questions and ensures that the patients understands what has been discussed. During the communication process it is important for the nurse not to be judgmental or confrontational this would otherwise make the patient feel uncomfortable. Active listening decreases anxiety and help reduce physiological effects. Nurses need to help the patients feel more deeply seen and understood. Focusing is a body centered method of developing self-awareness and also a way of listening to feelings by becoming aware of body movements that carry meaning about issues or concerns. The articles also highlight the role of holistic communication which is the art of sharing emotional and factual information. It involves not judging the patient and appreciating the patient's point of view. Holistic communications begins with nonverbal communication for example inviting eye contact, hands uncrossed and warm (11, 12, 13, 14, 15, and 18) Social wellbeing Social wellbeing is a reflection of experience in a social environment indicating how social challenges are determined. The article highlights the importance of holistic support for nurses. The qualitative study which nurses were the participants intended to explore nurse’s experience of social wellbeing. It was found there is thirst for a holistic support for nurses from family, colleagues, organizational and external support (Society support and media’s support). The society support involves the society respecting, accepting and valuing an individual within a professional group. Nurses need to feel needed and valuable to the society which contributes to the social well-being of a nurse. The nurses’ immediate family members and spouses for married ones helped the nurse continue in his or her field on study. The sympathy and companionship from family members towards a nurse when facing difficult situations helped in the social-wellbeing of a nurse. By providing a comfortable and peaceful environment to relax and giving encouragement when their hopeless increases tolerance and satisfaction in nurses.(17) 32 | P a g e Colleagues support helped the nurses in building effective and pleasant relationships attendance and bringing hope and increasing self-confidence. For example when a nurse is facing a difficult situation with a patient, it’s always good when a nurse gets help from their colleagues. Organizational support creates a positive impression and satisfaction in nurses. Understanding and caring about work conditions for the nurses is very important. Poor organizational support as well as discrimination can spread frustrations among nurses. Organizations are expected to treat its staff fairly and offer support when needed. For example increase nurses when needed to avoid work overload which leads to exhaustion and lead to medical errors. (17). Social wellbeing improves job satisfaction, hope, support, motivation, commitment and confidence. For a nurse to provide quality care they need to begin with themselves. (17) 6.2 Findings for research question 2 Education As the world of technology is growing fast it is creating a challenge for nurses and nursing body to keep pace with the fast growing trend to insure the continued delivery of high quality and effective patient oriented care. To be in same level and on a saver side, nurses must be educated and well equipped with latest means of technology device in the market, i.e. appropriate competencies, knowledge, skills and attitudes. As education is the way out for nursing to grow professionally in their theoretical knowledge and skills for a greater clinical output for a better holistic caring however the development in technology and the increase in the use of latest devices in healthcare field has continue to put increase pressure of nurses which is seen as a challenges that are ahead to keep holistic nurses to present time or up-to-date. The authors are not condemning the use of technology in health care practice, only giving
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