{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:08:20Z","timestamp":1789049300629,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate a workplace-integrated quality improvement initiative designed to address persistent staff stress and limited access to restorative experiences within the nursing work environment of a Magnet-designated academic medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pre\u2013post quality improvement evaluation using independent, anonymous samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Over 11 months, brief on-site integrative modalities (e.g., chair massage, meditation, Jin Shin Jyutsu, yoga, and other restorative practices) were offered across shifts to enhance access within workflow. An author-developed electronic survey assessed stress-reduction practices, perceived self-care opportunities, knowledge of stress-reduction techniques, and perceptions of a healing nursing work environment at baseline (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009166) and follow-up (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009158). Descriptive statistics, chi-square, and Mann\u2013Whitney analyses compared groups. Qualitative analysis examined open-ended responses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Participation in wellness activities reached 43% at follow-up, with notable increases in chair massage and meditation use. Perception scores for self-care opportunities and healing culture remained stable without statistically significant change. Qualitative feedback described relaxation, restoration, and connection, while staffing and scheduling barriers limited engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Embedding accessible, brief holistic practices within the nursing work environment is feasible and valued. Findings highlight the influence of organizational context on staff engagement and support system-level approaches to workforce well-being aligned with the Quadruple Aim.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08980101261486512","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:52:50Z","timestamp":1788882770000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Advancing the Quadruple Aim Through Workplace-Integrated Holistic Wellness Interventions: A Quality Improvement Evaluation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7286-4292","authenticated-orcid":false,"given":"Julia","family":"Millspaugh","sequence":"first","affiliation":[{"name":"Morristown Medical Center, Atlantic Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0225-3741","authenticated-orcid":false,"given":"Beth E.","family":"Jameson","sequence":"additional","affiliation":[{"name":"Morristown Medical Center, Atlantic Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8053-5544","authenticated-orcid":false,"given":"Lise","family":"Cooper","sequence":"additional","affiliation":[{"name":"Morristown Medical Center, Atlantic Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/08980101251323021"},{"key":"e_1_3_3_3_1","volume-title":"Holistic nursing: Scope and standards of practice","author":"American Nurses Association, & American Holistic Nurses Association","year":"2019","unstructured":"American Nurses Association, & American Holistic Nurses Association. 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Addressing health worker burnout: The U.S. Surgeon General\u2019s advisory on building a thriving health workforce.https:\/\/www.hhs.gov\/surgeongeneral\/reports-and-publications\/health-worker-burnout\/index.html."},{"issue":"3","key":"e_1_3_3_15_1","first-page":"1","article-title":"Evaluating the perceived value of holistic certification among nurses: A descriptive survey project","volume":"42","author":"Vital C. J.","year":"2024","unstructured":"Vital C. J., Peterson C., Benjamin E., Naglieri-Prescod D. A., Faron P., Nathanson B. H. (2024). Evaluating the perceived value of holistic certification among nurses: A descriptive survey project. 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