Exploring the factors that impact Saudi Arabian nurses on holistic nursing care in patient outcomes: A qualitative study

Holistic nursing is a patient-centered approach that integrates various aspects of health to support overall well-being and improve quality of life. Exploring the factors that influence nurses' provision of holistic care from the nurses' point of view and perspective can significantly contribute to improving patient care. Despite the benefits of this modern nursing philosophy, it is still underutilized in Saudi Arabia. To examine the factors that influence the holistic nursing practices of Saudi Arabian nurses in the city of Hail, Saudi Arabia. This study used a qualitative-thematic analysis design and involved 12 nurses selected through purposive sampling criteria. Thematic data analysis of nurses' practices and experiences in providing holistic nursing care in Hail, Saudi Arabia, revealed four key factors affecting patient outcomes: inadequate nursing care, inadequate support for nurse empowerment, negative family attitudes and expectations toward nursing responsibilities, and disproportionate nurse staffing ratios. Challenges to holistic care delivery by nurses often fall within the realm of management. Practical strategies to address these challenges include reviewing and updating operational nursing policies to incorporate rotations, increasing staffing levels, implementing a reward system, ensuring adequate resources, promoting open communication, and valuing the well-being of the team.