You are here

Journal of Holistic Nursing

Journal of Holistic Nursing

Official Journal of the American Holistic Nurses Association

eISSN: 15525724 | ISSN: 08980101 | Current volume: 38 | Current issue: 3 Frequency: Quarterly

For over 20 years, the Journal of Holistic Nursing has been a pioneering force in advancing the science and practice of holistic nursing and healthcare. The peer-reviewed journal promotes holism—a state of harmony among body, mind, emotions, and spirit —and nursing’s function within that ever-changing environment. This objective forum allows caring and innovative nurses in clinical practice, research, individual wellness practice, and academia to exchange critical information, share clinical and personal experiences, and communicate research pertaining to holistic nursing practice, health care, wellness, healing, and human potential.


Holistic nursing encompasses balancing the intuitive art of nursing with scientific knowledge and technical competence. If you are committed to practices that respect, nurture, and enhance the bio-psycho-socio-spiritual well-being of individuals, families, and yourself, the Journal of Holistic Nursing can help you learn how to actively participate in the healing process. Each issue brings you :

  • Awareness of the opportunities to nurture and empower your clients, their families, and yourself
  • Concepts of self-care, wellness, and preventive intervention that you can incorporate into your everyday practice
  • Inspiration to continue your personal and professional transformation
  • Knowledge of different approaches that pertain to both patient care and lifestyle
  • Techniques that will help you sharpen your skills and become more clinically competent
  • Implementation of intuitive as well as analytic skills of the opportunities to nurture and empower your clients, their families, and yourself of self-care, wellness, and preventive intervention that you can incorporate into your everyday practice to continue your personal and professional transformation of different approaches that pertain to both patient care and lifestyle that will help you sharpen your skills and become more clinically competent of intuitive as well as analytic skills


Published four times a year, the Journal of Holistic Nursing examines a broad range of topics that will challenge your thinking and expand your horizons -- from ethical concerns to spiritual growth to body awareness. Just some of the important topics in recent issues include:

  • Adolescent Violence
  • Aging and Health
  • Alternative Therapies
  • Caregiver Concerns
  • Guided Imagery
  • Holistic Philosophy
  • Prayer and Healing
  • Sexual Risk Behavior
  • Spirituality in Terminal Illness
  • Spiritual Care
  • Stress Management and Relaxation
  • Therapeutic Touch
  • Weight-Related Distress After Childbirth
  • Youth Suicide

Each issue contains Applied Concepts of Holistic Nursing and Continuing Education Opportunities that can lead to CE credits. The journal also occasionally offers special issues devoted to specific subjects such as: Adolescent Health, Positive Aging, and Holistic Nursing Theory.

This journal is a member of the Committee on Publication Ethics (COPE).

The purpose of the Journal of Holistic Nursing is to publish work that contributes to development of the knowledge, advancement of the science, and promotion of the practice of holistic nursing and health care.

The aims of the Journal of Holistic Nursing are:

  • to provide a venue for the publication and dissemination of significant and exceptional work that makes a contribution to the advancement of holistic nursing and health care;
  • to support the scholarship of holistic nurses and other health care providers by creating a forum for sharing important work of quality;
  • to offer a systematic and precise review of manuscripts using standards that enhance the presentation and expression of important holistic work;
  • to encourage and support the development of excellence in scholarly writing and review in holistic nursing and health care;
  • to create a forum for dialogue associated with diverse and innovative forms of inquiry and scholarship; and
  • to provide a resource of credible and creative scholarship that may improve the quality of holistic health for all people. 

Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, philosophical analysis, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. The journal supports a wide variety of scholarship based on traditional and emerging methodologies. Manuscripts are published according to receipt and approval dates allowing for the widest array of new information to reach our readers.

This journal is a member of the Committee on Publication Ethics (COPE).

W. Richard Cowling III, RN, PhD, AHN-BC, FAAN, ANEF Nursing Academic Consultant, Sandy Hook, VA, USA
Associate Editors
Cynthia C. Barrere, PhD, RN, CNS, AHN-BC, FAAN Quinnipiac University, Hamden, CT, USA
Howard K. Butcher, RN, PhD, PMHCNS-BC University of Iowa, Iowa City, IA, USA
Colleen Delaney, PhD, RN, AHN-BC School of Nursing, University of Connecticut, Storrs, CT, USA
Mary Enzman Hines, RN, PhD, CNS, CPNP, AHN-BC University of Colorado at Colorado Springs, USA
Barry S. Gallison, DNP, MS, APRN, NEA-BC, CPHQ, AHN-BC Broward Health, Fort Lauderdale, FL, USA
Margaret O'Brien King, PhD, RN-BC, AHN-BC, CNL Xavier University School of Nursing, Cincinnati, Ohio, USA
Bernadette Lange, PhD, RN, ANH-BC Florida Atlantic University, USA
Susan Letvak, PhD, RN, FAAN School of Nursing, University of North Carolina at Greensboro, NC, USA
Ruth McCaffrey DNP, ARNP, FNP-BC, GNP-BC, FAAN Florida Atlantic University, Boca Raton, FL, USA
Jo Lynne Robins, PhD, RN, ANP-BC, AHN-C, FAANP Virginia Commonwealth University, Richmond, VA, USA
Victoria E. Slater, RN, PhD, AHN-BC, CHTP/I Private Practice, Clarksville, TN, USA
Donna H. Taliaferro, PhD, RN, COI University of Phoenix, Tempe, AZ, USA
Diane Wind Wardell, Ph.D., RNC, HNC Ph.D. University of Texas at Houston, USA
Editorial Board
Jozsef Betlehem, PhD, MEd, MSN, RN Institute of Nursing and Clinical Sciences, University of Pecs, Hungary
Peggy Chinn, RN, PhD, FAAN University of Connecticut School of Nursing; Editor, Advances in Nursing Science, San Francisco, CA, USA
Barbara M. Dossey, PhD, RN, HNC, FAAN Holistic Nursing Consultants, Santa Fe, NM, USA; Nightingale Initiative for Global Health, Ottawa, Ontario, Canada and Washington, DC, USA
Charlene Downing, RN, PhD University of Johannesburg, South Africa
Emiko Endo, RN, PhD Musashino University Faculty of Nursing, Tokyo, Japan
Joan Engebretson, DrPH, RN, AHN-BC Center for Health, Humanities, and the Human Spirit, University of Texas, Houston, TX, USA
Noreen C. Frisch, RN, BSN, MSN, MSW, PhD, AHN-BC, FAAN School of Nursing, University of Victoria, British Columbia, Canada
Lynne Giddings, RGON, RM, PhD Division of Health Care Practice and Interdisciplinary Trauma Research Centre, Auckland University of Technology, Aotearoa, New Zealand
Naohiro Hohashi, PhD, RN, PHN, LSN, HS, FAAN Graduate School of Health Sciences, Kobe University, Kobe, Japan
Lynn Keegan, RN, PhD, AHN-BC, FAAN Holistic Nursing Consultants, Port Angeles, Washington, USA
Elizabeth Ann Manhart Barrett, RN-BC, LMHC, PhD, FAAN Private Practice, New York, USA; Hunter College of the City University of New York, NY, USA
Erika Caballero Muñoz, RN,MSc Finis Terrae University, Santiago, Chile
Marlaine C. Smith, RN, PhD, AHN-BC, FAAN Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton. FL, USA
Jean Watson, PhD, RN, AHN-BC, FAAN University of Colorado Denver, Anschutz Medical Center, Watson Caring Science Institute, Boulder, Colorado, USA
Dickon Weir-Hughes, RN, BSN, MA, DSc (Hons), FRSPH, FNI Oxford Institute of Nursing, Midwifery & Allied Health Research and Oxford University Hospitals, Oxford, UK
  • Clarivate Analytics: Emerging Sources Citation Index (ESCI)
  • EMCare
  • Family & Society Studies Worldwide (NISC)
  • NISC
  • ProQuest Health & Medical Complete
  • ProQuest Nursing & Allied Health Source
  • SafetyLit
  • Scopus
  • Standard Periodical Directory (SPD)
  • SAGE Publishing disseminates high-quality research and engaged scholarship globally, and we are committed to diversity and inclusion in publishing. We encourage submissions from a diverse range of authors from across all countries and backgrounds.

    The purpose of the Journal of Holistic Nursing is to publish work that contributes to development of the knowledge, advancement of the science, and promotion of the practice of holistic nursing and health care. Therefore, all manuscripts should address this purpose by including a substantive section devoted to implications for the advancing knowledge, research and/or practice in holistic nursing and health care. It is also highly recommended to weave information about holistic nursing throughout the manuscript. Manuscripts that do not address implications may be returned to the author.

    JHN publishes these types of peer reviewed manuscripts:

    • Research (quantitative)
    • Research (qualitative)
    • Research (mixed methods)
    • Critical Literature Reviews
    • Concept Analysis and Theory Development
    • Philosophical Analysis
    • Education
    • Practice
    • Aesthetics

    Manuscripts should not be right justified. Every element in the manuscript must be double-spaced, including tables and references, and must follow the style recommendations of the Publication Manual of the American Psychological Association (7th ed.; click here for APA style resources).

    Manuscripts should be submitted electronically to the Journal of Holistic Nursing manuscript submission site,

    Please follow the submission guidelines below.

    All manuscripts must have:

    • cover letter
    • title page
    • abstract
    • main document (includes references)

    Manuscripts may have:

    • figures
    • tables
    • supplementary file (only used if no other file category fits)

    Cover Letter. The cover letter should address the editor, note the title and authors, and indicate that the submission is an original manuscript not been published or submitted for publication in whole or part to any other publishing source.

    Title Page. The title page should include:

    • title
    • running header
    • author information
    • acknowledgements

    Title. The title should be succinct and clear and accurately reflect the manuscript's topic.

    Running header. This is an abbreviated title that should be no longer than 4-5 words.

    Author information. For each author include: (a) name; (b) degrees/certifications; (c) title/position, institution, and location; and (d) email address. Indicate to whom correspondence should be sent with full address, phone and fax numbers of that individual. If the corresponding author is unavailable for periods of time, please note periods of absence and alternate contact information. Corresponding authors are responsible for verifying the accuracy of their coauthors’ information, including name, degrees, institutions, and biographical paragraphs.

    Acknowledgments. If desired, provide a brief statement of acknowledgment (e.g., funding source, grant number).

    Abstract. The abstract should accurately reflect the manuscript’s topic in no more than 200 words. For research manuscripts, structure the abstract with headings denoting: (a) purpose of study, without detailed background; (b) design of study; (c) methods used; (d) findings; and (e) conclusions. If the manuscript is another type (critical literature review, concept analysis and theory development, philosophical analysis, education, practice, or aesthetics), a structured abstract is required. The structure for these types of manuscripts should reflect the manuscript’s purpose. No abstract is required for invited manuscripts or letters to the editor, but the author should note “N/A” per instructions for online submissions.

    Main Document (Text). The main document should include: (a) title; (b) text of the manuscript; and (c) references. Manuscripts are more likely to be accepted for publication if they are written in clear, concise, and logical organization and content flow.

    The author is responsible for compliance with the most recent published APA format and for the accuracy of all information including citations and verification of all references with citations in the text. Spelling must be in American English. There is currently no limit on manuscript length.

    To maintain author anonymity, do not include any identifying information in the manuscript text. If you cite your works, list them as “Author, YYYY” in the text and the reference list.

    JHN requests that authors use gender-neutral text unless directly quoting another author who does not use gender-neutral language or unless the context of the manuscript appropriately calls for a specific gender.

    Specific guidelines for each type of manuscript submitted follow:

    Research. Manuscripts should be written in a format consistent with the design of the research. A wide variety of forms of inquiries are acceptable. All research manuscripts should include a clear and concise summary of the purpose and aims of the research, background and significance including relevant literature, theoretical framework or orientation, the design, the participants, data collection and analysis processes and procedures, ethical protections, credibility and legitimacy issues and approaches, findings, and implications of findings, particularly as they relate to practice. Findings of the research should be explicitly linked to holistic nursing and/or health care.

    Concept Analysis and Theory Development. Manuscripts that address conceptual analysis and theoretical development associated with holism and holistic health and nursing are critical to the advancement of knowledge. Format should reflect the manuscript’s purpose and include a review of relevant literature upon which the work builds and implications for research, practice, and theory development. Priority will be given to manuscripts that provide an in-depth analysis of existing concepts and theories, propose extensions or alternative concepts and theories based on critical analysis, and/or address comparative analyses of different related concepts and theories. Concept analysis manuscripts that focus on a simple analysis of a single concept are generally not acceptable for publication.

    Philosophical Analysis. Manuscripts that discuss philosophical issues in holistic nursing and holistic health are welcome. Writers are encouraged to raise and explore questions about the nature of the science and practice of holistic nursing and offer a philosophical analysis the relevance of key phenomena in holistic nursing. Manuscripts that describe philosophical inquiries are useful in extending and deepening holistic nursing knowledge. These manuscripts should be written in a style that illuminates the key questions or inquiries addressed, describes explicitly the methods of analysis and/or inquiry used, substantiates conclusions using literature, and provokes a richer dialogue on questions and issues of concern to holistic nursing and holistic health.

    Critical Literature Review. Critical analyses and evaluation of literature is foundational to advancing knowledge t in the field of holism, holistic health, and holistic nursing. Manuscripts that provide a systematic, rigorous analysis and evaluation of current literature are welcome. Manuscript format should include the focus of the review; scope of and rationale for the literature selected; detailed description of the analysis and evaluation criteria and processes used; significant findings, issues, and gaps identified; and implications for research, practice, and knowledge development. Priority will be given to manuscripts that have highest potential for expanding knowledge regarding topics of concern to holistic health and nursing.

    Practice. Manuscripts should address issues and concerns critical to practice from a holistic perspective. Focus on extension of current practice knowledge or innovations in practice knowledge is welcomed. Manuscripts should be written in a style that appeals to practitioners, providing a clear description of the focus, populations and conditions addressed, overview of relevant literature and current state of practice knowledge, detailed description of approaches and strategies and how they are applied, evaluation of practice, and implications for research, education, and practice.

    Education. Manuscripts should address issues and concerns critical to educating for advancing the science and art of holism in nursing and healthcare. Manuscripts are accepted on a wide array of topics that include teaching holistic content and teaching holistically. Educating teachers, practitioners, leaders, artists, and scientists are within the scope of this emphasis area. Manuscripts should be written in style that appeals to educators, providing a clear description of the focus; types of students and teaching situations addressed; overview of relevant literature related to the educational topic; detailed description of educational processes, approaches, and practices; evaluation of educational processes, approaches, and practices; and implications for research, education, and practice.

    Aesthetic. Manuscripts should address the significant nature and role of art as an aspect of holism and holistic nursing and healthcare. Manuscripts are accepted on a wide array of content that includes products of holistic art, processes of holistic artistic creation, personal narratives illuminating holism and holistic nursing and healthcare, the use of arts in healthcare, and inquiries, critiques, and evaluations of holistic art and its expression. Manuscripts should be written in a style that best represents the focus and purpose of the aesthetic presentation. Manuscripts should provide a clear description of the focal aesthetic product, process, and/or expression; describe why the art is uniquely or distinctively holistic; provide an aesthetic critique or evaluation; and describe the meanings and implications for education, practice, and/or research. In the case of aesthetic inquiries, provide a complete yet concise description of the inquiry including its intent, design, credibility and legitimacy, understandings, and implications. Personal narratives should describe how the experience illuminates the nature of holism, holistic nursing, and/or healthcare and relates to current theories in nursing and related fields.

    References. Authors are responsible for references’ accuracy. The list of references should include only those that are important to the text and should not be long lists consuming space unnecessarily. References should be the most current available on the topic. It is the authors’ responsibility to ensure the accuracy of all components of a reference (name(s) of author(s); publication date; title of work; title of journal, book, or other source; location of publisher; publisher; and relevant pages). All citations in text must be listed in the references, and all references should be cited in text. Reference citations in text and the references list should be prepared consistent with the Publication Manual of the American Psychological Association (7th ed.). As noted previously, if citing your own works, list “Author, YYYY” in the citation and the reference list to maintain anonymity.

    Figures. Figures are diagrams, graphs, charts, or any form of line art, as well as photography or other grayscale images. Figures are acceptable in TIFF, EPS, JPEG, PDF, or AI file formats. Initial submitted figures should be of high enough quality to be read on-screen or in printouts by reviewers. Figures must be numbered and their placement listed in the text. Final figures for accepted manuscripts should be sent in camera-ready form. Electronic line-art-type figures should be of at least 1200 dpi resolution, and electronic photo or grayscale figures should be of at least 300 dpi resolution; all figures should be at least 3.3 inches wide (for 1-column width) or 6.8 inches wide (for 2-column width) when printed. Preparation of all figures should be consistent with Publication Manual of the American Psychological Association (7th ed.). Color figures accepted for publication require an expense by the author of $800 for the first one and $200 for each additional. There is no cost for black-and-white figures.

    Tables. Tables should be typed, double-spaced, one to a page, and numbered. Their placement should be listed in the text. Tables must be supplied in Microsoft Word or Excel. Preparation of tables should be consistent with Publication Manual of the American Psychological Association (7th ed.). Tables with any form of color accepted for publication require an expense by the author of $800 for the first one and $200 for each additional. There is no cost for black-and-white text tables.


    Authors must submit written permission from the copyright owner (usually the publisher) to use material borrowed or adapted from other sources, including previously published material of the author’s own, along with complete details about the source. Any permissions fees that might be required by the copyright owner are the responsibility of the author(s) requesting use of the borrowed material, not the responsibility of Sage Publications or American Holistic Nurses Association. The documentation of permission should be included with the manuscript at the time of submission and uploaded as a supplementary file. For detailed information about permissions including what types of materials require permission, refer to Sage’s Permissions Guidelines.

    Ethical and Legal Considerations

    A submitted manuscript must be an original contribution not previously published (except as an abstract or a preliminary report), must not be under consideration for publication elsewhere, and, if accepted, must not be published elsewhere in similar form, in any language, without the consent of Sage Publications and American Holistic Nurses Association. Each person listed as an author is expected to have participated in the work to a significant extent. Although the editors and referees make every effort to ensure the validity of published manuscripts, the final responsibility rests with the authors, not with the Journal, its editors, the publisher, or the American Holistic Nurses Association.

    Time for Review, Decision, and Production

    The usual time from manuscript submission to the author’s receipt of the editor’s decision about publication is ~3 months. During that time, each manuscript undergoes a rigorous double-blind peer review by 3 reviewers(in which the identity of both the reviewer and author are always concealed from both parties) a review for a recommendation to the Editor by the appropriate Associate Editor, and a final review by the Editor. The editor’s possible decisions are (a) accept; (b) accept with minor revisions; (c) major substantive revisions required (must be resubmitted for full review with no guarantee of acceptance); (d) reject, submit to another journal; or (e) reject. The time required for revisions is determined by the author(s). Time from acceptance to publication is dependent on many factors including the number and types of manuscripts awaiting publication, variations in time required for revisions, and ability of author(s) to provide all materials required for publication. All manuscripts are edited and copyedited before being sent to the printer. The corresponding author receives page proofs for approval before publication. The Editor will keep authors informed of the projected publication date.

    Letters to the Editor Submission

    We seek letters to the editor as a way of promoting dialogue, discourse, and alternative perspectives to the articles published in JHN. Letters to the editor should be submitted through the Author Center. The author should select the “Letter to Editor” manuscript type and follow the directions. In the abstract field, insert “N/A” as an abstract is not required.

    English Language Editing

    Authors seeking assistance with English language editing, translation, or figure and manuscript formatting to fit the journal’s specifications should consider using SAGE Language Services. Visit SAGE Language Services on our Journal Author Gateway for further information.


    As part of our commitment to ensuring an ethical, transparent and fair peer review process SAGE is a supporting member of ORCID, the Open Researcher and Contributor ID. ORCID provides a unique and persistent digital identifier that distinguishes researchers from every other researcher, even those who share the same name, and, through integration in key research workflows such as manuscript and grant submission, supports automated linkages between researchers and their professional activities, ensuring that their work is recognized.

    The collection of ORCID IDs from corresponding authors is now part of the submission process of this journal. If you already have an ORCID ID you will be asked to associate that to your submission during the online submission process. We also strongly encourage all co-authors to link their ORCID ID to their accounts in our online peer review platforms. It takes seconds to do: click the link when prompted, sign into your ORCID account and our systems are automatically updated. Your ORCID ID will become part of your accepted publication’s metadata, making your work attributable to you and only you. Your ORCID ID is published with your article so that fellow researchers reading your work can link to your ORCID profile and from there link to your other publications.

    If you do not already have an ORCID ID please follow this link to create one or visit our ORCID homepage to learn more.


    Papers should only be submitted for consideration once consent is given by all contributing authors. Those submitting papers should carefully check that all those whose work contributed to the paper are acknowledged as contributing authors.

    The list of authors should include all those who can legitimately claim authorship. This is all those who:

    (i) Made a substantial contribution to the concept and design, acquisition of data or analysis and interpretation of data,

    (ii) Drafted the article or revised it critically for important intellectual content,

    (iii) Approved the version to be published.

    Authors should meet the conditions of all of the points above. Each author should have participated sufficiently in the work to take public responsibility for appropriate portions of the content.

    When a large, multicentre group has conducted the work, the group should identify the individuals who accept direct responsibility for the manuscript. These individuals should fully meet the criteria for authorship.

    Acquisition of funding, collection of data, or general supervision of the research group alone does not constitute authorship, although all contributors who do not meet the criteria for authorship should be listed in the Acknowledgments section.

    Please refer to the International Committee of Medical Journal Editors (ICMJE) authorship guidelines for more information on authorship.

    Financial Disclosures:

    Journal of Holistic Nursing requires all authors to acknowledge their funding in a consistent fashion under a separate heading. Please visit the Funding Acknowledgements page on the SAGE Journal Author Gateway to confirm the format of the acknowledgment text in the event of funding, or state that: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

    Research Ethics and Informed Consent:

    Medical research involving human subjects must be conducted according to the World Medical Association Declaration of Helsinki.

    Submitted manuscripts should conform to the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, and all papers reporting animal and/or human studies must state in the methods section that the relevant Ethics Committee or Institutional Review Board provided (or waived) approval. Please ensure that you have provided the full name and institution of the review committee, in addition to the approval number.

    For research articles, authors are also required to state in the methods section whether participants provided informed consent and whether the consent was written or verbal.

    Contacting JHN's Editorial Office

    If a prospective author still has questions after reviewing the above guidelines, contact JHN’s editorial assistant, via email at

    Individual Subscription, Print Only

    Institutional Subscription, E-access

    Institutional Subscription, Print Only

    Institutional Subscription & Backfile Lease, E-access Plus Backfile (All Online Content)

    Institutional Subscription, Combined (Print & E-access)

    Institutional Subscription & Backfile Lease, Combined Plus Backfile (Current Volume Print & All Online Content)

    Institutional Backfile Purchase, E-access (Content through 1998)

    Individual, Single Print Issue

    Institutional, Single Print Issue

    ePlatform, Single Issue 24 hour E-access