HNB-BC key terms
HNB-BC · Get comfortable with the vocabulary.
- Holistic Nursing
- Related: Nursing Metaparadigm, Integrative Health, Holistic Nursing Process
A nursing specialty and philosophy that treats each person as an integrated whole-body, mind, spirit, emotion, and environment-and blends conventional care with complementary approaches to promote healing and well-being.
- Nursing Metaparadigm
- Related: Holistic Nursing, Unitary Human Being
The four foundational concepts of the discipline-person, environment, health, and nursing-that frame how nurses understand and organize care; holistic nursing interprets each concept as dynamic and interconnected.
- Unitary Human Being
- Related: Science of Unitary Human Beings, Nursing Metaparadigm
Rogers' view that a person is an irreducible, indivisible energy field continuously exchanging with the environmental field, so the person cannot be understood by separating parts from the whole.
- Science of Unitary Human Beings
- Related: Unitary Human Being, Holistic Nursing
Martha Rogers' nursing theory describing people and environments as open energy fields in mutual, continuous change, with nursing aimed at promoting pattern and harmony rather than repairing separate parts.
- Theory of Human Caring
- Related: Caritas Processes, Transpersonal Caring Moment, Relational Ethics
Jean Watson's framework holding that caring is the moral center of nursing and that healing occurs through a transpersonal relationship formed within a caring moment and a caring consciousness.
- Caritas Processes
- Related: Theory of Human Caring, Transpersonal Caring Moment
Ten caring practices in Watson's theory-such as cultivating loving-kindness, inspiring faith-hope, and creating a healing environment-that translate the philosophy of human caring into everyday clinical behaviors.
- Transpersonal Caring Moment
- Related: Theory of Human Caring, Presence, Caritas Processes
A mutual, intentional encounter in which nurse and patient connect at a deep level, each changed by the exchange and opened to healing potential beyond ordinary professional interaction.
- Health as Expanding Consciousness
- Related: Holistic Nursing, Nursing Metaparadigm
Margaret Newman's theory that health is the unfolding of consciousness through life's pattern, so illness can become a turning point for growth and nursing helps people recognize their pattern.
- Theory of Integral Nursing
- Related: Holistic Nursing, Integrative Health
Barbara Dossey's framework integrating holistic philosophy, multiple ways of knowing, and a global perspective to guide nurses in addressing the whole person within family, community, and health systems.
- Integrative Health
- Related: Holistic Nursing, Aromatherapy, Guided Imagery
An approach that combines conventional medicine with evidence-informed complementary therapies, emphasizing the whole person, lifestyle, and the practitioner-patient relationship in promoting health and healing.
- Relational Ethics
- Related: Theory of Human Caring, Cultural Humility
An ethical stance holding that right action emerges from genuine engagement, mutual respect, and responsiveness within relationships rather than from applying abstract rules to a patient.
- Intentionality
- Related: Presence, Caritas Processes
The deliberate direction of one's awareness, attention, and purpose toward a caring goal; in holistic practice it is the conscious choice to be fully present and act with healing intention.
- Health Literacy
- Related: Teach-Back Method, Patient Empowerment
A person's ability to obtain, understand, and use health information to make decisions; low health literacy calls for simpler language, visual aids, and confirmation that teaching was understood.
- Teach-Back Method
- Related: Health Literacy, Motivational Interviewing
A verification technique in which the learner explains or demonstrates information in their own words; the nurse re-teaches as needed, shifting the check from 'Did I teach?' to 'Did they learn?'
- Motivational Interviewing
- Related: Shared Decision Making, Health Coaching
A collaborative, goal-directed counseling style that uses open questions, affirmation, reflection, and summarizing to elicit a person's own reasons for change rather than advising or persuading.
- Shared Decision Making
- Related: Patient Empowerment, Motivational Interviewing
A partnership process in which clinician and patient exchange information about options, risks, and values, then jointly agree on a plan of care that fits the person's preferences.
- Patient Empowerment
- Related: Shared Decision Making, Health Coaching
Supporting people to build knowledge, confidence, and control over their health decisions and actions; the nurse acts as a facilitator rather than a director of the person's choices.
- Health Coaching
- Related: Motivational Interviewing, Patient Empowerment
A structured, collaborative conversation that helps a person identify their own health goals and build achievable action steps, using inquiry and reflection rather than instruction or advice-giving.
- Nurse Self-Care
- Related: Reflective Practice, Compassion Fatigue, Mindfulness
Deliberate practices a nurse uses to maintain personal physical, emotional, mental, and spiritual well-being, treated as a professional obligation because the nurse's own state affects the care given.
- Reflective Practice
- Related: Nurse Self-Care, Mindfulness
A structured habit of examining one's own actions, feelings, and assumptions after clinical events in order to learn, grow, and improve future practice, often through journaling or debriefing.
- Mindfulness
- Related: Presence, Nurse Self-Care, Guided Imagery
Paying attention on purpose to the present moment with an attitude of openness and non-judgment; used to reduce stress, increase self-awareness, and strengthen therapeutic presence.
- Compassion Fatigue
- Related: Burnout, Nurse Self-Care
The physical, emotional, and spiritual exhaustion that develops from prolonged exposure to others' suffering, showing as reduced empathy, irritability, and a diminished sense of accomplishment in caregiving.
- Burnout
- Related: Compassion Fatigue, Nurse Self-Care
A workplace-driven syndrome of emotional exhaustion, depersonalization or cynicism, and reduced sense of personal efficacy, distinct from compassion fatigue in that it centers on job demands and system stressors.
- Holistic Nursing Process
- Related: Holistic Assessment, Holistic Nursing
The cyclic, standards-based method of holistic care-assessment, diagnosis, outcomes, planning, implementation, and evaluation-carried out with attention to the whole person, partnership, and caring intention.
- Holistic Assessment
- Related: Holistic Nursing Process, Cultural Humility
A comprehensive data-gathering process that includes the physical exam plus lifestyle, beliefs, values, culture, relationships, coping, spirituality, and environment, so the plan reflects the whole person.
- Therapeutic Touch
- Related: Reiki, Intentionality
A biofield therapy in which the practitioner's hands move through the person's energy field to assess and rebalance it, based on the belief that healing is promoted by restoring field symmetry.
- Reiki
- Related: Therapeutic Touch, Integrative Health
An energy therapy in which a practitioner channels universal life energy through light or no touch on or above the body to support relaxation, comfort, and the person's own healing response.
- Guided Imagery
- Related: Progressive Muscle Relaxation, Mindfulness
A mind-body technique in which the nurse or a recording leads the person to imagine calming or healing scenes, using the senses to reduce pain, anxiety, and stress.
- Progressive Muscle Relaxation
- Related: Guided Imagery, Mindfulness
A technique of deliberately tensing and then releasing muscle groups in sequence while noticing the difference, producing a physical relaxation response that can lower anxiety and body tension.
- Aromatherapy
- Related: Integrative Health, Holistic Nursing Process
The therapeutic use of essential oils inhaled or applied topically, chosen for their reported calming or energizing effects and used only with attention to allergies, sensitivities, and safe dilution.
- Presence
- Related: Intentionality, Mindfulness, Therapeutic Communication
The intentional practice of being fully available to another person in the moment-attentive, open, non-judgmental, and unhurried-so the person feels seen and supported rather than merely processed.
- Therapeutic Communication
- Related: Active Listening, Presence
Purposeful, goal-directed interaction using active listening, empathy, open questions, and appropriate silence to build trust and help a person express needs, concerns, and feelings.
- Active Listening
- Related: Therapeutic Communication, Motivational Interviewing
Fully concentrating on the speaker, attending to verbal and nonverbal cues, and reflecting back the essence of what was said so the person feels understood and can clarify their meaning.
- Cultural Humility
- Related: Cultural Competence, Cultural Safety, Relational Ethics
A lifelong stance of self-reflection about one's own biases and power, combined with openness to learn from each patient's cultural identity rather than claiming mastery over another culture.
- Cultural Competence
- Related: Cultural Humility, Cultural Safety, Holistic Assessment
A developing set of knowledge, skills, attitudes, and behaviors that enable nurses to give respectful care across cultural differences, often described as a continuum rather than a fixed endpoint.
- Cultural Safety
- Related: Cultural Humility, Therapeutic Environment
An outcome defined by the person receiving care: they feel respected, understood, and free from discrimination or power imbalance, rather than the nurse alone judging whether care is culturally appropriate.
- Therapeutic Environment
- Related: Presence, Therapeutic Communication, Holistic Nursing
The physical, social, and emotional surroundings deliberately shaped to promote safety, dignity, rest, connection, and healing, including noise, light, privacy, and the tone of staff interactions.
- Social Determinants of Health
- Related: Cultural Safety, Holistic Assessment
The conditions in which people are born, grow, live, work, and age-income, housing, food security, education, and discrimination-that shape health outcomes and belong in a holistic assessment.