Holistic Nurse Career Overview
What Is a Holistic Nurse?
A holistic nurse expands their focus to include treating the entire person versus just their illness. Many credit Florence Nightingale for this concept and the formation of modern nursing. In the mid-1800s, Nightingale treated injured soldiers in a time of war. She introduced a radical new concept for the time: keeping patients clean and fed as well as treating their wounds. As medicine continues to grow more complex, so do treatments, and sometimes Nightingale’s ideas fall by the wayside as nurses get busier.
How Long to Become?
2-4 Years
Job Outlook
6% increase from 2022 to 2032
Average Salary
$94,480
All nursing uses some form of holistic nursing, but holistic nurses go the extra mile to treat every aspect of the mind-body-spirit connection to help patients heal as a whole. The American Nurses Association recognized the holistic nursing specialty in 2006. According to the American Holistic Nursing Association, the five core values of holistic nurses are:
- Holistic Philosophy and Education: based on philosophical principles of holism.
- Holistic Ethics, Theories, and Research: based on theory, research, and ethical principles.
- Holistic Nurse Self-Care: nurses must practice self-care to be better able to serve others.
- Holistic Communication, Therapeutic Environment, and Cultural Competence: nurses must set goals with patients for their healing.
- A Holistic Caring Process: nurses must use assessments and address evolving needs in a caring environment.
Any nurse can apply holistic nursing principles to their practice. However, to fully embrace the practice, nurses may seek further education and certification. Holistic nursing offers alternative treatment options for patients looking to avoid over-medication or surgery. These nurses are trained in skills that can be applied with minimal equipment, meaning they can practice in more diverse locations, such as:
- Academic Centers
- Birthing centers
- Gyms
- Home health care
- Hospitals
- Medical Day Spas
- Nursing homes
- Physician offices
- Private Consultants
- Wellness Centers
What Does a Holistic Nurse Do?
Wherever they work, holistic nurses use techniques to attend to every aspect of health. They treat the whole person with methods including:
- Acupressure
- Aromatherapy
- Biofeedback
- Breathing and relaxation
- Cognitive therapy
- Exercise
- Guided imagery
- Lifestyle counseling
- Massage
- Mindfulness and meditation
- Music and art therapy
- Nutritional counseling
- Reflexology
- Stress management
- Yoga and tai chi
When a holistic nurse works in private practice or a day spa, they guide each patient through their appointment. They may take health histories, do medical assessments, and collaborate with the care team on a treatment plan.
Holistic nurse consultants can see patients in an office setting or in their own homes. When visiting a patient at home, holistic nurses can lead patients through many of the therapies listed above. Some make themselves available by phone for their patients after hours.
In a birthing center, a holistic nurse may assist a nurse-midwife during prenatal check-ups, labor, and delivery. Holistic nurses work with women who want to deliver their babies without medication and can use many of the techniques listed above to help them achieve this goal.
Since movement and exercise hold an important place in holistic medicine, holistic nurses sometimes work in gyms, where they guide their clients through training to improve their strength, decrease pain, and boost mental health.
How Do I Become a Holistic Nurse?
A holistic nurse must get a nursing degree from an accredited nursing program. They may get a two-year Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). A BSN can take four years to complete, but some schools offer accelerated programs that can be done in as little as a year.
After graduation, candidates can apply to work as holistic nurses in any of the settings listed above. They will work as a graduate nurse (GN) until they pass the nurse licensing exam, the NCLEX-RN. A series of multiple-choice questions, this standardized test shows a nurse’s clinical knowledge and capability to begin practicing independently.
Once a holistic nurse has some experience under their belt, they can become certified in their specialty. The American Holistic Nurses Credentialing Corporation (AHNCC) offers several holistic nurse certifications:
- Advanced Holistic Nurse Board Certified (AHN-BC)
- Advanced Practice Holistic Nurse Board Certified (APHN-BC)
- Holistic Nurse Baccalaureate Board Certified (HNB-BC)
- Holistic Nurse Board Certified (HN-BC)
To be eligible for certification, the AHNCC requires nurses to have:
- A current RN license
- A diploma from an accredited nursing program
- At least 48 hours of continuing nursing education in holistic nursing within the last two years
- At least one year of full-time experience or 2,000 hours of part-time experience within the last five years
How Much Does a Holistic Nurse Make Per Year?
According to the US Bureau of Labor Statistics (BLS), RNs make an average of $94,480 per year. This amount can vary depending on your work setting and the cost of living in the area. The low-end average is $63,720, and the high-end is $132,680.
The BLS does not specify the salary for holistic nurses, but other salary reporting sites claim similar wages. Depending on where you work, your employer may offer higher or lower compensation:
- General Medical and Surgical Hospitals: $96,830
- Home Health Care Services: $87,430
- Outpatient Care Centers: $102,640
- Offices of Physicians: $83,110
- Nursing Care Facilities (Skilled Nursing Facilities): $79,280
Salaries also vary depending on which state a holistic nurse practices. The West Coast generally pays nurses the best, but they also have a higher cost of living.
Annual Mean Wage of Registered Nurses, by State
- $69,030 - $80,760
- $81,390 - $86,210
- $87,220 - $94,670
- $94,830 - $137,690
Blank areas indicate data not available
Source: BLS
The West Coast, New England states, Minnesota, and Alaska pay holistic nurses the highest wage, but the cost of living in these areas can also be high. The lowest-paying states are in the Midwest and some Southeastern states.
The top-paying areas for holistic nurses include:
- San Francisco-Oakland-Hayward, CA: $174,370
- Vallejo-Fairfield, CA: $171,620
- San Jose-Sunnyvale-Santa Clara, CA: $170,780
- Napa, CA: $166,180
- Sacramento–Roseville–Arden-Arcade, CA: $154,510
- Santa Rosa, CA: $152,930
- Modesto, CA: $145,190
- Santa Cruz-Watsonville, CA: $140,880
- San Luis Obispo–Paso Robles–Arroyo Grande, CA: $140,560
- Stockton-Lodi, CA: $138,420
Certified holistic nurses can be paid more than a nurse who is not certified, depending on the facility. Generally, the more experience and proof of expertise, the more a holistic nurse will be eligible to earn.
Are Holistic Nurses in High Demand?
The United States needs nurses of all kinds. According to the US Department of Health and Human Services, 24% of US hospitals have reported critical staffing shortages. Holistic, or integrative, care has been gaining popularity in the last few decades. More and more respected health organizations have acknowledged the mind-body connection and the need to focus on the whole person. As a result, holistic nurses may become increasingly in demand.
Additional Resources About Becoming a Holistic Nurse
To learn more about becoming a holistic nurse, these additional resources may help: