Hands-on: the persistent metaphor in nursing

The metaphor "hands-on" has been used throughout the history of nursing, highlighting internal conflict and reflecting the centrality of patient care. Connection with the intent to heal suggests the deeper meaning of the metaphor. Nurses have struggled to maintain a holistic approach to patient care while reflecting larger social values. Some nurses have moved from holistic care of the client to a holistic use of self as healer. This unified approach of head, heart, and hands is exemplified in healers using touch therapies. Head and heart unite with the action of the hand with intent to heal.