Growth and Development of Hospital-Based Integrative Health

2018 ◽  
pp. 403-419
Author(s):  
Arlene Horner ◽  
Ellen L. Schellinger ◽  
Ranae Aukerman

This chapter describes a hospital-based integrative health program which was built with a robust infrastructure and provides integrative therapies that are safe, efficacious, and informed by evidence. The hospital’s culture supports a noncentralized, integrated approach which aligns with the nursing professional practice model of person-centered holistic care. Considerations for program development included a focus on symptom management, patient fit, self-care of the workforce, and cost-effectiveness. Administrative support was essential to the success of sustaining a healthy program. Key foundational aspects include electronic medical record documentation, easy retrieval of clinical outcomes, online access to resources, and a readiness to involve all stakeholders.

2014 ◽  
pp. 68-83
Author(s):  
Arlene Horner ◽  
Ellen L. Schellinger

This chapter describes the development of a hospital-based, nurse-led, integrative therapy program. Person-centered, relationship-based care is optimally sustained with solid administrative support, a robust infrastructure, and an emphasis on evidence, quality, and safety. Initial integrative therapies included aromatherapy, acupressure and guided imagery. Building blocks discussed for a healthy program include documentation in the electronic health record, easy retrieval of clinical outcomes, online access to resources, and a readiness to involve all stakeholders. Additional considerations include a focus on patient fit, common symptoms, nurse self-care, and cost effectiveness. Evaluations provided details on nurse competence and confidence.


1999 ◽  
Vol 1 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Patricia J. Larson ◽  
Atsuko Uchinuno ◽  
Shigeko Izumi ◽  
Ayako Kawano ◽  
Akiko Takemoto ◽  
...  

2019 ◽  
Vol 37 (2) ◽  
pp. 91-104
Author(s):  
Jennifer L. Raybin ◽  
Emily Barr ◽  
Marilyn Krajicek ◽  
Jacqueline Jones

Introduction: As more children survive cancer, attention must be paid to their quality of life (QOL). Integrative therapies are an ideal modality for nurses to advocate for reducing distress and improving QOL for children with cancer. Creative arts therapy is a type of integrative health that may improve QOL in this population. Therefore, the research question was asked, “For children with cancer, what opportunities exist for creative arts therapy to reduce distress?” Method: A metasynthesis of the extant qualitative research was conducted to answer the research question. Seven qualitative studies were identified, which included 162 participants. New themes were identified through rigorous analyzation by the study team of each study as individual data. Results: Four derived analytic themes emerged through the analysis: (a) connection is established through creative expression, (b) coping is facilitated by creative arts, (c) communication is enabled by creative arts interventions, and (d) continuance (the concept of time) is experienced through creative arts. Examples of each theme with subthemes are delineated, including expressive quotes. Summary: Through this qualitative synthesis of studies with creative arts therapy, evocative opportunities to reduce the distress associated with the disease experience are revealed. Nurses are called now to promote creative arts therapy to improve the symptoms in children with cancer.


Author(s):  
E. Ricky Odoom

A methodology is proposed in this paper for the development, implementation, and management of Operational Reliability program suitable for power plant as well as other process plants. The methodology is a comprehensive integrated approach combining safety aspects and the operating reliability of plant’s systems. The framework for the methodology is divided into seven modules. Implementation strategies for the Operational Reliability program are discussed followed by a proposed Decision Support System for managing the program.


Author(s):  
О. V. Kolchanova ◽  
S. A. Los ◽  
I. Y. Sytnik

The growth, development, selection structure, and condition of Turkish hazelnut in the plantations of the parks of the Kharkiv National Agrarian University were studied in conditions of Kharkiv region. The article analyzes the growth of 22 to 40 years old Turkish hazelnut trees by height and diameter on five sites. In all cases, the hazelnut trees considerably exceeded the oaks by diameter and were slightly behind by the height. The Turkish hazelnut stands had a good selection structure and condition. An integrated approach to assessing the selection value of stands was used. Three of the five observed stands were found to be perspective by a combination of characteristics, i. e. suitable for the forest planting, protective stands creation, and landscaping. In all the surveyed plots, the trees produced viable seeds and seedlings and had a high degree of acclimatization in the Kharkov region.


UNICIÊNCIAS ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 50 ◽  
Author(s):  
Maria Elizabeth Da Costa Felipe Santiago

Atualmente, há aumento da utilização de práticas integrativas e complementares, especialmente, em países desenvolvidos. Dessa maneira, é indispensável o resgate dos principais marcos na história da saúde, que estabeleceram a Política Nacional de Práticas Integrativas e Complementares – PNPIC. Frente a essas circunstâncias, o objetivo é sondar a capacidade que o profissional enfermeiro possui para desenvolver sua autonomia, de acordo com a PNPIC, no que diz respeito à inserção das práticas integrativas durante o cuidado em enfermagem. O método de pesquisa utilizado é uma revisão de literatura, com buscas efetuadas na Biblioteca Virtual em Saúde (BVS), nas seguintes bases de dados: Organização Pan-Americana de Saúde (Opas), Scientific Eletronic Library Online (SciELO), Literatura Latino-americana e do Caribe em Ciências da Saúde (Lilacs) e Literatura Internacional em Ciências da Saúde (Medline), sendo selecionados sete artigos publicados entre 2006 e 2013. As pesquisas demonstraram o desconhecimento dos enfermeiros quanto à legislação e a falta de capacitação específica. Daí a necessidade de introduzir disciplinas teóricas e práticas a respeito das práticas integrativas e complementares na graduação, com o intuito de incentivar o interesse dos acadêmicos por novas áreas de atuação, e a importância de que egressos, os enfermeiros busquem qualificação e especializações em práticas integrativas e complementares. Palavras-chave: Terapias Integrativas e Complementares. Profissional de Enfermagem. Qualificação e Especialização.AbstractNowadays, there is an increase regarding the use of integrative and complementary practices in health, especially in developed countries. Thus, it is indispensable to rescue the main milestones in the history of health that established the National Policy of Integrative and Complementary Practices (PNPIC). In view of these circumstances, the objective of this paper is to identify the nursing professional skills to develop his or her autonomy according to the National Policy on Integrative and Complementary Practices (PNPIC), regarding the insertion of integrative practices during nursing care. The research method used is a literature review carried out through searches in the Virtual Health Library (VHL), in the following databases: PanAmerican Health Organization (PAHO), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (Lilacs) and Medical Literature Analysis and Retrieval System Online (Medline). Seven articles published between 2006 and 2013 were selected using the keywords integrative therapies, complementary therapies and the nursing professional autonomy. Research has shown that nurses are not aware of the legislation and lack specific training, therefore it is necessary to introduce theoretical and practical disciplines regarding integrative and complementary therapies in undergraduate courses, in order to encourage the interest in new areas of healthcare, and, once they have graduated, nurses should seek qualification and specialization in integrative and complementary therapies.Keywords: Integrative and Complementary Therapies. Nursing professional. Qualification and Specialization.


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