Transforming the Healthcare Environment Through a Hospital-Based Integrative Health Initiative

2014 ◽  
pp. 68-83
Author(s):  
Arlene Horner ◽  
Ellen L. Schellinger
Keyword(s):  
Administrative Support ◽  
Building Blocks ◽  
Quality And Safety ◽  
Integrative Therapy ◽  
Integrative Health ◽  
Health Initiative ◽  
Therapy Program ◽  
Evidence Quality ◽  
Online Access ◽  
Integrative Therapies

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.

Growth and Development of Hospital-Based Integrative Health

2018 ◽  
pp. 403-419
Author(s):  
Arlene Horner ◽  
Ellen L. Schellinger ◽  
Ranae Aukerman
Keyword(s):  
Program Development ◽  
Symptom Management ◽  
Growth And Development ◽  
Administrative Support ◽  
Integrated Approach ◽  
Holistic Care ◽  
Integrative Health ◽  
Online Access ◽  
Integrative Therapies ◽  
Nursing Professional

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.

Building an Integrative Health Program

2018 ◽  
pp. 390-402
Author(s):  
Mary Jo Kreitzer
Keyword(s):  
Health Program ◽  
System Change ◽  
Cost Of Care ◽  
Organizational Goals ◽  
Integrative Health ◽  
Health Initiative ◽  
Experience Of Care ◽  
Per Capita ◽  
Integrative Therapies ◽  
Capita Cost

Aligning an integrative health initiative or program with the organization’s mission, vision, and values is critical. Implementation of integrative therapies is an effective strategy to achieve organizational goals. Understanding the needs of stakeholders and end users is a critical first step. This chapter discusses building an integrative health program in the context of organizational and system change. The emphasis is on the Triple Aim initiative, which focuses on the simultaneous pursuit of three aims: improving the health of the population, enhancing the patient experience of care (including quality, access, and reliability), and reducing the per capita cost of care. Design, implementation, and evaluation are covered.

How Does Creative Arts Therapy Reduce Distress for Children With Cancer? A Metasynthesis of Extant Qualitative Literature

2019 ◽  
Vol 37 (2) ◽  
pp. 91-104
Author(s):  
Jennifer L. Raybin ◽  
Emily Barr ◽  
Marilyn Krajicek ◽  
Jacqueline Jones
Keyword(s):  
Research Question ◽  
Creative Arts ◽  
Qualitative Synthesis ◽  
Creative Arts Therapy ◽  
Children With Cancer ◽  
Integrative Health ◽  
Study Team ◽  
Disease Experience ◽  
Integrative Therapies

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.

Patient-reported outcomes on integrative therapies for pain, tension, and level of comfort.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 58-58
Author(s):  
Kamron Keep ◽  
Alan Shaw ◽  
Stephanie Leavell ◽  
Paige Wimmer ◽  
Amie Bartholomeus ◽  
...  
Keyword(s):  
Music Therapy ◽  
Patient Reported Outcomes ◽  
Post Treatment ◽  
Therapy Program ◽  
Patient Reported ◽  
Pain Outcomes ◽  
Average Pain ◽  
Average Pain Score ◽  
Average Tension ◽  
Integrative Therapies

58 Background: The 2007 National Health Interview Survey (NHIS) reported more than one-third of adults used some form of complementary and alternative medicine (CAM). An analysis of 2002 NHIS data found CAM use to be more prevalent among people with a prior diagnosis of cancer. In 1999, St. Luke’s Mountain States Tumor Institute (MSTI) began an integrative therapies program to meet this growing interest and provide evidence-based, safe CAM modalities for patients. The program continues to grow and offers programs such as massage, acupuncture, and pediatric music therapy. Methods: Patient reported outcomes are collected from patients using pre/post treatment assessments. Outpatient massage and acupuncture programs measure comfort levels pre/post treatment using a 0-10 scale (0 = very comfortable; 10 = worst discomfort). The inpatient massage program measures pre/post treatment pain and tension using a 0-10 scale (0 = no pain/tension; 10 = worst pain/tension). Finally, the MSTI pediatric music therapy program collects pre/post treatment pain outcomes using a FLACC scale, where each of the five categories Face (F), Legs (L), Activity (A), Cry (C) and Consolability (C) are scored from 0-2, which results in a total score 0-10. Results: Assessments from outpatient acupuncture and massage collected between July 1, 2011 to July 1, 2012 showed that patients had an average comfort score of 3.6 before acupuncture and 2.0 after acupuncture and an average comfort score of 3.4 before massage and 0.77 after massage (n=1300 estimate). Inpatient massage outcomes collected between Dec. 2011 – June 2012 showed an average pain score of 2.53 before massage and 0.41 after massage and an average tension score of 4.73 before massage and 0.52 after massage (n=52). MSTI pediatric music therapy outcomes collected from January-April 2012 showed an average FLACC score of 3.0 before music therapy and 0.72 after music therapy (n=68). Conclusions: Integrative therapies such as massage, acupuncture and pediatric music therapy show significant benefits in providing comfort and decreasing pain and tension in MSTI cancer patients. Opportunities remain to conduct research and set a standard of practice with integrative therapies.

Effectiveness of a Sensory Integrative Therapy Program for Children with Perceptual-Motor Deficits

1989 ◽  
Vol 22 (4) ◽  
pp. 221-229 ◽  
Author(s):  
Julie F. Densem ◽  
Graham A. Nuthall ◽  
John Bushnell ◽  
Jacqueline Horn
Keyword(s):  
Motor Deficits ◽  
Integrative Therapy ◽  
Therapy Program ◽  
Sensory Integrative Therapy

Integrative Nursing in a Pediatric Blood and Marrow Transplant Program

2018 ◽  
pp. 432-443
Author(s):  
Megan Elizabeth Voss ◽  
Mary Jo Kreitzer
Keyword(s):  
Marrow Transplant ◽  
Academic Health ◽  
Integrative Health ◽  
Blood And Marrow Transplantation ◽  
Transplant Patients ◽  
Transplant Program ◽  
Blood And Marrow Transplant ◽  
The World ◽  
Integrative Therapies ◽  
Effective Use

This chapter gives an overview of the planning, design, implementation, and evaluation of an integrative health program in an academic health center. Pediatric blood and marrow transplant patients are one of the most fragile patient populations in the world. In this chapter, the safe and effective use of integrative therapies is discussed. This nurse-led program is one of the most comprehensive of its kind in pediatric blood and marrow transplantation (BMT). This chapter can serve as a guide to any health professional looking to integrate the principles of integrative nursing and/or integrative therapies into professional practice.

Integrative Nursing Management of Grief

2018 ◽  
pp. 334-349
Author(s):  
Susan O’Conner-Von
Keyword(s):  
Short Form ◽  
Complicated Grief ◽  
Significant Loss ◽  
Assessment Tools ◽  
Anticipatory Grief ◽  
Nursing Management ◽  
Integrative Therapy ◽  
Whole Person ◽  
Integrative Therapies ◽  
Caregiver Grief

Everyone has experienced grief as a response to a significant loss or change. This chapter presents an integrative nursing approach to grief. Types of grief are described, including anticipatory grief, uncomplicated grief, and complicated grief. These different types of grief are explained and differentiated from normal grief. Assessment of grief using assessment tools such as the Inventory of Complicated Grief, Brief Grief Questionnaire Marwit-Meuser Caregiver Grief Inventory, Marwit-Meuser Caregiver Grief—short form, Hogan Grief Reaction Checklist, and Texas Revised Inventory of Grief are discussed, and selected integrative therapy approaches are described. A patient exemplar is offered that illustrates the use of integrative therapies and whole-person care.

Integrative Nursing in Acute Care Settings

2014 ◽  
pp. 331-343 ◽  
Author(s):  
Lori Knutson ◽  
Valerie Lincoln
Keyword(s):  
Acute Care ◽  
Consumer Demand ◽  
Business Case ◽  
Evidence Base ◽  
Organizational Vision ◽  
Significant Growth ◽  
Integrative Health ◽  
The Past ◽  
Acute Care Settings ◽  
Integrative Therapies

Over the past ten years, there has been significant growth in the number of hospitals offering integrative therapies. A strong clinical and business case is emerging that is fueled by consumer demand and the expanding evidence base that demonstrates positive outcomes. Two exemplars of hospitals are highlighted where integrative nursing principles and concepts are deeply woven into the care model. In both institutions highlighted, aligning integrative health with organizational vision, mission and priorities was critical to success. Nurses are well positioned to provide leadership in advancing integrative health and nursing within acute care settings.

Outcome Research on Psychotherapy Integration

2019 ◽  
pp. 405-431 ◽  
Author(s):  
James F. Boswell ◽  
Michelle G. Newman ◽  
Lata K. McGinn
Keyword(s):  
Treatment Outcome ◽  
Outcome Research ◽  
Empirical Support ◽  
Limited Attention ◽  
Controlled Trials ◽  
Future Directions ◽  
Integrative Therapy ◽  
Specific Diagnosis ◽  
Current State ◽  
Integrative Therapies

Integrative psychotherapies have received increased empirical attention in recent decades, and a number of these treatments have been examined and tested in treatment outcome studies. In this chapter, the authors review and summarize the current state of outcome research on integrative therapies. Such treatments are placed into broad categories based on their foundational pathway to integration, including assimilative, theoretical, and technical eclecticism, as well as whether or not they have been designed to target a specific diagnosis or problem. Many integrative therapies have garnered substantial research support (four or more randomized controlled trials). Empirical support for some treatments continues to accumulate, while other treatments that were previously identified as promising have received limited attention in the past decade. Broad conclusions regarding the state of integrative therapy outcome research are offered, along with future directions.

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