Strategies for Acute and Critical Care Nurses Implementing Complementary Therapies Requested by Patients and Their Families

2016 ◽  
Vol 36 (6) ◽  
pp. 52-58 ◽  
Author(s):  
Debra Kramlich

As consumer use of complementary and alternative medicine or modalities continues to increase in the United States, requests for these therapies in the acute and critical care setting will probably continue to expand in scope and frequency. Incorporation of complementary therapies in the plan of care is consistent with principles of patient- and family-centered care and collaborative decision-making and may provide a measure of relief for the distress of admission to an acute or critical care setting. An earlier article provided an overview of complementary and alternative therapies that nurses may encounter in their practices, with specific attention to implications for acute and critical care nurses. This article provides key information on the legal, ethical, safety, quality, and financial challenges that acute and critical care nurses should consider when implementing patient and family requests for complementary therapies.

2005 ◽  
Vol 14 (5) ◽  
pp. 404-415 ◽  
Author(s):  
Mary Fran Tracy ◽  
Ruth Lindquist ◽  
Kay Savik ◽  
Shigeaki Watanuki ◽  
Sue Sendelbach ◽  
...  

• Background Demand for complementary and alternative therapies is increasing and is affecting all healthcare settings, including critical care. • Methods A random sample of members of the American Association of Critical-Care Nurses was surveyed to determine the members’ attitudes, knowledge, perspectives, and use of complementary and alternative therapies. • Results Most of the 726 respondents were using one or more complementary and alternative therapies in practice. The most common therapies used were diet, exercise, relaxation techniques, and prayer. A majority of the nurses had some knowledge of more than half of the 28 therapies listed on the survey, and a majority desired additional training for 25 therapies. Respondents generally required more evidence judged as essential to use or recommend conventional therapy than to use or recommend complementary and alternative therapies. Nurses viewed complementary and alternative therapies positively overall, were open to use of the therapies, and perceived them as legitimate and beneficial to patients. Nurses judged the therapies helpful for treatment of a variety of symptoms. A majority of nurses desired an increase in the availability of the therapies for patients, patients’ families, and nursing staff. Nurses’ professional use of the therapies was related to having more knowledge of them, perceiving benefits of them, total number of therapies they recommended to patients, personal use, and affiliation with a mainstream religion. • Conclusions Educational programs that provide information about use of complementary and alternative therapies and the underlying evidence base most likely will increase the appropriate use of the therapies to achieve desired outcomes.


Author(s):  
Elizabeth Adjoa Kumah ◽  
Paul Boadu ◽  
Rachel Duncan

Objectives: The purpose of this systematic review was to ascertain critical care nurses’ understanding and experiences of patient advocacy in adult critical care settings. The specific objectives were to identify how critical care nurses define patient advocacy, to explore the understanding and experiences of critical care nurses regarding patient advocacy, to explore critical care nurses’ role in patient advocacy, and to ascertain the barriers to encouraging advocacy in the critical care setting. Research design: Systematic literature search of CINAHL and Medline databases, Google Scholar, and Cochrane Database of Systematic Reviews, as well as grey literature search, was conducted. Search dates were restricted from January 2005 to 2015 in both CINAHL and Medline. Findings: 62 studies were identified, of which 6 qualitative research papers were included. Nurses gave varied definitions of patient advocacy, which were categorized into three themes: communication, protection, and doing. Nurses perceive advocacy as truly listening to patients and their families. Conclusion: For critical care nurses to be effective advocates, there must be support, collaboration, and improved working relationship between professional groups. Moreover, nurses must be empowered to be able to give power to patients and family.


2014 ◽  
Vol 34 (6) ◽  
pp. 50-56 ◽  
Author(s):  
Debra Kramlich

The use of complementary, alternative, and traditional therapies is increasing in the United States, and patients and their families are bringing these practices into the acute care setting. Acute and critical care nurses are in a unique and trusted position to advocate for their patients and to promote safe incorporation of complementary, alternative, and traditional therapies into the plan of care.


2005 ◽  
Vol 25 (2) ◽  
pp. 63-75 ◽  
Author(s):  
Ruth Lindquist ◽  
Mary Fran Tracy ◽  
Kay Savik ◽  
Shigeaki Watanuki

2005 ◽  
Author(s):  
Joseph Sharit ◽  
Lorgia McCane ◽  
Deborah M. Thevenin ◽  
Paul Barach

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