Research Profile: Judith Fouladbakhsh,
PhD, APRN, BC, AHN-BC, CHTP
Interview by Jackie Levin,
RN, MS, AHN-C, CHTP, Connections Co-Editor
In this issue, we thank Dr. Judith Fouladbakhsh, PhD, APRN,
BC, AHN-BC, CHTP for giving us this opportunity to learn
about her work as a holistic researcher. Dr. Fouladbakhsh is
an Assistant Professor in the College of Nursing at Wayne
State University in Detroit, Michigan.
to view Dr. Fouladbakhsh's bio and
Fouladbakhsh began the interview thanking the American
Holistic Nurses Association for funding a recent pilot study
on Gentle Yoga and Lung Cancer Patients. This began
an inspiring line of dialogue on the important role pilot
studies have on the holistic nursing research process.
Can you describe in what ways receiving the grants from AHNA
and Sigma Theta Tau for your pilot study "Gentle Yoga in
Lung Cancer Patients and Survivors" impacted your research
project and process?
awarded funding expressed someone trusted us and was
committed to our research work. This means a lot to a
researcher. It says, "You have a solid plan, go out and see
what the results are." This is where a pilot study is
invaluable. It allows the researcher to take a risk into
areas that are not yet well researched. In this way the seed
money was more than the ability to pay for things such as
the cortisol sampling kits, blankets and mats. It's the
confidence in our project.
How did it give you more confidence?
JF: You see,
research proposals are often judged by the question, "Is it
fundable?" The next question asked is, "What is the science
behind this intervention in this particular population?"
This posed an internal challenge. Do I go where the funding
is, or do I pursue research I know to be valuable and would
move holistic nursing research and patient care forward? I
think the wise answer is to marry the two. This pilot study
allowed us to break down stereotypes and pre-conceived
judgments that yoga would not be a successful intervention
for lung cancer patients.
Can you describe this?
JF: We found
there are strongly held beliefs about lung cancer patients
and their interest in CAM. In proposing Yoga as an
intervention for the lung cancer population, we were faced
with clinicians and research reviewers' hard held beliefs
that yoga is only a physical exercise. The other judgments
we faced, even by our nursing colleagues, were that lung
cancer patients wouldn't be interested in yoga, physically
capable of yoga or that their life expectancy is so short
that they wouldn't complete the study.
Dr. Fouladbakhsh, can you describe the pilot study?
JF: Our pilot
study aimed to determine if yoga was feasible for
post-treatment Stage I-IIIa non-small cell lung cancer
patients who are living in the community. We also wanted to
examine the effects of yoga practice on breathing, mood,
sleep and quality of life. Since this was a pilot, we wanted
to recruit a small number of participants; we also did this
as a one-group (intervention only) study. This way we could
look at changes in our participants over time. They came for
14 weeks, (3 weeks pre-intervention; 8 weeks of the yoga
intervention, and 3 weeks post-intervention). They all
participated in 40-minute yoga classes for 8 weeks and we
had excellent attendance. We also evaluated their mood,
sleep and quality of life at different time points, finding
improvement. Participants also came for follow-up sessions
after the study.
How did you accomplish all this with just the seed funding?
JF: We had to get creative in how to access support and
resources from the College of Nursing and our health care
community. We asked for volunteers from nursing and
medicine. The students took the university CITI Research
Training Course required by our university Human
Investigation Committee (takes about 8-10 hours online) and
became our research assistants. The volunteers helped with
the pre and post assessments, data collection and continue
still working on and presentation and publication of our
results. So far we have presented our data at national and
international conferences where we have received great
interest in our work.
What did you learn and what surprised you as a result of
this pilot study?
JF: We learned that our study patients began to experience
yoga as a way of life. We learned the importance of not
judging who would be interested in practicing CAM. One of
our oldest participants traveled a long distance weekly to
attend the class and now she calls herself a Yogini. Another
began to use the breath work to reduce anxiety when getting
her blood drawn. We also didn't know what to expect from the
oncologists and pulmonologists. Because the patients tend to
be so sick, the assumption was you'll never get them moving.
But one oncologist said after the study, "This is wonderful.
The next study will be with our stage 4 patients." He got
it, that it's the power of the breath and meditation that
could have benefits at the end of life. This wasn't about
showing yoga as a cure or something that prolongs life, but
rather the improved quality of life.
A big surprise came from the patients during the follow-up
interviews. They thanked us for doing the study, for even
considering doing this for lung cancer patients. They felt
judged up front by others, that they caused their disease
from smoking, even those these women were not smokers. I
didn't know that this population had sensed this in this
Nurse Leaders in the News
Patient Centered Outcomes Research Institute Nurse Leader
Related to our theme on the attributes of Pilot Studies and the
AHNA focus on Leadership, Nursing Outlook Talk interviewed nurse
leader Debra Barksdale, PhD, FNP-BC, ANP-BC, CNE, FAANP,
Associate Professor, University of North Carolina-Chapel Hill on
PCORI (Patient Centered Outcomes Research Institute)
www.pcori.org. This relatively new organization focuses
their research efforts on patient identified needs in real world
settings in alignment with the Institutes of Medicine's goals.
needs holistic nurses to submit and help shape this national
Read the interview with Veronica D. Feeg, PhD, RN, FAAN at
the Council for the Advancement of Nursing Science (CANS)
Conference, October 2011.
Nurse Elected to the Robert Wood Johnson Foundation Board of
Linda Burnes Bolton, RN, DrPH, FAAN is the newest member and
only nurse on the Robert Wood Johnson Foundation Board of
Trustees. She has served as past president of the American
Academy of Nursing and the National Black Nurses Association.
She is a published researcher on nurse retention, nurse practice
standards and minority health. RWJF is a source for holistic
nurse researchers at all levels of research.
Learn more or
AHNA's 2012 Conference
Holistic Nurses: Catalysts for Conscious Change
June 13 - 16, 2012, in Snowbird, Utah
AHNA 2012 conference
will have many
During pre-conference on
Wednesday, June 13th,
members of the research
committee will offer a
full day workshop on "Holistic
Nurses Create Change
workshop will discuss
in the morning with
examples given of
research and its
application in practice.
In the afternoon of the
same day "research team
building" will be the
topic. Participants will
work together in groups
and look at how they
might form a research
'team' around an idea or
question. At lunch Rorry
will provide a
discussion on the
challenges of holistic
nursing research and
research in AHNA.
Six papers and 16
research posters will
also be presented at
See the full conference
schedule for more
will be available Friday
4:30-6:00 PM as well as
on Saturday morning and
can be chosen when you
register for the
conference. You will
receive a questionnaire
to fill out before
conference and will be
paired with a mentor who
will best be able to
meet your needs. If you
are willing to be a
mentor please see more
The research committee
meeting will be Friday
evening 6:00-7:00 PM.
All are welcome. We look
forward to seeing you in
It's that time again! Research Consultants are needed for the One-on-One Consultation Sessions!
If you are planning to attend AHNA's fabulous Conference in Snowbird, Utah this June, please consider volunteering as a consultant for a 1.5 hour continuing nursing education (CNE) session to mentor a fellow holistic nurse. The purpose of the Research One-on-One Consultation is to provide support to novice nurse researchers through education, individualized project development, and mentoring from more experienced nurse researchers.
We are hoping to offer mentees a wide variety of expertise. If you have experience in developing research projects/studies, have knowledge on mixed methodology, qualitative and/or quantitative studies and can offer information on facilitating student participation in a research project, then AHNA would be honored to have you help us (and your fellow RN researchers) in our One-on-One Research Consultation.
The One-on-One Research Consultation is a CNE activity and both mentors and mentees will receive one (1.5) contact hours. Contact Colleen Delaney at email@example.com to volunteer.
Early-Bird Pricing Ends March 15th
Don't miss early-bird rates, register for conference before March 15, 2012.
Opportunities for Nurses
J. Patrick Barnes Research Grant
The Daisy Foundation is encouraging nurses who seek to improve
treatment of patients with auto-immune diseases and cancer to
apply for a research or evidence-based practice grant through
the J. Patrick Barnes Grant program. Successful applicants can
also apply for subsequent funding to share their findings at
professional conferences. The first deadline to submit a letter
of intent is April 2, 2012. Grants also will be
awarded beginning in the fall with a letter-of-intent submission
deadline of Sept. 14. For additional information and to access a
grant application, visit
American Journal of Nursing Seeks Article Submissions
The American Journal of Nursing (AJN) is seeking
submissions for their Viewpoint column. AJN seeks conversational
style articles of about 650 words that challenge fellow nurses
to think about a health-related topic you feel strongly about.
Viewpoint should grab the reader's attention in the first two
sentences, identify the problem or issue, make a compelling
argument supported by anecdotes and/or statistics, and leave the
reader with a challenge to think or behave differently. Review
author guidelines for Viewpoint and other types of articles at
American Nurses Foundation Research Grants Available
The American Nurses Foundation (ANF) 2012
Nursing Research Grant (NRG) application is now available on
the ANF website. ANF is offering 27 awards with funding ranges
between $2,500-$25,000. Applications are being accepted until
midnight Tuesday, May 1, 2012.
ICN Congress 2013: Website and Call for Abstracts
The International Council of Nurses (ICN) has issued the
Call for Abstracts and launched the website for its 25th
Quadrennial Congress and CNR which will be held in Melbourne,
Australia, May 18-23, 2013 under the theme of Equity and Access
to Health Care. The deadline for abstract submission is
September 14, 2012. The abstract submission guidelines
are available on the Congress website:
www.icn2013.ch. The online abstract submission system will
be live as of April 16, 2012.
Research in the News
Acupuncture Reduces Protein Linked to Stress In First of
its Kind Animal Study
The research, published in the December 2011 journal
Experimental Biology and Medicine
, showed that in
rats, acupuncture reduced blood levels of neuropeptide Y
(NPY), which is secreted by the fight or
flight/sympathetic nervous system. The study's lead
author, Ladan Eshkevari, Ph.D., from Georgetown's School
of Nursing & Health Studies is a nurse anesthetist and
certified acupuncturist. Dr. Eshkevari designed the
research based on her clinical observation of her
patients saying they often felt relaxed after an
acupuncture session. While this may not be new news for
Traditional Chinese Medicine practitioners and clients,
it does show a biochemical response to acupuncture
specific to stress.
Probiotics Reduce Incidence of Infection in TBI
During this 21-day non-blinded pilot study at
the Third Military Medical University in
Chongqing, China, researchers applied Probiotics
as an intervention for patients with closed head
traumatic brain injury. The results of this
study showed that 24 out of 43 participants
developed infections, with Ventilator-associated
pneumonia occurring in 43% of the study
participants compared with 68% in a control
group. Those in the Probiotic group also
experienced reduced rates of nosocomial
infections and shorter ICU stays. While the
28-day mortality rate was the same for both
groups, Probiotics are a safe and useful adjunct
to the TBI patient's care.
AHNA Researchers in Action
, PhD, RN, AHN-BC received a
$5,000 Research Grant from Sigma Theta Tau
International for her study
Multicomponent Homecare Intervention for
Older Adults with Heart Failure
proposed study develops, implements, and
tests the efficacy and feasibility of the
Homecare Education, Assessment,
Remote-monitoring, and Therapeutic
activities (HEART) intervention. HEART, a
nurse-led multicomponent home care
intervention developed by Dr. Delaney uses
telemonitoring plus evidence-based protocols
to teach heart failure self care and to
prevent and/or reduce depressive symptoms.
Dr. Delaney will train nine home care nurses
who will deliver the two-month intervention.
The long-term goal of this project is to
improve the care of home health care
patients with heart failure.
PhD, RN, AHN-BC,
CHTP, CTN-A; and her co-principal
investigator, Deborah Wisnieski, PhD, ARNP; co-investigators Jana
Lauderdale, PhD, RN; Joan Walker, MD
and Native Navigators Stacey Weryackwe-Sanford,
LPN; and Leslie Weryackwe; received funding
for the project, Perceived Barriers to
HPV Vaccination by American Indian Youth and
, from the Peggy and Charles
Stephenson Cancer Center/Tobacco Settlement
Endowment Trust for 1/1/12-12/31/12. The
purpose of this pilot project is to
determine perceived barriers to HPV
vaccination by American Indian youth and
caregivers among those in Comanche Nation
(Oklahoma) and Mississippi Band of Choctaw
(Mississippi). Funding: $20,000.
Dr. Eschiti was also selected from among
over 200 applicants as grant reviewer for
Patient-Centered Outcomes Research Institute
(PCORI) proposals. An in-person review
meeting was held February 21, 2012 in
Burhansstipanov, L., & Watanabe-Galloway, S.
Native cancer navigation: The state of the
. Clinical Journal of
Carey S Clark. (March/April
Beyond holism: Incorporating an integral
approach to support caring-healing-sustainable
nursing practices. Holistic Nursing
Practice, 26(2), 92-102. doi:
Anna M. Acee & Leighsa
Sharoff. (January/February 2012).
Herbal remedies, mood, and cognition.
Holistic Nursing Practice, 26(1),
38-51. doi: 10.1097/HNP.0b013e31823bff70
M. Velma Weitz, Kathleen Fisher,
& Vicki D. Lachman. (January/February 2012).
The journey of women with breast cancer who
engage in mindfulness-based stress reduction: A
qualitative exploration. Holistic
Nursing Practice, 26(1), 22-29.
Rothlyn P. Zahourek.
Healing: Through the Lens of Intentionality.
Holistic Nursing Practice, 26(1), 6-21.
AHNA members names in bold.
We would love to hear about your research.
Have you started your dissertation, had a
paper published, presented, etc. Send your
"Researcher in Action" to