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Important Dates |
Proposals for 2012
Conference Due
September 7, 2011
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Mentoring: Making a
Difference |
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By Jackie Levin, RN, MS,
AHN-C, CHTP
Connections in Holistic Nursing Research Co-Editor
There are many ways of making a difference in nursing and
mentoring the novice nurse researcher is one of them. I
still feel awe and appreciation for my first mentor, Dr.
Marilyn Bookbinder RN, Ph.D. who, throughout my year as
Nurse Fellow for Beth Israel Medical Center's Department of
Pain Medicine and Palliative Care (DPMPC), cultivated my
inquiring mind.
Under Dr. Bookbinder's method of inquiry and mentoring, I
steadily identified gaps in my skills of observation.
Holding steady to the precepts of scientific rigor, my
replies of, "I don't know" were unacceptable. Question
after question, she forced me to dig deeper and further into
the whys and wherefores of holistic nursing practice
fostering in me a systematic pursuit of self-examination.
As a researcher, Dr. Bookbinder's ability to see everyday
nursing practice issues as a potential Quality Improvement (QI)
project opened me up to a whole new world of research: the
pilot study. Because of my mentor's zeal, she nurtured in me
both the appreciation and the passion that through research
nurses have the power to improve practice at the bedside. So
when it came to her attention that nurses in the endoscopy
suite wanted to improve pain management, she asked me to
design a pilot study using a holistic intervention to
address their issues. As a novice researcher I could wrap my
head around a small practical study that would benefit both
nurses and patients at the point of care. The result was a
QI project funded by the AHNA in 2000, assessing and titled,
"The effects of a relaxation technique (therapeutic
suggestions) on pain and anxiety on first time colonoscopy
patients." To read more about this specific study,
click here.
As a mentor, she simplified the IRB process, worked to
remove barriers, opened doorways, de-cluttered confusion,
and provided moments of solace and many moments of humor.
When feeling swayed off course by powerful doubtful voices
(both inner and outer), Marilyn never allowed me to let go
of my dreams, passions, and innovations
For me, the mentoring relationship is more than
student/teacher, though there are components of this. This
is a relationship that at its core is Love. Love of the
person, love of our practice, love of nursing. This love is
not always easy, uncomplicated or even fun. The mentor has
to risk pushing their mentee beyond their perceived limits,
otherwise how do we evolve ourselves and nursing practice?
Because my mentor did this for me, the analytical skills
gained early in my career for both thinking about a clinical
problem and for developing a research project are now well
integrated into my nursing practice.
The rewards? In my experience, being mentored, and then
carrying that forward as I mentor others in their discovery
and growth in the practice of inquiry, is transformative.
The whole of the experience, the cherished moments as well
as the challenges, continue to inform me. From time to time
in the midst of my workday, I hear Marilyn's voice, coaching
and guiding me still. In those moments, I drop her an email
thanking her. Her vital energy given so generously sustains
me still.
If you have had mentoring experiences you would like to
share, either positive or negative, please share that on our
Discussion Board. Please be judicious in your use of
identifying either your mentor or mentee keeping propriety
and professionalism in mind.
We need volunteers to mentor or to provide short-term
consultation. If you are willing, please send your area of
expertise, availability and contact information to Amber (amber@ahna.org).
We are also seeking short term consultants for the 2011
conference. Please contact Leighsa Sharoff (leighsa220@aol.com) if
you are willing to be a consultant. |
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Response to Mentoring Editorial |
By Jen Reich
MA, MS, ANP-BC, ACHPN
Connections in
Holistic Nursing Research Co-editor
In reading Jackie's mentoring editorial, I
reflect on my own experiences with mentors who
have touched my life through their wisdom and
teaching. Like Jackie, I also had the great
fortune of mentoring from Marilyn Bookbinder in
my first advanced practice role as Palliative
Care Nurse Fellow at Beth Israel Medical Center
in NY. Among many things, Marilyn stressed to
me the important link between practice and
research and encouraged me to pursue my PhD.
She connected me with other nurse leaders
practicing in Integrative and holistic settings
who have become an important part of my growth
and development.
Since I began in nursing a decade ago, I have
been blessed with mentors who have taught me the
art and science of becoming a nurse. I joined
AHNA as a Nurse Practitioner student and have
met mentors through the organization who have
given me the courage to bring my research ideas
to fruition. Now, as I write my dissertation, I
look forward to passing on this new knowledge
with the students who will become the next
generation of holistic nurse researchers. And
to all my mentors, I share this poem in thanks
for all you do.
Mentors
All
souls need mentors
Inventors of creative living
Giving
guidance from the heart-
Doing
their part to share what they know
So that
others may grow and do the same-
Jen Reich
Anacortes, WA 8-26-10
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Research Mentoring at AHNA |
Creating new knowledge in a systematic and
scientific way is essential to the health and well
being of any profession. Holistic nursing is no
exception in this area. Understanding and
appreciating the values of holistic nursing can only
be accomplished through research. Research in
holistic nursing includes investigations of
alternative and complementary therapies but also the
ideas of authentic presence, compassion, intention
and the idea that each person is whole and complete
in the moment. In order to foster and
support research within AHNA, research mentoring is
available. Mentoring is a way for
beginners and advanced researchers to discuss ideas,
refine methodologies, and gather recourses to assist
with the research endeavor. The research committee
at AHNA has held one-on-one mentoring sessions at
the last four yearly conferences with great success.
Mentors are volunteers who wish to give some time to
mentoring another researcher or someone who is
relatively new to the idea of holistic research. If
you would like to be a research mentor or if you
would like research mentoring by one of our
volunteers please contact Amber Cline, Research
Liaison for AHNA, at
amber@ahna.org.
Please include in your e-mail your area of interest
or expertise, the type of research you are most
comfortable with and the best time and way to
contact you.
We are also seeking members willing to act as short
term research consultants at the AHNA conference in
June 2011. Please contact Leighsa Sharoff (leighsa220@aol.com)
with your willingness to be a consultant. Please
include your area of interest or expertise. If you
would like to receive a consultation session at
conference, you can register for Workshop 28 when
you register for conference.
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Research Grant Proposals
are due February 1, 2011 |
AHNA members are encouraged to submit
topics concerning healing through
holistic nursing. Nationally, research
goals are evolving with a new foci on
real life clinical situations: patient
centered outcomes and comparative
effectiveness research designs. These
changes are congruent with holistic
nursing research and we enthusiastically
encourage applicants interested in this
new foci to submit proposals. Grant
application instructions, submission
guidelines, and the grant review forms
are available on the
AHNA Web site. The budget for your
grant proposals should be no greater
than $4000.
Please
e-mail grant proposals to both Kim
Stiles (kstiles@ohlone.edu)
and Jeanne Crawford (director@ahna.org).
Consultation may be available as an
aspect of the grant. For questions about
the grant application process, please
contact Kim Stiles (kstiles@ohlone.edu).
For research consultations or mentor
information, contact Ruth McCaffrey (rmccaffr@fau.edu).
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Request for Proposals |
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Poster Presentations at
AHNA 2010 Conference |
AHNA will hold its 31st Annual National Conference,
Holistic Nursing: Tending to the Sacred Flow of Life,
from June 2-5, 2011 in Louisville, KY. AHNA invites you
to submit poster proposals for this conference and help
create our best conference yet!
Poster proposals will be accepted until December
1, 2010.
Submission guidelines are available online.
Visit the
Research section of the AHNA Web site for
information on creating a workshop or poster proposal.
Missed the workshop proposal deadline? Get
started on your 2012 proposal. The deadline for
presentation proposals for AHNA's 2012 conference will
be September 7, 2011. Submission
guidelines will be available in July 2011.
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Research Glossary |
Have
you heard??? The Research Enews team invites
your research word!
We are
currently seeking to build a glossary of
research terminology that will serve the
holistic nursing community. Each Research
Enews, a new term will be featured and the
glossary will be on the website as well. If you
have a research term you think would benefit
AHNA members, and would like to be a guest
contributor to our glossary, please contact amber@ahna.org
with your recommendation.
The RCT:
Randomized controlled trial
Randomized controlled trial: (RCT)
An experimental design in which individuals are
assigned randomly to two or more groups: a
treatment group (experimental therapy) and a
control group (placebo and/or standard therapy)
and the outcomes are compared. Someone who takes
part in a randomized controlled trial (RCT) is
called a participant or subject. RCTs seek to
measure and compare the outcomes after the
participants receive an intervention. Because
the outcomes are objectively measured
(instruments and/or physiological data) RCTs are
quantitative studies. The RCT is currently the
most accepted scientific method of determining
the benefit of a drug or a therapeutic
procedure. It is one of the simplest and most
powerful tools in clinical research.It can
represent the "best" evidence available, which
is integrated into the final decision about the
management of a condition by healthcare
practitioners in what is called evidence-based
healthcare but is limited by its
generalizability to groups.
In sum, RCTs are quantitative, comparative,
controlled experiments in which investigators
study two or more interventions in individuals
who are assigned to receive an intervention in
random order.
Sources:http://www.medterms.com
MedTerms is the Medical Dictionary of
MedicineNet.com; Millodot: Dictionary of
Optometry and Visual Science, 7th edition. ©
2009 Butterworth-Heinemann;
www.wickipedia.com
Numerous forms of the RCT designs exist. This
approach, while the 'gold standard' for
scientific and often clinical evidence, has been
criticized by many as a research approach that
does not account for the numerous factors
involved in behavioral sciences including
holistic nursing, and in integrative,
complementary and alternative practices.
Currently there is national emphasis on multiple
approaches to research that capture the
complexities of clinical practice. (see report
of integrative health care conference link).
Effectiveness versus Efficacy
These two terms have recently been discussed in
evaluating the usefulness and applicability of
research results. Research that aims for
efficacy most often utilizes the RCT.
Statistically significant results of a treatment
or intervention in a controlled situation is an
example. Effectiveness on the other hand,
attempts to evaluate treatments and approaches
in real clinical situations. Effectiveness is
associated with 'what works most of the time'.
Such interventions may not meet consistent
statistically significant results when tested on
controlled situations. People reporting greater
comfort after a healing touch procedure while
their blood pressures may not decrease
significantly is an example.
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Complexity Science |
by Joan Engebretson DrPH, AHN-BC, RN
 Complexity
science is emerging as a powerful force in the
progression of nursing research, science and
understanding the world. Complexity science has its
origins in physics and mathematics and is based in
non-linear dynamics. Many scientists postulate that
complexity science will be the paradigm of the 21st
century and there are several calls for applications
of complexity to address many of the behavioral and
social issues in health care. Many of the concepts
are similar to the systems orientation of holistic
nurses.
Complexity is differentiated from complicated which
is described by Glouberman et al. (2006) in the
analogy of an automobile as a complicated system
with many parts, but changing the oil doesn't alter
the behavior of the headlights. In contrast, in a
complex system, the parts continually interact and
change in ways that cannot be deduced from any of
the parts in isolation. Much of the current
scientific base for medical research and subsequent
clinical practice is grounded in a mechanistic
model, and reduces phenomena to measurable variables
and analyzes them through linear mathematics. The
goal of much medical research seeks to discover
relationships among variables with the ultimate aim
of testing interventions, with the randomized
controlled clinical trial as the gold standard.
This has been extremely useful and has yielded
tremendously valuable insights and understanding
about disease and treatment of disease. However,
humans and communities are complex systems, as are
most living organisms. At this level, the framework
of complex adaptive systems may be a better
conceptual fit. Complexity science seeks not to
measure the relationship between variables, but
rather to explore what actually happens between or
among them. So rather than looking at correlations
and predictions among variables, complexity science
seeks to discover what happens in the relationship
between variables. Nursing has long oriented around
a systems theoretical perspective as befitting the
idea of caring for the whole person, family or
community. Therefore, it is important for nurses to
become familiar with the language, metaphors and
concepts of complexity as these represent the
emerging science. This report will focus on the
concepts in Complex Adaptive Systems which are based
on some of the mathematical principles and may be
thought of as complexity theories or complexity
frameworks.
To read the complete article,
click here.
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Report on Integrative
Health Care Policy Consortium |
Rorry
Zahourek, AHNA Leadership Council
Research Coordinator, recently
attended a conference on the
implications of healthcare reform on
integrative medicine. She shares the
implications for holistic nursing
research in a report on the AHNA's
web site. Read
Rorry's report.
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Research Reviews |
Reviewed by Jackie Levin RN, MS,
AHN-BC, CHTP, Connections
Co-Editor
The Sept/Oct 2010 issue of
Alternative Therapies in
Health and Medicine
(ATHM) is entirely devoted
to nursing practice and
research. This is a big
breakthrough into a forum
largely devoted to medicine.
Two articles from that
journal are reviewed in this
issue of AHNA Research
Enews. Many of the articles
published in this issue of
ATHM are written by AHNA
members, including an
article by AHNA Executive
Director Jeanne Crawford and
former President Lucia
Thornton titled "Why Has
Holistic Nursing Taken Off
in the Last Five Years
. . . What Has
Changed?"
Thought leaders from the
nursing industry provide
their unique insights and
opinions on a variety of
topics surrounding nursing's
role in integrative health
and healing. The result is a
lively discussion of
challenges facing nurses in
the field, the recognition
of nursing-led initiatives,
nurses as leaders, and
more.
From now until the end of
the year, you can access
these full-text articles for
free. Click
here to gain access to the
articles through the AHNA
Article Library.
Gross, CR, Kreitzer, MJ., Thomas,
W., Reilly-Spong, M.,
Cramer-Bornemann, M., Nyman, JA.,
Frazier, P., & Ibrahim, HN. (2010).
Mindfulness-Based Stress Reduction
for Solid Organ Transplant
Recipients: A Randomized Control
Trial. Alternative Therapies in
Health and Medicine. 16(5):
30-38.
In a health care environment in
which our time with patients is
limited, it's vital that our
encounters and interventions have
sustainable impact. This is one of
the several important contributions
from the study Mindfulness-Based
Stress Reduction for Solid Organ
Transplant Recipients: A Randomized
Control Trial. The
participants were first stratified
by disease and then randomized into
one of 3 groups: the
Mindfulness-Based Stress Reduction
(MBSR) intervention group, a health
education group and waitlist group
which was later randomized again
into one of the two other arms. The
MBSR intervention group attended an
8-week mindfulness-training program.
The other participants attended a
peer-led educational program focused
on chronic disease self-management.
The results for the MBSR group were
statistically significant on the
primary outcomes of anxiety and
sleep and for secondary outcomes of
quality of life and perceived health
when compared with the health
educational program and a waitlist
groups. MBSR also demonstrated
positive effect for depression. Of
note is the durability of the MBSR
program results when compared with
the other two groups, with the
improvements gained sustained at the
one year follow up. The design and
methodology are excellent models for
anyone desiring to study the effects
of MBSR on other patient and
provider groups
Findlay, B., Smith, K., Crawford, C.
Coulter, I., Khorsan, R., & Jonas,
W. (2010). Methodological
Complexities Associated with
Systematic Review of Healing
Relationships. Alternative
Therapies in Health and Medicine.
16(5): 40-46.
Findlay et al. (2010), study set out
to answer the question, "What is the
return on investment to hospitals
that implement programs aimed at
enhancing healing relationships?"
The research team conducted a
comprehensive literature search of
randomized control studies and
descriptive studies examining
healing relationships. What the
authors uncover is that applying
this gold standard to new and
emerging holistic fields of study
might prematurely determine the
intervention's value. The challenges
and constraints identified were 1)
concept descriptors of healing
relationships have not yet been
clearly defined and agreed
upon, 2) methodologically strong
studies did not provide the most
meaningful information as those
defined as methodologically weak,
and 3) MeSH headings have a
"biomedical bias" and do not yet
capture the subtly or diversity in
the concept of healing
relationships. To maximize the
literature search results, the
authors recommend the use of an
interdisciplinary research team,
review of qualitative studies to
discover emerging themes and
language, and creation of a common
framework and terms for more
instructive systematic reviews.
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Self-care in AHNA's
Nursing Population a project and study conducted at the AHNA
2010 conference |
 A
group of nursing students from
Colorado State University-Pueblo
(CSU-P) (Class of 2010) with the
guidance of their instructor
Beverly Sesters conducted a
projec  t
and descriptive research at the
2010 AHNA annual conference in
Colorado Springs. Their concern
is nurses' stress and burnout
and the potential for self care
to ameliorate that process. They
provided a questionare and props
at the lovely reflection room
sponsored by
Aromaceuticals at the
conference. The complete report
by Bethany DeMarco can be found
on the
AHNA Web site.
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AHNA Researchers in Action |
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Colleen Delaney, Cynthia Barrere,
& Mary Helming. (2010). The
influence of a spirituality-based intervention on quality of
life, depression, and anxiety in community-dwelling adults
with cardiovascular disease: A pilot study. Journal
of Holistic Nursing. Published online ahead of
print. August 16, 2010 as doi:10.1177/0898010110378356
Note: This article is based in part on
research done with an AHNA grant received by Colleen Delaney
in 2007. Grant proposals are due February 1, 2011.
Learn more.
Mary M. Madrid, Elizabeth A. M. Barrett,
and Patricia Winstead-Fry. (2010).
A study of the feasibility of introducing therapeutic touch
into the operative environment with patients undergoing
cerebral angiography. Journal of Holistic Nursing.
28(1), 168-174.
Deborah McElligott, Kathleen Leask
Capitulo, Diana Lynn Morris, and Elizabeth R. Click.
(2010).
The effect of a holistic program on health-promoting
behaviors in hospital registered nurses.
Journal of Holistic Nursing. 28(1),
175-183
Note: AHNA members have
full access to JHN archives.
Learn more.
Christina Jackson.
(September/October 2010).
H1N1 pandemics and disease mongering:
Applying holistic philosophy to counteract
Fear. Holistic Nursing
Practice. 24(5):247-251.
Ruth McCaffrey,
Claire Hanson, & William McCaffrey.
(September/October 2010).
Garden walking for depression: A
research report. Holistic
Nursing Practice. 24(5):252-259.
Ann L. Baldwin, Anne Vitale,
Elise Brownell, Jan Scicinski, Mary
Kearns, & William Rand.
(September/October 2010).
The Touchstone Process: An ongoing
critical evaluation of Reiki in the
scientific literature.
Holistic Nursing Practice. 24(5):260-276.
Leighsa Sharoff.
(September/October 2010).
Social networking, holistic nursing, and
self-care.
Holistic Nursing Practice. 24(5):301-302.
The following are articles from
Alternative Therapies in Health and
Medicine. (See Research Reviews
above for more information.) To access
the full articles for free until the end
of the year,
visit AHNA's Article Library.
Michele Mittelman.(September/October
2010). Nursing:
Education, research, and practice.
Alternative Therapies in Health and
Medicine. 16(5)
Marla Salmon.(September/October
2010).
The Commons: Nursing education, societal
relevance, and going it together.
Alternative Therapies in Health and
Medicine. 16(5)
Louise Palmer, Allison Cook,
Brigette Courtot.
(September/October 2010).
Comparing models of maternity care
serving women at risk of poor birth
outcomes in Washington, DC.
Alternative Therapies in Health and
Medicine. 16(5)
Barbara Dossey.
(September/October 2010).Holistic
nursing: From Florence Nightingale's
historical legacy to 21st-century global
nursing. Alternative
Therapies in Health and Medicine. 16(5).
Jeanne
Crawford, & Lucia Thorton.
(September/October 2010).
Why has holistic nursing taken off in
the last five years? What has changed? Alternative
Therapies in Health and Medicine. 16(5).
Cynthia R. Gross, Mary Jo Kreitzer,
William Thomas, Maryanne Reilly-Spong,
Michel Cramer-Bornemann, John A. Nyman,
Patricia Frazier, & Hassan N. Ibrahim.(September/October
2010).
Mindfulness-based stress reduction for
solid organ transplant recipients: A
randomized controlled trial.
Alternative Therapies in Health and
Medicine. 16(5).
Susan Luck.
(September/October 2010).
Changing the health of our nation-The
role of nurse coaches.
Alternative Therapies in Health and
Medicine. 16(5).
Michele Mittelman, Sunny Yim
Alperson, Patricia Martin Arcari, Gloria
Ferraro Donnelly, Loretta C. Ford,
Mary Koithan, & Mary Jo Kreitzer.(September/October
2010).
Nursing and integrative health care.
Alternative Therapies in
Health and Medicine. 16(5).
AHNA members names
in bold. We would love to hear about your research. Send
your "Researcher in Action" to
amber@ahna.org
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Report from the Road
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Picture
from
left to
right:
Marguerite
Purnell,
Marlaine
Smith,
Dot
Dunn,
Rorry
Zahourek,
Richard
Cowling,
Ruth
McCaffery
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Several
AHNA members
presented at
the Society of
Rogerian
Scholars
meeting,
"Advancing
Rogers' Science
of Unitary Human
Beings through
Praxis" October
8-10, 2010.
Hosted by
Florida Atlantic
University.
Marlaine
Smith
RN, PhD, AHN-BC,
FAAN has been
the president
for the last
year.
Richard Cowling
BS, MS, RN, PhD,
APRN-BC, AHN-BC
did a keynote:
"Unitary Science
Praxis: An
Avatar of
Nursing."
Dorothy
Dunn
Ph.D., ARNP, FNP-BC presented
"A Unitary View
of Intentional
Compassion
Energy."
Marguerite
Purnell
RN, PhD, AHN-BC
presented a
study by Ruth
McCaffery
ND, ARNP "Garden
Walking for
Depression in
Older Adults:
Investigating
the Integration
of the Human and
Environmental
Energy Fields."
Rorry
Zahourek
PhD, APRN, BC,
AHN-BC presented
"Intentionality:
A Linear or a
Unitary
Phenomenon."
We recognize many of
our members attend
conferences that
have relevance to
holistic nurses and
our research
efforts. Please send
us a brief
summary and we will
share it in a future
issue. Send
summaries to
amber@ahna.org
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Updates on Research in
Healing Touch |
By Diane
Wind Wardell
PhD, RN,
WHNP-BC, AHN-BC
Three
interesting and
divergent
articles have
been published
on Healing Touch
recently. A
highly
articulate and
scientific
article was
published by Dr.
Susan Lutgendorf
and her team at
Iowa
University. The
article is in
press and can be
found with the
journal Brain,
Behavior and
Immunity and is
entitled
"Preservation of
immune function
in cervical
cancer patients
during
chemoradiation
using a novel
integrative
approach. " This
was a
prospective
randomized
clinical trial
using Healing
Touch compared
to relaxation
training and
usual care.
Sixty women were
randomized to
receive usual
care or either
Healing Touch or
relaxation
therapy
immediately
following their
radiation
treatment for
cervical
cancer. Three
time intervals
were assessed.
Healing Touch
patients had a
significantly
minimal decrease
in natural
killer cell
cytotoxicity
(NKCC) which is
needed an
indicator of
immune
compromise as
compared to the
other groups
which had a
sharp decline.
The Healing
Touch group also
showed greater
decreases in
depressed mood
but there was no
difference in
quality of life,
treatment delay
or
clinically-rated
toxicities
between groups.
The authors
provide an
extensive
discussion on
the key findings
of preservation
of NK cell
activity and
improvement in
depressed mood.
They provide a
physiological
explanation as
well as
proposing that
there might have
been some effect
on the
hypothesized
biofields.
Read more...
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Research in the News |
Does a good
massage do more than just relax your muscles? To
find out, researchers at Cedars-Sinai Medical
Center in Los Angeles recruited 53 healthy
adults and randomly assigned 29 of them to a
45-minute session of deep-tissue Swedish massage
and the other 24 to a session of light massage.
To their surprise, the researchers, found that a
single session of massage caused biological
changes. Volunteers who received Swedish massage
experienced significant decreases in levels of
the stress hormone cortisol in blood and saliva,
and in arginine vasopressin, a hormone that can
lead to increases in cortisol. (New York
Times, 9/10)
Following Lifestyle Tips Could Prevent 23% of
Bowel Cancer Cases
Almost a quarter of colorectal (bowel) cancer
cases could be prevented if people followed
healthy lifestyle advice in five areas including
diet and exercise, says a new study published on
bmj.com today. Researchers from Denmark found
that following recommendations on physical
activity, waist circumference, smoking, alcohol
and diet could reduce the risk of developing
bowel cancer considerably - by 23%.
(e! science news,
10/10)
A long-term U.S.
study found that adults who walked six to nine
miles weekly had slower gray matter tissue
deterioration and reduced their risk of
developing cognitive impairment by 50% compared
with those who didn't. The findings suggest that
"we can retain our brain tissue and retain our
memories well into late adulthood by maintaining
an active and engaged lifestyle," the lead
researcher said. (HealthDay, 10/10)
Click on each
title to read article.
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Research Web Library |
If you would like your published
research included in the Web
Library, contact Amber at
amber@ahna.org. Please include
the citation for the book or
article, a URL to the abstract or
full text article, a short
description (optional) and suggested
category or categories.
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