In this issue: Research at upcoming AHNA conference, Critical Reviews and summaries of research, brief report from the Leadership Council meetings, using essential oils to fight superbugs and much more.

Connections in Holistic Nursing Research
 April 2010
 Volume 2 Issue 3

In This Issue
Research at Conference
Birthing of a Research Project
Conducting Research at Conference
How to Conduct a Systematic Review of Literature
Recent Publication Review
Critical Reviews and Meta-Summaries
Research in the News
Grant Opportunities
Resources
Researchers in Action
Connections Wants You
Quick Links
 
 
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Research Committee News
Rorry ZahourekAs we think about the waning of winter and the birth of spring we look forward to new growth and new beginnings. In that new light I want to tell you about the new structure for the research committee. Click here to view an outline of this structure. This new structure will enable us to work more efficiently toward our goals and aims to provide organization and division of labor to deal with our on-going projects and activities. We now have three components of the research committee: The research projects chair (Evelyn Clingerman), educational liaison chair (Sue Robertson) and the information dissemination chair (Diane Wardell). Each group will monitor and help develop projects for the research committee.  We will evaluate this new structure as the year progresses. Ideas and feedback are always welcome from other RC members as well as from the membership.
 

Amber Cline, our staff person from the AHNA national office, will be our liaison and will be involved in one way or another in all the activities of these new components and will work with me to coordinate the activities. She has been instrumental in developing and publishing what is now seven issues of our research eNews, Connections in Holistic Nursing Research. We are now looking for another volunteer to edit this newsletter. Its time for the fresh eyes and new perspectives of another editor. I welcome suggestions or please volunteer yourself to edit Connections. I will be happy to help the next person, or I am willing to be co-editor. The research eNews is published quarterly and again, Amber is invaluable in putting the final product together.
 
I am very grateful to her and all who have volunteered to become more involved and to share more actively in the planning and implementing of what are now appearing to be more ambitious goals for research in AHNA. 
 
Leadership Council News
Please see the chart of the new structure to see how other members are contributing to our various projects. Please also see the AHNA Research White paper and the reports submitted to the Januaryand April Leadership Council meeting. 
 
The LC spent most of its time discussing strategic planning. The research goals include:
 
Short term goals:
To implement and evaluate new research structure and to foster the leaders of each of these 3 sections
 
Long term goals
To develop a more in-depth focus in AHNA that honors and recognizes holistic research
Enhance research focus within AHNA to honor diversity that includes cultural perspectives and research approaches
To develop liaison with research, education and practice to develop online resources
To develop a vision for continuing professional development for holistic nurses
 
These goals are in the process of being refined and will continue to be discussed at the LC meeting in June.
 
Rorry Zahourek PhD, PMHCNS-BC, AHN-BC
AHNA Leadership Council Coordinator for Research
rorryz@aol.com
Research at Conference
AHNA's 30th Annual ConferenceAHNA's 30th Annual Conference Re-Visioning Environment: Creating a Habitat for Healing Colorado Springs, CO
June 3-6, 2010 
The other focus for this issue of Connections is our AHNA conference in Colorado Springs. This year we had a large number of research submissions for papers and posters. This year eleven papers were submitted and 59 posters were submitted as well (42 were submitted last year). 
 
This year we had 8 research grant proposals submitted by 7 individuals. Last year we received 9. The proposals have been reviewed and the recipients will be announced at conference and then in Connections
 
For the third year, we are offering one-on-one research consultations at conference. (The one-on-ones are now full but space remains for the group consultation "Birthing of a Research Project" see description below) These sessions are offered at a minimal fee for help with a research issue. People have used these sessions for such issues as: clarifying a research problem they would like to study, a question of methodology, a question about funding or analysis, or seeking advice about publishing results. We are still in need of consultants who would meet with others. Please contact Sue Robertson if you are interested in being either a consultant.
srobertson@fullerton.edu
 
The research committee meeting will be at conference this year Thursday, June 3rd from 4:30-6:00 pm (before the opening ceremony). As usual all are invited and we will discuss the current projects of the committee and plans for the immediate future. (The drumming will not be in the next room.)
 
Please see the listing of research presentations that will be happening at conference this year:
Preconference Workshop
Workshop 4.  Research to Praxis: Using the Evidence to Implement Holistic Interventions for Practice and Education. Research (B) Sue Robertson RN, PhD; Ruth McCaffrey ND, ARNP, BC, FND, GNP. This presentation will help you evaluate research evidence about potential holistic interventions, develop guidelines to support holistic care, and measure the effectiveness of holistic interventions. 

Conference Workshops
Workshop 13.  Research Papers # 1 Research (I, A) 

  • Eco-Spirituality: The Experience of Environmental Meditation in Patients with Cardiovascular Disease. Colleen Delaney PhD, RN, AHN-BC; Cynthia Barrere PhD, RN, AHN-BC. The aim of this phenomenological study was to describe the experience of a new environmental meditation that focused on eco-spirituality with patients with cardiovascular disease.
  • Heart Rate Variability Biofeedback: Creating a Healing Internal Environment for Women With Fibromyalgia.  Janice Surina Cise DNS, RN, AHNC, BCIA-C.  Heart Rate Variability (HRV) biofeedback brings about balance between the sympathetic and parasympathetic systems. Women with fibromyalgia experienced decreased symptoms over the eight week training
  • Impact of Reiki on Knee Replacement Patients: Rating of Pain Before and After Reiki Therapy. Carol Fazzini RN, BC; Ruth Mooney PhD, RN, Barbara Notte RN.  Reiki therapy was administered to patients undergoing total knee replacement preoperatively and postoperatively.  Mean ratings of pain decreased after 20 minute treatments.

Workshop 20. A Mind Body Intervention for Depression in a Community Health Setting. Research & Practice (B) Kathleen M. Miller RN, MA, PhD.  Examine the process, findings, and experiential elements of a pilot study on a Mind Body Intervention for Depression in a community health setting. 

 

Workshop 28. Research Papers # 2: Research. (I)

  • Hand Massage for Insomnia in Nursing Home Residents. Marlaine Smith RN, PhD, AHN-BC, FAAN;  Anne Vitale PhD, APN; Jacqueline Staal FNP-BC.  Insomnia contributes to a cascade of health issues in nursing home residents.  Holistically-focused interventions to address insomnia in this population are urgently needed and discussed. 
  • Self-healing Practices: Connecting Internal and External Environments. Evelyn Clingerman PhD, RN.  This presentation offers knowledge of self-healing practices through the lens of an underserved and marginalized group of Latino and Latina migrant farmworkers.  
  • Expert Holistic Nurses' Advice to Nursing Students. Glenda Christiaens PhD, RN, AHN-BC; Jo Ann Abegglen DNP, APRN, PNP; Andrea Gardner BS, RN.  This study describes the advice given by expert holistic nurses to nursing students, and nursing students' experience and perceptions of their interaction with the experts.

Workshop 31. Stepping Stones: Achieving an Integrative Healthcare Framework. Education, Practice & Research (I)  Lourdes Lorenz RN, MSN-IH, AHN-BC, Denise Anthes RN, BSN, MBA, HTCP/I, HN-BC, Sandra Barkei RN, BSN, HTCP, HN-BC, Kat Knihnicki Yarboro RN, BSN, PhD, ThD, HN-BC.  Designed by nurses, this innovative framework was created to promote a healing culture that inspires personal and organizational transformation within a hospital setting.   Application of practical ideas for creating and implementing an Integrative Healthcare program will be explored using Holistic nursing education, practice and research.

Workshop 36. Reiki Research Dissemination: The Touchstone Project. Research (I) Anne Vitale PhD, APN; Elise Brownell PhD.  Identifies emerging findings, from the Center for Reiki Research, useful for holistic nurses and Reiki practitioners.  Patient outcomes, animal studies and Reiki as self-care will also be presented.

AHNA Research Poster Presentations
Make sure to see the poster presentations during one of these two times, in order to receive CNE:

Friday, June 4, 2010 at 10:30-11:30 am                        Poster Session #1
Saturday, June 5, 2010 at 9:00-10:00 am                      Poster Session #2

1. Is there a relationship between the use of Reiki and the self reporting level of anxiety of a mother of a neonatal abstinence syndrome baby. Christine Naoum-Heffernan RN, MS, CPNP, Reiki Master Teacher, Gilda Castillo, RN, Jeanine Midy RN, Carolyn Drew RN, MS, CCRN, Christine Pailler RN, BSN, Jocelyn Lundi RN, BSN, Janice Weinberg ScD, & Maureen Beirne Streff EdD, RN, MS, CS, BC Abstract

2. Perceptions of Nursing Faculty and Students regarding Complementary and Alternative Medicine (CAM).  By Karen Avino EdD, MSN, RN, AHN-BC Abstract

3. Time out for Tea: Guided Imagery Gatherings for Families and Staff in a Pediatric Oncology Unit. Anke Reineke PhD, BCIAC, Lisa Thompson RN, LMT, CHTP/I, Jeanie Spies RN, MSN, CPNP, & Tamara Maginot MS Abstract  
 
4. Healing the Air: Essential Oils and Healing the Effects of Tobacco.  Barbara Cordell PhD, RN, AHN-BC, CCAP Abstract

5. The M Technique: Creating a Healing Environment.
  Jane Buckle PhD, MA, RN Abstract

6. Creating a Healing Environment with Families who have a Child with Special Health Care Needs. Sharon Falkenstern PhD, CRNP Abstract

7. Fostering an Environment of Healing and Civility in Nursing Education.  Margaret "Marty" Downey RN, PhD, AHN-BC & Cynthia Clark RN, PhD, ANEF Abstract

8. Healing at home: empowering family caregivers to use touch as supportive cancer care.  William Collinge MSW, MPH, PhD & Mary Malinski BA, RN, LMT, HN-BC Abstract
 

9. Spirituality of the Older Adult during Relocation to Long Term Care. Cheryl Lantz PhD(c). MS, RN & Dr. Eleanor Yurkovich, Professor, CNS/NP Abstract
 

10. Hypnotherapy as an Aid for Smoking Cessation of Hospitalized Patients.  Karen Pischke RN, BSN, Joanne Rowley MS, RNCS, HNB-BC, TTS, Faysal Hasan MD & Sarah Conway BA Abstract

11. Nurses as a Therapeutic Presence: A Pilot Project. Debra Groath ARNP, DNP Abstract

12. The Journey of Women with Breast Cancer who Engage in Mindfulness Based Stress Reduction: A Qualitative Exploration.  M. Velma Weitz CRNP, DrNP, Kathleen Fisher PhD, CRNP, Vicki Lachman PhD APRN MBE, & Carolyn Tubbs PhD, LMFT, AAFT Abstract

13. Religious and Spiritual Coping Among Family Caregivers of Persons with Early Memory Loss.  Scott Nguy BS & Susan Bauer-Wu, PhD, RN Abstract

Birthing of a Research Project
You are invited to share our story related to the labor and delivery of our new arrival. Drs. Bernadette LangeCarla Mariano and Rorry Zahourek are pleased to announce the birth of the following research project: The Creation of a Legacy Building Model for Holistic Nursing: A Pilot Study to Capture the Visionary Spirit of Elder AHNA Members.  This project was planned in order capture the historical roots and development of holistic nursing and the legacy of AHNA through the visionary spirit of its elder members.
 
This Group Consultation will involve you in how the project was conceived and most importantly, encourage you to participate and to ask questions about or share your own experiences with the early stages of creating a research project.
The project began as a pilot study of three Elder AHNA members. The data collected will help to initiate an ongoing, systematic method for the collection of historical data from other elder holistic nurses culminating in a perpetual archive of knowledge and inspiration for holistic nurses presently and in the future. The research process utilized in this project will be analyzed and synthesized to develop a Legacy Building Model providing the AHNA with a consistent method to archive the wisdom of elder holistic nurses, thereby contributing to the discipline of nursing's understanding of a specific body of knowledge - holistic caring and healing.
 
So come join us in sharing and learning about the exciting endeavor of Birthing of a Research Project! Hurry - sign up now only a few spaces left! $35 fee. Register online or call (800) 278-2462 Ext. 21.
Conducting Research at Conference
If you are interested in doing research at conference please note there is a Policy on AHNA Member Utilization for Research Purposes on the AHNA Web site. Please submit a brief proposal to  Evelyn Clingerman, emclinge@yahoo.com, and Rorry Zahourek, Rorryz@aol.com
How to Conduct a Systematic Review of Literature
Lynn Rew EdD, RN, C, AHN-BC, FAAN
The University of Texas at Austin School o f Nursing
 
 The current focus on evidence-based practice begs the question, how do I find the evidence? One way to search for evidence is through a systematic review of literature. Unlike other types of narrative literature reviews that often end up unfocused, a systematic review of literature is conducted just like any other research process. It begins with a clearly focused question or questions. For example, if you want to get a general idea about complementary interventions used for women in labor, you might ask, "what types of complementary and alternative medical (CAM) strategies are used to control pain and reduce anxiety among women in labor?"
 
After clearly posing the research question or questions, you decide where to search for the evidence. With current technology, online search engines become the obvious answer, but asking known experts for suggested readings may also be a credible source of available literature. Because a systematic literature review is a type of research activity, the ability for another person to replicate the process you used is paramount (Johnson, de Li, Larson, & McCullough, 2000). Thus you will want to specify what search methods you used (e.g., searching known databases such as the Cochrane Library, which contains current systematic reviews, or the Cumulative Index of Nursing and Allied Health Literature [CINAHL], which is a trusted source of published nursing literature).
 
 
You will also want to specify what search terms were used. For the example above, search terms might include complementary, alternative, labor, and pain and anxiety. While writing this, I entered these three terms into the CINAHL database and found three papers published in 1998, 2000, and 2008. Using the same terms, I decided to cast my net a bit more broadly and included the MEDLINE database. This expanded the number of found publications to four, including  a paper published in 2006. Being somewhat dissatisfied with this relatively small number of papers, I decided to see what would happen if I looked only for papers with the term "pain" rather than the phrase "pain and anxiety." Searching both CINAHL and MEDLINE together, I found 57 papers published from 1981-2008. And when I substituted "anxiety" for  "pain and anxiety," I found only eight papers published from 1998-2008. This shows how important it is to determine the precise focus of the research question and the terms that will be searched. Of course, it is still possible to use both of these terms, you just have to keep track of exactly how many searches you did, with what specific terms, and what kinds of responses you got.
 
Hannes, Claes, and The Belgian Campbell Group (2007) suggest using the acronym PICO to help in remembering what qualifies as a clearly focused question. PICO stands for population focus (P), intervention (I), control-situation or comparison group (C), and desired outcome (O). Following our example:  women in labor (P) is the population of interest, CAM is the intervention(s) (I), standard intervention strategies represent the comparison (C) group, and pain and anxiety are the outcomes (O). Not all focused questions will contain a comparison group and, at times, such as in our example, the comparison group is implied rather than explicitly identified...Read More
Recent Publication Review
reviewed by Diane Wind Wardell PhD, RN, WHNP-BC, AHN-BC, CHTP/I

S. Janin, S., & Mills, P.,  (2010). Biofield therapies: Helpful or full of hype? A best evidence synthesis. International Journal of Behavioral Medicine,17, 1-16. Access through Pubmed
 
A recent review article on the biofield therapies of Therapeutic Touch, qigong, reiki, Healing Touch, Johrie and others was published in the International Journal of Behavioral Medicine (2010, 17: 1-16).  This excellent article, "Biofield Therapies: Helpful or Full of Hype? A Best Evidence Synthesis" was authored by Sharmin Janin and Paul Mills from the University of California and includes a systematic review of 66 clinical published studies conducted using a quality assessment protocol and best evidence synthesis approach to examine biofield therapies effects on human health outcomes. 
 
The authors begin with a historical overview of subtle energy and how these practices are being used in modern culture. Their methods for this critical review are clearly delineated using the QUORUM checklist guidelines including the search strategy, inclusion and exclusion criteria for the studies, data extraction that included characteristics of the study about the participants, intervention, methodology, statistical methods, and outcomes. Points were given for categories and summated to provide an overall rating of quality for each study ranging from -3 to 16 points. Most of the studies were found to be of average quality and minimum quality for such things as randomization, use of controls, and appropriate statistical measures. Excellent detail is provided in how these decisions were made and tables of the studies provided for comparison. 

Next the authors provided a best evidence synthesis on the health outcomes examined in these studies. In their review of pain-related disorders they found a variety of a variety of scales and measures being used as outcome measures. There was strong evidence for biofield therapies effect in reducing pain intensity and improving physical functioning. However, studies were equivocal in their effects on comprehensive assessment of pain reduction (i.e. depression and anxiety) and long term benefits. For those individuals with cancer, the findings suggest moderate evidence for reducing acute pain cancer. There were few studies in cancer patients related to fatigue, quality of life, and physiologic indices of the relaxation response and these studies demonstrated conflicting evidence.
In hospitalized patients, there was moderate evidence that biofield therapies reduced anxiety. There was moderate evidence for decreasing negative behavioral symptoms in dementia and there was also evidence that these therapies were well tolerated by the participants. There are few studies in the area of cardiovascular patients and results are conflicting related to the effects on anxiety and physiological outcomes.

The authors summarize their findings by stating they are promising complementary interventions. They suggest future research directions to include more thorough assessment of cardiovascular, neuroendocrine, and immune variables and also to conduct more comparison studies with other modalities. One statement made by the authors was that researchers should consider following the lead of nursing by using triangulated approaches of combining qualitative and quantitative data to provide a more comprehensive view of the experience and effect of receiving biofield therapies.
Critical Reviews and Meta-Summaries
Rorry Zahourek reviewes two articles from an issue of Nursing Research, 2003. While the issue is now several years old the information has been updated by Sandelowski and Borroso and most recently (2007) published in a book chapter. See below.
 
Marguerite Sandelowski and Julie Barroso have published several articles and book chapters on meta-analysis, metasynthesis and metasummary of qualitative data. These have evolved from a methodological project the purpose of which was to develop a usable and transparent protocol for conducting systematic reviews or integration of qualitative study findings. "Methodological clarification, experimentation, and innovation" is the major purpose and "process is the primary outcome" .
Sandelowski, M. & Barroso, J. (2003). Creating metasummaries of qualitative findings. Nursing Research, 52, 226-33.

Summary
Qualitative meta-summary is differentiated from qualitative meta-synthesis as a kind of systematic review of qualitative research more amenable to reports in which findings are themselves in the form of summaries or surveys of the data researchers collected in the course of their studies. In contrast, qualitative meta-synthesis is a kind of systematic review more amenable to reports in which findings are themselves in the form of syntheses of data collected in the course of a study. Techniques for creating meta-summaries include the extraction and abstraction of relevant findings, and the calculation of effect sizes. Metasummary is particularly useful for qualitative survey data. This article describes a process that evolved from a larger project devoted to metasynthesis which is more interpretive of the combined results than metasummary. The authors introduce the concept of effect size which is usually associated with quantitative research.
The impetus for their work is the need to synthesize and summarize qualitative data to enhance their use in providing evidence bases for practice.
 
Sandelowski, M., Barroso, J., & Voils, C.I., (2007) Using qualitative metasummary to synthesize qualitative and quantitative descriptive findings. Res Nurs Health, 30(1), 99-111.
 
The authors summarize the article as follows "The new imperative in the health disciplines to be more methodologically inclusive has generated a growing interest in mixed research synthesis, or the integration of qualitative and quantitative research findings. Qualitative metasummary is a quantitatively oriented aggregation of qualitative findings originally developed to accommodate the distinctive features of qualitative surveys. Yet these findings are similar in form and mode of production to the descriptive findings researchers often present in addition to the results of bivariate and multivariable analyses. Qualitative metasummary, which includes the extraction, grouping, and formatting of findings, and the calculation of frequency and intensity effect sizes, can be used to produce mixed research syntheses and to conduct a posteriori analyses of the relationship between reports and findings."
 
In the Handbook for Synthesizing Qualitative ResearchSandelowski M, Barroso J, (2007). Springer, New York describe several methods for synthesizing and summarizing qualitative research. Chapter 6 is devoted to metasummary and is a very readable summary of their work. The entire chapter can be accessed through googling meta summary in qualitative research or clicking here.
 
 "Grey Literature in Meta-analysis" by V.S. Conn, J.C. Valentine, H.M. Cooper and M.J. Rantz (Nursing Research, 52, 256-61, 2007) is another useful article in considering summaries of research. The authors discuss including 'grey literature' in meta-analyses. This literature included unpublished studies and often work that did not yield statistically significant results. Because much of such work does not have peer reviewers as critics many have questioned the validity of the data and the results of meta-analyses that include such studies. The authors however contend that the most consistent difference between published and grey literature is the statistical significance and the effects sizes are often 1/3 larger. Many such smaller studies are also less likely to be funded. These authors found as they reviewed these grey studies that the methodological rigor did not vary from the larger studies. They advocated that 'grey literature' be included in meta-analyses because when they are excluded the meta-analyses over represent studies with statistical significance and they tend to therefore inflate effect sizes. More precise effect sizes are obtained when meta-analyses include grey literature. They insist that to truly reflect the existing evidence base that grey literature be included in meta-analyses.
Research in the News
Meditation Offers Benefits for Patients and Nurses
An increasing volume of scientific study is not only showing that meditation helps reduce stress, but is offering some physiological clues about why it might be beneficial to the body and brain. (nurse.com, 2/10)
A CE version of "Research Reveals the Benefits of Meditation" is available at www.ce.nurse.com/CE385-60
 
Using Essential Oils To Fight Superbugs
Essential oils could be a cheap and effective alternative to antibiotics and potentially used to combat drug-resistant hospital superbugs, according to research presented at the Society for General Microbiology's spring meeting in Edinburgh this week. (Science Daily, 4/10)
 
Enhancing Adolescents' Health By Simple, Low-Cost Steps
Simple, low-cost measures such as wearing a pedometer to inspire walking and spending a few minutes a day meditating can put adolescents on the track toward better health, researchers report. (Medical News Today, 3/10)
 
Non-drug Techniques Reduce Pain in Hospitalized Patients
Non-traditional therapies relieve pain among a wide range of hospitalized patients as much as 50 percent, according to a first-of-a-kind study in the Journal of Patient Safety. The study shows that an inpatient integrative medicine program can have a significant impact on pain in an environment where pain management continues to be a major challenge, and traditional medications can have negative consequences. (e! Science News, 3/10)
 
M. D. Anderson Receives 4.5 million Grant, Largest Ever for Study of Yoga and Cancer 
In an ongoing effort to scientifically validate the age-old belief that mind-body interventions have a beneficial impact on the health of patients, The University of Texas M. D. Anderson Cancer Center has been awarded more than $4.5 million to study the efficacy of incorporating yoga into the treatment program of women with breast cancer.
 
Click on each title to read article.
Grant Opportunities
The Bill & Melinda Gates Foundation is now accepting grant proposals for Round 5 of Grand Challenges Explorations, a US $100 million initiative to encourage unconventional global health solutions. Anyone can apply, regardless of education or experience level. Grant proposals are being accepted online at www.grandchallenges.org/explorations until May 19, 2010, on the following topics:
  • New!   Create Low-Cost Cell Phone-Based Applications for Priority Global Health Conditions 
  • New!   Create New Technologies to Improve the Health of Mothers and Newborns
  • Create New Technologies for Contraception
  • Create New Ways to Protect Against Infectious Diseases
Initial grants will be $100,000 each, and projects showing promise will have the opportunity to receive additional funding of up to $1 million US Dollars.  Full descriptions of the new topics and application instructions are available at www.grandchallenges.org/explorations.
 
ANF Nursing Research Grants
The ANF Nursing Research Grants Program was founded over 50 years ago to encourage the research career development of nurses. This program continues to grow with contributions for nursing research, from organizations and individuals. These donations support scientific research for advancing the practice of nursing, promoting health and preventing disease.
 
Each year, through our Nursing Research Grants program, ANF provides funds to beginner and experienced nurse researchers to conduct studies that contribute toward the advancement of nursing science and the enhancement of patient care. Awards are given in all areas of nursing, including healthy patient outcomes, health care policy development, critical care, gerontology, women's health, community and family intervention.
 
The 2010 Grant Application can be accessed at: www.ANFonline.org. The deadline for all submissions is May 3, 2010. See the application for further details and instructions.
Resources
 NDNQI Submission Help
American Nurses Association is offering a live demonstration on how to submit online, a research proposal for the National Database of Nursing Quality Indicators® (NDNQI®) Data Use consideration. This event is scheduled for Tuesday, May 18, 2010 at 3:00 pm ET for 1 hour, and registration is free. The session will review the proposal criteria, researcher qualifications, data variables and submission process.  NDNQI Research Council Members will address questions following the demonstration. Sign up early and submit your question(s) when your register. Deadline for registration is Friday, April 30, 2010 (space is limited).  Contact Email: marsha.russell@ana.org 
AHNA Researchers in Action
Carla Mariano RN, EdD, AHN-BC, FAAIM published a chapter "Holistic Integrative Therapies in Palliative Care"  in Palliative Care Nursing:  Quality Care to the End of Life (2010, 3rd ed.) edited by M. Matzo and D. Sherman.
 
Valerie Eschiti PhD, RN, AHN-BC, CHTP, CTN-A received funding from the NINR for her project, Native Navigation across the Cancer Continuum in Comanche Nation.
 
We would love to hear about your research. Send your "Researcher in Action" to info@ahna.org
Connections Wants You
Would you like to write for Connections?
We are now looking for another volunteer to edit this eNewsletter. Its time for the fresh eyes and new perspectives of another editor. We welcome suggestions or please volunteer yourself to edit Connections. Rorry will be happy to help the next person, or willing to be co-editor. Amber will continue to put the final product together. Connections is published quarterly. If you are interested, contact Rorry at rorryz@aol.com 
 
We are also seeking book reviews for this newsletter. If you know of a book that may be useful to other holistic nursing researchers, please send a short review to Rorry. We also welcome other relevant articles or ideas.
 

The Voice of Holistic Nursing 

American Holistic Nurses Association
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Although the AHNA supports the concepts of holism, it refrains from endorsing specific practitioners, organizations, products, services or modalities. Opinions expressed in this eNewsletter may not reflect the position of the AHNA.

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