Introduction to Holistic Nursing

Transcription

1 Introduction to Holistic Nursing Session I A Continuing Nursing Education Opportunity provided to you by 1

2 Disclosures AHNA offers this activity for educational purposes only and does not endorse any specific product, company or modality. The presenter today is an AHNA Network Leader and has no relevant financial relationships related to this activity. 2

3 Program Overview n The purpose of this continuing nursing education (CNE) activity is to introduce participants to the fundamentals of Holistic Nursing through exploration of origin, principles, values, current research and resources. These concepts are then applied to clinical practice and self-care. 3

4 Program Objectives Define Holistic Nursing and its history/origin. Discover the benefits of Holistic Nursing. Summarize the principles of Holistic Nursing. Describe the practice of Holistic Nursing. Review relevant research areas in Holistic Nursing. Identify professional organizations, resources and important relationships. 4

5 Reflection Holistic Nursing: Every Nurse s Specialty ~Carla Mariano 5

6 What is Holistic Nursing? 6

7 Holistic Nursing Photo by AHNA member, Cynthia Backer All nursing that has healing the whole person as its goal (AHNA Definition of Holistic Nursing, 1998) 7

8 Holistic Nursing is more than modalities 8

9 Holistic Nursing is a way of being It is who you are when you are with your clients/patients and co-workers that defines you as a holistic nurse. 9

10 Historical Context Heal - to be or become whole from Greek: Halos from Anglo-Saxon: Haelan Healing - restoring balance and harmony, moving toward wholeness, completion and the integration of the totality of the person 10

11 Historical Context Socrates: Curing the soul; that is the first thing Hippocrates: Observe patients life circumstances and emotional states Nightingale: Care focusing on unity, wellness, and the interrelationship of human beings, events and environment 11

12 Historical Context American Holistic Nurses Association (AHNA) began in 1981 Nationally accredited by the American Nurses Credentialing Center (approver & provider) since 1997 Holistic Nursing received official recognition as a Nursing Specialty by the ANA in

13 Benefits of Holistic Nursing Practice Public demanding more holistic, caring, compassionate approach 38-64% utilizing complementary/ alternative methods Holistic nurses in prime position to meet need/provide leadership 13

14 Benefits of Holistic Nursing Practice Enhances personal & professional life Holistic techniques can be used for self-care and stress management as well as patient care Holistic world view acknowledges and facilitates self healing Holistic nurses honor journey of others Clients/patients feel heard, acknowledged, respected, accepted Opportunity to truly know, partner, be present with our clients/patients 14

15 Benefits of Holistic Nursing Practice Holistic focus allows healing on many levels Emotional Spiritual Relational Physical Mental Honors and integrates wisdom and knowledge from many sources and cultures 15

16 Benefits of Holistic Nursing Practice Holistic model promotes wellness and empowerment for giver and receiver Helping people in a holistic way feeds and nourishes the nurse s spirit too 16

17 Principles of Holistic Nursing Holism acknowledges and values that there is unity, totality, and connectedness of everyone and everything. SELF- CARE PRACTICE PERSON ROLE HEALTH/ HEALING 17

18 Underlying Principles of the Holistic Model Values connectedness of: Mind, Body, Emotion Spirit, Energetic Beliefs/Values Environment, Social/Cultural Relationships, Context 18

19 Principles of Holistic Nursing Person Individual uniqueness Inherently good Can find meaning and purpose in own life and experiences Has innate power and capacity for self healing 19

20 Principles of Holistic Nursing Health/Healing Health and illness - natural part of life, learning and movement toward change, development, and wellbeing Human health experience - complex & dynamic Illness - a teacher and an opportunity for self-awareness and growth Symptoms - respected as messages 20

21 Principles of Holistic Nursing Health/Healing Health = balance, integration, harmony and right relationship - not just absence of disease Emphasis: Health promotion, disease prevention Lifestyle patterns and choices Personal and cultural belief systems and values Healing can take place without cure 21

22 Principles of Holistic Nursing Health/Healing Empowerment - People as active partners in the healing process taking some control of: their own lives health and well-being personal choices and relationships Treatment process - considers root of the problem, not merely the obvious signs and symptoms 22

23 Principles of Holistic Nursing Roles Nurses are Instruments of Healing through: warmth, compassion authenticity, respect trust, relationship caring presence 23

24 Principles of Holistic Nursing Roles Collaborating and Partnering With all constituencies in the health process: person receiving care, family, community, peers and other disciplines Using cooperation, alliance and respect Honoring the contributions of all 24

25 Principles of Holistic Nursing Roles Participating in the Change Process Developing more caring cultures for practice and learning Contributing to: improvement of communities environment betterment of public health 25

26 Principles of Holistic Nursing Roles Advocating for Optimal health care for all people Rights, equitable distribution and access Awareness of needs of vulnerable populations The Ecosystem Honor, protect and preserve Nurses 26

27 Principles of Holistic Nursing Roles Assisting Nurses To nurture and heal themselves To strengthen and advance the profession AHNA founders vision: Lifeline for struggling nurses - Charlie McGuire 27

28 Principles of Holistic Nursing Practice Practice - a science and an art Underlying elements: Values and ethics of holism Caring, moral insight, dignity, integrity Competence, responsibility, accountability and legality 28

29 Principles of Holistic Nursing Practice Appreciates and utilizes various philosophies/paradigms/delivery models of health, illness and healing Holistic values in public policy and the health care delivery system can influence the health and well-being of society and professional nursing 29

30 Principles of Holistic Nursing Self-Care The practice of Holistic Nursing requires that nurses integrate self-reflection and self-care into their own lives. (further explored in Introduction to Holistic Nursing, Part II) 30

31 Holistic Nursing Focuses on Enhancing healing, health, wholeness, well-being of the whole person Across the life-span Across the health-illness continuum 31

32 Holistic Nursing Embraces Art of Nursing (intuition, creativity, presence, self/personal knowing, reflection) Science of Nursing (critical thinking, evidence/research/theory) 32

33 Holistic Nursing Draws on Nursing Knowledge Theories/Research Expertise Intuition Creativity 33

34 Holistic Nursing Concentrates on Promoting health and wellness assisting healing preventing/alleviating illness and suffering Supporting people to find peace, comfort, harmony, balance 34

35 Holistic Nursing Integrates Holistic Modalities Fostering body-mind-emotion-spiritsocial-cultural-environment-energetic connectedness & wellbeing Conventional Nursing Practices 35

36 Holistic Nursing Attends to Subjective experience and meanings Cultural Values and Beliefs Spirituality 36

37 Holistic Nursing Uses The caring/healing relationship Therapeutic Partnership Emphasizes Self-Reflection and Self-Care 37

38 Who Practices Holistic Nursing? Encompasses all of nursing practice n n n n n n n Acute/Ambulatory/Long term/home health/staff Nurses Administrators School Nurses Clinical Nurse Specialists Private Practice Nurses Nursing Instructors Student Nurses Any nurse who views the patient as a unified whole 38

39 Holistic Nursing Takes Place Wherever Healing Occurs ~Carla Mariano Acute Care med/surg, pediatric, critical care, obstetrics, surgical units Women s health centers Mental health facilities Extended care facilities Home health care Private practitioners offices School health Occupational health Wellness/Alternative care centers 39

40 Nursing Research Underlying Holistic Nursing Practice Outcome measures of various holistic therapies Healing Touch, Therapeutic Touch, prayer, relaxation, aromatherapy, caring cultures/environments etc. Instrument development to measure caring behaviors and dimensions of Spirituality, Selftranscendence & Quality of Life Client responses to holistic interventions in health/illness 40

41 Holistic Nursing Research Explorations of clients' experiences with various health/illness phenomena Descriptions of outcomes of holistic therapies such as healing, wellbeing, harmony Theory development in healing, caring, intentionality, cultural constructions, empowerment, etc. Narratives on caring/healing 41

42 The American Holistic Nurses Association (AHNA) Created: To unite nurses in healing Mission: To foster a vital community that advances holistic health and nursing Commitment: To promote wholeness and wellness in all people 42

43 AHNA Provides Vision, direction and leadership in the advancement of Holistic Nursing Integration of the art and science of nursing in the profession Empowerment in Holistic Nursing through education, research, networking and collaboration 43

44 AHNA Provides Encouragement for nurses to be models of wellness Honor to individual excellence in the advancement of Holistic Nursing Influence on policy to change the health care system to a more wellnessoriented model Information on self-care 44

45 AHNA Provides Holistic Publications Journal of Holistic Nursing (JHN) Electronic monthly newsletter, enews Member magazine, Beginnings Foundations of Holistic Nursing: selfstudy certification prep course Annual Holistic Conference providing contact hours, networking & fun 45

46 Our Future Educate the public about integrative therapies and holistic practitioners Increase the focus on wellness, health promotion and access to affordable care Integration of holistic content and practices into nursing curricula Advocate for reimbursement of CAM and nursing interventions Development of evidence based practice (EBP) through research and dissemination for holistic/integrative/cam therapies 46

47 Professional Organizations & Resources American Holistic Nurses Association (AHNA) 323 N San Francisco St. Ste 201Flagstaff, AZ (800) American Holistic Nurses Certification Corporation (AHNCC) (877) National Center for Complementary and Alternative Medicine (NCCAM) Nursing World: Nursing News from around the World 47

48 Journals Journal of Holistic Nursing (AHNA s journal) Holistic Nursing Practice International Journal of Human Caring Journal of Transcultural Nursing EXPLORE: The Journal of Science and Healing Alternative Therapies in Health and Medicine 48

49 Local AHNA Chapter Oklahoma Holistic Nurses A Chapter of the American Holistic Nurses Association. Hope Gray, BSN, RNC-OB; Carey Bartnicki, RN BSN; Kathryn Konrad, MS, RNC-OB, LCCE, FACCE; Juliana Bell, MS, RN [email protected] (405) ext

50 References American Holistic Nurses Association. (2007). Holistic nursing: Scope and standards of practice. Silver Spring, MD: Nursebooks.org. Dossey, B. M., & Keegan, L. (Eds.). (2009). Holistic nursing: A handbook for practice (5th ed). Sudbury, MA: Jones and Bartlett. Mariano, C. (2009). Holistic nursing: Scope and standards of practice. In B. M. Dossey, & L. Keegan (Eds.), Holistic nursing: A handbook for practice (5th ed). Sudbury, MA: Jones and Bartlett. Aime, Rev. D., Drick, C. A. & Keegan, L. (2008) American Holistic Nurses Association: Implementing Visions of Health and Healing. Flagstaff, AZ: ahna.org. 50

51 Contributors Glenda Christiaens, MS, RN, AHN-BC Debra Copp, RN, BSN, HNC, PHN Annie Hovendick, RN, BSN Mintie Indar-Maraj, RN, MA, Ed D Marian Long, RN, MSN, AHN-BC, CHTP Carla Mariano, RN, EdD, AHN-BC, FAAIM Sharon Murnane, RN, BA, HNC, CHTP Anne Rentfro, MSN Jennifer Rheingans, RN, PhD, AHN-BC, CPON Deb Shields, PhD, RN, CCRN, QTTT, AHN-BC Mary Pat Thomas, MSN, RN, CHTP, AHN-BC 51

52 Life is a blessing! 52