ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The National Center for Complementary and Alternative Medicine (NCCAM) was created by Congress in 1998 as part of the National Institutes of Health. As interest in alternative and complementary therapies among healthcare providers and consumers has increased in recent years, the NCCAM has provided research funding to determine the efficacy of various types of unconventional treatments. The Center also provides research training and acts as a clearing-house for information dissemination to practitioners and the general public. Inclusion and exclusion criteria for alternative and complementary medicine as defined by the NCCAM are provided. Interest in these non-traditional treatments will likely continue to increase over the next few years. The NCCAM is playing a vital role as it provides avenues to determine how these therapies can lead to enhanced quality of life for individuals as we enter the new millennium.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Florence Nightingale espoused a very holistic orientation in nursing. It was her belief that nursing should put the patient in the best possible condition for nature to restore or preserve health, to prevent or cure disease or injury. In other words, nurses should create environments in which healing can happen.Complementary therapies and healing practices offer nurses and patients an expanded array of options to improve health and healing. This article provides an overview of complementary therapies and healing practices and offers suggestions on how to incorporate these therapies when caring for critically ill patients.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Complementary and alternative medicine is rapidly making its way into the mainstream through the addition of a variety of therapies in existing settings. Yet, in national surveys, the public seems interested not only in alternative therapies, but also in a more holistic form of healthcare. Nurses have a critical role to play in creating such a healthcare system. Recovering their own identity as healers is a first step in that direction. This article explores the topic of the self as healer through four key questions: what is healing, who or what is the locus of healing, how can nurses facilitate healing, and how does one become a healer?

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Nurses have used the intervention of presence for centuries, but only recently has attention been given to defining and describing this intervention that conveys much of the caring aspect of nursing. Presence is more than a nurse's being with a patient physically. Researchers have found that patients recognize and value nurses who are present with their whole beings and are attuned to patients' needs and concerns. When critical care nurses use the intervention of presence, findings have shown that they make a connection with the patient that can lead to earlier identification of patients' problems. Further, critical care nurses can use presence in interactions with patients to avoid the perception by patients and their families that the nurse is emotionally distant or is there just to do a job. By incorporating presence as an integral part of all patient interactions, critical care nurses have the privilege of transforming a technical, potentially impersonal setting into a humane, healing place.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The number of elderly, both in society at large and in the critical care population, is increasing at an unprecedented rate. Critical care nurses must address how best to provide care to these elders. The authors focus on physiologic, cognitive, and psychosocial characteristics of the elderly that place them at risk for complications during their stay in critical care. The critical care environment also contributes to complications such as sleep deprivation, sensory deprivation or overload, painful procedures, and decreased social support. The critical care environment may also be a factor in facilitating delirium, common in critically ill elders. Critical care nurses can proactively help to create a healing environment for these elders by facilitating sleep, implementing strategies to reduce delirium, preventing or minimizing painful experiences, and liberalizing family visitations.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Cultural competency in critical care is providing care to patients and their families that is compatible with their values and the traditions of their faiths. This requires awareness of one's own values and those of the healthcare system. The nurse must also become aware of the cultural and spiritual values of patients and families. Although knowledge of many cultures is impossible, willingness to learn about, respect, and work with persons from different backgrounds is critical to providing culturally competent care. This article discusses elements essential for increasing cultural competency.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The power that prayer and spirituality exerts on healing cannot be underestimated. Body, mind, and spirit are connected to each other. Although patients in hospitals may have the best medical and nursing care available, many seek alternative or complementary therapies. One adjunctive therapy that has grown in popularity recently is the incorporation of prayer and spirituality into the traditional approaches used with acute and critically ill patients. Spirituality is returning to healthcare because many patients believe in it and seek it as part of their treatment. Although spirituality is only one of the many types of alternative and complementary therapies available to patients, it can be a powerful approach to their care. This article explores the use of spirituality with a special focus on prayer.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The patient in acute care settings can have severe emotional and physical stresses that are also experienced by family and significant others. The experience in a hospital has often been described as overwhelming; it can evoke feelings of fear, anger, helplessness, and isolation. Guided imagery, one of the most well-studied complementary therapies, is used increasingly to improve patients' experiences and healthcare outcomes. More and more, patients are relying on the use of guided imagery to provide a significant source of strength, support, and courage as they prepare for a procedure or manage the stresses of a hospital stay. This article provides a brief review of the research base for guided imagery and broad indications for its use. It describes key elements of the therapy and outlines steps to implement a program of guided imagery that can be used in variety of settings.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This is a discussion of the results of a systematic review of 22 articles examining the effect of massage on relaxation, comfort, and sleep. The most consistent effect of massage was reduction in anxiety. Eight of 10 original research studies reported that massage significantly decreased anxiety or perception of tension. Seven of 10 studies found that massage produced physiologic relaxation, as indicated by significant changes in the expected direction in one or more physiologic indicators. In the three studies in which the effect of massage on discomfort was investigated, it was found to be effective in reducing pain. In only three studies was the effect of massage on sleep examined. The methods for measuring sleep were unclear in two of the studies, and results were inconclusive in the other. Further research is needed to investigate the effect of massage on discomfort and promoting sleep.

ISSN:1079-0713    

出版商:OVID    

年代:2000

数据来源: OVID