Holistic nursing Annotated Bibliography

Running head: ANNOTATED BIBLIOGRAPHY -I

Annotated Bibliography -I 3

Annotated Bibliography -I

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Annotated Bibliography -I: Holistic Nursing

Evans, S., Seidman, L.C., Lung, K., Sternlieb, B., & Zeltzer, L.K. (2018) Yoga for Teens with Irritable Bowel Syndrome: Results from a Mixed-Methods Pilot Study. Holist Nurs Pract. 32(5):253-260. doi: 10.1097/HNP.0000000000000288.

This article (Evans et al., 2018) examined the effect of Yoga on Irritable Bowel Syndrome (IBS). Totally 18 adolescents who met with ROME III IBS symptom criteria were selected to participate a one-week Lyengar Yoga program, then their IBS symptoms were rated plus a general questionnaire survey was conducted for data analysis. Study subjects were categorized into responders and non-responders based on the change of IBS symptoms. The study team reported that 50% of experimental subjects were responders, of whom there was significant alleviation of sleep quality and visceral sensitivity index (p<0.05). Interestingly, the parents’ support and time of home practice were positively correlated to the outcomes of Yoga therapy.

This study selects teenage group for research subjects and uses one-week yoga practice as an intervention. As a complementary medical therapy, Yoga needs weeks to months of practice to become effective, so one week of study period might not be long enough to observe the potential results. Of the seven categories of IBS symptoms, only two reaches statistical significance and three are slightly above the cut off line of p=0.05. If this study can enlarge the sample size, it is possible to see more positive results.

It is interesting to read the discussion part and see the parents’ different attitude in responder group versus the non-responder group. The 90% of non-responders’ parents cannot recall the homework sheets of Yoga or show enthusiasms to the Yoga program. Home practice is an essential part of complementary medicine such as yoga and musical therapy. It is important to do client education to enhance the compliance to treatment and obtain a supporting home environment, if a maximal outcome is desired in clinical practice.

Williams, H., Simmons, L.A., & Tanabe, P. (2015) Mindfulness-Based Stress Reduction in Advanced Nursing Practice: A Nonpharmacologic Approach to Health Promotion, Chronic Disease Management, and Symptom Control. J Holist Nurs. 33(3):247-59. doi: 10.1177/0898010115569349.

This article (Williams et al., 2015) reviewed the application scenario of Mindfulness-Based Stress Reduction (MBSR) in clinical practice. It started from the definition of MBSR followed by introduction of its theory and concepts. The mechanisms were demonstrated by neuroimaging studies and clinical research. Its clinical applications were categorized into health promotion, addiction disorder, chronic disease treatment, depression, and symptom management. Interestingly, the provider self-care was also included in this review. In the last session, the article listed the sources and approaches for MBSR training and certification, as well as the patient education websites.

This comprehensive review summarizes the application of MBSR in almost all medical fields with a solid reference list in supportive of its key points. The data cited covers both qualitative and quantitative research reports. For each application field, at least 3 independent studies have been cited to give a full picture of academic opinions. The potential controversy and theoretical discussions are included. Authors stays unbiased when citing the literature and presenting the data, which makes the information reliable and useful.

In holistic nursing practice, breath awareness and body scan are common mindful skills of MBSR. This literature review article gives a panoramic view of MBSR mechanism, patient’s feedback, and potential side effects. It is exciting to see that MBSR has been helpful in so many somatic and psychological disorders. It assists me to better understand the current status of MBSR in clinical practice and I will use it as an initial source if I decide to provide such a service to my clients.

Therkleson T. (2014) Topical Ginger Treatment With a Compress or Patch for Osteoarthritis Symptoms. J Holist Nurs. 32(3):173-82. doi: 10.1177/0898010113512182.

This article (Therkleson, 2014) tested topical ginger treatment on osteoarthritis (OA) patients. Totally 20 adults with chronic OA symptoms were enrolled into the study. They were randomized into two groups for a 7-day treatment with either ginger compress or ginger patch. A modified self-assessment questionnaire was used to evaluate the outcome. The result showed that both groups had significant improvement after 7 days, including pain level, fatigue, and functional status. The therapeutic effect even lasted until 24 weeks post-treatment. The compress or patch modules did not make a statistical difference.

This study presents a quantitative analysis of ginger treatment in OA patients. The two modules of ginger therapy, ie. patch and compress, are both studied. A seven-day treatment course has demonstrated alleviation of symptoms. The data presentation is using minimum-median-maximum format, which shows a full picture of results. However, it has a small sample size (n=20). These 20 research subjects are not matched with age, gender, or disease course when divided into two groups, so confounding factors may not be excluded. It is an open study and there is no negative control group, so a placebo effect cannot be ruled out. This article is lack of discussion of ginger mechanism, so a follow up study may be required to illustrate the mechanism and potential side effects.

The article demonstrates a good example for topical herbal medicine in OA therapy. Ginger usage is a common for joint disorders in East Asian countries. Although a traditional way is to administer ginger soup, this article does provide a new approach of ginger usage. Per the positive effect on ginger compress and ginger patch, it is intriguing to conduct more research studies to obtain a deep understanding of its mechanism.

Shim, J.M. & Lee, Y.S. (2017) The association between the use of biomedical services and the holistic use of traditional East Asian medicine: a national survey of outpatients in South Korea. BMJ Open. 7(12):e018414. doi: 10.1136/bmjopen-2017-018414.

In this article (Shim & Lee, 2017) authors examined the correlation between the usage of traditional Korean Medicine and the use of western biomedical services in south Korea. Totally 3861 clients participated in this survey, which is aimed to represent the nation-wide medical facility visitors. The traditional Korean Medicine has been divided into several modules for analysis, including acupuncture, cupping, and herbal medicine, etc. The study team found that at least 2-3 modules were used in those medical service seekers over past three months period. This portion of clients was more likely to use western biomedical medicine too. The positive connection between holistic medicine usage and western biomedical services indicated that clients who saw physicians frequently often tended to seek holistic therapy as a complementary approach.

This study is the first report to analyze the frequency of holistic medicine usage in general population in South Korea and compare it to western medicine visiting. Its sample size is large enough to draw statistical significance. The study result advises that medical community should be aware that holistic medicine is commonly used when client plans to seek biomedical treatment. So it is essential to include complementary medicine history when drafting a comprehensive plan of care in clinical practice. As the study is conducted in South Korea, it is intriguing to see whether it can be applied to other countries.

I am not surprised to read the result of overlapping of East Asian Medicine modules against biomedical services. Holistic medicine is an important part of medical knowledge system. To learn complementary and alternative medicine is helpful for nurses to serve their clients. I am particularly interested to herbal medicine and may focus on this area if I decide to seek continuing education on holistic medicine.

References

Evans, S., Seidman, L.C., Lung, K., Sternlieb, B., & Zeltzer, L.K. (2018) Yoga for Teens with Irritable Bowel Syndrome: Results from a Mixed-Methods Pilot Study. Holist Nurs Pract. 32(5):253-260. doi: 10.1097/HNP.0000000000000288.

Shim, J.M. & Lee, Y.S. (2017) The association between the use of biomedical services and the holistic use of traditional East Asian medicine: a national survey of outpatients in South Korea. BMJ Open. 7(12):e018414. doi: 10.1136/bmjopen-2017-018414.

Therkleson T. (2014) Topical Ginger Treatment With a Compress or Patch for Osteoarthritis Symptoms. J Holist Nurs. 32(3):173-82. doi: 10.1177/0898010113512182.

Williams, H., Simmons, L.A., & Tanabe, P. (2015) Mindfulness-Based Stress Reduction in Advanced Nursing Practice: A Nonpharmacologic Approach to Health Promotion, Chronic Disease Management, and Symptom Control. J Holist Nurs. 33(3):247-59. doi: 10.1177/0898010115569349.