Research Article
Volume 2 Issue 2 - 2020
Validating Standardized Integrative Nursing Guidelines for Symptom Management
Penny D Kessler1*, Karen A Monsen2, Sheng-Chieh Lu3 and Mary Jo Kreitzer4
1Clinical Assistant Professor, University of Minnesota School of Nursing, Adjunct Faculty, University of Minnesota Center for Spirituality and Healing, Minneapolis, MN, USA
2Professor, University of Minnesota School of Nursing, Faculty, University of Minnesota Center for Spirituality and Healing, Minneapolis, MN, USA
3PhD Student, University of Minnesota School of Nursing, Minneapolis, MN, USA
4Professor of Nursing and Director, University of Minnesota Center for Spirituality and Healing, Minneapolis, MN, USA
*Corresponding Author: Penny D Kessler, Clinical Assistant Professor, University of Minnesota School of Nursing, Adjunct Faculty, University of Minnesota Center for Spirituality and Healing, Minneapolis, MN, USA.
Received: December 17, 2019; Published: January 11, 2020




Abstract

Introduction: Evidence-based guidelines improve client health by identifying best practices, optimizing clinical interventions, and standardizing documentation. Kreitzer and Koithan [1] describe integrative nursing interventions to manage symptoms including stress, anxiety, sleep disturbance, nausea, depressed mood, fatigue, pain, cognitive impairment, human spirit, and palliative care. In the era of electronic health records, there is a need for structured documentation of evidence-based integrative nursing practice to disseminate and guide integrative nursing interventions and standardize data collection for outcomes. The purpose of this study was to validate a guideline based on the Omaha System and developed for integrative nursing interventions.

Methods: Two Omaha System experts identified and encoded problems and interventions in symptom management chapters of Integrative Nursing [1]. Ten content experts evaluated the accuracy of encoding using a content expert approach. Differences were resolved by consensus.

Results: Initial agreement was 66.8% across all interventions; after revisions, agreement reached 97.6%.

Conclusion: Validated integrative nursing guidelines provide support for clinical decision making and person-centered care. Documentation using the guideline will enable data comparison and interoperability across settings, populations, disciplines, and jurisdictions. Next steps include evaluating patient outcomes using Omaha System measures.

Keywords: Integrative Nursing; Integrative Therapies; Integrative Nursing Guideline; Omaha System

Abstract

  1. Kreitzer MJ and Koithan M. “Integrative Nursing”. New York, NY: Oxford University Press (2014): 3-16, 187-330, 381-390.
  2. National Institutes of Health (NIH). National Center for Complementary and Integrative Health: What people 50 and older discuss with health care providers 2010 (2014).
  3. Chang HY and Chang HL. “A review of nurses’ knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine”. Journal of Clinical Nursing 24.11-12 (2015): 1466-1478. 
  4. Gok Metin Z., et al. “Perspectives of oncology nurses on complementary and alternative medicine in Turkey: A cross-sectional survey”. Holistic Nursing Practice 32.2 (2018): 107-113. 
  5. Kamizato M., et al. “Nurses’ use of complementary alternative medicine for cancer patients in Japan”. Journal of Nursing and Care 5 (2013). 
  6. Stan DL., et al. “Absent and Discordant Electronic Health Record Documentation of Complementary and Alternative Medicine in Cancer Care”. Journal of Alternative and Complementary Medicine 24.9-10 (2018): 988-995. 
  7. Austin R. “Integrative nursing and informatics”. In Integrative nursing 2nd edition (2018): 128-135.
  8. Monsen KA., et al. “Toward population health literacy, wellbeing, consumer engagement, and information exchange: Developing Omaha System icons for digital platforms”. International Journal of Healthcare 2.1 (2016): 71-81.
  9. Martin KS. “The Omaha System: A key to practice, documentation, and information management (reprinted 2nd edition)”. Omaha, NE: Health Connections Press (2005): XX.
  10. The Omaha System Community of Practice (2015).
  11. Omaha System Web site. The Omaha System (2015).
  12. Martin KS and Kessler PD. “The Omaha System: Improving the quality of practice and decision support (The Omaha System: Improving the quality of practice and decision support)”. In MD Harris (Ed.) Handbook of home health care administration (6th edition). Sudbury, MA: Jones and Bartlett (2017): 1-496.
  13. Holland DE., et al. “Describing transitional palliative nursing care using a standardized terminology”. Journal of Hospice and Palliative Nursing 19.3 (2017): 275-281. 
  14. Horning ML., et al. “Description of public health nursing nutrition assessment and interventions for home-visited women”. Public Health Nursing 35 (2018): 317-326. 
  15. Secgİnlİ S., et al. “A systematic review of Omaha system literature in Turkey”. Studies in Health Technology and Informatics 225 (2016): 633-634. 
  16. The Office of the National Coordinator for Health Information Technology. Standard nursing terminologies: A landscape analysis (2017): 235-248.
  17. Monsen KA., et al. “Feasibility of encoding the Institute for Clinical Systems Improvement Depression Guideline using the Omaha System”. Journal of Biomedical Informatics 45 (2012): 719-725. 
  18. Omaha System Guidelines Web site (2015).
  19. Monsen KA., et al. “Seeing the whole person: Feasibility of using the Omaha System to describe strengths of older adults with chronic illness”. Research and Theory for Nursing Practice 28.4 (2014): 299-315.
  20. Center for Spirituality and Healing, University of Minnesota. Integrative Nursing (2015).
  21. Kreitzer MJ and Koithan M. “Integrative Nursing (2nd edition)”. New York, NY: Oxford University Press. (2018): XX.
  22. Barnes PM., et al. “Complementary and alternative medicine use among adults and children: United States, 2007”. CDC National Health Statistics Reports (2008): 12. 
  23. Kessler PD and Monsen KA. “Omaha System Intervention Library: Integrative Nursing Appendix and Metadata”. 
  24. Kreitzer MJ. “Whole-Systems Healing: A New Leadership Path”. In Integrative Nursing, eds. M.J. Kreitzer and M Koithan. New York, NY: Oxford University Press (2014): 47-55.
  25. Westra BL., et al. “Big data in nursing research”. In Routledge International Handbook of Advanced Quantitative. Methods in Nursing Research (2015): 280-293.
Citation: Penny D Kessler., et al. “Validating Standardized Integrative Nursing Guidelines for Symptom Management”. EC Nursing and Healthcare 2.2 (2020): 01-10.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


January Issue Release

We Always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released January issue for the respective journals and can be viewed in the current issue pages.

Submission Deadline for March Issue

E-Cronicon delightfully welcome all the authors around the globe for an effective collaboration with an article submission for the March issue of respective journals. Submissions are accepted on/before January 31, 2020.

Certificate of Publication

E-Cronicon honours with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

E-Cronicon certify the Editors for their first review done towards assigned article of the respective journals.

Latest Articles

Latest articles will be updated immediately in the articles in press page of the respective journals.

Immediate Assistance

Prime moto of this team is to clarify all the queries without any delay or hesitation in order to avoid the inconvenience. For an immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk