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Reflection of a 7-year patient care program: implementing and sustaining an integrative hospital program

Authors: Ernst Lorraine S, Ferrer LynnJournal: Journal of holistic nursing : official journal of the American Holistic Nurses' AssociationPublished: December 1, 2009DOI: 10.1177/0898010109339526
Limited EvidenceCase Studyn=7000 participants

In Plain Language: cancer pain, explained

Integrative alternative therapies, also known as holistic therapies, have many applications in hospitals and health centers. These may include relaxation therapies, meditation, massage, reflexology, and Reiki or healing touch. Patients today are looking for these services, and institutions continue to explore ways to provide them without affecting their bottom line. The Integrative Cardiac Wellness Program is such a service, and its growth and longevity comes out of the personal investment of the staff to the program and to their patients. The literature review on the permanence of caring practice shows that caring about your work with patients, not just the job, is critical in longevity (Graber & Mitcham, 2004). The holistic nurses' and staff 's commitment to their professional growth within their specialty and their personal spiritual practice as experts in the field forms the backbone of the Integrative Wellness Program's success. It has been in existence for 7 years, providing integrative healing therapies to more than 7,000 patients, making it one of the most experienced. The program now serves cardiac surgery patients, and patients who have been diagnosed with cancer.

Key Findings: what this case study found about cancer pain

  • ✓An integrative hospital program incorporating reflexology and other holistic therapies sustained successful operations for 7 years through staff personal investment and commitment to patient care.
  • ✓Staff commitment to professional growth within their specialty and personal spiritual practice formed the critical foundation for the longevity and success of the Integrative Cardiac Wellness Program.
  • ✓Caring about work with patients as a personal practice, rather than viewing it purely as a job, is essential for maintaining long-term integrative therapy programs in hospital settings.

What This Means for You

While this case study shows reflexology can be successfully integrated into hospital care for cardiac and cancer patients, the evidence is based on program experience rather than rigorous clinical testing, so individual results may vary.

What This Means for Practitioners

Building a sustainable reflexology program in institutional settings requires genuine professional commitment and ongoing staff investment in both the therapy and patient care, not just operational efficiency.

Study Design: how this case study was run

Sample Size
7000 participants
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Cancer pain: common questions

What does this study say about cancer pain?

While this case study shows reflexology can be successfully integrated into hospital care for cardiac and cancer patients, the evidence is based on program experience rather than rigorous clinical testing, so individual results may vary.

What did this study find?

An integrative hospital program incorporating reflexology and other holistic therapies sustained successful operations for 7 years through staff personal investment and commitment to patient care. Staff commitment to professional growth within their specialty and personal spiritual practice formed the critical foundation for the longevity and success of the Integrative Cardiac Wellness Program. Caring about work with patients as a personal practice, rather than viewing it purely as a job, is essential for maintaining long-term integrative therapy programs in hospital settings.

How strong is this evidence?

This is a case study and we rate its evidence limited. It covers 7,000 participants. It was published in Journal of holistic nursing : official journal of the American Holistic Nurses' Association. This study is indexed here for context; it did not test reflexology itself.

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