In this issue: Complexity, Request for Poster Proposals, Importance of Mentorship, Updates on Research in Healing Touch, Why is Holistic Nursing Taking Off? and much more.

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Connections in Holistic Nursing Research
October 2010
Volume 3 Issue 1

In This Issue
Response
Research Mentoring at AHNA
Research Grant Proposals are due February 1, 2011
Request for Poster Proposals
Research Glossary
Complexity Science
Report on Integrative Health Care Policy Consortium
Research Reviews
Self-care in AHNA's Nursing Population
Researchers in Action
Reports from the Road
Updates on Research in Healing Touch
Research in the News
Research Web Library
Quick Links
Important Dates
Poster Proposals for 2011 Conference Due December 1, 2010

Grant Applications Due February 1, 2011

Proposals for 2012 Conference Due September 7, 2011
Mentors change lives

Mentors change lives

Mentoring: Making a Difference

By Jackie Levin, RN, MS, AHN-C, CHTP
Connections in Holistic Nursing Research Co-Editor

There are many ways of making a difference in nursing and mentoring the novice nurse researcher is one of them. I still feel awe and appreciation for my first mentor, Dr. Marilyn Bookbinder RN, Ph.D. who, throughout my year as Nurse Fellow for Beth Israel Medical Center's Department of Pain Medicine and Palliative Care (DPMPC), cultivated my inquiring mind.

Under Dr. Bookbinder's method of inquiry and mentoring, I steadily identified gaps in my skills of observation. Holding steady to the precepts of scientific rigor, my replies of, "I don't know" were unacceptable. Question after question, she forced me to dig deeper and further into the whys and wherefores of holistic nursing practice fostering in me a systematic pursuit of self-examination.

As a researcher, Dr. Bookbinder's ability to see everyday nursing practice issues as a potential Quality Improvement (QI) project opened me up to a whole new world of research: the pilot study. Because of my mentor's zeal, she nurtured in me both the appreciation and the passion that through research nurses have the power to improve practice at the bedside. So when it came to her attention that nurses in the endoscopy suite wanted to improve pain management, she asked me to design a pilot study using a holistic intervention to address their issues. As a novice researcher I could wrap my head around a small practical study that would benefit both nurses and patients at the point of care. The result was a QI project funded by the AHNA in 2000, assessing and titled, "The effects of a relaxation technique (therapeutic suggestions) on pain and anxiety on first time colonoscopy patients." To read more about this specific study, click here.

As a mentor, she simplified the IRB process, worked to remove barriers, opened doorways, de-cluttered confusion, and provided moments of solace and many moments of humor. When feeling swayed off course by powerful doubtful voices (both inner and outer), Marilyn never allowed me to let go of my dreams, passions, and innovations

For me, the mentoring relationship is more than student/teacher, though there are components of this. This is a relationship that at its core is Love. Love of the person, love of our practice, love of nursing. This love is not always easy, uncomplicated or even fun. The mentor has to risk pushing their mentee beyond their perceived limits, otherwise how do we evolve ourselves and nursing practice? Because my mentor did this for me, the analytical skills gained early in my career for both thinking about a clinical problem and for developing a research project are now well integrated into my nursing practice.

The rewards? In my experience, being mentored, and then carrying that forward as I mentor others in their discovery and growth in the practice of inquiry, is transformative. The whole of the experience, the cherished moments as well as the challenges, continue to inform me. From time to time in the midst of my workday, I hear Marilyn's voice, coaching and guiding me still. In those moments, I drop her an email thanking her. Her vital energy given so generously sustains me still.


If you have had mentoring experiences you would like to share, either positive or negative, please share that on our Discussion Board. Please be judicious in your use of identifying either your mentor or mentee keeping propriety and professionalism in mind.

We need volunteers to mentor or to provide short-term consultation. If you are willing, please send your area of expertise, availability and contact information to Amber (amber@ahna.org). We are also seeking short term consultants for the 2011 conference. Please contact Leighsa Sharoff (leighsa220@aol.com) if you are willing to be a consultant.

Response to Mentoring Editorial

By Jen Reich MA, MS, ANP-BC, ACHPN
Connections in Holistic Nursing Research Co-editor

In reading Jackie's mentoring editorial, I reflect on my own experiences with mentors who have touched my life through their wisdom and teaching. Like Jackie, I also had the great fortune of mentoring from Marilyn Bookbinder in my first advanced practice role as Palliative Care Nurse Fellow at Beth Israel Medical Center in NY. Among many things, Marilyn stressed to me the important link between practice and research and encouraged me to pursue my PhD. She connected me with other nurse leaders practicing in Integrative and holistic settings who have become an important part of my growth and development.


Since I began in nursing a decade ago, I have been blessed with mentors who have taught me the art and science of becoming a nurse. I joined AHNA as a Nurse Practitioner student and have met mentors through the organization who have given me the courage to bring my research ideas to fruition. Now, as I write my dissertation, I look forward to passing on this new knowledge with the students who will become the next generation of holistic nurse researchers. And to all my mentors, I share this poem in thanks for all you do.

Mentors

All souls need mentors

Inventors of creative living

Giving guidance from the heart-

Doing their part to share what they know

So that others may grow and do the same-

Jen Reich

Anacortes, WA 8-26-10







Research Mentoring at AHNA
Creating new knowledge in a systematic and scientific way is essential to the health and well being of any profession. Holistic nursing is no exception in this area. Understanding and appreciating the values of holistic nursing can only be accomplished through research. Research in holistic nursing includes investigations of alternative and complementary therapies but also the ideas of authentic presence, compassion, intention and the idea that each person is whole and complete in the moment. In order to foster and support research within AHNA, research mentoring is available. Mentoring is a way for beginners and advanced researchers to discuss ideas, refine methodologies, and gather recourses to assist with the research endeavor. The research committee at AHNA has held one-on-one mentoring sessions at the last four yearly conferences with great success. Mentors are volunteers who wish to give some time to mentoring another researcher or someone who is relatively new to the idea of holistic research. If you would like to be a research mentor or if you would like research mentoring by one of our volunteers please contact Amber Cline, Research Liaison for AHNA, at amber@ahna.org. Please include in your e-mail your area of interest or expertise, the type of research you are most comfortable with and the best time and way to contact you.

We are also seeking members willing to act as short term research consultants at the AHNA conference in June 2011. Please contact Leighsa Sharoff (leighsa220@aol.com) with your willingness to be a consultant. Please include your area of interest or expertise. If you would like to receive a consultation session at conference, you can register for Workshop 28 when you register for conference.
Research Grant Proposals are due February 1, 2011
AHNA members are encouraged to submit topics concerning healing through holistic nursing. Nationally, research goals are evolving with a new foci on real life clinical situations: patient centered outcomes and comparative effectiveness research designs. These changes are congruent with holistic nursing research and we enthusiastically encourage applicants interested in this new foci to submit proposals. Grant application instructions, submission guidelines, and the grant review forms are available on the AHNA Web site. The budget for your grant proposals should be no greater than $4000.

Please e-mail grant proposals to both Kim Stiles (kstiles@ohlone.edu) and Jeanne Crawford (director@ahna.org). Consultation may be available as an aspect of the grant. For questions about the grant application process, please contact Kim Stiles (kstiles@ohlone.edu). For research consultations or mentor information, contact Ruth McCaffrey (rmccaffr@fau.edu).

Request for Proposals
Poster Presentations at AHNA 2010 Conference
Poster Presentations at AHNA 2010 Conference
AHNA will hold its 31st Annual National Conference, Holistic Nursing: Tending to the Sacred Flow of Life, from June 2-5, 2011 in Louisville, KY. AHNA invites you to submit poster proposals for this conference and help create our best conference yet!

Poster proposals will be accepted until December 1, 2010. Submission guidelines are available online.

Visit the Research section of the AHNA Web site for information on creating a workshop or poster proposal.

Missed the workshop proposal deadline? Get started on your 2012 proposal. The deadline for presentation proposals for AHNA's 2012 conference will be September 7, 2011. Submission guidelines will be available in July 2011.

Research Glossary

Have you heard??? The Research Enews team invites your research word!

We are currently seeking to build a glossary of research terminology that will serve the holistic nursing community. Each Research Enews, a new term will be featured and the glossary will be on the website as well. If you have a research term you think would benefit AHNA members, and would like to be a guest contributor to our glossary, please contact amber@ahna.org with your recommendation.


The RCT: Randomized controlled trial

Randomized controlled trial: (RCT) An experimental design in which individuals are assigned randomly to two or more groups: a treatment group (experimental therapy) and a control group (placebo and/or standard therapy) and the outcomes are compared. Someone who takes part in a randomized controlled trial (RCT) is called a participant or subject. RCTs seek to measure and compare the outcomes after the participants receive an intervention. Because the outcomes are objectively measured (instruments and/or physiological data) RCTs are quantitative studies. The RCT is currently the most accepted scientific method of determining the benefit of a drug or a therapeutic procedure. It is one of the simplest and most powerful tools in clinical research.It can represent the "best" evidence available, which is integrated into the final decision about the management of a condition by healthcare practitioners in what is called evidence-based healthcare but is limited by its generalizability to groups.

In sum, RCTs are quantitative, comparative, controlled experiments in which investigators study two or more interventions in individuals who are assigned to receive an intervention in random order. Sources:http://www.medterms.com
MedTerms is the Medical Dictionary of MedicineNet.com; Millodot: Dictionary of Optometry and Visual Science, 7th edition. 2009 Butterworth-Heinemann; www.wickipedia.com

Numerous forms of the RCT designs exist. This approach, while the 'gold standard' for scientific and often clinical evidence, has been criticized by many as a research approach that does not account for the numerous factors involved in behavioral sciences including holistic nursing, and in integrative, complementary and alternative practices. Currently there is national emphasis on multiple approaches to research that capture the complexities of clinical practice. (see report of integrative health care conference link).

Effectiveness versus Efficacy

These two terms have recently been discussed in evaluating the usefulness and applicability of research results. Research that aims for efficacy most often utilizes the RCT. Statistically significant results of a treatment or intervention in a controlled situation is an example. Effectiveness on the other hand, attempts to evaluate treatments and approaches in real clinical situations. Effectiveness is associated with 'what works most of the time'. Such interventions may not meet consistent statistically significant results when tested on controlled situations. People reporting greater comfort after a healing touch procedure while their blood pressures may not decrease significantly is an example.

Complexity Science

by Joan Engebretson DrPH, AHN-BC, RN


Complexity science is emerging as a powerful force in the progression of nursing research, science and understanding the world. Complexity science has its origins in physics and mathematics and is based in non-linear dynamics. Many scientists postulate that complexity science will be the paradigm of the 21st century and there are several calls for applications of complexity to address many of the behavioral and social issues in health care. Many of the concepts are similar to the systems orientation of holistic nurses.


Complexity is differentiated from complicated which is described by Glouberman et al. (2006) in the analogy of an automobile as a complicated system with many parts, but changing the oil doesn't alter the behavior of the headlights. In contrast, in a complex system, the parts continually interact and change in ways that cannot be deduced from any of the parts in isolation. Much of the current scientific base for medical research and subsequent clinical practice is grounded in a mechanistic model, and reduces phenomena to measurable variables and analyzes them through linear mathematics. The goal of much medical research seeks to discover relationships among variables with the ultimate aim of testing interventions, with the randomized controlled clinical trial as the gold standard. This has been extremely useful and has yielded tremendously valuable insights and understanding about disease and treatment of disease. However, humans and communities are complex systems, as are most living organisms. At this level, the framework of complex adaptive systems may be a better conceptual fit. Complexity science seeks not to measure the relationship between variables, but rather to explore what actually happens between or among them. So rather than looking at correlations and predictions among variables, complexity science seeks to discover what happens in the relationship between variables. Nursing has long oriented around a systems theoretical perspective as befitting the idea of caring for the whole person, family or community. Therefore, it is important for nurses to become familiar with the language, metaphors and concepts of complexity as these represent the emerging science. This report will focus on the concepts in Complex Adaptive Systems which are based on some of the mathematical principles and may be thought of as complexity theories or complexity frameworks.

To read the complete article, click here.

Report on Integrative Health Care Policy Consortium

Rorry Zahourek, AHNA Leadership Council Research Coordinator, recently attended a conference on the implications of healthcare reform on integrative medicine. She shares the implications for holistic nursing research in a report on the AHNA's web site. Read Rorry's report.

Research Reviews

Reviewed by Jackie Levin RN, MS, AHN-BC, CHTP, Connections Co-Editor


The Sept/Oct 2010 issue of Alternative Therapies in Health and Medicine (ATHM) is entirely devoted to nursing practice and research. This is a big breakthrough into a forum largely devoted to medicine. Two articles from that journal are reviewed in this issue of AHNA Research Enews. Many of the articles published in this issue of ATHM are written by AHNA members, including an article by AHNA Executive Director Jeanne Crawford and former President Lucia Thornton titled "Why Has Holistic Nursing Taken Off in the Last Five Years . . . What Has Changed?"

Thought leaders from the nursing industry provide their unique insights and opinions on a variety of topics surrounding nursing's role in integrative health and healing. The result is a lively discussion of challenges facing nurses in the field, the recognition of nursing-led initiatives, nurses as leaders, and more.

From now until the end of the year, you can access these full-text articles for free. Click here to gain access to the articles through the AHNA Article Library.

Gross, CR, Kreitzer, MJ., Thomas, W., Reilly-Spong, M., Cramer-Bornemann, M., Nyman, JA., Frazier, P., & Ibrahim, HN. (2010). Mindfulness-Based Stress Reduction for Solid Organ Transplant Recipients: A Randomized Control Trial. Alternative Therapies in Health and Medicine. 16(5): 30-38.

In a health care environment in which our time with patients is limited, it's vital that our encounters and interventions have sustainable impact. This is one of the several important contributions from the study Mindfulness-Based Stress Reduction for Solid Organ Transplant Recipients: A Randomized Control Trial. The participants were first stratified by disease and then randomized into one of 3 groups: the Mindfulness-Based Stress Reduction (MBSR) intervention group, a health education group and waitlist group which was later randomized again into one of the two other arms. The MBSR intervention group attended an 8-week mindfulness-training program. The other participants attended a peer-led educational program focused on chronic disease self-management. The results for the MBSR group were statistically significant on the primary outcomes of anxiety and sleep and for secondary outcomes of quality of life and perceived health when compared with the health educational program and a waitlist groups. MBSR also demonstrated positive effect for depression. Of note is the durability of the MBSR program results when compared with the other two groups, with the improvements gained sustained at the one year follow up. The design and methodology are excellent models for anyone desiring to study the effects of MBSR on other patient and provider groups

Findlay, B., Smith, K., Crawford, C. Coulter, I., Khorsan, R., & Jonas, W. (2010). Methodological Complexities Associated with Systematic Review of Healing Relationships. Alternative Therapies in Health and Medicine. 16(5): 40-46.

Findlay et al. (2010), study set out to answer the question, "What is the return on investment to hospitals that implement programs aimed at enhancing healing relationships?" The research team conducted a comprehensive literature search of randomized control studies and descriptive studies examining healing relationships. What the authors uncover is that applying this gold standard to new and emerging holistic fields of study might prematurely determine the intervention's value. The challenges and constraints identified were 1) concept descriptors of healing relationships have not yet been clearly defined and agreed

upon, 2) methodologically strong studies did not provide the most meaningful information as those defined as methodologically weak, and 3) MeSH headings have a "biomedical bias" and do not yet capture the subtly or diversity in the concept of healing relationships. To maximize the literature search results, the authors recommend the use of an interdisciplinary research team, review of qualitative studies to discover emerging themes and language, and creation of a common framework and terms for more instructive systematic reviews.

Self-care in AHNA's Nursing Population a project and study conducted at the AHNA 2010 conference

Reflection room at conferenceA group of nursing students from Colorado State University-Pueblo (CSU-P) (Class of 2010) with the guidance of their instructor Beverly Sesters conducted a projecReflection room at conferencet and descriptive research at the 2010 AHNA annual conference in Colorado Springs. Their concern is nurses' stress and burnout and the potential for self care to ameliorate that process. They provided a questionare and props at the lovely reflection room sponsored by Aromaceuticals at the conference. The complete report by Bethany DeMarco can be found on the AHNA Web site.
AHNA Researchers in Action

Colleen Delaney, Cynthia Barrere, & Mary Helming. (2010). The influence of a spirituality-based intervention on quality of life, depression, and anxiety in community-dwelling adults with cardiovascular disease: A pilot study. Journal of Holistic Nursing. Published online ahead of print. August 16, 2010 as doi:10.1177/0898010110378356
Note: This article is based in part on research done with an AHNA grant received by Colleen Delaney in 2007. Grant proposals are due February 1, 2011. Learn more.


Mary M. Madrid, Elizabeth A. M. Barrett, and Patricia Winstead-Fry. (2010). A study of the feasibility of introducing therapeutic touch into the operative environment with patients undergoing cerebral angiography. Journal of Holistic Nursing. 28(1), 168-174.


Deborah McElligott, Kathleen Leask Capitulo, Diana Lynn Morris, and Elizabeth R. Click. (2010). The effect of a holistic program on health-promoting behaviors in hospital registered nurses. Journal of Holistic Nursing. 28(1), 175-183


Nancy Jennings. (2010). Defining a caring hospital by using currently implemented survey tools. Journal of Holistic Nursing. 28(1)187-192

Glenda Christiaens, Jo Ann Abegglen, and Andrea Gardner. (2010). Expert Holistic nurses' advice to nursing students. Journal of Holistic Nursing. 28(1) 201-208

Ann Quinlan-Colwell. (2010). Nursing 1000: A mosaic of lessons learned from patients. Journal of Holistic Nursing. 28(1) 209-212

Note: AHNA members have full access to JHN archives. Learn more.

Christina Jackson. (September/October 2010). H1N1 pandemics and disease mongering: Applying holistic philosophy to counteract Fear.Holistic Nursing Practice. 24(5):247-251.

Ruth McCaffrey, Claire Hanson, & William McCaffrey. (September/October 2010). Garden walking for depression: A research report. Holistic Nursing Practice. 24(5):252-259.

Ann L. Baldwin, Anne Vitale, Elise Brownell, Jan Scicinski, Mary Kearns, & William Rand. (September/October 2010).
The Touchstone Process: An ongoing critical evaluation of Reiki in the scientific literature. Holistic Nursing Practice. 24(5):260-276.

Leighsa Sharoff. (September/October 2010). Social networking, holistic nursing, and self-care. Holistic Nursing Practice. 24(5):301-302.

Nancy C. Sharts-Hopko. (September/October 2010).Lifestyle strategies for the prevention of vision loss. Holistic Nursing Practice. 24(5):284-291.

Donna M. Scattergood. (September/October 2010).Self-care essential extras: An integration of holistic nursing, functional medicine, and health coaching to promote therapeutic lifestyle change and decrease chronic disease. Holistic Nursing Practice. 24(5):294-300.

The following are articles from Alternative Therapies in Health and Medicine. (See Research Reviews above for more information.) To access the full articles for free until the end of the year, visit AHNA's Article Library.

Michele Mittelman.(September/October 2010). Nursing: Education, research, and practice. Alternative Therapies in Health and Medicine. 16(5)


Marla Salmon.(September/October 2010). The Commons: Nursing education, societal relevance, and going it together.Alternative Therapies in Health and Medicine. 16(5)

Louise Palmer, Allison Cook, Brigette Courtot. (September/October 2010). Comparing models of maternity care serving women at risk of poor birth outcomes in Washington, DC. Alternative Therapies in Health and Medicine. 16(5)


Barbara Dossey
. (September/October 2010).Holistic nursing: From Florence Nightingale's historical legacy to 21st-century global nursing. Alternative Therapies in Health and Medicine. 16(5).

Jeanne Crawford, & Lucia Thorton. (September/October 2010). Why has holistic nursing taken off in the last five years? What has changed? Alternative Therapies in Health and Medicine. 16(5).

Cynthia R. Gross, Mary Jo Kreitzer, William Thomas, Maryanne Reilly-Spong, Michel Cramer-Bornemann, John A. Nyman, Patricia Frazier, & Hassan N. Ibrahim.
(September/October 2010). Mindfulness-based stress reduction for solid organ transplant recipients: A randomized controlled trial. Alternative Therapies in Health and Medicine. 16(5).

Susan Luck.
(September/October 2010). Changing the health of our nation-The role of nurse coaches. Alternative Therapies in Health and Medicine. 16(5).

Michele Mittelman, Sunny Yim Alperson, Patricia Martin Arcari, Gloria Ferraro Donnelly, Loretta C. Ford, Mary Koithan, & Mary Jo Kreitzer.
(September/October 2010). Nursing and integrative health care. Alternative Therapies in Health and Medicine. 16(5).


AHNA members names in bold. We would love to hear about your research. Send your "Researcher in Action" to amber@ahna.org
Report from the Road
Society of Rogerian Scholars Meeting
Picture from left to right: Marguerite Purnell, Marlaine Smith, Dot Dunn, Rorry Zahourek, Richard Cowling, Ruth McCaffery
Several AHNA members presented at the Society of Rogerian Scholars meeting, "Advancing Rogers' Science of Unitary Human Beings through Praxis" October 8-10, 2010. Hosted by Florida Atlantic University. Marlaine Smith RN, PhD, AHN-BC, FAAN has been the president for the last year. Richard Cowling BS, MS, RN, PhD, APRN-BC, AHN-BC did a keynote: "Unitary Science Praxis: An Avatar of Nursing." Dorothy Dunn Ph.D., ARNP, FNP-BC presented "A Unitary View of Intentional Compassion Energy." Marguerite Purnell RN, PhD, AHN-BC presented a study by Ruth McCaffery ND, ARNP "Garden Walking for Depression in Older Adults: Investigating the Integration of the Human and Environmental Energy Fields." Rorry Zahourek PhD, APRN, BC, AHN-BC presented "Intentionality: A Linear or a Unitary Phenomenon."

We recognize many of our members attend conferences that have relevance to holistic nurses and our research efforts. Please send us a brief summary and we will share it in a future issue. Send summaries to
amber@ahna.org
Updates on Research in Healing Touch
By Diane Wind Wardell PhD, RN, WHNP-BC, AHN-BC

Three interesting and divergent articles have been published on Healing Touch recently. A highly articulate and scientific article was published by Dr. Susan Lutgendorf and her team at Iowa University. The article is in press and can be found with the journal Brain, Behavior and Immunity and is entitled "Preservation of immune function in cervical cancer patients during chemoradiation using a novel integrative approach. " This was a prospective randomized clinical trial using Healing Touch compared to relaxation training and usual care. Sixty women were randomized to receive usual care or either Healing Touch or relaxation therapy immediately following their radiation treatment for cervical cancer. Three time intervals were assessed. Healing Touch patients had a significantly minimal decrease in natural killer cell cytotoxicity (NKCC) which is needed an indicator of immune compromise as compared to the other groups which had a sharp decline. The Healing Touch group also showed greater decreases in depressed mood but there was no difference in quality of life, treatment delay or clinically-rated toxicities between groups. The authors provide an extensive discussion on the key findings of preservation of NK cell activity and improvement in depressed mood. They provide a physiological explanation as well as proposing that there might have been some effect on the hypothesized biofields. Read more...
Research in the News
Does a good massage do more than just relax your muscles? To find out, researchers at Cedars-Sinai Medical Center in Los Angeles recruited 53 healthy adults and randomly assigned 29 of them to a 45-minute session of deep-tissue Swedish massage and the other 24 to a session of light massage. To their surprise, the researchers, found that a single session of massage caused biological changes. Volunteers who received Swedish massage experienced significant decreases in levels of the stress hormone cortisol in blood and saliva, and in arginine vasopressin, a hormone that can lead to increases in cortisol. (New York Times, 9/10)

Following Lifestyle Tips Could Prevent 23% of Bowel Cancer Cases
Almost a quarter of colorectal (bowel) cancer cases could be prevented if people followed healthy lifestyle advice in five areas including diet and exercise, says a new study published on bmj.com today. Researchers from Denmark found that following recommendations on physical activity, waist circumference, smoking, alcohol and diet could reduce the risk of developing bowel cancer considerably - by 23%. (e! science news, 10/10)
A long-term U.S. study found that adults who walked six to nine miles weekly had slower gray matter tissue deterioration and reduced their risk of developing cognitive impairment by 50% compared with those who didn't. The findings suggest that "we can retain our brain tissue and retain our memories well into late adulthood by maintaining an active and engaged lifestyle," the lead researcher said. (HealthDay, 10/10)

Seven Strategies to Reduce Nurse Burnout
This article offers a roundup of research in the area of nurse stress. (HealthLeaders Media, 6/10)

Click on each title to read article.
Research Web Library
Holistic nursing research develops knowledge and assists in providing the evidence base needed to transform health care into holistic care. The Holistic Nursing Research Web Library in the Research section of the AHNA Web site contains links to published research by AHNA members, an article library with full length articles, research from AHNA conferences and more. This section will continue to grow as further research is conducted in holistic nursing. Click here to visit our library today!

If you would like your published research included in the Web Library, contact Amber at amber@ahna.org. Please include the citation for the book or article, a URL to the abstract or full text article, a short description (optional) and suggested category or categories.

The Voice of Holistic Nursing

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Feel free to share the content in this eNewsletter with your e-mail contacts, list-serves, or favorite discussion boards/ blogs. Please just be sure to mention that Connections is a benefit of AHNA membership.

Connections in Holistic Nursing Research Co-Editors:
Jackie Levin RN, MS, AHN-C, CHTP
Jen Reich MA, MS, ANP-BC, ACHPN

AHNA Leadership Council Coordinator for Research:

Rorry Zahourek PhD, PMHCNS-BC, AHN-BC

Although the AHNA supports the concepts of holism, it refrains from endorsing specific practitioners, organizations, products, services or modalities. Opinions expressed in this eNewsletter may not reflect the position of the AHNA.

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