Kreitzer - Integrative Nursing

Integrative Nursing

Integrative Medicine Library

Published and Forthcoming Volumes

SERIES EDITOR

Andrew Weil, MD

1. Donald I. Abrams and Andrew Weil: Integrative Oncology

2. Timothy Culbert and Karen Olness: Integrative Pediatrics

3. Daniel A. Monti and Bernard D. Beitman: Integrative Psychiatry

4. Victoria Maizes and Tieraona Low Dog: Integrative Womens Health

5. Gerard Mullin: Integrative Gastroenterology

6. Randy Horwitz and Daniel Muller: Integrative Rheumatology, Allergy, and Immunology

7. Stephen DeVries and James Dalen: Integrative Cardiology

8. Robert Norman, Philip Shenefelt, and Reena Rupani: Integrative Dermatology

9. Myles Spar and George Munoz: Integrative Mens Health

10. Robert A. Bonakdar and Andrew W. Sukiennik: Integrative Pain Management

Edited By

Mary Jo Kreitzer, Phd, Rn, Faan

Director, Center for Spirituality and Healing
Professor, School of Nursing
University of Minnesota
Minneapolis, Minnesota

Mary Koithan, RN-C, PhD, CNS-BC

Associate Professor, College of Nursing
Associate Dean, Professional and Community Engagement
University of Arizona
Tucson, Arizona

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Oxford University Press 2014

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Library of Congress Cataloging-in-Publication Data
Integrative nursing / edited by Mary Jo Kreitzer, Mary Koithan.
p. ; cm. (Integrative medicine library)
Includes bibliographical references and index.
ISBN 978-0-19-986073-9 (alk. paper)
I. Kreitzer, Mary Jo, editor of compilation. II. Koithan, Mary, editor of compilation. III. Series: Weil integrative medicine library.
[DNLM: 1. Nursing Care. 2. Integrative Medicinemethods. 3. Nursing Process. WY 100]
RT51
610.73dc23
2013019034

This material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And, while this material is designed to offer accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues is constantly evolving and dose schedules for medications are being revised continually, with new side effects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. The publisher and the authors make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or efficacy of the drug dosages mentioned in the material. The authors and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material.

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on acid-free paper

This book is dedicated to Dr. Earl E. Bakken whose inventions, creativity and dreams have made the world a better place. As a mentor and friend, he has inspired me to dream impossible dreams and to advance spirituality and healing around the globe. MJK

T he term integrative nursing is almost redundant. Nurses have long embraced the principles of integrative medicine; often, they have been way ahead of physicians. Because they work more closely with patients, nurses are much more likely to be aware of mind/body interactions; to note correlations of emotional ups and downs with fluctuations in the course of disease. They tend to be more open to natural therapies. They have embraced therapeutic touch and other complementary therapies that physicians rarely consider. They understand the importance of the relationship between practitioner and patient and of healing presence. They are more comfortable than most physicians with including the spiritual dimension of human life in their professional work.

Unfortunately, nurses have also long been disempowered in modern medical settings, given orders by mostly male physicians, and unable to openly advocate for more integrative care of patients. Some colleges of nursing have been reluctant to join integrative medicine initiatives, fearing loss of their own professional identity. As founder and director of the University of Arizona Center for Integrative Medicine, I have always believed that we should first integrate our own health care facilitiescreating new collaborative models among doctors, nurses, and pharmacistsbefore we try to bring in practitioners of Chinese medicine, Ayurveda, and other alternative systems and treatments. That remains an unrealized goal, although I am pleased that a number of nurse practitioners have graduated from our fellowship training.

Publication of this key volume in the Oxford University Press Integrative Medicine Library series represents significant progress. My long-time friend and colleague, Dr. Mary Jo Kreitzer, was an obvious choice as senior editor. She was a founder of the Consortium of Academic Health Centers for Integrative Medicine, and as founder and director of the University of Minnesotas Center for Spirituality and Healing, her career has bridged the medical and nursing professions, infusing both with a robust integrative perspective. Together with Dr. Mary Koithan of the University of Arizona College of Nursing she has assembled a distinguished roster of contributors to this groundbreaking effort to define the principles and practices of integrative nursing.

Health care in the United States is in great disarray. Americans pay more per capita on health than any other people in the world; health care expenditures are creeping toward 20% of our gross domestic product (GDP), which is simply not sustainable. Most of this enterprise is concerned with the management of existing disease, most of it lifestyle related and therefore preventable. Health care of the future must focus on health promotion and disease prevention, and we must break our dependence on costly, high-tech methods of managing the chronic diseases that now absorb so many of our dollars. In other words, health care of the future must be integrative.