Implementing Integrative Nursing in a Pediatric Setting
Megan E Voss1, Mary Jo Kreitzer2
1Center for Spirituality and Healing, University of Minnesota, Minneapolis, MN 55455, USA. vossx146@umn.edu.
Insights
A nurse-led integrative program was implemented in pediatric blood and marrow transplantation (BMT). This approach proved feasible, acceptable, and sustainable for patients and families undergoing complex BMT care.
Area of Science:
- Integrative Medicine
- Pediatric Hematology/Oncology
- Nursing Science
Background:
- Pediatric blood and marrow transplantation (BMT) presents significant challenges for patients and families.
- An academic health center integrated an advanced nursing practice model focused on integrative health.
- This initiative aimed to enhance the care delivery model for pediatric BMT patients.
Purpose of the Study:
- To design and implement a comprehensive integrative nursing program for pediatric BMT.
- To evaluate the feasibility, acceptability, and sustainability of the program after four years.
- To identify lessons learned, strengths, challenges, and future research directions.
Main Methods:
- Needs assessment and national benchmarking.
- Comprehensive literature review.
- Design and implementation of a nurse-led integrative program by specialized nurses.
Main Results:
- The integrative nursing program was successfully implemented within a pediatric BMT setting.
- Four years post-implementation, the program demonstrated feasibility, acceptability, and sustainability.
- Key lessons learned, strengths, and challenges were identified for program refinement.
Conclusions:
- A nurse-led integrative program is a viable and effective addition to pediatric BMT care.
- The program supports patients and families through the complexities of transplantation.
- Future research is planned to further advance integrative care in BMT.
Abstract:
Pediatric blood and marrow transplantation (BMT) is one of the most challenging allopathic treatments a patient and family can be faced with. A large Midwest academic health center, and leader in pediatric BMT, made the decision in 2013 to incorporate integrative nursing as the care delivery model. Nurses trained in advanced nursing practice and specialized in integrative health and healing performed a deep-dive needs assessment, national benchmarking, a comprehensive review of the literature, and ultimately designed a comprehensive integrative program for pediatric patients and their families undergoing BMT. Four years after implementation, this paper discusses lessons learned, strengths, challenges and next phases of the program, including a research agenda. The authors conclude that it is feasible, acceptable and sustainable to implement a nurse-led integrative program within an academic health center-based pediatric BMT program.
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