Volume 12 Issue 2
October 2005
12(2) Editorial
Bev Taylor
On endings and farewells
Bev shares her thoughts on moving on.
Editorial:
Volume 12, Number 2 is the October 2005 edition of the Australian Journal of Holistic Nursing (AJoHN). As AJoHN’s editor, I have the sad but necessary task of informing you that this is the last edition of our beloved journal. This is one of the saddest duties I have had to perform in my entire academic career. I will write more on this later. Firstly, as been my habit for 11 years, I will describe the treats in store for you in this edition of AJoHN.
Interestingly, the peer-reviewed articles in this last edition of AJoHN have the theme of hope in moving on. Britt-Maj Wikstrom and Gunilla Sviden describe how nurses interpret facial expressions in paintings, thereby moving on to deeper levels of empathy with their patients.
Debbie Kralik and her associates present research about how people with chronic pain have moved on to living well. Pam McGrath and her associates describe research of children re-entering life one year after treatment for acute myeloid leukaemia. Anna Dicker’s article describes the use of the Bowen technique in a health service workplace, improving the physical and mental wellbeing of staff. The occasional paper written by Tessa Therkleson introduces Anthroposophical Nursing as holistic caring, facilitating people’s wellbeing. All of these articles demonstrate the resilience of the human spirit and our intention to move on after adversity.
Probably one of the most pleasant examples of synchronicity to happen to me at this time is that the book review for my friend Marina Tucakovic just happens to make its way into the last edition of AJoHN. While it was not planned as such on a conscious level, I cannot help but be impressed at how timing can be perfect sometimes. Marina’s beloved mother died recently, so I dedicate this last edition of AJoHN to Marina, her mother, and all mothers everywhere.
This leads me back to the ‘endings and farewells’ theme of my last editorial. AJoHN has made very important contributions to nursing and health care research and scholarship, and it has been highly successful as an original publication filling a niche in the journal market. The journal has been published twice yearly since 1994, and it has been listed in the CINAHL database for most of those 11 years.
The decision to cease publication of the journal has come about after publication team and faculty discussion, and a great deal of personal reflection as AJoHN’s editor. The decision is based on professional, technological, financial and personal reasons. People who know me personally will attest to the fact that I try to be as transparent as I can be in making professional decisions, so I will explain my decision as editor to cease the publication of AJOHN.
Professionally, Australian Universities are moving towards a new system that judges research quality and impact by adopting a Research Quality Framework (RQF) approach. The RQF will determine how much money Universities attract to their research budgets. One of the measures of research quality will be evidence of citations in prestigious peer-reviewed journals. The discipline of nursing in Australia, through the Deans of Nursing and Midwifery, will be priortising Australian nursing journals in terms of their academic prestige. While AJoHN has been an important peer-reviewed journal filling a niche in holistic nursing and health care, I do not believe it will be competitive against other national and international journals that publish three to four editions per year, and that favour quantitative studies demonstrating evidence-based practice. Once ranked well, it follows that the most prestigious journals will attract more writers and readers, so this has the potential to drop AJoHN’s already low subscription level even lower.
Financially, AJoHN has not been able to recoup its publication expenses. While AJoHN has been successful in many other ways, the falling subscriptions and our financial inability to expand into technological publication modes, has meant that the journal is a luxury we simply cannot afford in the new academic and research climate. Technologically, web-based full-text journals are the order of the day. There are costs involved in adjusting AJoHN to fit a web-based market, which we cannot afford.
Personally, after 38 years, I intend to leave full-time academic work at the end of 2006, and sooner if I win a lottery, such as Powerball. Although I will be continuing the supervision of research students to see them through their respective projects, I do not envisage maintaining other work, so I will not be continuing as editor after I retire from full-time work. Jenna Joy, AJoHN’s associate editor, will not be continuing in her role after this October 2005 edition, for personal reasons involving a very successful business with her partner, John. Another year working as both editor and associate editor, or ‘training’ another associate editor, is too large a workload for me to even contemplate, so it means ceasing AJoHN now and not one year hence.
I believe that in ceasing publication now, we will ‘go out on a high’ after many years of high quality, professional service. Rather like ‘Makybe Diva’, the mare who won the Melbourne Cup on 01/11/05, AJoHN is being retired as a winner. We are proud of our publication history, but for all the reasons described above, AJoHN needs to ‘bow out’ now, while we are still strong and proud.
I realise that this decision has ramifications for many people. I have sent personal letters informing everyone of this decision, including all of the prospective authors who just missed out on publishing in AJoHN, the entire publication team, the Australian College of Holistic Nurses Inc, the Editorial Board and CINAHL.
I take this opportunity to thank all of the publication team since AJoHN’s inception. They are wonderful people. Take a bow: Lyn Ramsay, Christina Game, Christopher Morgan, Joy Taylor, Toni Brine, Caroline McKay and Jenna Joy. Thank you also members of the Editorial Board: Rosalie Van Aken, Mary Jo Bulbrook, Helen Cox, Kierrynn Davis, Heather Gibb, Nel Glass, Jane Abbott-Hall, Stephen Kermode, Pauline McCabe, Margi Martin, Cheryle Moss, Alan Pearson, Barbara Rogers, Colleen Smith and Debbie Smyth. If I have missed anyone, please accept my apology. I try to be inclusive, but I am not always successful in so doing.
A special thank you to the Australian College of Holistic Nurses Inc, for AJoHN’s wonderful association with you over the years. I trust that all continues to go well for the College and its members in these times of change.
I am extremely proud to have been AJoHN’s editorfor 11 years. Farewell.
Professor Bev Taylor
(Editor, AJoHN).
12(2): 5-12 Feature Article
Facial expressions in paintings as perceived by the student nurse
Britt-Maj Wikström PhD
Gunilla Svidén PhDA fascinating insight into assisting student nurses develop empathy with their patients through conscious interpretation of facial expressions.
Abstract: The aim of the study was to develop an educational tool consisting of selections of paintings in order to complement theoretical knowledge regarding non-verbal communication. Another aim was to investigate students’ opinions of the educational tool. A visual art programme which introduced student nurses to varying facial expressions in art reproductions was developed as a complement to textbooks on nonverbal communication. Participants were student nurses from two nursing schools in Sweden. Data were collected over a period of two years (1998-2000) in the second year of the 3-year undergraduate programme. Participants were able to infer whether a positive or negative message had been given to the depicted person. Participants´ evaluations of the programme were expressed in positive terms.
12(2): 13-22 Feature Article
‘Moving on’: The transition to living well with chronic illness
Debbie Kralik PhD, RN
Kerry Telford BASW, Grad Dip
Grief Counselling
Frankie Campling Counsellor
Prue Crouch RN, RM, BSSc
Tina Koch PhD, RN
Kay Price PhD, RNDebbie and her associates provide insight into ways in which we can assist people living with chronic pain through understanding and simple changes in practice.
Abstract: This paper describes the process of ‘moving on’ when living with a chronic illness or condition. The findings of this study emerged from daily email conversations between six women who live with long term illness and the three researchers during a three month period in 2003. In collaboration with the women, researchers have drawn out seven interrelated themes which are seen to constitute the process of ‘moving on’. The concept of readiness to change is discussed as fundamental to the relationship between potential learning as a result of living with illness and ‘moving on’. We conclude that health workers are in a strong position to facilitate the learning that will assist people to ‘move on’ and incorporate illness as an ordinary part of life.
12(2): 23-34 Feature Article
Re-entering life: Paediatric Acute Myeloid Leukaemia at one year post treatment
Pam McGrath
Ram Suppiah
Mary Anne PattonPam and her associates demonstrate the long-term human impact AML continues to have on the day to day life of individuals and families 12 months beyond treatment.
Abstract: This article presents findings from the perspective of the child patients, their parents and siblings at one year post-treatment. The findings highlight challenges associated with re-entering life post-treatment with an emphasis on the ongoing sense of uncertainty, the changed sense of normalcy, and the difficulty of returning to the hospital for check-ups. A number of recommendations are made including the desirability of providing hospital space for check-ups away from the treatment area and the need for ongoing reassurance and support.
12(2): 35-42 Feature Article
Using Bowen Technique in a health service workplace to improve the physical and mental wellbeing of staff
Anna Dicker
Anna’s 6-week Bowen program benefited Community Health staff in many ways.
Abstract: A six week program using Bowen Technique treated 31 Hospital and Community Health Service staff in a group setting providing an innovative way to reduce stress and improve physical health. Quantitative and qualitative data indicated that Bowen Technique was successful in reducing pain, improving mobility, reducing stress, and improving energy, well being and sleep.
12(2): 43-50 Occasional Article
Anthroposophical Nursing
Tessa Therkleson
Tessa provides us with an introduction and overview of Anthroposophical Nursing and examples of its application to practice.
Abstract: Anthroposophical nursing evolved out of a striving to maintain the human caring and loving warmth of nursing practice whilst having cognisance of academic rigor and scientific nursing research. It is an extension of traditional nursing requiring inner personal development to accompany a modern scientific approach.
12(2): 51 Book Review
Tucakovic M 2005 Nursing as an Aesthetic Praxis AuthorHouse, Bloomington, Indiana
Review by Professor Beverley TaylorExtract: …Even though the topics of praxis and aesthetics may seem daunting, the book is constructed in such a way as to unfold its wisdom in manageable chapters. Multiple foundations of stories, insights and literature are laid down skilfully, as super-strong premises, on which to build some very large, universal conclusions about the nature of human existence and why we exist at all. The end effect is to see not only the beauty of nursing as a reflective, changing and evolving practice, but also to get a glimpse into the power and energy of tiny and relatively simple interpersonal acts of care, central to beauty and God consciousness…
12(1) Editorial
Bev Taylor
On the gift of presence
Bev reminds us of the reciprocal nature of genuinely ‘being there’ in heart and body for others, and of the abundant healing for all concerned that can result from heartfelt interactions..
Excerpt:
Welcome to this edition of AJoHN. We are proud to bring to you refereed and selected writing from many authors, who all share a common feature – their human presence in their work …
Why is presence a gift? I have referred often to presence as though it is a treat or prize you can give to another person, because, in effect, you can ‘be there’ in a role, but be absent in the true sense of presencing. Being geographically near does not give presence. Presence is given as a gift when we so attune to the proximity and needs of another human being, that we give that person our full attention and respect, even if only for a split second as we pass by in the street, or stop from our busyness to be more fully available to them …
12(1): 4-10 Feature Article
The phenomenon of presence within contemporary nursing practice: A literature review
Di Welch RN, BAppSci(Nursing), MHlthSci(Research).
Sally Wellard RN, BA(SocSci), Post-Basic Renal Cert, MN, PhD.Di and Sally have explored the literature to assist us in establishing a personal understanding of presence and the definitive role it plays in our practice.
Abstract: Nursing practice underpinned by humanistic values may promote presence experiences within nurse–patient interactions. These interactions are powerful and beneficial both to nurse and patient. However, the phenomenon of presence is surrounded by competing and confused definitions. Whilst presence is arguably a core aspect of nursing practice, current health care environments significantly influence nurses’ opportunities to experience presence.
Key words: Presence, Intersubjectivity, Nursing practice, Positive outcomes, Devaluation.
12(1): 11-20 Feature Article
Factors shaping Indigenous mental health: An ethnographic account of growing up Koori from a Gubba perspective
Tony O’Brien RN (RGN, RPN), BA, MEd.Stud, PhD
Indigenous Australians reveal deep insights as they talk about their perceptions of mental health in relation to their personal identification as Aboriginal.
Abstract: This paper presents selected themes derived from stories provided by Aboriginal youth and adult community members during a doctoral research study. The study was conducted in an Aboriginal community in NSW, Australia. Theethnographic research was titled ‘The development of mental health in Koori adolescents: Stories and memories from their youth’.
The themes emerged from the data and provide a deeper insight into the notion of mental health from the perspective of the Aboriginal people in this study.
12(1): 21-31 Feature Article
Community mental health nurses and their emotional wellbeing: Is anyone listening?
Jayln Rose RN, BNurs, BnursHons.
Nel Glass RN, MHPEsd, PhD, FCN(NSW), FRCNA.Jalyn and Nel draw our attention to the need for us all to acknowledge and address the emotional wellbeing of nurses.
Abstract: This paper highlights some of the findings from a recent study with women community mental health nurses which explored the relationship between emotional wellbeing and professional practice. Specifically, this article addresses the unique meaning of emotional wellbeing, self healing strategies used by participants, and identifies the relationship to professional practice. The findings revealed that the notion of emotional wellbeing whilst complex was explicitly linked to the intertwining of their personal and professional experiences and situations. It is argued that the implications for failing to meet the needs of our nurses will not only jeopardise the nurses themselves but moreover the clients as recipients of such an essential service
12(1): 31-35 Occasional Article
Bowen Technique – Its use in work related injuries
Anna Dicker RN, RM, BHSc(Nursing), Diploma Bowen Technique
Once again Anna shares the positive results in-house clinics utilising the Bowen Technique have on staff health, staff morale and safe workplace practices.
Abstract: A program in Byron Shire in 2002 offered Health Service staff treatments with Bowen Technique. The program was evaluated after 9 months. The evaluation explored the effect of the treatment on work related injuries. The responses indicated that the provision of Bowen Therapy for staff might be an effective way of reducing Workcover claims.
Keywords: NRAHS, Bowen Therapy, Workplace morale, Bowen clinic
12(1): 35-41 Occasional Article
Could homeopathic medicine be utilised as a treatment for teething?
Linlee Jordan RN, MHScEd, DipHom, DipNut.
Linlee explores perceptions and practices related to teething and calls for greater utilisation of a homeopathic approach.Abstract: Despite much debate, teething is commonly believed to include a cluster of distressing symptoms. Over the centuries various treatments have been used and fallen into disrepute. Homeopathy has a track record of consistent and effective management of teething, treating the whole child regardless of the source of the distress. This article explores the literature on teething and calls for more research to be directed towards homeopathy’s holistic approach towards managing teething symptoms.
12(1): 41-42 Practioners’ Forum
HypnoBirthing
Julie Phillips-Moore MSc(Behav.Hlth), BA(Psych), DipCH, DipHomMed, Dip.Nut.
Julie introduces us to HypnoBirthing techniques that are allowing parents and obstetrics staff to participate in more comfortable birthing experiences.
Introduction: When I first walked into a Sydney hospital and introduced myself as a HypnoBirthing practitioner I was greeted with a blank stare. Now, the greeting is different as more and more midwives are seeing for themselves how calm and relaxed the mothers I work with are as they birth their baby, and how much shorter and less painful the labour is.
HypnoBirthing really started to take off in Australia with the training of the first group of hypnotherapists and midwives by Marie Mongan (the founder of HypnoBirthing) during her visit here in 2001. Since then, more and more mothers-to-be have learnt the technique (with great success) and are telling their friends and families – it’s wonderful to hear positive birth stories for a change!
12(1): Book Review
Wright LM 2005 Spirituality, Suffering, and Illness: Ideas for Healing F A Davis Company, Philadelphia.
Reviewed by Bev Taylor
This book inspires the reader to look deeply into the phenomenon of suffering and its relationship to illness and spirituality. Through people’s narratives, the author has captured the meaning of suffering and how suffering can lead us to transcendent levels of knowing, experienced as spirituality. Even though the book has a substantial academic component, as evidenced in relevant professional literature, it nevertheless manages to entice the reader into listening in on conversations about suffering, because of its focus on the experiencing human.
Chapters are devoted to spirituality, suffering and illness in everyday life; reflections and learning about suffering; the literature; the Trinity Model of beliefs, suffering and spirituality; clinical practices that help healing; and connecting the personal and professional in matters of suffering, spirituality and illness. This book would not only be useful for nurses and health care workers in sensitising their practices to suffering, but it would also be a useful resource for researchers, whose projects are within the area of illness, suffering and spirituality.
12(1): Book Review
Mahan LK and Escott-Stump S (Editors) Krause’s Food, Nutrition, and Diet Therapy
Reviewed by Holly Muggleston BSc, Grad Dip Nut & Diet, APD
This nutrition and dietetic textbook is the 11th edition (2004) of the classic text first published in 1952, with contributions from 48 experts in their field. It provides theoretical knowledge and clinical information in a form that is useful to students in dietetics, nursing, and other allied health professions, as well as being an excellent reference text for these professionals in clinical practice.
The text is organised into five parts (45 chapters, 57 appendices and nearly 1300 pages in length); its content becomes more clinical in nature as it progress through the parts. Part 1 introduces the nutrition basics of: digestion, absorption, transport and excretion of nutrients; energy; macronutrients; micronutrients; water, electrolytes and acid-base balance. Part 2 describes nutrition in the life cycle. Part 3 covers nutrition in the community, guidelines for dietary planning, nutritional genomics, dietary and clinical assessment, food-drug interactions, the nutrition care process, counselling for change, and it even includes a chapter on integrative medicine and phytotherapy. Part 4 includes chapters on weight management, eating disorders, bone health, exercise and sports performance, and oral and dental health. Part 5 introduces medical nutrition therapy for a range of disorders and conditions: gastrointestinal, cardiovascular, pulmonary, renal, neurological, rheumatic, and miscellaneous metabolic disorders; food allergy and food intolerance; diabetes; anaemia; heart failure and transplantation; cancer; HIV; and metabolic stress.
Each chapter is well referenced with up-to-date information. They also contain numerous, well presented tables and diagrams, including lists of relevant websites to assist the reader.
As it is a North American textbook some content may not be pertinent to the Australian context, although this applies to only a small portion of the book. This is an issue in the discourses on dietary reference intakes, dietary guidelines for Americans and Canadians, food assistance and nutrition programs, and food law and regulation. Topics such as food safety, food technology (i.e. genetically modified foods, food irradiation, functional foods, and future foods), agricultural and environmental concerns, phytochemicals, and the metabolic syndrome are only covered briefly.
If you are looking for simplified information (i.e. introductory level nutrition book, manual, or pocket guide) then this book is not for you. However, if you are in need of a comprehensive textbook on clinical diet therapy, this resource is highly recommended.Holly Muggleston
Associate Dean – Health and Applied Sciences Division, and
Lecturer in Nutrition – School of Natural and Complementary Medicine, Southern Cross University.
EDITORIAL
Welcome to the tenth edition of AJoHN. We are very happy to wish ourselves "Happy Birthday" and we are very proud of our journal and the people who have published in it over the last 10 years.
On Anniversaries
Excerpt:
...As I reflect on the 10 years of life of AJoHN, I cannot help but be impressed by world and personal events that have weighed on my imagination and caused me to reflect on life, humanity and the nature of human existence. In the last 10 years organisations have downsized, rationalised and economised in the name of bigger and better profits, and there has been a global shift towards conservative politics overseen by profit makers, such as multinational companies, media magnates and national governments. The rift is growing wider between the ‘haves’ and ‘have nots,’ and in countries such as Australia, we have not even begun the ‘scratch the surface’ of our social problems, such as race relations, poverty and homelessness. The new advent of international terrorism has caused anxiety and fear of planetary proportions, to the ludicrous extent that my nail clippers and fingernail file are perceived by airport officials as potential tools of terrorism. In this climate of extreme paranoia we continue to remember anniversaries of national and international significance, such as the death of Princess Diana, September 11, and the Bali bombing. On contemplation, many of our world and national anniversaries seem to be about loss and grief and how to survive in the face of tragedy.
Personal events that have marked the face of time in the last decade include many deaths of family and friends, job highs and lows, home renovations, shifts in relationship and friendship patterns, and the ever advancing potential of retirement in 2007. While many of my anniversaries remember loss and grief, they also celebrate self-change and reinvention. In relation to the latter, I am proud to be the editor of AJoHN for the last 10 years and I look forward to continuing in that role for as long as I am employed in academia. So, welcome to this special edition of AJoHN – read, enjoy and contemplate on your anniversaries and what they teach you about yourself.
REFEREED FEATURE ARTICLE
Including the fathers’ perspective in holistic care. Part 2: Findings on the fathers’ hospital experience including restraining the child-patient for treatment
Pam McGrath BSocWk, MA, PhD
Nicole Huff B SocSc (Child Life)QualsPam and Nicole make down to earth recommendations regarding identified issues which need to be addressed to assist fathers as they care for their children with Acute Lymphoblastic Leukaemia.Abstract: Part 2 of this discussion provides a detailed examination of specific issues associated with the fathers’ personal involvement in their child’s hospital treatment for paediatric acute lymphoblastic leukaemia (ALL). In particular, fathers testify to the difficulties they encounter when involved with the restraining of their child-patient for treatment. Issues raised by parents during this study have been addressed by recommendations detailing factors which need to be considered when providing holistic care for the family and the child with leukaemia.
Key Words: Fathers, Holistic, Psychosocial, Acute Lymphoblastic Leukaemia (ALL), Restraint.10(2): 5-10
REFEREED FEATURE ARTICLE
‘It’s just the way I am’: Life with schizophrenia
Debbie Kralik MN; PhD; RN; MRCNA
Tina Koch PhD; RNWe are given an illuminating insight to the realities of a life dominated by the direct and indirect consequences of schizophrenia within a segmented bio-medical framework of care.Abstract: In this paper we focus on data generated from an in-depth interview with one participant of a larger study, and his voice in the participatory action research groups with other residents of a Supported Residential Facility. Bill describes what life is like when living with schizophrenia, being on anti-psychotic drugs and residing in boarding house accommodation. The aim of telling Bill’s story is to reveal the burden of living with this mental illness and how it shapes every aspect of his world. We note that his physical health is neglected, and we conclude that residents such as Bill need assistance in health promotion, social engagement and navigating community and acute health services. Bill’s story may contribute to sensitising health care professionals toward provision of holistic care and promote collaborative approaches focused toward addressing the needs identified for residents of boarding houses.
The complete report and the information resource developed from this project can be accessed on http://www.rdns.net.au/research_publications or by contacting the authors.Keywords: Schizophrenia, Incontinence, Anti-psychotic medications, Quality of life, Experiences10(2): 11-18
REFEREED FEATURE ARTICLE
An introduction to music and sound approaches for health professionals: Overview of an undergraduate web-based nursing course
Carole-Lynne LeNavenec RN, PhD
Outi H. McEachern RN, MN, CPMHN(C)
Marcia Epstein PhDWe are introduced to a new and innovative online course which allows students to explore the theory and implementation possibilities of music in health care practice.Abstract: Nursing educators have been constantly striving to develop a curriculum which enhances holistic patient care. In this article, a descriptive overview is given of a senior level, 3 credit, nursing course designed to provide nurses and other health professionals with a background in the uses of music and the importance of auditory environments for patient care and well-being. This course, which was developed by LeNavenec and Epstein, has been available via the internet since Spring 2003.
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10(2): 19-25
REFEREED FEATURE ARTICLE
Complementary therapies or ‘luxury’ therapies? A nurse’s experience in the use of complementary therapies in nursing practice.
Milly Ching RN, RM, B App Sc (AdvNsg), Grad Dip Bus (Man), M Ed St, FRCNA, EdD candidate Monash University
Professor Terri Seddon PhD, BAhons, BSc hons, PGCE, PG Dip Ed studiesThis study reveals how attitudes of the health industry hierarchy impact on the types of care we implement in our practice..Abstract: Complementary therapies have an increasing popularity. This case study explores the experience of a nurse who practises complementary therapies within the health care system where there is a still a widespread of skepticism within the medical profession. It is considered by the nurse that it is a ‘luxury’ to include these therapies in nursing practice.
10(2): 26-33
OCASSIONAL ARTICLE
A personal conceptualization of healing
Julianne McKieJulieanne shares her exploration of what healing means to her in her role as a practicing nurse.Abstract: Healing in it self is a complex issue, and to that regard, this paper focuses on the concept through a whole person care approach. Emphasis is placed on providing a description of healing, identifying it’s many attributes and contributing factors, and listing the qualities that define a holistic healer. Complementary therapies have been found to be a major contributor to holistic healing, though more importance needs to be placed on the idea that it is through an intentional change in thought processes, attitudes and practice that a nurse may experience contentment in the role of holistic healer.
10(2): 34-38
PRACTITIONERS' FORUM
Simone’s Knees: Phototherapy and pain
Adolf H Deppe DLitt.et Phil.Adolf challenges us to consider the role of light in the physical healing process while working with a young, dedicated ballet dancer.….unexplained phenomena of light persisted. It took courage to look at them carefully, but those who dared ultimately were rewarded beyond their greatest expectations. (Arthur Zajonc 1993: 156).
(Extract)…As a psychologist I am interested in psychotherapy, not in medical applications, but when Simone presented with extreme pain in the knees which was not alleviated in visits to her GP and physiotherapist, I suggested we try phototherapy. I explained to her that I lacked medical training and that the procedure was largely experimental, but she nonetheless made the decision to proceed.10(2): 39-43
BOOK REVIEW
The homœopathic conversation: The art of case taking by Brian Kaplan.
Reviewed by Ian Howden B Com (Melb), ARoHAdolf challenges us to consider the role of light in the physical healing process while working with a young, dedicated ballet dancer.(Extract)…The holistic health professional of the early 21st century sees the human being as a complex synthesis of physical, mental, emotional and spiritual influences. Contemporary practitioners are aware that the symptoms collected from the patient need to form an accurate picture of the totality of the patient’s dis-ease. Consequently, a rapidly increasing number of students and practitioners of holistic health are today paying more attention to the art of how to take the patient’s case—to the collection of accurate information concerning the health of the patient.
This book will be a valuable ally for all natural therapy practitioners and will assist greatly in teaching case-taking to students. Unfortunately the title The Homœopathic Conversation, although it will catch the eye of most serious homœopathy students, will miss a much wider audience of students of naturopathy, nursing, medicine, herbalism etc. The modern health professions cover a multitude of modalities..10(2): 44
EDITORIAL
Bev challenges us to care for our patients with the unconditional love of a parent to a child—to practise with knowledge, skill, compassion and kindness; to care with humanity.
On Being a Parent
An interesting phenomenon has happened in this edition, seemingly by chance. The natural flow of articles through the editorial process has brought together a set of scholarly papers of a sturdy, theoretical nature, with two others acting as ‘book ends’ at the beginning and end of the journal, disclosing the experience of being a parent of a child in the health care system. As I have commented in editorials before, we do not manage the journal by intentionally collating thematic issues – we simply take what comes, when it is ready for publication. It is only in looking at what emerges in any issue of AJoHN, that I can see a pattern coming out of the random collection of papers. In this edition, I have been struck quite profoundly by the accounts of parents as they witness the management of their child’s illness, within the health care system.
In the first article, Pam McGath and Nicole Huff provide insights into fathers’ experiences as they keep their children company in hospital, and assist where possible, during their child’s treatment for acute lymphoblastic leukaemia. The researchers provide insights and recommendations to help integrate fathers into holistic nursing practice, as they face the frightening prospect of being there for their children through the challenges of cancer.
In the last article, Jan Barling lays bare her feelings of unconditional love and concern for her beloved son, Anthony. Jan and her husband, Bruce, experienced the uncaring aspects of a healthcare system that ultimately failed to see her and her family in a human way, but rather did what they could and passed by, leaving the family to face and deal with the deepest anguish of the loss of a son and brother. Jan’s motivation for writing the article is to give nurses an insight into the human emotion of love for a child and to have nurses consider ways in which to sensitively support parents and families during frightening and aggressive treatments and the realization of imminent loss.
The articles in between the ‘book ends’ of being a parent of a child in the healthcare system, are highly credible scholarly works that show great depth of thought and argumentation. Joy Mendel’s first class description of informants of holistic health care, Ruth Lo’s well researched account of prayer, Anita Peerson and Vivien Yong’s critically reasoned thoughts on reflexivity and Matthew Leach’s differentiation of terms, all demonstrate the depth of nursing scholarship underlying holistic nursing practice. Even though they are not necessarily written in experiential terms, these scholarly works nevertheless contribute to the whole, and cause nurses to assess their knowledge and skills. I believe that nursing is about knowledge, skills and humanity. The articles in this edition cater to all of those aspects of nursing care, and challenge you to practise knowledgeably, skillfully, and humanly, with compassion and kindness. If we could have the unconditional love of a parent, or to imagine how that might be, we might come closer to caring for all patients in the way they deserve as human beings.
REFEREED FEATURE ARTICLE
Including the fathers' perspective in holistic care. Part 1: Findings on the fathers' experience with childhood acute lymphoblastic leukaemia
Pam McGrath BSocWk, MA, PhD & Nicole Huff B SocSc (Child Life)Pam and Nicole provide insights and recommendations to help integrate fathers into our holistic practice as we work with children with cancer.Abstract: There is scant work completed on the fathers' experience with the treatment for childhood cancer. The present discussion seeks to make a contribution to deepening our holistic understanding of paediatric treatment for leukaemia by presenting findings on the paternal involvement in, and experience of, treatment for paediatric acute lymphoblastic leukaemia (ALL). The understanding will be extended in Part 2 by a detailed examination of specific issues associated with the fathers' hospital experience and in particular, the difficulties they face with restraining their child-patient for treatment.
Key Words: Fathers, Holistic, Psychosocial, Acute Lymphoblastic Leukaemia, Restraint.10(1): 4-12
REFEREED FEATURE ARTICLEScientific, philosophical and social informants of holistic health care
Joy Mendel BNat; BHlthSci; BSocSci(Hons)Joy challenges us to think deeply about our individual mental constructs of holism and how they may be reflected in our clinical practice.Abstract: Concepts drawn from the broad area of non-linear dynamics including chaos and general systems theories have found widespread acceptance not only among health carers but in the broader community. These concepts are presented as partial informants of holistic health care. An uptake of monistic philosophy in Western society and changing social values are also presented as further informants of contemporary notions of holistic health care. Due to the diverse epistemology underpinning contemporary health care practice, the article concludes that individual concepts of holistic health care must differ markedly between health care practitioners who employ a holistic framework in practice.
10(1): 13-21
REFEREED FEATURE ARTICLE
The Use of Prayer in Spiritual Care
Ruth Lo RN, PhDThe role of prayer to our patients and its role in holistic practice is explored by Ruth.Abstract:Prayer is an integral component of the spiritual life of mankind. Prayer allows people to express themselves during crisis and emotional turmoil. It can serve as an important source of personal strength and as a foundation for self-resilience during times of adversity. Holistic nurses may use prayer with patients to positively influence how patients cope with anxiety relative to illness.
Keywords: Spirituality, Prayer, Holistic Care, Nurses, Spiritual Health, Spiritual Well-Being10(1): 22-29
REFEREED FEATURE ARTICLE Reflexivity in nursing: Where is the patient? Where is the nurse?
Anita Peerson RN BA(Hons) PhDVivian Yong RN RM ICUCert PhDAnita and Vivien provide an in-depth examination of four issues they have identified through reflexivity of their own extensive nursing experience.Philophonetics counselling for prevention of burnout in nursesAbstract: Drawing upon forty years of nursing experience, in this paper we are reflexive about four issues relative to nursing clinical practices: seeking technological solutions to health and ill-health; moving from the nurse-patient relationship to the patient-healer relationship; utilising critical pathways; and, supporting evidence-based nursing. We examine current nursing practices and ask probing questions to generate debate. Most of all, we encourage nurses to engage in reflexivity and not to lose sight of their selves (knowledge, expertise and skills), and their patients’ voices and subjectivity, in their contribution to health care.
Keywords: Patients, Nurses, Reflexivity, Technology, Patient-Healer Relationship, Critical Pathways, Evidence-Based Nursing10(1): 30-45
OCCASIONAL ARTICLE (NON-REFEREED)
Natural, complementary, alternative: Which term to use? Matthew Leach RN BN(Hons) NDMatthew shares the reasoning behind his choice of terminology related to holistic nursing practice.
Abstract: Although natural therapies are slowly infiltrating Australian nursing practice, there is still no consensus over which term to use and what these terms actually denote and infer. This article will address these concerns to reduce the confusion and misperception that currently surrounds the terminology currently in use.
10(1): 46-49
OCCASIONAL ARTICLE (NON-REFEREED)Journey to the Other Side Jan Barling RN DipAppSc BA MN MRCNA FANZCMHN.Anthony’s mother, herself a nurse, re-evaluates ‘care’ as her vulnerable family journeys at the mercy of the health care system.
Abstract: This paper attempts to provide a snapshot of the feelings and experience of a mother’s journey after her son is diagnosed with cancer. It is hoped that those who choose to read this paper may develop some understanding of the feelings experienced during this frightening journey, and that this understanding may influence the care you give now and in the future.
Selected quotes and poetry written by Anthony Barling, in 2001 appear in italics throughout this article.
10(1): 50-55
BOOK REVIEWS by Dr. Viv Griffiths PhD, MN, RN, DipAcu, CertAcu(Beijing), DipNEd, CertAcu(Shanghai), BHlthSci, CertChHerbs (Sydney/Guanzghou Uni, China).
Hecker, HU, Steveling A, Peuker E, & Liebchen, K 2001
Color Atlas of Acupuncture
Stuttgart: Thieme.Rubach A 2001
Principles of Ear Acupuncture: Microsystem of the Auricle
Stuttgart: Thieme.Sagar SM 2001
Restored Harmony: An Evidence Based Approach for Integrating Traditional Chinese Medicine into Complementary Cancer Care
Hamilton, Ontario: Dreaming DragonFly Communications.
Volume 10 Issue 2 October2003
EDITORIAL
On AnniversariesWelcome to the tenth edition of AJoHN. We are very happy to wish ourselves "Happy Birthday" and we are very proud of our journal and the people who have published in it over the last 10 years.
Excerpt:As I reflect on the 10 years of life of AJoHN, I cannot help but be impressed by world and personal events that have weighed on my imagination and caused me shift towards conservative politics overseen by profit makers, such as multinational companies, media magnates and national governments. The rift is growing wider between the ‘haves’ and ‘have nots,’ and in countries such as Australia, we have not even begun the ‘scratch the surface’ of our social problems, such as race relations, poverty and homelessness. The new advent of international terrorism has caused anxiety and fear of planetary proportions, to the ludicrous extent that my nail clippers and fingernail file are perceived by airport officials as potential tools of terrorism. In this climate of extreme paranoia we continue to remember anniversaries of national and international significance, such as the death of Princess Diana, September 11, and the Bali bombing. On contemplation, many of our world and national anniversaries seem to be about loss and grief and how to survive in the face of tragedy. Personal events that have marked the face of time in the last decade include many deaths of family and friends, job highs and lows, home renovations, shifts in relationship and friendship patterns, and the ever advancing potential of retirement in 2007. While many of my anniversaries remember lo
to reflect on life, humanity and the nature of human existence. In the last 10 years organisations have downsized, rationalised and economised in the name of bigger and better profits, and there has been a global ss and grief, they also celebrate self-change and reinvention. In relation to the latter, I am proud to be the editor of AJoHN for the last 10 years and I look forward to continuing in that role for as long as I am employed in academia. So, welcome to this special edition of AJoHN – read, enjoy and contemplate on your anniversaries and what they teach you about yourself.
REFEREED FEATURE ARTICLEIncluding the fathers’ perspective in holistic care.
Part 2:
Findings on the fathers’ hospital experience including restraining the child-patient for treatmentPam McGrath BSocWk, MA, PhD & Nicole Huff B SocSc (Child Life)Pam and Nicole make down to earth recommendations regarding identified issues which need to be addressed to assist fathers as they care for their children with ALL.Abstract: Part 2 of this discussion provides a detailed examination of specific issues associated with the fathers’ personal involvement in their child’s hospital treatment for paediatric acute lymphoblastic leukaemia (ALL). In particular, fathers testify to the difficulties they encounter when involved with the restraining of their child-patient for treatment. Issues raised by parents during this study have been addressed by recommendations detailing factors which need to be considered when providing holistic care for the family and the child with leukaemia.
Key Words: Fathers, Holistic, Psychosocial, Acute Lymphoblastic Leukaemia (ALL), Restraint.
10(2): 5-10
REFEREED FEATURE ARTICLE‘It’s just the way I am’: Life with schizophrenia Debbie Kralik MN; PhD; RN; MRCNA; Tina Koch PhD; RNWe are given an illuminating insight to the realities of a life dominated by the direct and indirect consequences of schizophrenia within a segmented bio-medical framework of care.
Abstract: In this paper we focus on data generated from an in-depth interview with one participant of a larger study, and his voice in the participatory action research groups with other residents of a Supported Residential Facility. Bill describes what life is like when living with schizophrenia, being on anti-psychotic drugs and residing in boarding house accommodation. The aim of telling Bill’s story is to reveal the burden of living with this mental illness and how it shapes every aspect of his world. We note that his physical health is neglected, and we conclude that residents such as Bill need assistance in health promotion, social engagement and navigating community and acute health services. Bill’s story may contribute to sensitising health care professionals toward provision of holistic care and promote collaborative approaches focused toward addressing the needs identified for residents of boarding houses.
The complete report and the information resource developed from this project can be accessed on http://www.rdns.net.au/research_publications or by contacting the authors.Keywords: Schizophrenia, Incontinence, Anti-psychotic medications, Quality of life, Experiences
10(2): 11-18
REFEREED FEATURE ARTICLEOverview of an undergraduate web-based nursing courseCarole-Lynne LeNavenec RN, PhD;
Outi H. McEachern RN, MN, CPMHN(C);
Marcia Epstein PhDWe are introduced to a new and innovative online course which allows students to explore the theory and implementation possibilities of music in health care practice.Abstract: Nursing educators have been constantly striving to develop a curriculum which enhances holistic patientcare. In this article, a descriptive overview is given of a senior level, 3 credit, nursing course designed to provide nurses and other health professionals with a background in the uses of music and the importance of auditory environments for patient care and well-being. This course, which was developed by LeNavenec and Epstein, has been available via the internet since Spring 2003.
10(2): 19-25
REFEREED FEATURE ARTICLEComplementary therapies or ‘luxury’ therapies? A nurse’s experience in the use of complementary therapies in nursing practiceMilly Ching RN, RM, B App Sc (AdvNsg), Grad Dip Bus (Man), M Ed St, FRCNA, EdD candidate Monash University;
Professor Terri Seddon PhD, BAhons, BSc hons, PGCE, PG Dip Ed studiesThis study reveals how attitudes of the health industry hierarchy impact on the types of care we implement in our practice.Abstract: Complementary therapies have an increasing popularity. This case study explores the experience of a nurse who practises complementary therapies within the health care system where there is a still a widespread of skepticism within the medical profession. It is considered by the nurse that it is a ‘luxury’ to include these therapies in nursing practice.
10(2): 26-33
OCCASIONAL ARTICLE (NON-REFEREED)A personal conceptualization of healingJulianne McKie DipAppSci(Nursing), GradDip(Health Promotions), GradDip(Women’s Health)Julianne shares her exploration of what healing means to her in her role as a practicing nurse.
Abstract: Healing in it self is a complex issue, and to that regard, this paper focuses on the concept through a whole person care approach. Emphasis is placed on providing a description of healing, identifying it’s many attributes and contributing factors, and listing the qualities that define a holistic healer. Complementary therapies have been found to be a major contributor to holistic healing, though more importance needs to be placed on the idea that it is through an intentional change in thought processes, attitudes and practice that a nurse may experience contentment in the role of holistic healer.
10(2): 34-38
PRACTITIONERS FORUM Simone’s Knees: Phototherapy and painAdolf H Deppe DLitt.et Phil.Adolf challenges us to consider the role of light in the physical healing process while working with a young, dedicated ballet dancer.
….unexplained phenomena of light persisted. It took courage to look at them carefully, but those who dared ultimately were rewarded beyond their greatest expectations (Arthur Zajonc 1993: 156).
Excerpt: …As a psychologist I am interested in psychotherapy, not in medical applications, but when Simone presented with extreme pain in the knees which was not alleviated in visits to her GP and physiotherapist, I suggested we try phototherapy. I explained to her that I lacked medical training and that the procedure was largely experimental, but she nonetheless made the decision to proceed.
10(2): 39-43
BOOK REVIEW The homœopathic conversation: The art of case taking by Brian Kaplan
Reviewed by Ian Howden B Com (Melb), ARoHExcerpt: The holistic health professional of the early 21st century sees the human being as a complex synthesis of physical, mental, emotional and spiritual influences. Contemporary practitioners are aware that the symptoms collected from the patient need to form an accurate picture of the totality of the patient’s dis-ease. Consequently, a rapidly increasing number of students and practitioners of holistic health are today paying more attention to the art of how to take the patient’s case—to the collection of accurate information concerning the health of the patient.
This book will be a valuable ally for all natural therapy practitioners and will assist greatly in teaching case-taking to students. Unfortunately the title The Homœopathic Conversation, although it will catch the eye of most serious homœopathy students, will miss a much wider audience of students of naturopathy, nursing, medicine, herbalism etc. The modern health professions cover a multitude of modalities.
10(2): 44