Submitted in fulfillment of the requirements for the Degree in Masters of Technology in Nursing, Durban University of Technology, Durban, South Africa, 2015. / INTRODUCTION Globally, the use of alternative therapies by the public as well as healthcare workers has been widely documented. In South Africa, no studies have been done on alternative therapies specifically related to nurses. The vast amount of media attention with regards to alternative therapies related to the positive and negative outcomes has sparked major interest in this topic. The aim of the study was to determine the perceptions of professional nurses at nine hospitals within the uMgungundlovu District, South Africa, towards alternative therapies in a nursing context. OBJECTIVES OF THE STUDY The objectives of the study were to determine the professional nurses’ perceptions as well as knowledge of alternative therapies. The possible barriers in providing alternative therapies in nursing practice was also explored in order to make recommendations to guide professional nurses with regard to alternative therapies in patient care. METHODOLOGY A quantitative exploratory research approach underpinned this study. A survey questionnaire was used to obtain information from professional nurses who had consented to participate. The total population of professional nurses was 1218. A total of 616 questionnaires were distributed to participants at the nine participating hospitals. Three hundred and eighty six (386) questionnaires were returned, which resulted in a 63% response rate. FINDINGS It was evident from the data that professional nurses used various forms of alternative therapies. The results revealed that almost 69% (n=265) used prayer/spiritual healing, followed by 53.9% (n=207) who used nutritional supplements, whilst 51.9% (n=199) used music therapy. Participants rated their satisfaction on the information received regarding alternative therapies in nursing education as follows: prayer/spiritual healing 71.1% (n=271), nutritional supplements 71.7% (n=273), music therapy 57.9% (n=220), massage therapy 46.7% (n=216) and support groups 80.3% (n=306). About two thirds (n=272) felt that alternative therapies was beneficial rather than a threat to patient’s health. However, 60% (n=229) agreed that the use of alternative therapies that were not tested in a scientific manner should be discouraged. More than 80% (n=313) of the sample thought that health professionals should have the ability to advise patients in the clinical setting about the most commonly used alternative therapies. More than half of the sample (n=254) stated that they did encounter patients in the clinical setting who enquired about alternative therapies. Only 39.6% (n=153) stated that they felt confident to advise patients about alternative therapies, whilst 26.7% (n=103) stated that they were unable to do so. As the evidence base for the use of alternative therapies grows, so too does the demand increases for the integration of alternative therapies in nursing education. Nurses being the patient’s advocate need to be well versed regarding the use and safety aspects of alternative therapies. / M

Spirituality in the discipline of nursing has gained popularity over the past two decades. National and provincial nursing associations and colleges expect nurses to be educated in providing spiritual health assessments and interventions in order to provide holistic nursing care. There is a paucity of research in the nursing literature on the meaning of spirituality from the perspectives of individuals who experience chronic mental illness, specifically schizophrenia. Spirituality remains an elusive construct, challenging psychiatric nurse educators, researchers and practitioners in the development of nursing curricula to guide psychiatric nursing practice. The focus of this research study was to develop a substantive theory about the experience of spirituality among individuals living with schizophrenia using grounded theory methodology in the tradition of Glaser and Strauss (1967). Forty semi-structured interviews and four focus groups were conducted with 20 participants who self-reported to be diagnosed with schizophrenia. Findings: The substantive theory "spirituality as connection" indicates that spirituality for persons living with schizophrenia involves a dialectical process in which one strives to be connected to one's spiritual self (body-mind-spirit), significant others (family, friends, G o d / Higher Power, health care professionals), community (others living with a mental illness, others who are well, a faith community, the community in which participants lived), and nature, while at the same time experiencing situations and incidents that promote disconnection from these sub-themes. Strategies used by participants to achieve connection included: taking prescribed atypical anti-psychotic medications, maintaining their health and a healthy lifestyle, use of prayer / meditation, caring for self and others, and engaging in creative activities that added meaning to their life experiences. Among the 17 factors contributing to connection, exemplars are: reconnecting with one's spirit through prayer and meditation, attending drop-in centres for persons living with a mental illness, and walking / hiking in nature. Outcomes include feeling peaceful, love, contentment, being accepted and nurtured by others. Among the 14 factors contributing to disconnection, exemplars are: the effect of the illness on relationships with other people, the stigma of being in a psychiatric ward, being unemployed, and taking typical antipsychotic medications. Outcomes include feeling powerlessness, isolation, rejection and alienation. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

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Um novo paradigma - Holístico - vem revolucionando diversos campos do saber, especificamente na área da saúde, integrando os aspectos físicos, psíquicos, sociais e espirituais do ser humano e oferecendo fundamentos para o conhecimento e aplicação das terapias alternativas/ complementares (TA/C). Considerando a importância do enfermeiro no desenvolvimento das ações integrais da saúde, a autora fez um estudo exploratório prospectivo, com o objetivo de verificar o saber e o fazer das enfermeiras que atuam nas unidades municipais de Saúde do Distrito Administrativo 71 Santo Amaro - São Paulo, frente às TA/C. Aplicou questionário semi-estruturado, no período de junho a agosto de 2001, para todos os 18 enfermeiros, lotados em nove Unidades de Saúde. Numa abordagem quanti-qualitativa, analisou o perfil das enfermeiras e mostrou fatores que influenciam o saber e o fazer em terapias alternativas/ complementares; também apontou que existe uma grande aceitação e credibilidade por parte dos enfermeiros (89%), porém o escasso conhecimento do respaldo legal (22,2%) e cursos ou especializações nesta área (5,5%) restringem a sua prática. Cerca da metade dos enfermeiros (44,4%) busca para si mesma alguma prática, porém apenas 11,1% as aplica nos usuários/ clientes das unidades de saúde. A autora desvendou as percepções dos enfermeiros quanto à conceituação, facilidades e dificuldades institucionais e pessoais relativas às práticas, e considerou que há necessidade de se buscar novos saberes como opções de assistência à promoção da saúde da população / A new paradigm - Holistic - is revolutionizing many fields of knowledge and, specifically at the health area, is integrating the physical, psychological, social and spiritual aspects of human being, offering foundations for the alternative or complementary therapies knowledge. Considering the nurse\'s importance for the development of health integral actions the author made an exploratory study aiming to identify the knowledge and action of the nurses that work at São Paulo\'s 71st Administrative District - Santo Amaro, regarding the alternative and complementary therapies submitting semi-structured questionnaries on July and August, 2001 to all eighteen nurses that worked at nine healthcare units. In a quantitative and qualitative approach the nurse\'s profile was analyzed and the factors that have influence on the knowledge and the doing on alternative or complementary therapies were showed. It also indicated that there\'s a great acceptance and credibility toward these techniques by the nurses (89%), but the little knowledge of legal support (22,2%) and specific courses or training available in this field (5,5%) limits its usage. Around half of the nurses (44,4%) searches for themselves some application but only 11,1% will be applying them on the users or clients at the healthcare units. The author unveiled the nurse\'s perception toward the conceptuae evolution, institutional and personal support and difficulties related to these practices and concluded that there\'s a need to search for additional knowledge to expand new assistential options for the population\'s health promotion

The theme was chosen on the basis of their own experience, when new treatments, tools and nurses appear in the workplace, which are also required to constantly improve the quality of nursing care. The state approach to the patient forms the philosophical basis of nursing care. To give nurses of quality pastry about the bio-psycho-social and spiritual needs of the patient, it is necessary to have the knowledge, conditions and personal relationship to provide holistic care. At present, it is not possible that these are health and safety risk factors. Aims, research questions and hypotheses: The subject of the research is to find out the interest of nurses to apply a holistic approach in practice considering the current situation in nursing. Three objectives were set based on the subject of the research. Goal 1: Find out, if nurses are interested in providing modern nursing care based on patient needs. Goal 2: Identify nurses' personal views on providing holistic care. Goal 3: Determine the satisfaction level among nurses about the nursing care provided with regard to the current situation in practice. Methods and research file: Quantitative data collection method was used for the research. Anonymous questionnaire was distributed to nurses in selected healthcare facilities (Liberec Hospital, Turnov Hospital, Jablonec nad Nisou Hospital). The survey sample size is 180 respondents. Findings and conclusion: It follows from the research, that more than half of the respondents have already encountered the concept of holistic nursing care and they also understand what needs should be met by patients/clients and how to satisfy them. Some of them have already used the help of a social service or psychologist. However, it has turned out, that more than half of the responding nurses are not interested in spiritual needs. It has not been confirmed, that nurses' interest in providing this modern nursing care based on patient needs would depend on capacity of staff. The survey also shows, that the holistic care is provided in their hospitals according to one third of responding nurses. Nevertheless, the respondents think, that a holistic approach cannot be applied in their workplace because of lack of time, lack of staff and time consuming administration. Based on the results of Hypothesis 2, we can confirm, that nurses' opinion on the implementation of noursing care provided is influenced by the workload of nurses. The holistic approach moderately affects the job satisfaction level of nurses according to the survey. However, more than half of the responding nurses are satisfied with care they provide at their workplace, because they can see satisfied patients/clients. Hypothesis 3 has not proved any relationship between the satisfaction level of nurses and current situation in health care, where a holistic approach can be effectively applied. There will be a seminar for general nurses within the lifelong learning of nurses focusing on holistic care as an outcome of this diploma thesis.

The graduation thesis deals rehabilitative nursing as a part holistic nursing. The main idea of the theoretical part was mainly to give summary of nursing theory, whole rehabilitative system and each section and methods of rehabilitative nursing. The questionnaire given to general nurses was used for assignment of necessary dates in quintitative reserch. Explorational segment was aimed at education, traning and nursing standards of rehabilitative nursing, its knowledge and perform in use. It can be said at last than even though all hypotheses were proved, the nurses´answers were not always truly convincing.

Um novo paradigma - Holístico - vem revolucionando diversos campos do saber, especificamente na área da saúde, integrando os aspectos físicos, psíquicos, sociais e espirituais do ser humano e oferecendo fundamentos para o conhecimento e aplicação das terapias alternativas/ complementares (TA/C). Considerando a importância do enfermeiro no desenvolvimento das ações integrais da saúde, a autora fez um estudo exploratório prospectivo, com o objetivo de verificar o saber e o fazer das enfermeiras que atuam nas unidades municipais de Saúde do Distrito Administrativo 71 Santo Amaro - São Paulo, frente às TA/C. Aplicou questionário semi-estruturado, no período de junho a agosto de 2001, para todos os 18 enfermeiros, lotados em nove Unidades de Saúde. Numa abordagem quanti-qualitativa, analisou o perfil das enfermeiras e mostrou fatores que influenciam o saber e o fazer em terapias alternativas/ complementares; também apontou que existe uma grande aceitação e credibilidade por parte dos enfermeiros (89%), porém o escasso conhecimento do respaldo legal (22,2%) e cursos ou especializações nesta área (5,5%) restringem a sua prática. Cerca da metade dos enfermeiros (44,4%) busca para si mesma alguma prática, porém apenas 11,1% as aplica nos usuários/ clientes das unidades de saúde. A autora desvendou as percepções dos enfermeiros quanto à conceituação, facilidades e dificuldades institucionais e pessoais relativas às práticas, e considerou que há necessidade de se buscar novos saberes como opções de assistência à promoção da saúde da população / A new paradigm - Holistic - is revolutionizing many fields of knowledge and, specifically at the health area, is integrating the physical, psychological, social and spiritual aspects of human being, offering foundations for the alternative or complementary therapies knowledge. Considering the nurse\'s importance for the development of health integral actions the author made an exploratory study aiming to identify the knowledge and action of the nurses that work at São Paulo\'s 71st Administrative District - Santo Amaro, regarding the alternative and complementary therapies submitting semi-structured questionnaries on July and August, 2001 to all eighteen nurses that worked at nine healthcare units. In a quantitative and qualitative approach the nurse\'s profile was analyzed and the factors that have influence on the knowledge and the doing on alternative or complementary therapies were showed. It also indicated that there\'s a great acceptance and credibility toward these techniques by the nurses (89%), but the little knowledge of legal support (22,2%) and specific courses or training available in this field (5,5%) limits its usage. Around half of the nurses (44,4%) searches for themselves some application but only 11,1% will be applying them on the users or clients at the healthcare units. The author unveiled the nurse\'s perception toward the conceptuae evolution, institutional and personal support and difficulties related to these practices and concluded that there\'s a need to search for additional knowledge to expand new assistential options for the population\'s health promotion

Made available in DSpace on 2014-07-29T15:04:26Z (GMT). No. of bitstreams: 1 Marcus Antonio de Souza.pdf: 456684 bytes, checksum: 142bb0e6577c333ae2f3131fe5d80dc7 (MD5) Previous issue date: 2009-03-30 / Expressions of faith, reverence in divinity, religious movements, have always been part of human history, affecting over time the social organizations, political and cultural civilizations. These practices also interfered in ways to understand and take care of health. Human beings, in their context of health and disease if appropriate of all the resources and knowledge available in the search for relief and cure of diseases. The general aim of this study was to investigate the influence of faith in the individual in the health-disease process, from the point of view of religious leaders. We investigated the perceptions of religious leaders Catholics, Protestants and Spiritist about the concepts of health and disease, about the influence of faith in the health-disease process and the resources and practices adopted by them when they are sought by people seeking help for problems health. This is a work with a qualitative approach developed in the municipality of Trinidad-GO. Participated in the survey two priests, two shepherds and two presidents of kardecist houses spiritists. The individual interview was used for data collection and the words were recorded, transcribed and then analyzed using the method of interpretation of meanings. The study was approved by an ethics committee, as recommended by the Resolution 196/96 of the National Health Councilor. The data were organized on four categories: a) The understanding of humanbeing and health, which discussed the entirety of the person and harmony between the spiritual and biopsicosociais aspects to have health. b) Multidimensional perceptions about disease, which were discussed different perceptions about the origin and forms of manifestation of disease, social inequalities and consensus as to negligence in care for the body c) Resources and practices used to benefit health, which were detected as resource a prayer, oil, water, salt and how practices adopted by the leaders, the reception, guidance, referrals and blessings d) The influence of the religious leader and the faith in the context health and disease of the person, evidenced that people seeking the means to religious and spiritual comfort find health care, brotherhood, love and affection. The leader encourages the hope and faith in God. It concluded among other things, that the faith of the person in a state of suffering influence in the process of recovery and healing and the maintenance of health. The science needs to get closer to religion in order to broaden the knowledge and ways of understanding and care of human beings. / Manifestações de fé, reverências a Divindades, movimentos religiosos, sempre fizeram parte da história da humanidade, influenciando ao longo do tempo as organizações sociais, políticas e culturais das civilizações. Essas práticas também influenciaram nos modos de entender e cuidar da saúde. O ser humano, em seu contexto de saúde e doença se apropria de todos os recursos e saberes disponíveis na busca de alívio e cura de doenças. O objetivo geral deste estudo foi investigar a influência da fé do indivíduo no processo saúde-doença, a partir do ponto de vista de líderes religiosos. Foram investigadas as percepções de líderes religiosos católicos, protestantes e espíritas sobre os conceitos de saúde e de doença; sobre a influência da fé no processo saúde-doença e sobre os recursos e práticas por eles adotadas quando são procurados por pessoas que buscam ajuda para problemas de saúde. Estudo com abordagem qualitativa desenvolvido no município de Trindade GO, do qual participaram padres, pastores e dirigentes de casas espíritas Kardecistas. A entrevista individual foi utilizada para a coleta dos dados e as falas foram gravadas, transcritas e posteriormente analisadas usando-se o método de Interpretação de Sentidos. O trabalho foi aprovado por um Comitê de Ética, tal como recomenda a Resolução 196/96 do Conselho Nacional de Saúde. Os dados foram organizados em quatro categorias: a) Os entendimentos sobre ser humano e saúde, na qual se discutiu a integralidade da pessoa e a harmonia entre os aspectos biopsicosociais e espirituais para se ter saúde. b) Percepções multidimensionais sobre doença, onde foram abordadas diferentes percepções quanto à origem e formas de manifestação das doenças, as desigualdades sociais e o consenso quanto à negligência em relação aos cuidados com o corpo c) Recursos e práticas utilizadas em benefício da saúde, onde foram detectados como recursos a oração, o óleo, a água, o sal e como práticas adotadas pelos líderes, o acolhimento, as orientações, encaminhamentos e bênçãos; d) A influência do líder religioso e da fé no contexto saúde-doença da pessoa, evidenciou que as pessoas que buscam o meio religioso para conforto espiritual e saúde encontram atenção, fraternidade, carinho e amor. O líder instiga a esperança e a fé em Deus. Concluiu-se entre outros aspectos, que a fé da pessoa em situação de sofrimento influencia de maneira importante no seu processo de recuperação e cura, bem como na manutenção da saúde. A ciência precisa se aproximar da religião de modo a ampliar os conhecimentos e as formas de entender e cuidar do ser humano.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2016-02-02T16:10:09Z No. of bitstreams: 1 Tatiana Ibrahim de Serpa Pinto Rocha.pdf: 653236 bytes, checksum: 3f12cf84347ed66912cd8107722cc769 (MD5) / Made available in DSpace on 2016-02-02T16:10:09Z (GMT). No. of bitstreams: 1 Tatiana Ibrahim de Serpa Pinto Rocha.pdf: 653236 bytes, checksum: 3f12cf84347ed66912cd8107722cc769 (MD5) Previous issue date: 2008 / Empresa de Ônibus e Turismo Pedro Antônio LTDA / Mestrado Profissional em Enfermagem Assistencial / O processo de trabalho do (a) enfermeiro(a) é construído por saberes originários de diferentes matrizes científicas e configuram uma atividade centrada no cuidado com articulação no campo da administração. No exercício da função, o (a) enfermeiro (a) utiliza uma série de saberes que podemos chamar de tecnologias. Tecnologias que são empregadas no trabalho do enfermeiro nos diferentes momentos da produção. Este estudo tem como objetivo, analisar o processo de trabalho do (a) enfermeiro (a), buscando identificar o uso das tecnologias no gerenciamento e no cuidado em saúde. Trata-se de um estudo descritivo com abordagem qualitativa. Como campo de estudo foi escolhido o Hospital Universitário Sul Fluminense, no Município de Vassouras. Os dados foram coletados através de entrevista temática com enfermeiros do hospital e observação participante. A análise dos dados se deu por meio da triangulação associada ao método hermenêutico dialético. Os resultados mostraram a utilização de diferentes ferramentas tecnológicas no gerenciamento do cuidado em que a fusão da função gerencial com a assistencial é uma constante. Nesse processo, destacamos o saber da teoria clássica da administração, como elemento presente em grande parte da produção naquele hospital. Apontamos, como conclusão, a importância de novos dispositivos para a descentralização do trabalho e a recuperação da centralidade no usuário / The working process of the nurse is constituted by facts derived from different scientific matrixes and configures an activity centered in the care, with an articulation in the administration field. In the realization of his function, the nurse uses a series of knowledge that we can call technologies. Technologies that are used in the work of the nurse on the different moments of the production. This study has as objective analyze the working process of the nurse, trying to identify the use of the technologies in the management and in the care in health. It‟s a descriptive study with qualitative approach. The Hospital Universitário Sul Fluminense, in Vassouras, was selected as the study field. The data were collected through a theme interview with the nurses of the hospital and participated observation. The analysis of the data was done by triangulation combined with the Hermeneutic-Dialectical Method. The results showed the utilization of different technological tools in the management of the care, in which the fusion of the management and care functions is a constant. In this process, we give emphasis to the knowledge of the administration classic theory, as an element present in a great part of the production in that hospital. We point out as a conclusion, the importance of new ways to the decentralization of work and the re-acquire of the users‟ centrality

Associated with health care reform, there has been a growing interest among healthcare professionals regarding use of energy-based therapies as a complementary therapeutic intervention. The purpose of this integrative literature review was to examine the impact of energy-based therapies (i.e. healing touch, reiki, therapeutic touch) on patients’ postoperative recovery. The methodology included identifying appropriate peer-reviewed, English-language research articles on the topic area that were published between 2006 to 2018. Following a search in select data bases, articles focusing on the topic were critiqued, analyzed and synthesized by the researcher. Consistent and inconsistent findings along with gaps in the literature are noted. In general, the research supported positive postoperative recovery outcomes when energy-based therapies were included along with standard postoperative nursing care. This theses highlights implication for nursing practice, education, and policy and identifies study limitations. Given that research is limited on this topic area, additional studies are needed to establish supporting evidence to ascertain the effects of energy-based therapies when used as a complementary postoperative intervention.