2/19/2019 DISCLOSURE STATEMENT OBJECTIVES. Bridget Klein, BSN, RN, RN-BC, CHTP

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1 NURSING RESEARCH: CLINICAL RESEARCH: EVALUATION OF HEALING TOUCH S EFFECT ON CORONARY ARTERY BYPASS GRAFTING (CABG) RECOVERY, A RANDOMIZED STUDY Bridget Klein, BSN, RN, RN-BC, CHTP 1 DISCLOSURE STATEMENT Bridget Klein has worked as a registered nurse on the Telemetry and Cardiac Vascular Thoracic Units (CVTU) of the St. Cloud Hospital for 10+ years and is currently a core charge nurse in CVTU. Bridget Klein owns Earth to Sky Healing LLC, a Limited Liability Corporation, which offers Healing Touch services. This presentation was reviewed for content integrity and presence of bias 2 OBJECTIVES Define Healing Touch Review published research Review the research process undertaken Future Plans 3 1

2 WHAT IS HEALING TOUCH? Founded in 1989 as a continuing education program Bio-field Therapy and Nursing Intervention (National Institutes of Health) Nursing Intervention to address NANDA-1 (North American Nursing Diagnosis Association) diagnosis of Imbalanced Energy Field Heart-centered energy therapy that uses gentle, intentional touch to assist in balancing physical, emotional, mental, and spiritual well-being (Healing Beyond Borders) 4 PUBLISHED RESEARCH Published Research has corelated Healing Touch to the following: Reducing stress (Cotton, 2014) Improving anxiety and depression (Foley 2016; Anderson, 2015, MacIntyre, 2008) Decreasing pain (Gentile, 2018; Foley 2016; Anderson, 2015; Wardell, 2006; Cotton, 2014) Enhancing post-surgical recovery (Foley, 2016; Anderson, 2015) Supporting cancer care (Guerrerio, 2001; Wong, 2012) 5 PUBLISHED RESEARCH A single previous research study involving Healing Touch on the CABG patient population (MacIntyre (2008)) Significantly reduced anxiety Significantly reduced length of stay 6 2

3 RESEARCH QUESTION & APPROVAL Does the addition of healing touch, to the standard treatment of patients undergoing coronary artery bypass grafting, affect cost per case, anxiety level, and the following post-operative factors: delirium and atrial fibrillation occurrences? Obtained Nursing Research Review Board (NRRB) and Institutional Review Board (IRB) Approval of study 7 RESEARCH DETAILS N = ~80 March 1, 2018-November 30, 2018 Participants randomly assigned to a control or treatment group 8 INCLUSION CRITERIA Patients undergoing CABG surgery at the St. Cloud Hospital 9 3

4 EXCLUSION CRITERIA Not able to answer study-related questions Previous heart surgery Emergent CABG patients Concurrent valve surgery 10 RESEARCH DATA POINTS Anxiety/Distress Subjective Units of Distress Scale (SUDS) Post-operative Atrial Fibrillation Rates Post-operative Delirium Rates Cost/Case 11 RESEARCH DESIGN Participants randomly assigned to one or the other of the following: Control group Received standard care Treatment group Received standard care Also received a Healing Touch session on each of the following days: Pre-op Post-op Day 1 Post-op Day

5 RESEARCH DESIGN All participants were asked to rate their anxiety/distress (using the SUDS tool) Pre-op, Post-op Day 1, Post-op Day 2 Participants in the treatment group were asked to rate their anxiety/distress before and after the Healing Touch sessions 13 HEALING TOUCH SESSIONS Performed by a small number of St. Cloud Hospital employees and volunteers who are trained in Healing Touch and are experienced Healing Touch providers Utilized a standardized Healing Touch technique list Pre and post Healing Touch session anxiety/distress scores were obtained 14 RESEARCH PROGRESS & NEXT STEPS Data Collection is almost complete Statistical analysis will be completed in partnership with St. Cloud State University Anticipate dissemination of results via publication submission, posters and presentations 15 5

6 TEAM CentraCare Heart and Vascular Center Kirsten Skillings, MA, APRN, CCRN-K, CCNS Teresa Jahn, MSN APRN CCRN CCNS Jessica Thoma, MSN, RN-BC Toni Mahowald, Psy. D Kathleen Mahon, NP Cardiac Surgery: Dr. John Tesky, Dr. John Castro, Dr. Daren Danielson Cardiac Surgery Advance Practice Providers Cardiac Surgery Scheduling Staff 16 TEAM Integrative Health Services Roxanne Wilson, PhD, RN Kathleen Sowada, DACM, MSN, RN, LAc, HN-BC, CHTP Annie Brenner, BA, CHTP Volunteer Services Volunteer Healing Touch Providers Deb Laxson, CHTP Chuck Kalkman, RNC, BAN Nghi Vuong, RN Rev. Bobbi Bell Mdiv in the study Karen Burzette, BS, LADC, NCACII Performance Excellence Beth Honkomp, RN 17 WHAT HAVE WE LEARNED? An appreciation for the rigor involved in patient research Application process Review process Human Subject Protection Implementation An appreciation for the support of nursing research Administration Leadership Heart Center Staff & Physicians Deepest gratitude for those who were willing to participate in this study!! 18 6

7 REFERENCES Anderson, PhD, CHTP, J., Suchicital, BSN, RN4, CBN, HBB-PA, L., Lang, RN, HBB-PA, M., Kukic, RN, MSN, CBN, ACM, A., Mangione, MA, LGPC, CMT, CHTP/I, L., Swengros, MSN, RN-BC, HBB-PA, D., Friesen, PhD, RN, CPHQ, HBB-PA, M. (2015). The effects of Healing Touch on pain, nausea, and anxiety following bariatric surgery: A pilot study. Explore, 11(3), Retrieved from Cotton, PhD, S., Luberto, MA, C., Bogenschutz, RN, L., Pelley, MA, T., & Duesk, PhD, J. (2014). Integrative care therapies and pain in hospitalized children and adolescents: A retrospective database review. Journal of Alternative and Complementary Medicine, 20(2), Retrieved from Foley, M. K., Anderson, J., Mallea, L., Morrison, K., & Downey, M. (2016). Effects of Healing Touch on postsurgical adult outpatients. Holistic Nursing, 34(3), Retrieved from Gentile, PhD, D., Boselli, MS, D., O'Neill, MS, G., Yaguda, MSN, RN, S., Bailey-Dorton, MD, MSPH, C., & Eaton, PhD, T. A. (2018). Cancer pain relief after Healing Touch and massage. The Journal of Alternative and Complementary Medicine, 24(9), Guerrerio, J., Slater, V., & Cook, C. (2001). The effect of Healing Touch on radiation-induced fatigue in women receiving radiation therapy for gynecological or breast cancer. Healing Touch Newsletter, 1(3), 5. Retrieved from What is Healing Touch. (2019). Retrieved from MacIntyre, RN, BSN, HTP, B., Hamilton, RN, MPH, CHTP, J., Fricke, RN, MA, CHTP, T., Ma, MS, W., Mehle, S., & Michel, M. (008). The efficacy of Healing Touch in coronary artery bypass surgery recovery: A randomized clinical trial. Alternative Therapies, 14(4), Wardell, D. W., Rintala, D. H., Duan, Z., & Tan, G. (2006). A pilot study of Healing Touch and progressive relaxation for chronic neuropathic pain in persons with spinal cord injury. Holistic Nursing, 24(4), Retrieved from Wong, RN, J., Ghiasuddin, MD, A., Kimata, PhD, MPH, MBA, C., Patelesio, B., & Siu, MPH, A. (2012). The impact of Healing Touch on pediatric oncology patients. Integrative Cancer Therapies, 12(1), Retrieved from / QUESTIONS? 20 7