Search PubMed⌕ Search

Biomedical subjects

Mary Jo Kreitzer

Publications and source records attributed to Mary Jo Kreitzer.

At least 19 recordsLinked to original sources
PubMed2006

Innovations in integrative healthcare education: CAM selective at St. George's Medical School.

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, no more than 300 to 400 words. Please include any Web site or other resource that is relevant as well as contact information.

Clinical Competence↗
PubMed2005

Innovations in integrative health care education.

Content on integrative healthcare and complementary and alternative medicine (CAM) is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs all are finding creative and innovative ways to include these approaches into new models of education and practice. In this column, we will spotlight such innovations in integrative health care and CAM education. The goal is to present readers with specific educational interventions that they may wish to adapt into new or ongoing educational efforts at their institution or program. We invite you to submit brief descriptions of efforts in your institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to either Dr. Sierpina at vssierpi@utmb.edu or Dr. Kreitzer at. Submissions should be brief, 300 to 400 words, because we plan to synopsize several projects in each issue. We also wish to link the information in the summary to a larger body of information at a Web site or other resource, so please include that information as well as your e-mail contact.

Academic Medical Centers↗
PubMed2005

Innovations in integrative health care education.

The University of Arizona is justifiably famous for starting the first Program in Integrative Medicine Fellowship under the leadership of Dr. Andrew Weil several years ago. This was followed by creation of the successful distance learning Associate Fellowship. Now, making a potentially even broader contribution to the future of medicine is a new program, Integrative Family Medicine (IFM).

Academic Medical Centers↗
PubMed2005

Innovations in integrative health care education.

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs all are finding creative and innovative ways to include these approaches into new models of education and practice. In this column we spotlight such innovations in integrative health care and CAM education. The goal is to present readers with specific educational interventions that they may wish to adapt into new or ongoing educational efforts at their institution or program. We invite you to submit brief descriptions of efforts in your institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to either Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, 300-400 words, as we plan to synopsize several projects in each issue. We also wish to link the information in the summary to a larger body of information at a website or other resource, so please include that information as well as your e-mail contact.

Academic Medical Centers↗
PubMed2005

Innovations in integrative healthcare education: mind-body medicine training.

Content on integrative healthcare and complementary and alternative medicine is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institu-tions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at or Dr. Kreitzer at . Submissions should be brief, no more than 300-400 words. Please include any Web site or other resource that is relevant as well as contact information.

Clinical Competence↗
PubMed2005

Innovations in integrative healthcare education: Integrative Medicine DesignShop and National Education Dialogue.

Content on integrative healthcare and complementary and alternative medicine (CAM) is now being taught in hundreds of educational programs across the country. Nursing, medical, osteopathic, chiropractic, acupuncture, naturopathic, and other programs are finding creative and innovative ways to include these approaches in new models of education and practice. This column spotlights such innovations in integrative healthcare and CAM education and presents readers with specific educational interventions that they can adapt into new or ongoing educational efforts at their institution or program. We invite readers to submit brief descriptions of efforts in their institutions that reflect the creativity, diversity, and interdisciplinary nature of the field. Please submit to Dr. Sierpina at vssierpi@utmb.edu or Dr. Kreitzer at kreit003@umn.edu. Submissions should be brief, no more than 300 to 400 words. Please include any Web site or other resource that is relevant as well as contact information.

Clinical Competence↗
PubMed2005

Longitudinal impact of mindfulness meditation on illness burden in solid-organ transplant recipients.

BACKGROUND: In 2001, more than 24000 solid-organ transplant surgeries were performed in the United States. Although survival rates have steadily risen over the past 2 decades, transplant recipients commonly experience a myriad of symptoms after transplantation that compromise quality of life. Anxiety, depression, and insomnia frequently occur despite excellent function of the transplanted organ. Use of complementary and alternative medicine has risen sharply over the past 10 years, particularly among people with chronic illnesses. METHODS: Twenty solid-organ transplant recipients were enrolled in a clinical trial of mindfulness-based stress reduction. During the 8-week course, subjects learned various forms of meditation and gentle hatha yoga. Participants were given audiotapes for home practice and maintained practice diaries. Longitudinal analysis focused on the impact of mindfulness-based stress reduction on symptom management, illness intrusion, and transplant-related stressors. RESULTS: Significant improvements in the quality and duration of sleep continued for 6 months after completion of the mindfulness-based stress reduction course. Improvements after the completion of the course were also noted in self-report measures of anxiety and depression. CONCLUSIONS: Mindfulness-based stress reduction is an effective treatment in improving the quality and duration of sleep. Because sleep is highly correlated with positive mental health and overall well-being, these findings suggest that mindfulness-based stress reduction has the potential of being an effective, accessible and low-cost intervention that could significantly change transplant recipients' overall health and well-being.

Adaptation, Psychological↗
PubMed2005

Use of complementary and alternative therapies: a national survey of critical care nurses.

BACKGROUND: Demand for complementary and alternative therapies is increasing and is affecting all healthcare settings, including critical care. METHODS: A random sample of members of the American Association of Critical-Care Nurses was surveyed to determine the members' attitudes, knowledge, perspectives, and use of complementary and alternative therapies. RESULTS: Most of the 726 respondents were using one or more complementary and alternative therapies in practice. The most common therapies used were diet, exercise, relaxation techniques, and prayer. A majority of the nurses had some knowledge of more than half of the 28 therapies listed on the survey, and a majority desired additional training for 25 therapies. Respondents generally required more evidence judged as essential to use or recommend conventional therapy than to use or recommend complementary and alternative therapies. Nurses viewed complementary and alternative therapies positively overall, were open to use of the therapies, and perceived them as legitimate and beneficial to patients. Nurses judged the therapies helpful for treatment of a variety of symptoms. A majority of nurses desired an increase in the availability of the therapies for patients, patients' families, and nursing staff. Nurses' professional use of the therapies was related to having more knowledge of them, perceiving benefits of them, total number of therapies they recommended to patients, personal use, and affiliation with a mainstream religion. CONCLUSIONS: Educational programs that provide information about use of complementary and alternative therapies and the underlying evidence base most likely will increase the appropriate use of the therapies to achieve desired outcomes.

Adult↗
PubMed2004

Fostering a healing presence and investigating its mediators.

The purpose of this paper is the exploration and explication of the complex phenomena of "healing presence" and of appropriately supportive theoretical approaches to integrate emerging models for research design. Healing presence is described as an interpersonal, intrapersonal, and transpersonal to transcendent phenomenon that leads to a beneficial, therapeutic, and/or positive spiritual change within another individual (healee) and also within the healer. An integrated framework merging knowledge from diverse fields of research develops the multiple elements of healing presence, the healer, the healee's capacity for response and the healing effect as an entangled phenomenon. A conceptual systemic model is presented, and questions and dilemmas that emerge are delineated. An integrated qualitative-quantitative research design is proposed. A systemic relationship model, which includes the healer, the healee, and persons within the healee's environment is presented. The challenges are substantial, but the research questions are meaningful and worthwhile. The goal is to foster healing at bio-psycho-social-spiritual levels of the human being.

Attitude to Health↗
PubMed2004

Mindfulness meditation to reduce symptoms after organ transplant: a pilot study.

CONTEXT: Solid organ transplant patients require life-long immune suppression that can produce distressing side effects and complications. OBJECTIVE: To evaluate the potential of Mindfulness-Based Stress Reduction (MBSR) to reduce symptoms of depression, anxiety, and sleep disturbance and improve quality of life after solid organ transplantation. DESIGN: Longitudinal with evaluations at baseline, postcourse and 3-month follow-up. PARTICIPANTS AND SETTING: Kidney, lung, or pancreas transplant recipients (N=20), aged 35 to 59 years, living in the community. INTERVENTION: An MBSR class (2.5 hours weekly, for 8 weeks), modeled after the program of Jon Kabat-Zinn. Home practice (goal: 45 minutes, 5 days weekly) was monitored. MAIN OUTCOME MEASURES: Self-report scales for depression (CES-D), anxiety (STAI-Y1), and sleep dysfunction (PSQI). RESULTS: Nineteen participants completed the course. Findings suggest improvement from baseline symptom scores for depression (P=.006) and sleep (P=.011) at the completion of the MBSR program. At 3 months, improvement in sleep continued (P=.002), and a significant improvement in anxiety scores was seen (P=.043); scores for both symptoms demonstrated a linear trend and dose-response relationship with practice time. In contrast, depression scores showed a quadratic trend, and at 3 months were no longer different from baseline. A composite symptom measure was significantly improved at 3-month follow-up (P=.007). Global and health-related quality of life ratings were not improved. Effects of group support and instructor attention were not controlled, and sample size and follow-up time were limited. A randomized trial to overcome these shortcomings should be done, as symptom distress in transplant recipients appears responsive to MBSR.

Adult↗
PubMed2002

Complementary, integrative, and holistic care in emergency nursing.

Nearly half of all patients who present to the Emergency Department (ED) daily are using some form of complementary, alternative, or integrative medicine (CAIM). Emergency nurses will increasingly encounter clients who use CAIM or want holistic care. The integration of CAIM and holistic nursing principles into current emergency nursing practice can reenergize nursing and give ED nurses additional care methods to use with their clients. CAIM and holistic care can also provide ED clients with the kind of health care that they are currently seeking outside of the mainstream medical world.

Adolescent↗
PubMed2002

Healing the heart: integrating complementary therapies and healing practices into the care of cardiovascular patients.

Complementary therapies and healing practices have been found to reduce stress, anxiety, and lifestyle patterns known to contribute to cardiovascular disease. Promising therapies include imagery and hypnosis, meditation, yoga, tai chi, prayer, music, exercise, diet, and use of dietary supplements. Many of these complementary approaches to healing have been within the domain of nursing for centuries and can readily be integrated into the care of patients with cardiovascular disease. While individual complimentary modalities hold considerable merit, it is critical that the philosophy underlying these therapies--caring, holism, and harmony--also be understood and honored.

Cardiovascular Diseases↗