ABSTRACT Complementaire zorg (CZ) wordt in toenemende mate toegepast in de palliatieve zorg. De p... more ABSTRACT Complementaire zorg (CZ) wordt in toenemende mate toegepast in de palliatieve zorg. De praktijk laat echter zien dat de implementatie van complementaire zorg vaak te wensen overlaat. Professionals hebben handvatten nodig om een robuuste implementatie mogelijk te maken.
Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the ... more Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the research process in a non-academic nursing setting. 38 burn patients received either TT or nursing presence. On admission, days 2, 5 and 10 of hospitalization, data were collected on anxiety for pain, salivary cortisol, and pain medication. Interviews with nurses were held concerning research in a non-academic setting. Anxiety for pain was more reduced on day 10 in the TT-group. The TT-group was prescribed less morphine on day 1 and 2. On day 2 cortisol level before dressing changes was higher in the TT-group. The situational challenges of this study led to inconsistencies in data collection and a high patient attrition rate, weakening its statistical power. Conducting an effect study within daily nursing practice should not be done with a nursing staff inexperienced in research. Analysis of the remaining data justifies further research on TT for burn patients with pain, anxiety for pain, and cortisol levels as outcomes. Administering and evaluating TT during daily care requires nurses experienced both in TT and research, thus leading to less attrition and missing data, increasing the power of future studies.
Studies on the effects of guided imagery in patients with fibromyalgia show varying results. This... more Studies on the effects of guided imagery in patients with fibromyalgia show varying results. This randomized controlled trial (n = 65) aims to give more insight into the effects on pain, functional status, and self-efficacy. Daily pain was assessed with a pain diary using a Visual Analogue Scale. Functional status and self-efficacy were measured at pretest, posttest, and follow-up using the Fibromyalgia Impact Questionnaire and the Chronic Pain Self-Efficacy Scale. No effects of guided imagery could be established. Explanations for the diverging results between studies might be found in the content of the exercises, length of the intervention period, and background of participants.
In the Netherlands, Complementary and Alternative Medicine (CAM) is offered outside the world of ... more In the Netherlands, Complementary and Alternative Medicine (CAM) is offered outside the world of mainstream medicine. Patients would benefit from an integrated model in which CAM is part of main stream medicine so that disclosure of risks, benefits of CAM and credentials of CAM practitioners are sufficiently dealt with. The aim of this 4-year research project is to develop, implement and evaluate a shared-care model of Integrative Medicine in a primary care setting for patients with chronic joint diseases and allergy.
Journal of holistic nursing : official journal of the American Holistic Nurses' Association, Jan 28, 2014
This study assessed the attitude, beliefs, and practices of integrative medicine (IM) among nurse... more This study assessed the attitude, beliefs, and practices of integrative medicine (IM) among nurses in the Netherlands. Subscribers of a Dutch nursing journal were asked to fill in an anonymous, structured, online survey related to the topic under study. A total of 355 people responded, of which 37% were familiar with the concept of IM in advance. On completion of the survey, the majority (83%) considered IM as a (very) important innovation in health care. Familiarity (odds ratio = 3.20; 95% confidence interval [1.48, 6.94]) and organization (nursing home compared to hospital (odds ratio = 5.98; 95% confidence interval [1.36, 26.23]) were characteristics associated with a positive attitude toward IM. Between 23% and 46% of respondents encountered obstacles regarding implementation of IM. The main obstacles were lack of support (69% to 78%), means (57% to 85%), and time (63% to 70%). Dutch nurses seem to have relatively positive attitudes and beliefs regarding IM. The outcome of this ...
ABSTRACT Complementaire zorg (CZ) wordt in toenemende mate toegepast in de palliatieve zorg. De p... more ABSTRACT Complementaire zorg (CZ) wordt in toenemende mate toegepast in de palliatieve zorg. De praktijk laat echter zien dat de implementatie van complementaire zorg vaak te wensen overlaat. Professionals hebben handvatten nodig om een robuuste implementatie mogelijk te maken.
Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the ... more Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the research process in a non-academic nursing setting. 38 burn patients received either TT or nursing presence. On admission, days 2, 5 and 10 of hospitalization, data were collected on anxiety for pain, salivary cortisol, and pain medication. Interviews with nurses were held concerning research in a non-academic setting. Anxiety for pain was more reduced on day 10 in the TT-group. The TT-group was prescribed less morphine on day 1 and 2. On day 2 cortisol level before dressing changes was higher in the TT-group. The situational challenges of this study led to inconsistencies in data collection and a high patient attrition rate, weakening its statistical power. Conducting an effect study within daily nursing practice should not be done with a nursing staff inexperienced in research. Analysis of the remaining data justifies further research on TT for burn patients with pain, anxiety for pain, and cortisol levels as outcomes. Administering and evaluating TT during daily care requires nurses experienced both in TT and research, thus leading to less attrition and missing data, increasing the power of future studies.
Studies on the effects of guided imagery in patients with fibromyalgia show varying results. This... more Studies on the effects of guided imagery in patients with fibromyalgia show varying results. This randomized controlled trial (n = 65) aims to give more insight into the effects on pain, functional status, and self-efficacy. Daily pain was assessed with a pain diary using a Visual Analogue Scale. Functional status and self-efficacy were measured at pretest, posttest, and follow-up using the Fibromyalgia Impact Questionnaire and the Chronic Pain Self-Efficacy Scale. No effects of guided imagery could be established. Explanations for the diverging results between studies might be found in the content of the exercises, length of the intervention period, and background of participants.
In the Netherlands, Complementary and Alternative Medicine (CAM) is offered outside the world of ... more In the Netherlands, Complementary and Alternative Medicine (CAM) is offered outside the world of mainstream medicine. Patients would benefit from an integrated model in which CAM is part of main stream medicine so that disclosure of risks, benefits of CAM and credentials of CAM practitioners are sufficiently dealt with. The aim of this 4-year research project is to develop, implement and evaluate a shared-care model of Integrative Medicine in a primary care setting for patients with chronic joint diseases and allergy.
Journal of holistic nursing : official journal of the American Holistic Nurses' Association, Jan 28, 2014
This study assessed the attitude, beliefs, and practices of integrative medicine (IM) among nurse... more This study assessed the attitude, beliefs, and practices of integrative medicine (IM) among nurses in the Netherlands. Subscribers of a Dutch nursing journal were asked to fill in an anonymous, structured, online survey related to the topic under study. A total of 355 people responded, of which 37% were familiar with the concept of IM in advance. On completion of the survey, the majority (83%) considered IM as a (very) important innovation in health care. Familiarity (odds ratio = 3.20; 95% confidence interval [1.48, 6.94]) and organization (nursing home compared to hospital (odds ratio = 5.98; 95% confidence interval [1.36, 26.23]) were characteristics associated with a positive attitude toward IM. Between 23% and 46% of respondents encountered obstacles regarding implementation of IM. The main obstacles were lack of support (69% to 78%), means (57% to 85%), and time (63% to 70%). Dutch nurses seem to have relatively positive attitudes and beliefs regarding IM. The outcome of this ...
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Papers by Martine Busch