The implementation and evaluation of therapeutic touch in burn patients: An instructive experience of conducting a scientific study within a non-academic nursing setting
Objective: Evaluation of therapeutic touch (TT) in the nursing of burn patients; post hoc evaluation of the research process in a non-academic nursing setting. Methods: 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. Results: 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. Conclusion: 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. Practice implications: 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.
|Keywords||Anxiety, Burns, Cortisol, Implementation, Itching, Nursing presence, Pain medication, Procedural pain, Therapeutic touch|
|Persistent URL||dx.doi.org/10.1016/j.pec.2012.08.012, hdl.handle.net/1765/38507|
|Journal||Patient Education and Counseling|
Busch, H.F.M, Visser, A.P.H, Eybrechts, M, van Komen, R, Oen, I.M.M.H, Olff, M, … Boxma, H. (2012). The implementation and evaluation of therapeutic touch in burn patients: An instructive experience of conducting a scientific study within a non-academic nursing setting. Patient Education and Counseling, 89(3), 439–446. doi:10.1016/j.pec.2012.08.012