Date of Graduation

Spring 5-17-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Mary Seed


The Integrative Healing Approach (IHA) is an initiative that promotes holistic healing and includes the use of essential oils, deep breathing techniques, and therapeutic touch. Its purpose is to relieve pain, anxiety, insomnia, and depression among patients, and stress among staff. The IHA pilot initiative was implemented on the Acute Rehabilitation Unit (ARU) and faced barriers to implementation after the first round of staff education. By rounding with staff and conducting surveys, it was identified that the staff are not using IHA interventions as often due to time constraints. Additionally, there is an identifiable rift between Registered Nurses (RNs) and Certified Nursing Assistants (CNAs) which has affected the culture of the unit, making it difficult for RNs and CNAs to communicate regarding IHA interventions, thus decreasing IHA use. The aim of the Clinical Nurse Leader (CNL) is to directly improve the culture of the ARU by developing a comprehensive IHA patient assessment tool and IHA resource sheets to improve patient satisfaction along with engagement of staff. Upon interviewing, RNs stated that the new IHA patient assessment tool was easy to use. 50% of CNAs reported that they now had an adequate amount of time to use IHA interventions, an increase from 20%. The majority RNs and CNAs found the available resources helpful and used the resources often. The CNAs play an important role in the care of patients and are highly motivated. With clear communication from the RN, the CNA has the potential to impact the use of IHA interventions.