Purpose: To test the effects of nurses’ practicing of the HeartTouch technique (internal method of changing thoughts and feelings) on their perceived stress, hardiness, and spiritual well-being. Method: Experimental (n = 58) and comparison (n = 40) groups received an education session discussing the effects of thoughts and feelings on stress and health, with the experimental group also learning HeartTouch and practicing it for 1 month. Findings: ANCOVA produced no statisticallysignificant between-group differences. Effect sizes ranged from .14 to .35, indicating practical significance, suggesting that nurses who practiced HeartTouch likely noticed a greater improvement in outcome variables than nurses who did not practice HeartTouch. In the experimental group, statistically significant within-group differences were seen in all variables, with effect sizes ranging from .25 to .89. In the comparison group, statistically significant within-group differences were seen in two variables. Implications: Learning about the power of thoughts and feelings and using HeartTouch to change them can reduce stress and increase hardiness and spiritual well-being.
Acton, G., & Miller, E. (2003). Spirituality in caregivers of family members with dementia. Journal of Holistic Nursing, 21, 117-130.
2.
Antai-Otong, D. (2001). Creative stress-management techniques for self-renewal. Dermatology Nursing, 13, 31-32, 35-39.
3.
Antoni, M., Cruess, D., Cruess, S., Lutgendorf, S., Kumar, M., Ironson, G., et al. (2000). Cognitive-behavioral stress management intervention effects on anxiety, 24-hr. urinary norepinephrine output, and t-cytotoxic/suppressor cells over time among symptomatic HIV-infected gay men. Journal of Consulting and Clinical Psychology, 68, 31-45.
4.
Barrios-Choplin, B., McCraty, R., & Cryer, B. (1997). A new approach to reducing stress and improving physical and emotional well being at work. Stress Medicine, 13, 193-201.
5.
Bartone, P., Ursano, R., Wright, K., & Ingraham, L. (1989). The impact of a military air disaster on the health of assistance workers: A prospective study. Journal of Nervous and Mental Disease, 177, 317-328.
6.
Bosma, H., Marmot, M., Hemingway, H., Nicholson, A., Brunner, E., & Stanfeld, S. (1997). Low job control and risk of coronary heart disease in the Whitehall II (prospective cohort) study. British Medical Journal, 314, 558-565.
7.
Carlson, L., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: A 6-month follow-up. Support Care Cancer, 9, 112-123.
8.
Carson, V., & Green, H. (1992). Spiritual well-being: A predictor of hardiness in patients with acquired immunodeficiency syndrome. Journal of Professional Nursing, 8, 209-220.
9.
Childre, D. (1994). Freeze frame. Boulder Creek, CA: Planetary.
10.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum.
11.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.
12.
Deckro, G., Ballinger, K., Hoyt, M., Wilcher, M., Dusek, J., Myers, P., et al. (2002). The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. Journal of American College Health, 50, 281-287.
13.
Dolbier, C., Cocke, R., Leiferman, J., Steinhardt, M., Schapiro, S., Nehete, P., et al. (2001). Differences in functional immune responses of high vs. low hardy healthy individuals. Journal of Behavioral Medicine, 24, 219-229.
14.
Duquette, A., Kerouac, S., Sandhu, B., & Beaudet, L. (1994). Factors related to nursing burnout: A review of empirical knowledge. Issues in Mental Health Nursing, 15, 337-358.
15.
Dyson, J., Cobb, M., & Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26, 1183-1188.
16.
Ellison, C. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330-340.
17.
Epel, E., McEwen, B., & Ickovics, J. (1998). Embodying psychological thriving: Physical thriving in response to stress. Journal of Social Issues, 54, 301-322.
18.
Frankl, V. (1963). Man’s search for meaning. Boston: Beacon.
19.
Goldberg, B. (1998). Connection: An exploration of spirituality in nursing care. Journal of Advanced Nursing, 27, 836-842.
20.
Harrisson, M., Loiselle, C., Duquette, A., & Semenic, S. (2002). Hardiness, work support and psychological distress among nursing assistants and registered nurses in Quebec. Journal of Advanced Nursing, 38, 584-591.
21.
Hawks, S., Hull, M., Thalman, R., & Richins, P. (1995). Review of spiritual health: Definition, role, and intervention strategies in health promotion. American Journal of Health Promotion, 9, 371-378.
22.
Howell, D. (1992). Statistical methods for psychology. Boston: PWS-Kent.
23.
Karasek, R., & Theorell, T. (1990). Healthy work: Stress, productivity, and the reconstruction of work life. New York: Basic Books.
24.
Kaye, J., Morton, J., Bowcutt, M., & Maupin, D. (2000). Stress, depression, and psychoneuroimmunology. Journal of Neuro-science Nursing, 32, 93-100.
25.
Kiecolt-Glaser, J., Dura, J., Speicher, C., Trask, O., & Glaser, R. (1991). Spousal caregivers of dementia victims: Longitudinal changes in immunity and health. Psychosomatic Medicine, 53, 345-362.
26.
Kiecolt-Glaser, J., McGuire, L., Robles, T., & Glaser, R. (2002). Psychoneuroimmunology: Psychological influences on immune function and health. Journal of Consulting and Clinical Psychology, 3, 537-547.
27.
Kinney, C., Rodgers, D., Nash, K., & Bray, C. (2003). Holistic healing for women with breast cancer through a mind, body, and spirit self-empowerment program. Journal of Holistic Nursing, 21, 260-279.
28.
Kobasa, S. (1979). Stressful life events, personality, and health: An inquiry into hardiness. Journal of Personality and Social Psychology, 37, 1-11.
29.
Krebs, K. (2001). The spiritual aspect of caring—An integral part of health and healing. Nursing Administration Quarterly, 25, 55-60.
30.
Laskow, L. (1992). Healing with love. San Francisco: HarperCollins.
31.
Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
32.
Lee, S., & Crockett, M. (1994). Effect of assertiveness training on levels of stress and assertiveness experienced by nurses in Taiwan, Republic of China. Issues in Mental Health Nursing, 15, 419-432.
33.
LeShan, L. (1974). The medium, the mystic, and the physicist. New York: Penguin.
34.
Maddi, S., Kahn, S., & Maddi, K. (1998). The effectiveness of hardiness training. Consulting Psychology Journal, 50, 78-86.
35.
Marucha, P., Kiecolt-Glaser, J., & Favagehi, M. (1998). Mucosal wound healing is impaired by examination stress. Psychosomatic Medicine, 60, 362-365.
36.
Maslach, C., & Leiter, M. (1997). The truth about burnout. San Francisco: Jossey-Bass.
37.
Matthews, D., & Larson, D. (1995). The faith factor: An annotated bibliography of clinical research on spiritual subjects (Vol. 3). Rockville, MD: National Institute for Health Care Research.
38.
Medalie, J., Stange, K., Zyzanski, S., & Goldbourt, U. (1992). The importance of biopsychosocial factors in the development of duodenal ulcer in a cohort of middle-aged men. American Journal of Epidemiology, 136, 1280-1287.
39.
Menzies, I. (1960). Nurses under stress. International Nursing Review, 7,9-9.
40.
Omdahl, B., & O’Donnell, C. (1999). Emotional contagion, empathic concern and communicative responsiveness as variables affecting nurses’stress and occupational commitment. Journal of Advanced Nursing, 29, 1351-1359.
41.
Paloutzian, R., & Ellison, C. (1982). Loneliness, spiritual well-being and quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 224-237). New York: Wiley Interscience.
42.
Payne, R. (2001). Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing, 33, 396-405.
43.
Quine, L. (1998). Effects of stress in an NHS trust: A study. Nursing Standard, 13, 36-41.
44.
Rein, G., Atkinson, M., & McCraty, R. (1995). The physiological and psychological effects of compassion and anger. Journal of Advancement in Medicine, 8, 87-105.
45.
Russek, L., & Schwartz, G. (1997). Perceptions of parental caring predict health status in midlife: A 35-year follow-up of the Harvard mastery of stress study. Psychosomatic Medicine, 59, 144-149.
46.
Seeman, T., & Syme, S. (1987). Social networks and coronary relations as predictors of disease: A comparison of the structure and function of social relations as predictors of disease. Psychosomatic Medicine, 49, 341-354.
47.
Simoni, P., & Paterson, J. (1997). Hardiness, coping, and burnout in the nursing workplace. Journal of Professional Nursing, 13, 178-185.
48.
Smith, T., & Ruiz, J. (2002). Psychosocial influences on the development and course of coronary heart disease: Current status and implications for research and practice. Journal of Consulting and Clinical Psychology, 70, 548-568.
49.
Speca, M., Carlson, L., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62, 613-622.
50.
Steinhardt, M., Dolbier, C., Gottlieb, N., & McCalister, K. (2003). The relationship between hardiness, supervisor support, group cohesion, and job stress as predictors of job satisfaction. American Journal of Health Promotion, 17, 382-389.
51.
Stevens, J. (1999). Intermediate statistics. Mahwah, NJ: Lawrence Erlbaum.
52.
Thornton, L., Gold, J., & Watkins, M. (2002). The art and science of whole-person caring: An interdisciplinary model for health care practice. International Journal of Human Caring, 6, 38-47.
53.
Tiller, W., McCraty, R., & Atkinson, M. (1996). Cardiac coherence: A new non-invasive measure of autonomic system order. Alternative Therapies, 2, 52-65.
54.
Tyler, P., & Ellison, R. (1994). Sources of stress and psychological well-being in high-dependency nursing. Journal of Advanced Nursing, 19, 469-476.
55.
Uchino, B., Cacioppo, J., & Kiecolt-Glaser, J. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implications for health. Psychological Bulletin, 119, 488-531.
56.
Walker, M., & Walker, J. (2003). Healing massage: A simple approach. New York: Delmar Thomson.
57.
Winkelman, C. (2001). Effect size: Utility and application in neuroscience nursing. Journal of Neuroscience Nursing, 33, 216-218.
58.
Yang, E., & Glaser, R. (2003). Stress-induced immunomodulation: Implications for tumorigenesis. Brain, Behavior, and Immunity, 17, S37-S40.
