In this article the author presents her vision for integration of nonpharmacologic treatments, many taken from whole systems of care (Verhoef et al., 2005), for both pain and comfort management. By combining the evidence-based practice expertise of the clinical nurse specialist role with the knowledge of innovation, systems thinking, health policy, and implementation science acquired in the Doctor of Nursing Practice program, she is engaging interprofessional teams to join her shared vision.
BlanchetteM. A., StochkendahlM. J., Da SilvaR. B., BoruffJ., HarrisonP., & BussièresA. (2016). Effectiveness and economic evaluation of chiropractic care for the treatment of low back pain: A systematic review of pragmatic studies. PLOS ONE, 11(8), e0160037.
2.
ChouR., DeyoR., FriedlyJ., SkellyA., HashimotoR., WeimerM.,… BrodtE. (2016). Noninvasive treatments for low back pain [internet].Rockville, MD: Agency for Healthcare Research. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK350276/.
3.
DorflingerL., MooreB., GouletJ., BeckerW., HeapyA. A., SellingerJ. J., & KernsR. D. (2014). A partnered approach to opioid management, guideline concordant care and the stepped care model of pain management. Journal of General Internal Medicine, 29(4), 870–876.
4.
EavesE. R., HsuC. W., DeBarL. L., LivingstonC. J., OckerL. E., McDonaldS. J.,… RitenbaughC. (2019). Whole systems within whole systems: The Oregon health plan's expansion of services for back and neck pain. The Journal of Alternative and Complementary Medicine, 25(S1), S61–S68.
5.
EdmondS. N., MooreB. A., DorflingerL. M., GouletJ. L., BeckerW. C., HeapyA. A.,… KernsR. D. (2018). Project STEP: Implementing the veterans health administration's stepped care model of pain management. Pain Medicine, 19(Suppl. 1), S30–S37.
MillsP. J., PatelS., BarsottiT., PetersonC. T., & ChopraD. (2017). Advancing research on traditional whole systems medicine approaches. Journal of Evidence-Based Complementary & Alternative Medicine, 22(4), 527–530.
8.
NahinR. L., BarnesP. M., & StussmanB. J. (2016). Expenditures on complementary health approaches: United States, 2012 (National Health Statistics Reports). Hyattsville, MD: National Center for Health Statistics.
9.
NahinR. L., BoineauR., KhalsaP. S., StussmanB. J., & WeberW. J. (2016). Evidence-based evaluation of complementary health approaches for pain management in the United States. Mayo Clinic Proceedings, 91(9), 1292–1306. Elsevier.
10.
National Academies of Sciences, Engineering, and Medicine. (2019). The role of nonpharmacological approaches to pain management: Proceedings of a workshop.Washington, DC: The National Academies Press. doi:10.17226/25406.
11.
National Center for Complementary and Integrative Health. (2018). Paying for complementary and integrative health approaches. Retrieved from https://nccih.nih.gov/health/financial.
NicholsT. (2018). Comfort as a multidimensional construct for pain management. Creative Nursing, 24(2), 88–98.
14.
Porter-O'GradyT. (2003). Nurses as knowledge workers. Creative Nursing, 9(2), 6–9.
15.
RitenbaughC., VerhoefM., FleishmanS., BoonH., & LeisA. (2003). Whole systems research: A discipline for studying complementary and alternative medicine. Alternative Therapies in Health and Medicine, 9(4), 32–36.
16.
SackettD. L., RosenbergW. M., GrayJ. M., HaynesR. B., & RichardsonW. S. (1996). Evidence based medicine: What it is and what it isn't. BMJ, 312, 71–72.
17.
SkellyA. C., ChouR., DettoriJ. R., TurnerJ. A., FriedlyJ. L., RundellS. D., … FergusonB. A. (2018). Noninvasive nonpharmacological treatment for chronic pain: A systematic review [internet].Rockville, MD: Agency for Healthcare Research. Available from https://www.ncbi.nlm.nih.gov/books/NBK519953/.
18.
TickH., NielsenA., PelletierK. R., BonakdarR., SimmonsS., GlickR., … ZadorV. (2018). Evidence-based nonpharmacologic strategies for comprehensive pain care: The consortium pain task force white paper. Explore, 14(3), 177–211.
19.
VerhoefM. J., LewithG., RitenbaughC., BoonH., FleishmanS., & LeisA. (2005). Complementary and alternative medicine whole systems research: Beyond identification of inadequacies of the RCT. Complementary Therapies in Medicine, 13(3), 206–212.