Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Lisa VanGetson APRN, DNP, FNP-C

Second Advisor

Briana Darcy APRN, DNP, FNP-C


The elderly population, specifically the residents in the Skilled Nursing Facility (SNF) or nursing homes, suffer from chronic conditions, many of which have a psychological and behavioral component. Conventional medicine treats the chronic conditions from one symptom to another through pharmacological interventions, which resulted in polypharmacy. Gathering evidenced-base practice of Complementary Alternative Medicine (CAM) will maximize opportunities for the elderly population to manage chronic conditions. The application of Parse’s Theory of Human Becoming (HBT) with self-guided education of CAM modalities in SNF explores the significant concepts of personal meaning, rhythmical patterns, and transcendence. Grounded on HBT, the self- guided education of self-hand massage using aromatherapy, meditation, and mindfulness coloring art augment holistic health by addressing the physical, mental, emotional, and spiritual dimensions of care in the residents of SNF. The implementation of the project presents how effective the self-guided education of CAM modalities in improving health outcomes through the resident's experience, the involvement of front-line staff, and the Quality Steering Committee feedback. The self-guided education of CAM modalities provides a useful tool of evidenced-base care in the SNF located in urban, MN.


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