Date of Award

4-30-2021

Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Deborah Schuhmacher DNP, RN

Second Advisor

Kristin McHale DNP, RN

Third Advisor

Lisa VanGetson APRN, DNP, FNP-C

Abstract

The United States (U.S.) healthcare system has inferior patient outcomes compared with other developed countries, and the quantity of primary care providers is insufficient. Novel ideas such as Integrative Primary Care are needed to improve patient outcomes and provider sustainability. Research is lacking regarding the effect of Integrative Primary Care on patient self-care or self-healing; however, patient self-management of chronic conditions with use of Integrative Medicine and Complementary and Alternative Medicine (CAM) have shown favorable results. This DNP project was created to diminish the gap in previous research and evaluated self-care abilities in adult patients with a chronic condition(s) before and after a customized, one-hour Integrative Primary Care appointment. Rosemary Parse’s Theory of Human Becoming guided the project, which was a one-group, pretest-posttest design utilizing a Likert-type survey. Three adult, Caucasian females participated and the outcomes were positive, demonstrating the significance of the integrative visit and healing environment. Unexpected meaningful provider outcomes were observed as well. The conceptual model created from the project portrayed the Integrative Primary Care as the base for development of a patient-provider relationship with focus on co-creation of self-care and co-transcendence into a new, healing paradigm. Validity concerns included a short interval for data collection, small sample size, and a no cost visit. However, numerous implications for advanced nursing practice resulted, including the importance for creation of new models of care with benefits for patient and provider. Further study is needed to determine long term patient outcomes, feasibility, and provider satisfaction with Integrative Primary Care visits.

Identifier

SC 11.DNP.2021.Briese.LJ

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