1. Development and Validation of Omaha System Guideline for Integrative Nursing to Translate Evidence-based Practice and Improve Population Health Penny Kessler MN, RN, DNP Student kessl056@umn.edu

2. Presentation Objectives Describe the holistic impact of the Integrative Nursing Guideline on population health. Discuss the use of data generated by the guideline across settings, populations, disciplines and jurisdictions. Explain the method for validating the guideline. Discuss preliminary findings from the use of the guideline.

3. Holistic Integrative Nursing Improvement of population health is enhanced by the inclusion of an holistic integrative nursing guideline for best practices.

4. Evidenced Based Kreitzer, M.J., & Koithan, M. (2014). Integrative Nursing. Oxford Press.

6. Guideline Development Steps 1.Symptoms from Integrative Nursing 2.Corresponding integrative therapies 3.Problem Classification Scheme 4.Intervention Scheme 5.Metadata written 6.Guideline posted 7.Validation of Guideline

7. Chapter 16 Stress ProblemCategoryTargetCare Description Mental Health Case Management Relaxation Breathing Techniques MBSR class Meditation Teaching, Guidance & Counseling Coping Skills Journaling Treatments & Procedures Well BeingMassage

8. Interventions for Symptoms Stress (Ch.16) Nausea (Ch.17) Sleep Disturbance (Ch. 18) Anxiety (Ch.19)

9. Interventions for Symptoms Depressed Mood (Ch. 20) Fatigue (Ch. 21) Pain (Ch. 22) Cognitive Impairment (Ch. 23)

10. Metadata & Guideline Kessler, P.D., & Monsen, K.A. (Nov 2013). Omaha System Intervention Library: Integrative Nursing Appendix and Metadata. http://omahasystemguidelines.org

11. Next Steps  By February 1, 2015, the author will complete the initial draft of the Integrative Nursing Guideline for the Omaha System.  By June 1, 2015, experts in integrative therapies and Omaha System will use content expert approach to validate guideline.  By August 1, 2015, the validated integrative nursing guideline will be posted on the Omaha System Guideline Website.

12. Implications of Integrative Guideline for Nursing Symptom Management Patient Care Omaha System Documentation

13. References Kreitzer, M. J., & Koithan, M. (Eds.). (2014). Integrative nursing. New York, NY: Oxford University Press. Martin, K. S. (2005). The Omaha System: A key to practice, documentation, and information management (2nd ed.). Omaha, NE: Health Connections Press. Martin, K. S., & Kessler, P. D. (in press). The Omaha System: Improving the quality of practice and decision support (The Omaha System: Improving the quality of practice and decision support). In M. D. Harris (Ed.) Handbook of home health care administration (6th ed.). Sudbury, MA: Jones and Bartlett. Minnesota Omaha System Users Group Web [MOSUG] site. (2014). The Minnesota Omaha System Users Group. Retrieved from http://omahasystemmn.org/index.php. Omaha System Guidelines Web site. (2014). Omaha System Guidelines. Retrieved from http://omahasystemguidelines.org.

14. Special Thanks To: Mary Jo Kreitzer, PhD, RN, FAAN Karen Monsen, PhD, RN, FAAN