Integrative Health and Wellness Assessment
Key points
- Integrative self-assessment is a first step in supporting goals and action steps to decrease burnout and enhance well-being in critical care nurses.
- The Theory of Integrative Nurse Coaching supports self-care in critical care nurses as an individual journey or a unit-based process.
The IHWA tool can be integrated into coaching sessions for diverse populations in any setting.
Introduction
The purpose of this article is to discuss the background and use of the Integrative Health and Wellness Assessment (IHWA)1 Tool as it relates to critical care nursing. Although the foundation of nursing is grounded in holistic nursing theory and practice, the nature of the critical care environment often pulls the nurse into a task-oriented model.
In an effort to address the serious life-sustaining requirements of the patient, document appropriately in the electronic record, and meet institutional mandates, critical care nurses may lose their focus on the whole patient. This can lead to fragmentation in care, discontentment, job dissatisfaction, burnout, and loss of meaning in their nursing practice.
McElligott D, Turnier J. Integrative health and wellness assessment tool. Crit Care Nurs Clin North Am. 2020;32(3):439-450