CE: An Evidence-Based Yoga Practice for Hospitalized Adults on Medical-Psychiatric Units


Author: Angela Dossett1, Anne Smith, Marcia K Gingerich, Laura Cullen

Affiliation: <sup>1</sup> Angela Dossett is clinical practice leader, Anne Smith is nursing practice leader, Marcia K. Gingerich is nurse manager, and Laura Cullen is evidence-based practice scientist, all at the University of Iowa Hospitals and Clinics, Iowa City. Contact author: Angela Dossett, angelakdossett@gmail.com. The project described in this article was supported through the Evidence-Based Practice Staff Nurse Internship program at the University of Iowa Hospitals and Clinics. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Conference/Journal: Am J Nurs
Date published: 2022 Jul 1
Other:
 Volume ID: 122   ,  Issue ID: 7   ,  Pages: 28-36   ,  Special Notes: doi: 10.1097/01.NAJ.0000840304.76501.96.   ,  Word Count: 329  
    Background:

Yoga-based treatments, which are recognized by the National Institutes of Health's National Center for Complementary and Integrative Health as a form of complementary and alternative medicine, have proven to be beneficial for people with various psychiatric disorders, including depression, anxiety, posttraumatic stress disorder, and attention deficit-hyperactivity disorder, as well as schizophrenia and other psychotic disorders.



Purpose:

The purpose of this evidence-based practice (EBP) project was to offer structured yoga sessions as a means of providing stress relief, promoting relaxation, reducing anxiety, and improving quality of care among male and female adult patients (ages 18 years and older) hospitalized in a locked medical-psychiatric unit within an academic medical center for treatment of both acute medical and acute psychiatric conditions.



Practice change and implementation:

The Iowa Model and Implementation Strategies for EBP provided the guiding framework for this pilot project. Patients were offered once weekly, 30-to-60-minute yoga sessions for 12 weeks and were screened for their ability to participate by the nurse-yoga instructor and the interprofessional team. Using a Precision Implementation Approach, a data-driven selection of strategies from the implementation framework promoted the adoption and sustainability of the practice change, which were further advanced through interprofessional reinforcement of yoga practice and internal reporting.



Results:

Patient feedback was sought before and after yoga sessions. Thirty-nine patients responded to the pre-yoga questionnaire and 38 patients responded to the post-yoga questionnaire. Patients reported improved mood after yoga, with 23% (nine of 39) reporting feelings of calm and relaxation pre-yoga compared with 76% (29 of 38) post-yoga, and 41% (16 of 39) reporting feelings of anxiety pre-yoga compared with just 5% (two of 38) post-yoga.



Conclusion:

Yoga sessions provided by a nurse certified in yoga instruction improved patients' mood and sense of well-being. Instructional materials and videos were created to promote sustained use. The EBP of providing yoga sessions grew from a pilot program to a sustained change with more widespread use. In addition to patients hospitalized on medical-psychiatric units, the health system expanded the sessions to include inpatients on behavioral health units.





PMID: 35736601 DOI: 10.1097/01.NAJ.0000840304.76501.96