ذدà،±ل>‏ے =?‏ےےے<ےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےى¥ء%` ً؟ûbjbjNàNà .&,ٹ,ٹûےےےےےے¤عععععععî6666Bîم¶j€€€€€€€bdddddd$™h´ˆعت€€تتˆعع€€‌222تFع€ع€b2تb22عع2€^ آ®كإة62b³0م2µµ22µعF€vِT2JDژ<€€€ˆˆ( €€€متتتتîîî$ $ îîî îîîععععععےےےےResponse to the Catholic Bishops Guidelines for Reiki Recently the Committee on Doctrine of the United States Conference of Catholic Bishops issued Guidelines for Evaluating Reiki as an Alternative Therapy. Many of our AHNA members who practice Reiki or work in institutions utilizing Reiki voiced concerns over this document and its implications for their practice and their organizations. The guidelines concluding statement asserts that: “Since Reiki therapy is not compatible with Christian teaching or scientific evidence, it would be inappropriate for Catholic institutions, such as Catholic health care facilities and retreat centers, or persons representing the Church such as Catholic chaplains, to promote or to provide support for Reiki therapy.” Holistic Nursing Practice Governed by Scope and Standards of Practice The AHNA’s Scope and Standards of Practice support the use of Reiki as an energy-based therapy that is included in the Nursing Intervention Classification (NIC) (AHNA 2007). It is important to remember that the practice of holistic nursing always occurs within the scope and standards of practice of registered nursing and in accordance with state and federal laws and regulations. In addition, holistic nurses are bound by a code of ethics that often challenges them to evaluate their personal and professional ethics especially when they are in contrast to each other. Thus, the ANA Scope and Standards of Practice (ANA 2004), the ANA Code of Ethics for Nurses (ANA 2001), the AHNA Scope and Standards of Practice (AHNA 2007) and state and federal laws, statutes and regulations provide essential parameters for practice. The practice of holistic nursing is not subject to regulation by religious organizations such as the Catholic Church. Denying Reiki Creates Ethical Violations Further, it is important to understand that any person, organization or institution denying a patient Reiki or prohibiting a nurse from administering Reiki violates the ethical principles of patient and nurse au tonomy. Midge Murphy, JD, PhD a professional liability risk management consultant stated the following: “One of the essential core principles of health care ethics is respect for patient autonomy. Autonomy refers to the patient’s self-rule and the opportunity to make meaningful choices. Autonomy means acknowledging the person’s right to make knowing, voluntary, and intelligent health care choices. Autonomy refers to the patient’s interest in choosing what is best for his or her body and health. Disrespecting autonomy means ignoring, insulting, or demeaning those choices by not honoring the decisions and preferences of the patient. The duty to respect patient autonomy parallels the obligation to refrain from demeaning or insulting the patient due to personal or cultural bias. The Guidelines in effect would violate the ethical principle of patient autonomy because the Guidelines would deny a patient in a Catholic hospital and/or health care facility the right to choose Reiki as part of the patient’s treatment plan. In addition to the foregoing, the Guidelines would conflict with the American Holistic Nursing Nurses Associati on’s (AHNA) Standards and Scope of Practice (Standards). AHNA members are ethically required to provide care to their patients in accordance with the Standards which would include Reiki, if the nurse was a Reiki practitioner. The implication of the Guidelines is that a nurse, who is a Reiki practitioner, would be prohibited from providing Reiki to a patient that wanted Reiki. This would violate the nurse’s right to provide care in accordance with the Standards.” Midge Murphy JD, PhD serves on the AHNA Ethics and Advocacy Committee and offers consultation services to practitioners of energy based therapies and organizations that grant certification in energy based therapies. She can be contacted at www.MidgeMurphy.com or HYPERLINK "mailto:Midge@MidgeMurphy.com" \o "mailto:Midge@MidgeMurphy.com" Midge@MidgeMurphy.com Empirical Research Substantiates Benefits of Reiki Treatment There are numerous studies that support the efficacy of Reiki in reducing anxiety, reducing pain, facilitating wound healing,=2 0creating a sense of well being, increasing hemoglobin levels, (Vitale, 2007) and decreasing free radicals (Garrison, 2005). While studies involving Reiki are not conclusive and the exact mechanism in which Reiki healing occurs is unknown, Quantum Physics provides an explanatory model. Not all natural phenomenon are understood by science – new discoveries are first ridiculed, then argued against, then accepted as obvious. American Holistic Nurses Association. (2007). Holistic Nursing: Scope and standards of practice. Silver Springs, MD. American Nurses Association. (2001). Code of Ethics for nurses with interpretive statements. Washington, DC: American Nurses Publishing. American Nurses Association. (2004). Nursing: Scope and standards of practice. Silver Springs, MD: Nursebooks.org Garrison, N. 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